Macular Hole

Macular hole is a small break in the macula, the central area of the retina that is responsible for central vision. A person with macular hole will complain of distortion or blurring of vision or a missing patch at the centre of the visual field. It doesn’t lead to total loss of sight.


Age is the most common cause of macular hole. With age, the vitreous begins to shrink and pull away from the retina. Usually the vitreous pulls away with no problems. But sometimes the vitreous can stick to the retina. This causes the macula to stretch and a hole to form.

Sometimes a macular hole can form when the macula swells from other eye disease. Or it can be caused by an eye injury.


  • Blurred vision
  • In this situation, a person feels like he is looking through fog or thick glass.
  • The eye where the macular hole is formed will feel those symptoms. It is rare for someone to have a macular hole in both eyes.


A macular hole is usually treated with surgery ( vitrectomy ) wherein the vitreous that is pulling on the retina is removed followed by injection of gas bubble. The gas bubble usually goes away on its own after a few days.

Dr. Sangeeta D. Goswami
Get Comprehensive Retina Care From

Dr. Sangeeta D. Goswami

MS (Ophthal), FICO, FRF, VR Fellow, Retina Specialist