Macular Hole Vitrectomy
Macular Hole
Cause: A small break in the central retina (macula) causing blurred or distorted central vision.
When vitrectomy is needed:
- Full-thickness macular hole confirmed on OCT
- Typically stages 2–4
Procedure:
- Anesthesia: Usually local.
- Standard three-port vitrectomy through pars plana.
- Vitrector removes vitreous gel, especially around the macula.
- Posterior vitreous detachment (PVD) is induced if necessary.
- Dye injection (Brilliant Blue G or indocyanine green) stains the internal limiting membrane (ILM).
- ILM peeling: Membrane around the macular hole is gently peeled with micro-forceps to reduce traction.
- Fluid-air exchange replaces internal fluid with air.
- Gas bubble (e.g., SF₆ or C₃F₈) is injected to press the edges of the hole together.
- Face-down positioning is required for several days to allow the hole to close properly.
- Wound sites are inspected, trocars removed, often self-sealing.
Goal: Close the hole and improve central vision.
Success Rate: 90–95% for small/medium holes.
Risks: Retinal detachment, cataract, pressure rise.
Side Effects: Blurry vision from gas, limited activity post-op.
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At Texoma Retina Center, our focus is on providing the most progressive cutting-edge vitreo-retinal services in a caring and compassionate atmosphere.
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Opening Hours
Calls are taken 24/7 for emergencies
MONDAY
08.00 AM – 05.00 PM
TUESDAY
08.00 AM – 05.00 PM
WEDNESDAY
08.00 AM – 05.00 PM
THURSDAY
08.00 AM – 05.00 PM
FRIDAY
08.00 AM – 05.00 PM
Available on Saturday and Sunday for Emergency only. Call for appointment
LOCATIONS AND DIRECTIONS
Denison/Sherman | Gainesville | McKinney/Allen | Paris
