![]() ![]() Vitrectomy has a success rate of over 90%, with patients regaining some or most of their lost vision. © the American Society of Retina Specialists. This image was originally published in the ASRS Retina Image Bank. This will allow the bubble to gradually dissolve and be replaced by natural eye fluids. The patient may be asked to maintain a face-down position for several days, and in some cases up to 2 weeks, depending on the characteristics of the macular hole. In this surgical procedure, the vitreous gel is removed to stop it from pulling on the retina, and most commonly a gas bubble is placed in the eye to gently hold the edges of the macular hole closed until it heals. Vitrectomy is the most common treatment for macular holes. No laboratory tests are needed in cases of idiopathic macular holes (those without a known cause). This quick, non-invasive imaging technique allows for evaluation of the macula in high resolution using reflected light, and helps your doctor differentiate a hole from other eye conditions with similar symptoms. Optical coherence tomography (OCT) is the current gold standard in the diagnosis, staging, and management of macular holes (Figure 1).
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