Macular Hole Surgery
Vision improvement varies from patient to patient following surgery for treating a macular hole. People who have had a macular hole for less than six months have a better chance of recovering vision than those who have had one for a longer period. Discuss vision recovery with your doctor before your surgery. Vision recovery can continue for as long as three months after surgery.
If a person cannot remain in a face-down position for the required period after surgery, vision recovery may not be as successful. As a result, people who are unable to remain in a face-down position for this length of time may not be good candidates for a vitrectomy. However, there are a number of devices that can make the "face-down" recovery period easier. There are also some approaches that can decrease the amount of "face-down" time. You can discuss these approaches with your doctor.
If a macular hole exists in one eye, there is a 10 to 15 percent chance that a macular hole will develop in your other eye over your lifetime. Your doctor can also discuss this with you.
The most common risk following the surgery is an increase in the rate of cataract development. In most patients, a cataract can progress rapidly. These cataracts often become severe enough to require removal.
Other, less common complications of surgery for macular hole treatment include infection and retinal detachment, either during the surgery or afterward, both of which can be immediately treated.
For a few months after surgery for your macular hole, you will not permitted to travel by air. Changes in air pressure may cause the bubble in the eye to expand, increasing pressure inside the eye.