How many stages of macular hole are there?

There are four stages of a macular hole: small foveal detachments with a partial-thickness defect (stage 1), small full-thickness holes (stage 2), larger full-thickness holes without vitreous separation from the retina (stage 3), and larger full-thickness holes with vitreous separation (stage 4).

How fast does macular hole progress?

In the 7 to 10 days after the operation, the gas bubble slowly starts to shrink. As this happens, the space that was taken up by the gas fills with the natural fluid made by your eye, and your vision should start to improve. It generally takes 6 to 8 weeks for the gas to be absorbed and vision to improve.

What are the characteristics of a Stage 3 idiopathic macular hole?

Stage 3: A full-thickness macular hole in the retina exists. It is greater than 400 µm in size and is still with partial vitreomacular adhesion/traction. Stage 4: A full-thickness macular hole exists in the presence of a complete separation of the vitreous from the macula and the optic disc.

Can I drive with a macular hole?

Can I still drive when I have a macular hole? Many people with a macular hole are able to carry on driving because it usually only affects their vision in one eye. You’re required by law to tell the Driver and Vehicle Licensing Authority (DVLA) if you have an eye condition which may affect your vision in both eyes.

Does macular hole lead to blindness?

If left untreated, these holes can cause serious complications like a detached retina which will also cause problems with your peripheral vision and eventually lead to total blindness.

How long is recovery from macular hole surgery?

The total recovery time is several months. Patients will be asked to maintain face down positioning after surgery, from one to seven days, depending on a variety of patient-specific factors. Patients are on post-operative eye drops for a few weeks. The gas bubble gradually resorbs over two to eight weeks.

Is macular hole surgery painful?

Most patients have minimal discomfort after surgery. If you have some pain we recommend you take Acetaminophen (Tylenol). Avoid Aspirin or Ibuprofen as this can increase risk of bleeding. When your eye shield is taken off your vision will typically be more blurred because of the gas bubble in your eye.

How long is recovery after macular hole surgery?

You might have some pain in your eye and your vision may be blurry for a few days after the surgery. You will need 2 to 4 weeks to recover before you can do your normal activities again. It may take longer for your vision to get back to normal.