What is Macular Holes and Puckers ?

• December 16, 2024

Macular Holes and Puckers: Causes, Symptoms, and Treatments cost

What is the Macula?

The macula is a small, central part of the retina responsible for sharp central vision, allowing us to read, drive, and see fine details. Problems with the macula can significantly impact vision.

1. Macular Hole

A macular hole is a small break or defect in the macula. It develops when the vitreous gel inside the eye shrinks and pulls on the macula, creating a tear or hole.

Causes:

1. Aging: Common in people over 60 years due to natural vitreous changes.

2.Trauma: Eye injuries can lead to macular holes.

3.Diabetic Retinopathy: Complications of diabetes may cause macular damage.

4.High Myopia: Severe nearsightedness can stretch the retina, leading to macular holes.

Symptoms:

• Blurred or distorted central vision

• A dark or empty spot in the central vision

• Straight lines appearing wavy

Treatment for Macular Hole:

• Vitrectomy Surgery:

• A common procedure where the vitreous gel is removed, and a gas bubble is inserted into the eye to help close the hole.

• Patients must maintain a face-down position for a few days after surgery for the bubble to work effectively.

• Ocriplasmin Injection:

• A medication that may help close small holes without surgery.

2. Macular Pucker

A macular pucker, also called an epiretinal membrane (ERM), occurs when a thin, fibrous layer of scar tissue forms on the macula, causing it to wrinkle or pucker.

Causes:

1. Aging: The vitreous gel pulling away can trigger scar tissue formation.

2. Retinal Tears or Retinal Detachments: Prior eye issues can cause membrane growth.

3. Eye Inflammation: Diseases like uveitis can lead to macular puckers..

4. Eye Surgery: Previous surgeries may result in scar tissue formation.

Symptoms:

• Blurry or distorted vision

• Straight lines appearing wavy or bent

• Difficulty seeing fine details (e.g., reading or recognizing faces)

Treatment for Macular Pucker:

• Observation: If symptoms are mild, no treatment may be needed.

• Vitrectomy Surgery:

• The scar tissue is carefully peeled away to reduce the wrinkling of the macula.

• Vision improvement may take months, but distortion often decreases significantly.

Differences Between Macular Hole and Pucker:

Post-Treatment Care at Delhi Eye Care

• Follow-up visits to monitor recovery.

• Avoid strenuous activities for a few weeks

• Maintain proper head positioning after surgery (if gas bubble is used)

Macular holes surgery cost in Delhi Ncr

The cost of macular hole surgery (vitrectomy) in Delhi NCR, India can vary based on several factors such as patient conditions and the hospital, surgeon’s experience, facilities, and the type of lens or equipment used. General Range of surgeries start from ₹40,000 to ₹1,20,000.

Macular holes and puckers can significantly impact vision but are treatable with advanced surgical options like vitrectomy. If you experience any changes in central vision, consult an experienced retina specialist for early diagnosis and treatment.