Macular hole: Will progress without surgery.Macular pseudohole: Blurring and distortion, but to a lesser degree than with a macular hole.Macular pseudohole: Caused by traction (but a lesser amount of pulling than in a macular hole) of the epiretinal membrane.Traction on the retina by the overlying internal limiting membrane also contributes to macular hole formation. The vitreous is the jelly-like substance that fills the inside of the back part of the eye. Macular hole: Caused by a strong pulling forward of the macular area of the retina by vitreous fibers as they contract.Studies suggest there is no difference on visual outcome between ERM with pseudohole and ERM without pseudohole. Pseudohole is simply an appearance of the retina due to contraction (or pulling) from the ERM. It is the degree of this cone disruption that affects the final visual outcome. Please note: The epiretinal membrane (ERM) can have varying degrees of retinal cone disruption from none or minimal to significant.Macular pseudohole: The epiretinal membrane (ERM), which can pull on the underlying retina, is the cause of the retinal contraction that gives the appearance of a hole.It is not involved in the formation of a macular hole. Macular hole: Epiretinal membrane tissue may or may not be present.However, a detailed examination, as well as more advanced imaging, such as optical coherence tomography (OCT), demonstrates that there is, in fact, no hole and no missing retinal layers.Macular pseudohole: Not a true hole rather it is a condition in which scar tissue called epiretinal membrane tugs or pulls on the underlying retina, which can look similar to a macular hole during a clinical eye examination.You can read more about macular hole at Surviving Recovery from Macular Hole Surgery. This means that layers of the retina are absent. Macular hole: A true hole in the retina.Then, they will likely inject a bubble into your eye to temporarily help the retina tissue adhere together.How a Macular Pseudohole Differs from a Macular Hole Joy R. To treat a macular hole, your eye doctor may also recommend a vitrectomy.
During this procedure, your eye doctor will remove the gel from the eye and the scar tissue that has formed over the macula. If your vision is significantly affected by macular pucker, your eye doctor may perform a procedure called a vitrectomy and membrane peel. However, some cases of macular holes and macular pucker warrant surgery to prevent further damage or attempt to repair vision. If the condition does not cause severe vision issues, your eye doctor may see you on a regular basis to ensure the condition is not worsening or causing further vision problems. In some minor cases, your eye doctor may treat these conditions with thorough and regular monitoring. Treatment for macular pucker and macular holes varies depending on the severity. Unable to see fine details of objects How Do Eye Doctors Treat Macular Holes and Macular Pucker?.The symptoms of a macular pucker are similar: If the retina pulls off the macula, a hole can form over this area.Ī macular hole is much more likely to cause permanent vision loss than a macular pucker. If you have a PVD, it’s possible that the vitreous detachment can tug on the retina. Aging is the most common cause of macular holes. Macular holes can also occur due to natural changes that happen in your eye as a side effect of aging. A macular hole also causes your vision to be blurry or for you to have blind spots. What Are Macular Holes?Ī macular hole is similar to a macular pucker in the way that it affects the same area on the retina. Sometimes, this scar tissue forms over the macula.Ī macular pucker forms when this scar tissue wrinkles or bulges over the macula. If PVD tugs on the retina and causes damage, scar tissue will form over that damage. This is called a posterior vitreous detachment, or PVD. Sometimes, when this gel shrinks, it can pull or tug on the retina. As you age, the vitreous gel that fills the inside of your eye begins to change and shrink. To focus and see clearly when looking directly at something, the macula must lay flat against the back of your eye. The macula is a specific spot on your retina that is responsible for your central vision. What is a Macular Pucker?Ī macular pucker is an eye condition that can cause blurry or distorted vision. If you’ve been diagnosed with a macular hole or pucker, you’ll want to ensure that you are under the care of an experienced and dedicated retinal specialist.Īt Retina Associates of Middle Georgia, our eye doctors have the training and knowledge necessary to ensure that your treatment produces the best vision outcome possible.
0 kommentar(er)
