Macular Hole

Restore Your Vision at Vantage Eye Center in Salinas and Monterey, California.

What is a Macular Hole?

A macular hole is a serious retinal condition that affects your central vision—the part you rely on for reading, driving, and recognizing faces. At Vantage Eye Center, our experienced retina specialists use advanced diagnostic imaging and modern surgical techniques to diagnose and treat macular holes early, helping protect and restore your vision.

If you’ve noticed distortion, blurriness, or a dark spot in your central vision, it’s important to schedule an evaluation as soon as possible.

A patient sits for an eye exam using an ophthalmic imaging device.
Showing what it's like to lose your vision with macular hole.

Macular Hole Symptoms

Macular holes are painless, but the symptoms affect the quality of your life. Symptoms usually begin slowly and worsen over time.  Macular hole symptoms include:

  • Blurred or decreased central vision
  • Straight lines appearing bent or wavy
  • Difficulty reading or focusing on fine details
  • A dark, gray, or missing spot in your central vision
  • Trouble recognizing faces

Common Causes of a Macular Hole

Eye Injury or Trauma

High Nearsightedness (myopia)

Previous Eye Surgery

Macular Pucker

Inflammatory Eye Conditions

Schedule an Eye Exam

If you’ve been diagnosed with a retinal condition or are experiencing changes in your vision, a comprehensive evaluation can determine whether vitrectomy surgery is the right treatment to help preserve or improve your sight.

The Primary Treatment Option for Macular Hole

Vitrectomy surgery is a highly specialized eye procedure used to treat retina conditions. At Vantage Eye Center, vitrectomy is performed by experienced retina specialists using advanced technology to protect and restore vision.

During a vitrectomy, the surgeon carefully removes the vitreous gel to eliminate this traction and gain access to the retina for treatment.

The procedure is typically performed in an outpatient surgical setting. Using microscopic instruments, the surgeon makes tiny incisions in the eye to remove the vitreous. Depending on the condition being treated, additional steps may include repairing a macular hole, removing scar tissue, sealing a retinal tear, or repositioning the retina. In many cases, a gas bubble is placed in the eye to support healing, especially during macular hole repair.

Recovery after vitrectomy varies depending on the condition and complexity of the procedure. Patients may be asked to maintain a specific head position—often face-down—for several days to allow the gas bubble to properly support the retina. Vision typically improves gradually over several weeks or months as the eye heals and the bubble dissipates.

Vitrectomy surgery has a strong track record of success, particularly when conditions are diagnosed and treated early. While the procedure is considered safe, all surgeries carry some risk, including infection, bleeding, retinal detachment, or cataract progression. Your retina specialist will carefully review these risks and guide you through what to expect before, during, and after surgery.