Materiały źródłowe

• #1 Macular Hole: Symptoms, Causes, & Treatment

  https://my.clevelandclinic.org/health/diseases/14208-macular-hole

  Theres no way to prevent a macular hole. You may reduce your risk by: […] Having regular eye examinations. This may not prevent a macular hole, but your provider will be able to find a macular hole earlier if you follow a recommended exam schedule. […] Taking care of your eyes and managing your blood sugar levels, if you have diabetes, and your blood pressure, if you have hypertension.

• #2 Macular Hole

  https://www.asrs.org/patients/retinal-diseases/4/macular-hole

  Macular hole commonly affects people over the age of 55 and most often occurs in women. […] For this reason, there is currently no effective way to prevent their formation and development. […] If a macular hole develops in one eye, there is a 5% to 15% risk of one developing in the other eye. […] In cases where the macular hole is very small and does not have a large impact on your vision, your doctor may not recommend any treatment at all.

• #3 Macular hole | Macular Disease Foundation Australia Macular Disease Foundation Australia

  https://www.mdfoundation.com.au/about-macular-disease/other-macular-conditions/macular-hole/

  Theres nothing you can do to prevent a macular hole. Diet or exercise are not thought to contribute to the problem. […] Theres no evidence that taking any kind of medicine or vitamins can help fix a macular hole. In most cases the best treatment is surgery. […] Having an eye test at least every two years is the best way to help ensure that any eye issues are detected early. In between it is important to monitor your own vision with the weekly use of an Amsler Grid.

• #4 Macular hole – information, causes and treatment | RNIB | RNIB

  https://www.rnib.org.uk/your-eyes/eye-conditions-az/macular-hole/

  There is nothing you can do to avoid getting a macular hole and it doesnt develop because of anything youve done. Diet and exercise havent been found to make macular hole more likely. […] Having an eye examination at least every one to two years, as advised by your optometrist, is the best way to make sure your eyes are healthy and that no new eye conditions are developing. There is nothing you can do to fix a macular hole yourself and, in most cases, treatment is required as recommended by your ophthalmologist.

• #5 Retinal Hole Treatment: How Serious Is It? | Norlase

  https://norlase.com/retinal-holes/

  Unfortunately, there are no clinically proven ways to prevent retinal holes. […] That said, routine visits to your eye doctor are crucial. By visiting your eye doctor regularly (at least twice annually, especially if you are over age 50), you can improve your chances of catching and diagnosing eye conditions, including retinal holes, as early as possible. Early detection and treatment is pivotal for achieving the best treatment outcomes possible, so be sure to make regular eye doctor visits a health priority.

• #6  Preventing Macular Hole Progression: Tips for Eye Health and Risk Reduction

  https://www.gulfcoastretinacenter.com/blog/preventing-macular-hole-progression-tips-for-eye-health-and-risk-reduction.html

  Macular holes are a serious eye condition that can significantly impact your vision. […] It’s important to be aware of these risk factors and take proactive steps to prevent macular hole progression. […] Here are some tips for maintaining good eye health and minimizing the chances of macular hole development: Protect your eyes from injury: Wear appropriate protective eyewear when engaging in activities that pose a risk of eye injury, such as sports or construction work. Maintain a healthy lifestyle: Eat a balanced diet rich in fruits, vegetables, and omega-3 fatty acids. Regular exercise and avoiding smoking can also contribute to good eye health. Manage underlying health conditions: Conditions like diabetes and high blood pressure can contribute to eye problems. It’s important to manage these conditions through proper medical care and lifestyle modifications. Follow proper eye care practices: Regularly visit your ophthalmologist for routine eye exams, and follow their recommendations for eye care, including using prescribed eye drops, wearing appropriate eyeglasses or contact lenses, and practicing good hygiene. […] By implementing these tips and taking proactive measures, you can significantly reduce the risk of macular hole progression and maintain good eye health.

• #7

  https://www.everett-hurite.com/blog/eye-health-101-macular-holes-and-your-vision

  While there is no surefire way to prevent a macular hole from developing, there are two key things you can do to avoid the serious consequences of one. These are: […] Schedule regular eye exams. While its important to watch for symptoms that may signal a developing problem, its just as important to schedule regular eye exams, even if you currently have no vision issues. Your ophthalmologist can test for macular holes and may very well catch one in its earliest stages. Once a diagnosis is made, your ophthalmologist can take the appropriate steps to ensure that the hole heals. Depending on the severity of the hole, your eye may heal naturally and on its own; surgery may also be required to fix the damage.

• #8 Macular Hole | Retina Consultants of Orlando

  https://www.retinaconsultantsorlando.com/macular-hole/

  While not all macular holes can be prevented, regular eye exams can help detect any changes in your retina early on. […] If you notice any changes in your vision or have concerns, it is essential to consult an eye care professional promptly. […] Your eye care professional will provide specific instructions to aid in the healing process.

• #9 Macular Hole

  https://www.asrs.org/patients/retinal-diseases/4/macular-hole

  Macular hole commonly affects people over the age of 55 and most often occurs in women. […] For this reason, there is currently no effective way to prevent their formation and development. […] If a macular hole develops in one eye, there is a 5% to 15% risk of one developing in the other eye. […] In cases where the macular hole is very small and does not have a large impact on your vision, your doctor may not recommend any treatment at all.

• #10 Macular Hole Reading – Expert Macular Surgery Wyomissing

  https://www.berkseye.com/macular-hole/

  Due to the fact that most macular holes are linked to age-related changes in the vitreous, there is no effective way to completely prevent them. […] If you have a macular hole in one eye, there is a 10 to 15 percent chance you will develop one in the other eye.

• #11 Macular Hole: Symptoms, Causes, & Treatment

  https://my.clevelandclinic.org/health/diseases/14208-macular-hole

  Theres no way to prevent a macular hole. You may reduce your risk by: […] Having regular eye examinations. This may not prevent a macular hole, but your provider will be able to find a macular hole earlier if you follow a recommended exam schedule. […] Taking care of your eyes and managing your blood sugar levels, if you have diabetes, and your blood pressure, if you have hypertension.

• #12 Macular Holes FAQs | Broberg Eye Care in Austin

  https://brobergeyecare.com/eye-care/macular-hole-faqs/

  There are no proven ways to prevent macular holes. However, some measures may help promote eye health and reduce the risk of macular holes, such as regular eye exams, managing underlying health conditions such as diabetes or high myopia, and protecting your eyes from trauma or injury.

• #13  Preventing Macular Hole Progression: Tips for Eye Health and Risk Reduction

  https://www.gulfcoastretinacenter.com/blog/preventing-macular-hole-progression-tips-for-eye-health-and-risk-reduction.html

  Macular holes are a serious eye condition that can significantly impact your vision. […] It’s important to be aware of these risk factors and take proactive steps to prevent macular hole progression. […] Here are some tips for maintaining good eye health and minimizing the chances of macular hole development: Protect your eyes from injury: Wear appropriate protective eyewear when engaging in activities that pose a risk of eye injury, such as sports or construction work. Maintain a healthy lifestyle: Eat a balanced diet rich in fruits, vegetables, and omega-3 fatty acids. Regular exercise and avoiding smoking can also contribute to good eye health. Manage underlying health conditions: Conditions like diabetes and high blood pressure can contribute to eye problems. It’s important to manage these conditions through proper medical care and lifestyle modifications. Follow proper eye care practices: Regularly visit your ophthalmologist for routine eye exams, and follow their recommendations for eye care, including using prescribed eye drops, wearing appropriate eyeglasses or contact lenses, and practicing good hygiene. […] By implementing these tips and taking proactive measures, you can significantly reduce the risk of macular hole progression and maintain good eye health.

• #14 Preventing Macular Holes and Tears: Causes and Treatments

  https://www.savesightcentre.com/macular-holes-and-tears.php

  While not all holes or tears can be prevented, some steps can reduce the risk: […] Regular Eye Exams: Routine eye check-ups can detect issues early. […] Protect Your Eyes: Wear protective eyewear during activities that carry an eye injury risk. […] Manage Eye Health: Control conditions like diabetes, which can increase the risk of eye problems.

• #15 Macular hole | Macular Disease Foundation Australia Macular Disease Foundation Australia

  https://www.mdfoundation.com.au/about-macular-disease/other-macular-conditions/macular-hole/

  Theres nothing you can do to prevent a macular hole. Diet or exercise are not thought to contribute to the problem. […] Theres no evidence that taking any kind of medicine or vitamins can help fix a macular hole. In most cases the best treatment is surgery. […] Having an eye test at least every two years is the best way to help ensure that any eye issues are detected early. In between it is important to monitor your own vision with the weekly use of an Amsler Grid.

• #16 Ophthalmology Expert Witness Services

  https://www.ophthalmologyexpertservices.com/blog/2019/macular-hole

  Taking eye vitamins does not lower the risk for macular hole formation. […] Following surgery, most surgeons believe it is crucial for the patient to maintain a downward gaze for one week, keeping the bubble in constant contact with the macular hole, promoting hole closure. […] In patients able to comply with face-down positioning, hole closure occurs in almost all cases. […] The risk for recurrence of the hole following surgical repair can be minimized with ILM removal. […] Finally, patient compliance with head positioning is critical for successful macular hole closure.

• #17 Macular Holes Plano, TX | Texas Macula and Retina

  https://texasmr.com/eye-conditions/macular-holes/

  Macular holes are a specific type of retinal issue that demands attention and prompt treatment in order to prevent permanent vision loss. […] Detecting and treating macular holes early can significantly improve the chances of a successful outcome. Routine eye examinations are essential for early detection, as early intervention can prevent the hole from progressing and worsening vision. […] At Texas Macula Retina, we understand the significance of addressing macular holes and providing expert care to preserve your central vision.

• #18 Common Retinal Treatment Options – Louisiana Retina

  https://louisianaretina.com/macular-hole-causes-symptoms-treatment-in-louisiana/

  Unfortunately, it is generally not possible to prevent macular holes from developing. However, you can reduce your risk by wearing protective eyewear for sports and by scheduling regular eye exams, eating a healthy diet that is low in sugar, avoiding smoking, and using sunglasses to protect your eyes from UV rays. […] Macular holes can cause vision loss, but it is possible to restore vision and prevent further damage with macular hole surgery. It’s vital to seek medical care sooner rather than later if you experience any symptoms associated with macular holes. […] Early diagnosis and treatment are essential for the best possible outcome.

• #19 Macular hole | Macular Disease Foundation Australia Macular Disease Foundation Australia

  https://www.mdfoundation.com.au/about-macular-disease/other-macular-conditions/macular-hole/

  Theres nothing you can do to prevent a macular hole. Diet or exercise are not thought to contribute to the problem. […] Theres no evidence that taking any kind of medicine or vitamins can help fix a macular hole. In most cases the best treatment is surgery. […] Having an eye test at least every two years is the best way to help ensure that any eye issues are detected early. In between it is important to monitor your own vision with the weekly use of an Amsler Grid.

• #20

  https://umiamihealth.org/en/bascom-palmer-eye-institute/specialties/retina-and-vitreous-diseases/macular-holes

  The best way to protect yourself from this condition is through regular eye exams so your doctor can detect them early or prevent holes from forming. […] If you experience blurred or distorted vision, dont wait. Contact Bascom Palmer Eye Institute, part of the University of Miami Health System, right away. […] If your eyesight is threatened, expert care from a trusted leader is your fastest, safest path to saving your sight.

• #21 Macular hole stages: Meaning, symptoms, and treatment

  https://www.medicalnewstoday.com/articles/macular-hole-stages

  A macular hole may progress through four stages, each with different features. An early stage hole may resolve without treatment, while a later stage hole typically requires surgery. […] Around 50% of stage 1 macular holes spontaneously resolve without treatment. Doctors do not typically recommend surgery during this stage, as operating can lead to complications. […] During this stage, doctors may recommend a type of eye surgery called vitrectomy, which involves removing some or all of the gel-like vitreous from the middle of the eye and replacing it with a bubble made from gas and oil. […] The treatment for a stage 4 macular hole is the same as for stage 2 and 3 macular holes. […] Doctors may recommend a watch and wait approach to see if an early stage macular hole progresses or heals without treatment. Around 50% of stage 1 macular holes heal spontaneously.

• #22 Macular hole stages: Meaning, symptoms, and treatment

  https://www.medicalnewstoday.com/articles/macular-hole-stages

  Vitrectomy is the standard treatment for a macular hole that does not resolve spontaneously. […] Nonetheless, surgical complications are possible and may include: cataracts, retinal detachment, infection, glaucoma, bleeding. […] A person should also contact a healthcare professional if their vision problems persist or worsen following treatment for a macular hole. […] It is important to seek a diagnosis when symptoms develop. An ophthalmologist can advise on the best time to treat a macular hole. […] Later stage macular holes require more urgent treatment to help prevent permanent vision loss. […] Stage 1 macular holes may resolve without treatment. However, later stage macular holes require treatment, such as vitrectomy or injectable medications, to help prevent permanent vision loss.

• #23 How to recognize predictors of spontaneous macular hole closure

  https://www.retina-specialist.com/article/how-to-recognize-predictors-of-spontaneous-macular-hole-closure

  Anatomic features of macular holes are important to take into consideration when evaluating which full-thickness macular holes (FTMH) will undergo spontaneous closure. […] A combination of topical steroids, carbonic anhydrase inhibitors, nonsteroidal anti-inflammatory drugs and anti-VEGF agents have been used in the management of FTMH closures. […] Its important to plan for surgery early in the treatment course to ensure no delays in the event observation or nonsurgical interventions dont work. […] Although spontaneous hole closure has traditionally been observed with traumatic macular holes, with closure rates ranging from 10 to 50 percent, and reports recommending observation for up to four months to see if traumatic holes close, newer studies are finding spontaneous closures with observation and nonsurgical interventions in non-traumatic FTMH.

• #24 Study finds medicated eye drops may help close macular holes without surgery – UChicago Medicine

  https://www.uchicagomedicine.org/forefront/research-and-discoveries-articles/2021/january/medication-closes-small-macular-holes

  Medicated drops may help close small macular holes over a two- to eight-week period, allowing some people to avoid surgery to fix the vision problem, a new study suggests. […] For certain patients, medicated drops may heal their macular hole by decreasing inflammation and increasing fluid absorption in the retina, said ophthalmologist and retinal surgeon Dimitra Skondra, MD, PhD, senior author of the study. […] As an alternative to surgery, the researchers prescribed a daily three-drug regimen medications that are FDA-approved and routinely used for other eye conditions consisting of prednisolone or difluprednate, ketorolac or bromfenac and brinzolamide or dorzolamide. […] Using this topical medicated treatment, 12 of the 14 patients had holes that closed within two to eight weeks two to four times faster than spontaneous closure rates of macular holes.

• #25 Medical Management of Full-Thickness Macular Holes – Retina Today

  https://retinatoday.com/articles/2022-apr/medical-management-of-full-thickness-macular-holes

  Topical therapy may be a good option for a subset of patients. […] Medical management of FTMHs is based on the combined tractional-hydration theory. […] Dehydration of the cystic fluid through use of a retinal pigment epithelium (RPE) pump results in closure of the macular hole, followed by reabsorption of the subretinal fluid. […] The combined tractional-hydration theory of macular hole pathogenesis suggests that cystoid hydration of the retina plays a central role in FTMH development; in turn, dehydration of the retina is critical for FTMH closure. […] Several observational studies suggest that treatment of FTMH with topical steroids, CAIs, and/or NSAIDs may facilitate cystoid dehydration. […] While further studies are necessary, topical therapy may be particularly worthwhile for treatment of small FTMHs with CME and no significant tractional component in patients who are unable or reluctant to undergo surgery, or in patients for whom surgery may be delayed due to the COVID-19 pandemic or other reasons. A trial of topical therapy may also be considered for 4 to 6 weeks while awaiting scheduled surgery.

• #26 Study finds medicated eye drops may help close macular holes without surgery – UChicago Medicine

  https://www.uchicagomedicine.org/forefront/research-and-discoveries-articles/2021/january/medication-closes-small-macular-holes

  Medicated drops may help close small macular holes over a two- to eight-week period, allowing some people to avoid surgery to fix the vision problem, a new study suggests. […] For certain patients, medicated drops may heal their macular hole by decreasing inflammation and increasing fluid absorption in the retina, said ophthalmologist and retinal surgeon Dimitra Skondra, MD, PhD, senior author of the study. […] As an alternative to surgery, the researchers prescribed a daily three-drug regimen medications that are FDA-approved and routinely used for other eye conditions consisting of prednisolone or difluprednate, ketorolac or bromfenac and brinzolamide or dorzolamide. […] Using this topical medicated treatment, 12 of the 14 patients had holes that closed within two to eight weeks two to four times faster than spontaneous closure rates of macular holes.

• #27 Study finds medicated eye drops may help close macular holes without surgery – UChicago Medicine

  https://www.uchicagomedicine.org/forefront/research-and-discoveries-articles/2021/january/medication-closes-small-macular-holes

  Medicated drops may help close small macular holes over a two- to eight-week period, allowing some people to avoid surgery to fix the vision problem, a new study suggests. […] For certain patients, medicated drops may heal their macular hole by decreasing inflammation and increasing fluid absorption in the retina, said ophthalmologist and retinal surgeon Dimitra Skondra, MD, PhD, senior author of the study. […] As an alternative to surgery, the researchers prescribed a daily three-drug regimen medications that are FDA-approved and routinely used for other eye conditions consisting of prednisolone or difluprednate, ketorolac or bromfenac and brinzolamide or dorzolamide. […] Using this topical medicated treatment, 12 of the 14 patients had holes that closed within two to eight weeks two to four times faster than spontaneous closure rates of macular holes.

• #28 Experimental treatment for macular holes opts for eye drops over surgery – UChicago Medicine

  https://www.uchicagomedicine.org/forefront/research-and-discoveries-articles/experimental-treatment-for-macular-holes-opts-for-eye-drops-over-surgery

  „We haven’t published anything yet,” explained eye surgeon Dimitra Skondra, MD, PhD, about an experimental treatment. „We haven’t even designed, much less organized, a clinical trial although we have an idea how we would like to set it up. For the moment, this is just an idea, an off-label use of common drugs. But we tried this on four patients and it worked for three of them. They recovered without surgery. […] „If you go to any other eye specialists,” she explained, „they will ask, 'What is your doctor thinking?’ If you look it up on Google, you will not find any mention of this. But it may save you from an operation on your eye.” […] „I’m so glad I had this option,” Strickland said after a checkup. She used the eye drops three or four times a day, about 10 minutes in between each set. As soon as I started using the drops, it started getting progressively better while it was the same or even getting worse for weeks before seeing Dr Skondra and starting the treatment.” […] „I’m an eye surgeon,” Skondra said. „I love complicated surgery. But it’s so much more rewarding when I can fix a problem without cutting someone’s eye open. That gives me satisfaction: to help them get their vision back, without significant risk. Patients prefer that.”

• #29 Topical drop treatment for full-thickness macular hole closure

  https://www.modernretina.com/view/topical-drop-treatment-for-full-thickness-macular-hole-closure

  Eighteen of 49 eyes (36.7%) achieved closure on topical therapy, of which 13 eyes were idiopathic. […] In addition to the overall macular hole closure rate of 36.7% achieved with topical therapy, higher efficacy was achieved in patients with smaller holes and no VMT. They also noted that the rates of macular hole narrowing and reduction in the central foveal thickness were predictors of the efficacy of drop therapy.

• #30 Medical Management of Full-Thickness Macular Holes – Retina Today

  https://retinatoday.com/articles/2022-apr/medical-management-of-full-thickness-macular-holes

  Topical therapy may be a good option for a subset of patients. […] Medical management of FTMHs is based on the combined tractional-hydration theory. […] Dehydration of the cystic fluid through use of a retinal pigment epithelium (RPE) pump results in closure of the macular hole, followed by reabsorption of the subretinal fluid. […] The combined tractional-hydration theory of macular hole pathogenesis suggests that cystoid hydration of the retina plays a central role in FTMH development; in turn, dehydration of the retina is critical for FTMH closure. […] Several observational studies suggest that treatment of FTMH with topical steroids, CAIs, and/or NSAIDs may facilitate cystoid dehydration. […] While further studies are necessary, topical therapy may be particularly worthwhile for treatment of small FTMHs with CME and no significant tractional component in patients who are unable or reluctant to undergo surgery, or in patients for whom surgery may be delayed due to the COVID-19 pandemic or other reasons. A trial of topical therapy may also be considered for 4 to 6 weeks while awaiting scheduled surgery.

• #31 How to recognize predictors of spontaneous macular hole closure

  https://www.retina-specialist.com/article/how-to-recognize-predictors-of-spontaneous-macular-hole-closure

  These studies highlight the anatomical characteristics that are important when considering which FTMH are more likely to spontaneously close. First, FTMH 200 m, especially in the setting of trauma and without the presence of VMT, have a high likelihood of closure. […] In addition, the absence of VMT is important because persistent tractional forces can overwhelm the RPE pump, preventing hole closure. […] These studies also highlight that the use of drops can help improve the closure process without affecting the final outcomes. […] When comparing closure rates in patients who had FTMH closure vs. those who didnt, the participants who used drops had greater closure rates. […] Furthermore, in participants who had successful hole closure rates, there was a significant reduction in macular hole size and changes in SD-OCT markers early on in the treatment, highlighting the importance of close monitoring and quick intervention if theres no response. […] In particular, Dr. Wangs group recommended scheduling a tentative date for surgery even in the group that initiates drop therapy to prevent any surgical delays.

• #32 How to recognize predictors of spontaneous macular hole closure

  https://www.retina-specialist.com/article/how-to-recognize-predictors-of-spontaneous-macular-hole-closure

  These studies highlight the anatomical characteristics that are important when considering which FTMH are more likely to spontaneously close. First, FTMH 200 m, especially in the setting of trauma and without the presence of VMT, have a high likelihood of closure. […] In addition, the absence of VMT is important because persistent tractional forces can overwhelm the RPE pump, preventing hole closure. […] These studies also highlight that the use of drops can help improve the closure process without affecting the final outcomes. […] When comparing closure rates in patients who had FTMH closure vs. those who didnt, the participants who used drops had greater closure rates. […] Furthermore, in participants who had successful hole closure rates, there was a significant reduction in macular hole size and changes in SD-OCT markers early on in the treatment, highlighting the importance of close monitoring and quick intervention if theres no response. […] In particular, Dr. Wangs group recommended scheduling a tentative date for surgery even in the group that initiates drop therapy to prevent any surgical delays.

• #33 Three Ways to Tackle Tough Macular Holes – Retina Today

  https://retinatoday.com/articles/2021-oct/three-ways-to-tackle-tough-macular-holes

  Creating a retinal detachment around a macular hole can help to release firm adhesions between the neurosensory retina and retinal pigment epithelium to facilitate closure of the hole. […] A human amniotic membrane patch placed under a macular hole helps to resorb subretinal fluid that may surround the recalcitrant macular hole, leading to improvement in visual acuity. […] The goal of the rug technique is to release internal limiting membrane (ILM) tension over the hole by creating a single continuous sheet of ILM that ends with a superior hinge beyond the hole; this sheet is then draped back over the hole.

• #34 Macular Pucker, Macular Hole & Macular Surgery

  https://www.retinaspecialistsmd.com/what-we-treat/macular-pucker-macular-hole/

  Macular Holes, very much like EMP, share a common history of treatment as well as more positive outcome with ILM remove. […] In the past because of the risk of intraocular surgery some ophthalmologists advised waiting to treat until significant vision was lost. […] Contemporary instrumentation and preventative treatment against retinal detachment with indirect laser cerclage significantly reduces risks. […] Surgeons now understand that as vision is lost the restoration and prevention of loss is best achieved before these changes become serious.

• #35 Ophthalmology Expert Witness Services

  https://www.ophthalmologyexpertservices.com/blog/2019/macular-hole

  Taking eye vitamins does not lower the risk for macular hole formation. […] Following surgery, most surgeons believe it is crucial for the patient to maintain a downward gaze for one week, keeping the bubble in constant contact with the macular hole, promoting hole closure. […] In patients able to comply with face-down positioning, hole closure occurs in almost all cases. […] The risk for recurrence of the hole following surgical repair can be minimized with ILM removal. […] Finally, patient compliance with head positioning is critical for successful macular hole closure.

• #36 Macular hole repair does not require face-down positioning – Mayo Clinic

  https://www.mayoclinic.org/medical-professionals/ophthalmology/news/macular-hole-repair-does-not-require-face-down-positioning/mac-20430610

  „Closure methods that eliminate the need for face-down positioning and do not compromise closure rates would reduce patient morbidity significantly, improve patient satisfaction and represent a significant advancement in surgery for macular holes,” says Dr. Iezzi. […] „We needed to demonstrate that our no-face-down approach did not increase IOP.” […] „Visual acuity improved in all patients who achieved successful anatomical closure,” says Dr. Iezzi, „which was approximately 95%.” This study shows that no-face-down macular hole repair is noninferior to face-down procedures, and vision can improve even when the macular hole has been present for many years.

• #37 Macular Hole – EyeWiki

  https://eyewiki.org/Macular_Hole

  There are no preventative measures for idiopathic MHs. Pars plana vitrectomy has not been clearly demonstrated to be effective in preventing MH formation. […] The importance of peeling the internal limiting membrane with or without staining has also been debated. […] The evidence suggests that modified positioning regimens can achieve equivalent results, reducing the burden on patients and healthcare systems. Its time to reconsider the necessity of strict face-down positioning and adopt more patient-friendly postoperative protocols.

• #38 Macular Hole Treatment | Distorted Vision Treatment | Bethesda MD

  https://www.center4retina.org/our-services/macular-hole-macular-pucker

  Macular holes can be closed surgically and successfully treated in approximately 90-95% of cases. […] A non-surgical alternative to treat macular holes is under development and investigation and awaits potential approval by the Food and Drug Administration (FDA). Ocriplasmin is a specially designed medicine injected in the eye which experimentally can dissolve the attachments of the vitreous gel to the retina. Recent studies have shown encouraging results and suggest that possibly 40% of holes may benefit without surgical treatment. Additional study is necessary to understand if this medicine will help the surgical treatment of macular holes.

• #39 Vitreomacular traction and macular hole – College of Optometrists

  https://www.college-optometrists.org/clinical-guidance/clinical-management-guidelines/vitreomacular-traction-and-macular-hole

  Posterior vitreous detachment (PVD) is part of the normal ageing process in the eye. […] If an optometrist finds a macular hole, he or she will refer the patient to an ophthalmologist (eye doctor) who will probably recommend an operation, as there are no eye drops, medicines or diets that can help. […] The most usual operation for macular hole is called a vitrectomy, in which the vitreous pulling on the retina is removed. […] Some patients will be offered another kind of treatment which involves injecting a substance into the eye. This is Ocriplasmin, an enzyme that liquefies the vitreous, releasing tension on the retina.

• #40  Preventing Macular Hole Progression: Tips for Eye Health and Risk Reduction

  https://www.gulfcoastretinacenter.com/blog/preventing-macular-hole-progression-tips-for-eye-health-and-risk-reduction.html

  Macular holes are a serious eye condition that can significantly impact your vision. […] It’s important to be aware of these risk factors and take proactive steps to prevent macular hole progression. […] Here are some tips for maintaining good eye health and minimizing the chances of macular hole development: Protect your eyes from injury: Wear appropriate protective eyewear when engaging in activities that pose a risk of eye injury, such as sports or construction work. Maintain a healthy lifestyle: Eat a balanced diet rich in fruits, vegetables, and omega-3 fatty acids. Regular exercise and avoiding smoking can also contribute to good eye health. Manage underlying health conditions: Conditions like diabetes and high blood pressure can contribute to eye problems. It’s important to manage these conditions through proper medical care and lifestyle modifications. Follow proper eye care practices: Regularly visit your ophthalmologist for routine eye exams, and follow their recommendations for eye care, including using prescribed eye drops, wearing appropriate eyeglasses or contact lenses, and practicing good hygiene. […] By implementing these tips and taking proactive measures, you can significantly reduce the risk of macular hole progression and maintain good eye health.

• #41 Common Retinal Treatment Options – Louisiana Retina

  https://louisianaretina.com/macular-hole-causes-symptoms-treatment-in-louisiana/

  Unfortunately, it is generally not possible to prevent macular holes from developing. However, you can reduce your risk by wearing protective eyewear for sports and by scheduling regular eye exams, eating a healthy diet that is low in sugar, avoiding smoking, and using sunglasses to protect your eyes from UV rays. […] Macular holes can cause vision loss, but it is possible to restore vision and prevent further damage with macular hole surgery. It’s vital to seek medical care sooner rather than later if you experience any symptoms associated with macular holes. […] Early diagnosis and treatment are essential for the best possible outcome.

• #42 Macular hole stages: Meaning, symptoms, and treatment

  https://www.medicalnewstoday.com/articles/macular-hole-stages

  Vitrectomy is the standard treatment for a macular hole that does not resolve spontaneously. […] Nonetheless, surgical complications are possible and may include: cataracts, retinal detachment, infection, glaucoma, bleeding. […] A person should also contact a healthcare professional if their vision problems persist or worsen following treatment for a macular hole. […] It is important to seek a diagnosis when symptoms develop. An ophthalmologist can advise on the best time to treat a macular hole. […] Later stage macular holes require more urgent treatment to help prevent permanent vision loss. […] Stage 1 macular holes may resolve without treatment. However, later stage macular holes require treatment, such as vitrectomy or injectable medications, to help prevent permanent vision loss.

• #43 Macular Holes Plano, TX | Texas Macula and Retina

  https://texasmr.com/eye-conditions/macular-holes/

  Macular holes are a specific type of retinal issue that demands attention and prompt treatment in order to prevent permanent vision loss. […] Detecting and treating macular holes early can significantly improve the chances of a successful outcome. Routine eye examinations are essential for early detection, as early intervention can prevent the hole from progressing and worsening vision. […] At Texas Macula Retina, we understand the significance of addressing macular holes and providing expert care to preserve your central vision.

Zobacz więcej