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Macular Hole
Macular hole is a problem that affects the very central portion of the retina. It happens for a variety of reasons such as: eye injuries, certain diseases, and inflammation inside the eye. However, the most common cause is related to the normal aging process.

The vitreous gel inside the eye is firmly attached to the macula. With age, the vitreous becomes thinner and separates from the retina. Sometimes this creates traction on the macula, causing a hole to form.

Macular holes often begin gradually and affect central vision depending on the severity and extent of the problem. Partial holes only affect part of the macular layers, causing wavy, distorted, blurred vision. Patients with full-thickness macular holes experience a complete loss of central vision.
Macular Hole
SIGNS AND SYMPTOMS
The severity of the symptoms is dependent on whether the hole is partial or full-thickness.

•Blurred central vision
•Distorted, "wavy" vision
•Difficulty reading or performing tasks that require seeing detail
•Gray area in central vision
•Central blind spot
DETECTION AND DIAGNOSIS
Visual acuity testing, Amsler grid, and ophthalmoscopy are all performed to evaluate the macula's health and function. The retina doctor may also order photographs of the macula prior to performing surgery to repair the hole.

TREATMENT
Some macular holes seal spontaneously and require no treatment. In many cases, surgery is necessary to close the hole and restore useful vision.

Macular holes are repaired with surgery. During the operation, the surgeon first gently removes the vitreous gel with a procedure called vitrectomy. This eliminates any traction on the macula. A gas bubble is injected in the eye to place gentle pressure on the macula and help the hole to seal. In many cases, patients enjoy functional vision after the bubble has dissipated and the eye has healed.

The McMann Eye Institute is a comprehensive ophthalmology practice
offering a full spectrum of vision correction and treatment services.

McMann Eye Institute of Honolulu, Hawaii


McMann Eye Institute of Honolulu, Hawaii    McMann Eye Institute of Honolulu, Hawaii  
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The McMann Eye Institute understands how important your vision is to your life. Whether restoring, preserving, or improving sight, our eye doctors are dedicated to optimizing your vision so you can live your best. With doctors that specialize in LASIK, cataracts, glaucoma, diabetic eye care, and cornea surgical treatments, we offer our patients an extensive range of eye care services on the island of O’ahu, Honolulu, Hawaii.

In addition to performing these life changing procedures, we can also help you with simple vision problems and provide preventative vision care for you and your family. Trusted by both patients and doctors, our excellent reputation speaks for itself as we strive to provide the highest quality care in a professional and compassionate environment.

OFFICE HOURS: Monday - Friday 8:00 a.m. - 5:00 p.m  |  Saturdays 8:00 a.m. - 12:00 p.m.  |  Sundays & Holidays Closed



McMann Eye Institute The Queen’s Medical Center
West O’ahu
91-2139 Ft. Weaver Rd. Suite 202
Ewa Beach, HI 96706
Phone: (808) 677-2733

McMann Eye Institute proudly serves Ewa Beach, HI and the Oahu areas of Honolulu, Waipahu, Aiea, Wahiawa, Kaneohe, Maunawili, Kahaluu, Kapolei, Iroquois Point and the remaining Hawaiian Islands and the Pacific Rim.

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Michael A. McMann, MD