Causes Of A Hole In The Macula (macular Hole)?

Illustration of Causes Of A Hole In The Macula (macular Hole)?
Illustration: Causes Of A Hole In The Macula (macular Hole)? Bing

I’ve had an eye exam and the doctor has decided I need surgery because I have macular holes. But to do the operation I have to wait for the next few months because I use BPJS facilities. What I want to ask:

1 Answer:

Good morning, thanks for asking at HealthReplies.com. Macular hole is a condition where there is a hole in the macula. The macula itself is one part of the wall behind the eye that serves to provide a sharp view.


Regarding the cause of this hole can vary, but one of them is because of age. Inside the eyeball, there is a gel-like fluid that keeps the shape of the eyeball intact. With age, the amount of fluid in the eyeball shrinks. One part of the eyeball called the macula, as it adheres to the gel, becomes torn as it is attracted by the shrinking gel, and a hole is created. Among other conditions that can cause macular holes are diabetes, eye injuries, high minus and Best's disease.


Regarding your question, to be honest we can not convey it in detail. Because there are several grades of macular holes, and their durability varies. The description is as follows:

Foveal detachments type - 50% will worsen if left untreated
Partial-thickness holes - 70% will deteriorate if left untreated
Full-thickness holes - The majority will get worse if left untreated


So looking at the percentage above, there is actually still a possibility that your condition will not worsen if it is not treated immediately. But the one who knows best about this is an ophthalmologist who examines your condition. Because he knows how severe your condition is.


Regarding what you have to do so that it doesn't get worse, this also depends on what the cause is, if it's due to diabetes, then keep your blood sugar levels normal by regularly taking medication and avoiding sugary foods and drinks. Likewise if it is caused by high blood pressure. But if it is caused by aging, then it seems that what you can do is use the eye medication prescribed by your doctor. Get well soon.


That's all, hope it helps.


dr. Amadeo D Basfiansa

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