Macular Hole

At Retina Partners of Florida, our highly experienced retina specialists—Dr. Daniel Kiernan, Dr. David Misch, and Dr. Richard Hamilton—offer advanced diagnosis and treatment options for Macular Holes. Serving patients in Lakeland, Winter Haven, and Sebring, we are committed to preserving your vision through cutting-edge retina care.

What is a Macular Hole?

A macular hole is a small break in the macula, the central part of the retina responsible for sharp, straight-ahead vision needed for tasks like reading, driving, and recognizing faces. Macular holes typically occur due to age-related changes in the eye, where the vitreous (gel-like substance in the eye) pulls on the macula, causing it to tear.

Symptoms of a Macular Hole

A macular hole can cause a variety of vision problems, including:

  • Blurred or distorted central vision
  • Difficulty reading or seeing fine details
  • A dark or empty spot in the center of your vision
  • Difficulty with tasks requiring precise vision, such as threading a needle

If you experience any of these symptoms, it’s important to schedule an eye exam with one of our retina specialists in Lakeland, Winter Haven, or Sebring.

Causes of Macular Holes

While most macular holes occur due to age-related changes in the vitreous, other factors can increase the risk of developing this condition:

Macular Pucker: Formation of a scar tissue layer over the macula that can warp and contract, causing wrinkling of the retina

Aging: The most common cause of macular holes, particularly in individuals over the age of 60.

Trauma: Eye injuries can lead to macular holes.

Diabetes: Diabetic retinopathy may increase the risk of developing a macular hole.

Advanced Macular Hole Treatments

At Retina Partners of Florida, Dr. Daniel Kiernan, Dr. David Misch, and Dr. Richard Hamilton are experts in diagnosing and treating macular holes. The most common treatment for macular holes is vitrectomy surgery:

  • Vitrectomy Surgery: During this procedure, the vitreous gel is removed from the eye and replaced with a gas bubble. The bubble gently presses the macula flat, allowing the hole to heal over time. Patients are typically required to keep their head in a face-down position for several days after surgery to help the gas bubble stay in place.

Our specialists will determine the best course of treatment based on the size and severity of the macular hole, and how long it has been present.

Why Choose Retina Partners of Florida for Macular Hole Treatment?

  • Experienced Retina Specialists: Our team—Dr. Daniel Kiernan, Dr. David Misch, and Dr. Richard Hamilton—have extensive experience in treating macular holes and other retinal conditions.
  • Advanced Treatment Options: We offer the latest surgical techniques, including vitrectomy, to ensure the best possible outcomes for our patients.
  • Convenient Locations: With offices in Lakeland, Winter Haven, and Sebring, we make it easy for patients throughout Central Florida to access specialized retina care.
  • Personalized Care Plans: Every patient’s condition is unique, and we tailor our treatment plans to meet the specific needs of each individual.

Frequently Asked Questions (FAQs) About Macular Holes

What causes a macular hole?
Macular holes are most commonly caused by age-related changes in the vitreous gel that pulls away from the retina. Other causes include eye trauma, diabetic retinopathy, or retinal detachment.

Can macular holes heal on their own?
In rare cases, very small macular holes may heal on their own. However, most macular holes require surgical intervention to prevent permanent vision loss.

Is macular hole surgery painful?
Macular hole surgery is generally not painful, as it is performed under local anesthesia. You may experience some discomfort during recovery, particularly when keeping your head in the face-down position required after surgery.

How long does it take to recover from macular hole surgery?
Recovery times vary, but most patients need to keep their head in a face-down position for several days to a week after surgery. Vision typically improves within a few months, but it may take up to six months to see the full results.

What happens if a macular hole is left untreated?
If left untreated, a macular hole can lead to permanent central vision loss. Early diagnosis and treatment are essential to preventing significant vision impairment.

Will I need a follow-up appointment after surgery?
Yes, you will need to schedule follow-up appointments with your retina specialist to monitor the healing process and ensure the macular hole is closing properly.

Schedule a Consultation for Macular Hole Treatment

If you’re experiencing symptoms of a macular hole, early diagnosis and treatment are essential for preserving your vision. Contact Retina Partners of Florida to schedule a consultation with Dr. Daniel Kiernan, Dr. David Misch, or Dr. Richard Hamilton at one of our locations in Lakeland, Winter Haven, or Sebring.

Patient testimonials

Dr. Steve Phillips

Patient

I have referred and followed hundreds of patients for retinal surgery during my 40 plus years of practicing Optometry in our offices in Polk County. I never thought I would experience retinal problems and need surgery in both eyes later on. Facing this issue, I needed to choose the retinal surgeon. We are fortunate to have many qualified retinal surgeons in our county, however looking back over the years one name came to mind (David Misch). I have followed Dr. Misch’s patients for decades and the results he obtained, which were outstanding. This made my choice easy. After having surgery in both eyes my results were amazing. I experienced no pain, and the recovery was just as Dr. Misch explained. My vision today is better than it has been in years. Based on my experience, I highly recommend Dr. David Misch.

Ken H.

Patient

State-of-the-art equipment. Very professional and caring technicians. Dr. Hamilton explains your condition and treatment thoroughly and makes you feel comfortable during your treatment.

Robin S.

Patient

Highly qualified doctors who provide excellent care and will see you quickly.