This gas is used to push on the retina at the site of the hole, holding the edges of the hole together while the eye works to seal the macular hole.Īfter surgery, face down positioning is required.įace down positioning is an important part of the treatment of FTMHs. Once the vitreous and any surface retinal membranes have been removed, the eye is filled with a gas called sulfur-hexafluoride (SF6). Then the surface layer of the retina (the internal limiting membrane) around the macular hole is removed, typically with the assistance of a special blue dye called Brilliant Peel©. An instrument called a ‘vitreous cutter’ cuts and aspirates the vitreous and carefully separates the vitreous from the retinal surface and the edge of the macular hole. Small instruments are passed into the centre of the eye.
#Spontaneous detached retina surgery recovery full#
The surgical operation used to treat full thickness macular holes is a specialized microsurgical procedure called a vitrectomy. Surgery is performed in hospital, usually under assisted local anaesthetic, which is safe, extremely effective and which allows for rapid postoperative recovery. Surgery is possible in almost every patient with a macular hole. Surgery is the only way of treating FTMHs and improving vision. Management of Full Thickness Macular Holes
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