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Does he need surgery now?

Does he need surgery now?

My husband is scheduled for surgery tomorrow and we are considering cancelling it.  He see's quite well when using both eye's, but the left has a macular hole and right in the center of his vision, it is distorted. We are afraid that the chances of any improvements are slim, and that facing a cateract surgery in a year is not worth getting the surgery right now. Should he hold off and continue to see the Dr monthly and see if maybe the hole is done expanding?  This seems to be the best course of action. We had 2 opinions and both wanted to do surgery right away. Tried steroid drops but no improvement, but it didn't get any worse either. We are so confused.  Those out there that have had macular hole surgery, do you regret it?  What is the success rate percentage?  Thank you for any quick responses.
KMC
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686140_tn?1227493682
The important thing to remember when deciding on surgery for MH is that fresher smaller holes have a better chance of surgical success than older larger holes.  Another thing to think about - if you lost the vision in the other eye, would you be able to read, drive etc with the vision you currently have in the MH eye?

You may want to visit my blog dedicated to macular hole repair at  vitrectomy.blogspot.com

Without a doubt the recovery from this surgery is awful.  The surgery is nothing compared to what you have to do afterward with the positioning, but it is very unlikely the hole will get better on its own.

The anatomical success rate for the surgery is actually very high, especially if you do your part.  How much vision you get back has a lot of factors to figure in, such as how old the hole is, how long you have had it, etc  

The possibility of cataract surgery is not something I would let discourage you from having the surgery.
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233488_tn?1310696703
I would agree with your consultants that you would be best to close the hole as soon as possible. Otherwise it gets bigger and bigger, harder to fix and makes the vision worse and worse. A very small number of cases can even cause a retinal detachment (about 2%)..

It is rough surgery and it doesn't make the eye "back to normal".

JCH MD
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