Dear kpacyna,
Macular hole surgery is recommended for macular holes with stage 2 and greater. The success of surgery is partially related to the positioning of the patient. Cataracts form due to the vitrectomy and bubble against the lens; however, these are easily removed.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California