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Macular Hole Surgery
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Macular Hole Surgery

I noticed on a previous post that a patient asked if a macular hole enlarges or causes further damage if left alone?  The response from Dr. Kutryb was that "If it is a partial hole it can get worse.  If it is a complete hole it can't really get any worse".

I have been diagnosed with a Stage III full-thickness macular hole that is the size of 170 micron.  I have had the hole since October 2009.  My acuity vision has gone from 20/20 to 20/50, but seems to have stabilized since the beginning of January 2010.  Based on Dr. Kutryb's reply that a complete hole doesn't get any worse, I'm not sure if I should proceed with the surgery.  I thought that my vision would eventually deteriorate without surgery.  

Could you please share your thoughts on surgery?

Thanks.
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Dear jonicar,

As the vision diminished recently, it may warrant surgical intervention. Nonetheless, I would recommend that you ask your retinal specialist this question.  

Dr. Feldman

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
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My retina specialist is recommending surgery, but I wonder if surger is necessary in light of what I have read in an earlier post where Dr. Kutryb wrote that a complete hole can't get any worse.  Do you know what percentage of macular holes do not progress further and vision does not deteriorate any further?  
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