macular hole repair success rate

[ewlting]

What is the success rate for a macular hole repair?

[Michael J Kutryb, MD]

It depends on the size, duration, how well patient can position face down, health of the eye, other factors including experience of the surgeon.  Lets just say it is not a slam dunk - maybe in the range of 60-70% chance of improving the size of the blind spot in your vision.  Your vision will never be normal and probably not ever very good - just better than with a complete macular hole.  If you haven't had cataract surgery - you will develop a cataract usually within a year or so requiring cataract surgery.  Your surgeon can answer your questions - if not satisfied get a second opinion.

MJK MD

[jan17]

Thank you for a clear explanation of macular hole surgery. Are patients encouraged to have the surgery to repair the hole and does the hole enlarge or cause further damage if left alone?

[Michael J Kutryb, MD]

If it is a partial hole it can get worse.  If it is a complete hole it can't really get any worse.  I encourage the surgery if you feel up to it  with the positioning and all, especially if it is a fairly new macular hole.  You will get a cataract soon after usually and will later need cataract surgery.  I have seen many patients with a nice improvement from the macular hole surgery.

MJK MD

[jan17]

Does success hinge on the length of time between diagnoses and surgery?
When should the cataract be removed from the eye and what type of lens would you recommend for a patient who has not had a successful macular hole surgery and has never been able to wear contact lens due to sensitivities?
Thank you very much for all the info you have provided!