Restoring Sight: A Comprehensive Guide to Macular Hole Surgery

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Restoring Sight: A Comprehensive Guide to Macular Hole Surgery

Macular hole is a medical condition that affects the central part of the retina, leading to a loss of vision in the affected eye. This condition is typically caused by abnormal changes in the vitreous, a gel-like substance that fills the eye’s posterior chamber. Over time, these changes can cause the vitreous to pull away from the macula, leading to a hole.

Macular hole surgery, also known as a vitrectomy, is a surgical procedure that is designed to restore vision in people who have this condition. During this procedure, a surgeon removes the vitreous and replaces it with a saline solution. They then use a special type of laser to reattach the remaining vitreous to the retina and close the hole.

If you or a loved one has been diagnosed with a macular hole, it is important to understand the procedure and what to expect. Here is a comprehensive guide to macular hole surgery, including what to expect before, during, and after the surgery.

Choosing a Surgeon

One of the most important decisions you will make is choosing the right surgeon to perform the procedure. You want to work with a surgeon who has the experience and expertise to perform the surgery safely and effectively.

One such surgeon is Dr. Dolan from 2020 Vision in Rochester Hills, MI. Dr. Dolan is an experienced and skilled ophthalmologist who has performed countless vitrectomies to help patients regain their vision. He uses state-of-the-art technology, including the latest in laser surgery, to achieve the best possible outcomes for his patients.

Preparing for Surgery

In the days leading up to your surgery, your surgeon will provide you with detailed instructions on how to prepare. This may include avoiding certain medications and foods, as well as arranging for transportation to and from the surgery center.

On the day of the surgery, you will typically be given a mild sedative to help you stay calm and relaxed. Your surgeon will then use local anesthesia to numb the eye and surrounding tissue.

During Surgery

The surgery itself typically takes less than an hour to complete. Your surgeon will make a small incision in the eye and use a tiny instrument to remove the vitreous. They will then use a laser to create an adhesion around the macular hole to prevent further pulling of the retina.

After the hole is closed, the surgeon will replace the vitreous with a saline solution, closing the incision and allowing the eye to heal.

After Surgery

Following the procedure, you will typically need to keep your head level for several days or even weeks to allow the hole to heal properly. Your surgeon will provide you with detailed instructions on how to care for your eye during this time, including how to clean and manage any discomfort.

Over time, your vision should begin to improve as the hole closes and the retina heals. Your surgeon will schedule follow-up appointments to monitor your progress and make sure that the surgery was successful.


Macular hole surgery is a complex procedure that requires the skill and experience of an experienced surgeon. If you or a loved one is suffering from this condition, don’t hesitate to reach out to Dr. Dolan at 2020 Vision in Rochester Hills, MI, at 248 375 0040. He can help guide you through the process and help you achieve the best possible outcome.

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