The hole formed in the macula is called the macular hole. It can occur in men, usually in their 50s, but it is more common in women. It is one of the disease that occurs due to the vitreomacular surface problem. The patient has complaints such as decreased central vision and metamorphopsia.

Sometimes patients cannot notice these findings because their other eyes are normal and they recognise the problem in the late stage. If the hole is very old, atrophic and large, satisfactory vision improvement may not be achieved even if surgically made. In 10-30% of patients, there is a risk of developing a macular hole in the other eye. Treatment is surgery. Vitrectomy clears the vitreous. The membrane over the hole is peeled off and gas tamponade is given into the eye.

The patient is advised to lie in the prone position for a few days. When there is gas in the eye, the patient can not see very well. As the gas is slowly withdrawn over the weeks, vision increases. In the erly stage small holes and the better initial vision, the greater the increase in vision is expected.