If you think of your eye as a camera, the retina is like thephotographic film. It is a very thin layer of tissue, which is sensitive
to the image focused on it, and sends the information to the brain.

At the very centre of the retina is the macula. This is a very special area of the retina, which we use for reading and recognising
complex shapes. Sometimes, a hole forms in the macula, which prevents it from working normally. This affects your vision, particularly for
reading and other visually demanding tasks, but it does not cause total blindness.

The only way to treat a macular hole is an operation. Eye drops or glasses are ineffective.

Some patients decide not to have an operation and accept the poor central vision in the affected eye. This is reasonable, especially if the vision in the other eye is not affected. There is no “right” or “wrong” decision as every person has different needs and priorities.

You should discuss your reasons for wanting to proceed with an operation, or for deciding not to have surgery, with your consultant.

The operation to repair your macular hole is called a vitrectomy and usually takes about an hour.