Macular Hole Surgery
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Macular Hole Surgery in Jaipur at Pink City Eye and Retina Center
If you’re experiencing blurred or distorted central vision — especially difficulty reading, recognizing faces, or driving — it may be more than just age-related vision changes. One potential cause is a macular hole, a serious but treatable condition affecting the central retina.
At Pink City Eye and Retina Center, Jaipur, we offer expert diagnosis and advanced surgical treatment for macular holes, helping patients regain clarity and confidence in their vision. Our retina specialists use the latest techniques, including vitrectomy and ILM peeling, to deliver safe and effective macular hole surgery in Jaipur.
What is a Macular Hole?
A macular hole is a tiny gap that develops in the macula—the retina’s center responsible for sharp, direct vision—critical for reading, recognizing faces, and viewing fine details. The condition most often affects one eye and is commonly linked to age-related changes in the eye’s vitreous gel. As the years pass, the jelly-like vitreous inside the eye can contract and separate from the retina, and in some cases, this traction may create a hole in the macula.
Causes of a Macular Hole
Various factors can raise your risk of forming a macular hole:
- Natural aging (typically over age 60)
- High myopia (severe nearsightedness)
- Eye trauma or injury
- Retinal detachment
- Prior eye surgeries, such as cataract extraction.
- Diabetic eye disease
- Epiretinal membrane (scar tissue on the retina)
Symptoms of a Macular Hole
A macular hole often develops slowly, producing several vision-related changes:
- Blurred or distorted central vision
- Straight lines may look bent or distorted (metamorphopsia).
- A central blind spot or dark patch appears in your vision.
- Difficulty reading or seeing small objects clearly
- Trouble with tasks requiring sharp vision, like threading a needle or driving
Macular Hole Treatment in Jaipur – Our Surgical Approach
The most effective treatment for a macular hole is vitrectomy surgery. At Pink City Eye and Retina Center in Jaipur, we specialize in minimally invasive micro-incision vitrectomy surgery (MIVS) to repair macular holes.
This procedure is performed using advanced technology to improve precision, reduce recovery time, and increase the chances of vision improvement.
Macular Hole Surgery Procedure in Jaipur: Step-by-Step
1. Comprehensive Pre-Surgery Evaluation
Before recommending surgery, a thorough examination is performed, which includes:
- OCT scan (Optical Coherence Tomography): to analyze the size and depth of the macular hole
- Retinal imaging to assess overall eye health
- Review of medical history, systemic conditions (like diabetes or hypertension)
- Detailed counseling about the surgery, positioning, post-operative care, and recovery time
2. Anesthesia and Preparation
- Local anesthesia is commonly used (numbing the eye area)
- In some cases, mild sedation or general anesthesia may be preferred
- The procedure is typically completed on a day-care basis (no overnight stay)
3. Vitrectomy Surgery
The core surgical procedure involves:
➤ Removal of Vitreous Gel
Small incisions in the sclera (white of the eye) are created with fine 23- or 25-gauge tools to remove the vitreous gel. The vitreous gel — which may be pulling on the macula — is carefully removed to relieve tension on the retina.
➤ Internal Limiting Membrane (ILM) Peeling
A very thin layer of tissue (ILM) around the macular hole is peeled away to relieve traction and encourage healing. This step is essential for successful closure of the hole.
➤ Gas Bubble Injection
A bubble of sterile gas is introduced into the eye. This bubble presses against the macula, keeping the edges of the hole together to help it seal naturally.
4. Post-Surgical Recovery and Positioning
After surgery, patients are instructed to maintain a specific face-down head position for several days. This posture ensures that the gas bubble remains in proper contact with the macula, maximizing the chances of healing.
- Antibiotic and anti-inflammatory drops are prescribed for recovery.
- An eye shield might also be given.
- Vision can be blurry at first due to the gas bubble.
- Normal activities are limited for the first 1–2 weeks
- Regular follow-up visits will be scheduled to track your healing progress.
Recovery Timeline
- The gas bubble dissolves naturally over 2–6 weeks
- Vision recovery is slow and may continue improving for months.
- Many patients notice better central vision and reduced distortion after recovery
- In successful cases, 90% or more of macular holes close with surgery
While perfect vision may not always return, the surgery often prevents worsening and significantly improves visual function.
Post-Surgery Do's and Don’ts
✅ Do:
- Maintain face-down position as advised
- Use all prescribed eye drops on time
- Wear your protective eye shield as recommended
- Attend all follow-up appointments
❌ Avoid:
- Air travel or high-altitude travel until the gas bubble is absorbed
- Heavy lifting or strenuous activity
- Sleeping on your back (to avoid pressure on the eye)
- Any dental or medical procedure using nitrous oxide without informing your eye surgeon
Risks and Potential Complications of Macular Hole
As with all surgeries, certain risks are possible:
- Eye infection
- Bleeding inside the eye
- Retinal detachment
- Increased eye pressure (glaucoma).
- Cataract formation or progression
These complications are uncommon and typically respond well to early treatment.
Why Choose Pink City Eye and Retina Center for Macular Hole Surgery in Jaipur?
- Specialized in retinal surgeries with state-of-the-art equipment
- Experienced and highly trained retina surgeons
- Dedicated pre- and post-operative care team
- Patient-centric approach with clear communication and emotional support
- Convenient location and comfortable clinic setting in Jaipur
Frequently Asked Questions (FAQs)
No, the operation is not painful. It’s generally done under local anesthesia, so you stay comfortable.
The surgery generally takes about 45 minutes to 1.5 hours, depending on the size of the hole and the condition of the retina.
Vitrectomy involves removing the eye’s vitreous gel to relieve pulling on the macula. The hole is then treated, and a gas bubble is inserted to help it close and heal properly.
Yes, when performed by experienced retina specialists using advanced equipment, Macular Hole Surgery in Jaipur is generally safe and has a high success rate.
The success rate is around 90% or higher in closing the hole and improving vision, especially if the surgery is done early.
Recovery usually takes 4–6 weeks, though some patients may need longer for full vision restoration.
It’s uncommon, but in rare cases, the hole may reopen. Regular follow-ups and maintaining good eye health reduce this risk.
For macular hole surgery in Jaipur, Dr. Abhishek Kothari at Pink City Eye & Retina Center is considered the most qualified specialist. He has extensive experience in vitrectomy and gas tamponade techniques specifically tailored for macular hole closure.
Cost depends on surgical complexity, type of gas used for tamponade, and postoperative care required. At our Jaipur clinic, we offer clear and reasonable pricing so you can proceed with confidence in receiving top-tier treatment.
You can book an appointment for Macular Hole Surgery in Jaipur by calling our clinic at 0141‑4901083, emailing [email protected], or visiting Pink City Eye & Retina Center directly. Appointment hours are Monday through Saturday from 10:00 AM to 7:00 PM, and Sunday from 10:00 AM to 1:00 PM. Please request to consult with Dr. Abhishek Kothari, who specializes in macular surgeries, to receive a detailed evaluation and surgical plan.
Pink City Eye & Retina Center, Jaipur, is a leading centre for successful macular hole surgery. With Dr. Kothari’s surgical skill and our advanced facilities, patients benefit from precise procedures and excellent chances of visual recovery.
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