It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Eye & Vision Message Board

  • Macular Hole

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 12-22-2004, 12:32 AM   #1
    Richmac
    Newbie
    (male)
     
    Richmac's Avatar
     
    Join Date: Nov 2004
    Location: Soth Australa
    Posts: 6
    Richmac HB User
    Macular Hole

    I have had a macular hole in my eye for about 2 months.
    I have seen two specialists about it and they tell me that it will heal itself.It is only a small hole and it is leaking fluid behind the retina.
    The symptoms are dark vision and my right eye seems to be looking about 2 metres ahead of my good left eye.
    Has anyone experienced this ?.
    If so could they run it by me how long do I have to wait before I get my normal vision back...I have had a look on the web on this matter and it states that I will not get my full sight back.
    I would be pleased to look at your comments

     
    Sponsors Lightbulb
       
    Old 12-24-2004, 09:01 PM   #2
    Liane
    Senior Member
    (female)
     
    Liane's Avatar
     
    Join Date: Jan 2004
    Location: Canada
    Posts: 136
    Liane HB User
    Re: Macular Hole

    Hi. I had surgery to correct a macular hole in September. My symptoms were a bit different from yours. I could see a spot in my central vision which was like a small light spot. In addition, there appeared to be a wrinkle in my vision-when I look at an eye chart and there are four letters on the line, I cannot see the middle two letters.This is typical of a macular hole because the macula is the centre of the retina. Since the surgery, this has improved, but still is not perfect, and probably won't be. My vision itself is better, I can see one to two more lines on the eye chart than I used to, and the wrinkle is not as severe. I was told that the earlier the surgery, the greater the chance of improvement. With me there was no chance of it healing itself, and the retinologist said it would only get worse. The surgery sealed the hole. The recovery from the surgery required that I keep face down 24/7 for two weeks. May I ask your age? I am a 52 year old woman, and macular holes typically occur in women over 60, so I was young for it. I'd love to hear more about your condition, and if I can answer any other questions, let me know.

     
    Old 12-25-2004, 10:00 PM   #3
    Richmac
    Newbie
    (male)
     
    Richmac's Avatar
     
    Join Date: Nov 2004
    Location: Soth Australa
    Posts: 6
    Richmac HB User
    Re: Macular Hole

    Hi Liane
    Thanks for your story.I am 56 years of age.I would not like to go through the process of being face down for 2 to three weeks.Did they take fluid out of your eye and replace it with a gas,or did they put gel in it a new procedure I am told, it is supposed to eliminate the face down procedure.
    I have about 50% of my sight back but it is dark and I was told the nerves were stretched in the eye that explains why my eye has a different focus range to the good one.It appears to be futher away and the good one is normal.
    I was told that it would heal naturally ...but it is a very slow process.I have to see the specialist in February,but thats a long way off.
    I have studied the operation that you have had and i beleive that the retina can be detached if you are not careful,also a cateract will form after a while which will need attention.I hope this does not happen to you.
    I hope you get on top of this Liane and things brighten up...many thanks for your info...very much appreciated ...Richard

     
    Old 12-26-2004, 10:08 AM   #4
    Liane
    Senior Member
    (female)
     
    Liane's Avatar
     
    Join Date: Jan 2004
    Location: Canada
    Posts: 136
    Liane HB User
    Re: Macular Hole

    Hi again. Your condition sounds a bit different from mine, so your treatment may not be the same. The whole dark vision thing didn't happen to me, nor the difference in distance vision, so that is probably why they are taking a wait and see approach. About a year ago I noticed my vision getting worse, so my regular optometrist referred me to a specialist. That specialist diagnosed cataracts, and I didn't tell him about my wrinkled vision or spot in my eye because I thought that was caused by the cataracts. He performed cataract surgery in June (on my bad eye), and it went well, but I quickly realized that the symptoms I had were not caused by the cataract, so that specialist sent me to the retinologist, who diagnosed the macular hole. The surgery for that was about 1 1/2 hours, and I was awake, but sedated. They do indeed suck the fluid out of the eye, and mine was replaced with an air bubble. (Apparently if they use a gel bubble you need more surgery to remove it.My doctor didn't even talk to me about this option, and he is tops in his field.) Immediately after the surgery I was turned face down. The surgery itself was not a big problem. Although the whole process involved lots of tests and appointments and an uncomfortable recovery, it was doable, and I am fortunate that I was healthy to start with. I must say that when I first was diagnosed, and started to research on the internet, I was quite worried. It was just so much information! I had to stop researching for a while until I got the confirmed diagnose and recommendations from my doctors, because it was so scary to anticipate. Once I knew for sure what I needed to do, and what exactly was happening, I resumed my research again, and it gave me confidence rather than fear. Cross those bridges when you come to them is my advice. Anyway, now I am back to the cataract doctor next month to start proceding with the next cataract surgery on my other eye. I am grateful for good doctors! Oh, and my vision is fine for now, though not perfect, I can drive without a problem as it seems my good eye is carrying my bad one. Hope I haven't been too wordy, but I do hope my experience will help you. --Liane.

     
    Old 12-26-2004, 09:58 PM   #5
    Richmac
    Newbie
    (male)
     
    Richmac's Avatar
     
    Join Date: Nov 2004
    Location: Soth Australa
    Posts: 6
    Richmac HB User
    Re: Macular Hole

    Thanks for you advive and I will heed it Liane (Cross them Bridges when you come to them)I am like you now, my good eye is carrying my bad one.
    I will just let nature take its course and I am on special Vitamins that will assist the macular.If things get better with these I will let you knoe....many thanks again for sharing your story with me....Richard

     
    Old 10-29-2005, 09:01 AM   #6
    TerryB
    Veteran
    (female)
     
    TerryB's Avatar
     
    Join Date: Oct 2003
    Location: NY, USA
    Posts: 376
    TerryB HB User
    Re: Macular Hole

    Hi, I'm only 44 and I just have macular hole surgery 10 days ago. I had a stage II hole so surgery was a must. My central vision has improvd dramatically. I was told that I could drive as soon as I could see over the bubble but my depth perception is really messed up I think becaause of the bubble blocking out my lower field. I would like to know the experiences other people have had with driving. I'm due back to work at 3 weeks after the surgery date.
    Terry

     
    Old 10-30-2005, 05:59 AM   #7
    Torre
    Inactive
     
    Join Date: Apr 2003
    Posts: 612
    Torre HB User
    Re: Macular Hole

    So, Terry, did you get the gel or the gas bubble, and did you have to lie face down for any time? Will you need another op to remove anything?

    T.

     
    Old 10-30-2005, 06:47 AM   #8
    TerryB
    Veteran
    (female)
     
    TerryB's Avatar
     
    Join Date: Oct 2003
    Location: NY, USA
    Posts: 376
    TerryB HB User
    Re: Macular Hole

    I think that I'm finished with the retinal surgery but I'm not sure what is going on with the depth perception. I have trouble gettin my eyes to work together. The image from the eye that was operated on is turned about 5 degrees so my brain or eye muscles are having trouble fusing the two images. I'm hopeing that this is due to swelling interfering with the muscles that control eye movement (twisting the eye). I can't weem to find this as a documented complication of the surgery though. As a matter of fact, there is not a whole lot of information out there for working people who need to get back to work. This is an older persons condition generally and I think seniors tend to be a little less demanding of doctors and more accepting of complications. This is also relatively new surgery. Thanks for responding.
    Terry

     
    Old 10-30-2005, 09:43 PM   #9
    Liane
    Senior Member
    (female)
     
    Liane's Avatar
     
    Join Date: Jan 2004
    Location: Canada
    Posts: 136
    Liane HB User
    Re: Macular Hole

    Hi Terry--I had the surgery for a macular hole in September 2004. The air bubble took six weeks to disappear completely. First of all it covered most of my vision, then gradually got lower and lower until it was just a small bubble and then divided into smaller ones and disappeared. A good size air bubble helps in the healing as it seals the hole well, but it sure was annoying! I think the air bubble was the thing that bothered me the most after I got upright. I assume you had to lie face down too. I found that as long as the air bubble was there, my balance was wonky, especially at night. For a couple of weeks I had to hold on to someone's arm when walking, and stairs were really tricky. When I asked my surgeon when I could drive, he told me that legally I could drive with vision in one eye, but that I should be really cautious until the bubble completely disappeared. I started driving after about a month, even though the bubble was still there. Looking at the dashboard was a bit awkward, but straight ahead was fine. I don't recall a problem with the two images fusing together. At the time I wasn't working, so it wasn't urgent that I begin driving right away. The surgeon did say that most people find it necessary to miss one month of work. I agree with you that there isn't much info out there. when I had my surgery I had only heard of one other person who had needed it, and that was an 80 year old woman. She has since had to have her second eye done too. My good eye now has a slight bright spot in it, and the doctor is watching it carefully. Hope this has been helpful--Liane.

     
    Old 10-31-2005, 03:45 AM   #10
    TerryB
    Veteran
    (female)
     
    TerryB's Avatar
     
    Join Date: Oct 2003
    Location: NY, USA
    Posts: 376
    TerryB HB User
    Re: Macular Hole

    I don't know about you Liane but I'm going to be pushing for early intervention if my "good" eye starts to to develop a stage II hole. That is when the retina is just starting to tear through all the layers of the retina (next the can opener action starts.) I'm certain that I'll have some warning like the distortion or decline is acuity.

    With my recent hole, I had two opinions. The first said "see you in a month". The second said "let's schedule surgery". After extensive research, I found that the vast majority of retinal specialist will operate at "stage II" and it is old school thinking to "wait and see" at stage II because the vast majority go on to 20/200 vision. This consensus is just starting to form over the past couple of years so it is easy to still get a few docs that are still "old school".

    What is causing your "blind spot". Is it macular edema or are you starting to tear? I have cystic macular edema in my good eye but it is still 20/20 and no blind spot or distortion. Surgery at this point could cause a hole.

    Terry

    Last edited by TerryB; 10-31-2005 at 05:12 AM.

     
    Old 10-31-2005, 08:11 PM   #11
    Liane
    Senior Member
    (female)
     
    Liane's Avatar
     
    Join Date: Jan 2004
    Location: Canada
    Posts: 136
    Liane HB User
    Re: Macular Hole

    The doctor didn't know what was causing the spot in my good eye. He did the eye photograph, which looked fine, and the one which looks like a cross-section. That one had a slight dip, which he said could be the start of another macular hole, but he said they sometimes heal themselves. So for now nothing is being done, but I get into a panic every time I think I may need surgery again! I don't know what stage my macular hole was either. I don't have a specific diagnosis or a tear. I have had cataract surgery in both eyes, and still need glasses. Sorry I don't have much in the way of details.

     
    Old 11-01-2005, 05:25 AM   #12
    TerryB
    Veteran
    (female)
     
    TerryB's Avatar
     
    Join Date: Oct 2003
    Location: NY, USA
    Posts: 376
    TerryB HB User
    Re: Macular Hole

    Sounds like stage I at most. My humble opinion is to simply notify your doctor's office right away if you see a change. He sounds like a great doctor that is on top of things. I'm fusing better but I feel the vision is a little worse so I'm going to go back to the face down position while I still have a significant bubble. Thanks for responding. Hopefully these messages will also help others also.
    Terry

     
    Old 11-01-2005, 07:34 PM   #13
    Liane
    Senior Member
    (female)
     
    Liane's Avatar
     
    Join Date: Jan 2004
    Location: Canada
    Posts: 136
    Liane HB User
    Re: Macular Hole

    Did you go face down for two full weeks the first time? And is it your decision to go face down again, or the doctor's? I was face down for two full weeks, and would have screamed if it had been one day more!

     
    Old 11-02-2005, 04:54 AM   #14
    TerryB
    Veteran
    (female)
     
    TerryB's Avatar
     
    Join Date: Oct 2003
    Location: NY, USA
    Posts: 376
    TerryB HB User
    Re: Macular Hole

    He said face-down for 2 weeks. I started to go upright on day 15 but things started to look a little worse so I decided to go face down again so long as I have a significant bubble. It seems that there is no consensus on the length of face down. I've read anywhere from 1 to 3 weeks. If there is a chance that it will help then I'll do it.

    Do you monitor your vision in the good eye with an Amsler grid? My doctor didn't give me one but I find it usefull for monitoring distortion.

    Good news. As of yesterday, I've gained 4 lines on the eye chart! I'm 20/30.

    Terry

    Last edited by TerryB; 11-02-2005 at 05:15 AM.

     
    Old 11-02-2005, 05:59 AM   #15
    Torre
    Inactive
     
    Join Date: Apr 2003
    Posts: 612
    Torre HB User
    Re: Macular Hole

    Terry, if you search you will be able to find a site where you can ******** Amsler grids. We can't post addresses.
    Your exchanges are very informative.

    T.

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Macular Hole Questions timtam Eye & Vision 10 10-27-2007 07:28 AM
    macular hole surgery LisaB65 Eye & Vision 1 10-08-2007 09:57 PM
    Macular Hole Decision timtam Open to All Other Health Topics 0 10-05-2007 11:05 AM
    Anyone had vitreous hemmorhage, then macular hole , then strabismus? bleuskies Eye & Vision 5 05-01-2006 05:56 AM
    Macular Cyst/Hole Catlynn Eye & Vision 9 11-11-2005 07:49 PM
    macular hole Toty Eye & Vision 0 12-21-2000 10:34 AM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 10:17 PM.





    © 2022 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!