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Macular Hole


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What's your Resolution? Enhance your vision, get more resolution.

Did you know In one year, the average contact lens wearer spends nearly 60 hours wetting, soaking, rubbing, cleaning and in other ways maintaining contact lenses. Get free of the hassle! Have you considered LASIK? Dr. Gailitis has been performing vision correction surgery in South Florida for more than twenty years and has a long list of pleased patients with better vision. Read more...

Sunday, December 1, 2013  


Get a fresh look for the fresh New Year: The truth about Dermal Fillers

Have you considered Dermal Fillers? Wrinkles form when this natural collagen thins. This loss is primarily a factor of aging; but exposure, pollution, health, heredity and lifestyle also play roles. Without enough collagen, wrinkles and lines start to form wherever the skin moves. Read more...

Monday, December 2, 2013  


New Year's Eve is made for late night fun: Check out tips to night time Driving
With the winter season officially upon us, our nights are longer, which means more nighttime driving. According to a national survey, 32% of drivers reported that they have trouble seeing in the dark. Read more...

Monday, December 3, 2013


Editing Holiday Pictures and want to get the Red out? Check out the causes of Red Eye in Flash Photography?
Have you ever wondered what causes eyes to appear red in photos? Usually this happens indoors or at night when the pupils are more dilated than usual. The light from camera flashes are generally located only a few inches from the camera's lens. Read more...

Monday, December 4, 2013


January is National Glaucoma Awareness Month
aking some time to raise awareness about Glaucoma is imperative because most of symptoms are so difficult to identify, leaving many to refer to it as sneak thief of sight. Read more...

Monday, December 4, 2013

Macular Hole

Macular Holes

The center of the retina is called the macula, and the very center of the macula is called the fovea. It is this central portion of the macula that is responsible for our very finest detailed central vision. Interestingly, the foveal portion of the macula is also the very thinnest part, making it susceptible to formation of a hole. This is usually a spontaneous painless occurrence, more common in people in their fifties and sixties, but rarely it can be the result of trauma as well.

The hole begins as a small partial defect, which may result in mildly blurred or distorted central vision. If it progresses to a larger full thickness hole, the central vision may be lost entirely. Even in these cases, the more peripheral portion of the vision is never affected and the eye retains useful vision, but not the ability to read. In a significant portion of cases, a partial thickness small hole will resolve and heal on its own without treatment. In these cases, observation alone may be the best plan.

Once a larger full thickness hole has developed, however, surgery will be required to close it. The timing of the surgery is usually not critical, but results seem to be better if it is performed within about a year of the hole formation. As in epiretinal membranes in the above section, vitrectomy surgery will be performed, but, in this case, the eye will also be filled with a bubble of gas. The patient will them be required to keep their face down so that the bubble can float up against the hole in the back of the eye and seal it closed. The gas bubble may last several weeks in the eye, and the patient may not fly in an airplane until it has disappeared. The patient will not be required to keep the face down position for this entire time, but the exact number of days is somewhat controversial as of this writing in 2009. It may range anywhere from one or two days up to two weeks or more, depending on the surgeon and the case. During this period, the patient will be encouraged to maintain strict face down position both day and night. Special cushions and chairs may be available to help the patient do this more comfortably.

Approximately 90% of macular holes can be closed with one surgery, and most of the remaining 10% can be closed with a second. If the hole is closed successfully, most, but not all, patients experience a substantial improvement in their vision, although there is almost always some degree of residual blurriness or distortion which is permanent.

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