Macular Hole Specialist

Austin Eye Center

Retina Specialist located in Austin, TX

A macular hole usually develops after age 55 and occurs most often in women. At Austin Eye Center Fuad Makkouk, MD, is skilled in the latest, most advanced surgical techniques to correct a macular hole. He is a Yale fellowship-trained surgical retina specialist who performs highly effective surgeries to address eye issues, including macular hole. Get expert care today by calling or booking a consultation online.

Macular Hole

What is a macular hole?

A macular hole occurs when an opening forms in the part of your retina called the macula. The macula is located in the center of your retina, and helps to produce the detailed vision you need to read and drive.  

As a macular hole grows, you may notice a blind or dark spot when you look straight ahead, but a macular hole does not affect your side vision.

Can I tell if I have a macular hole?

The leading sign of a macular hole is a slow decline in your vision when you look straight ahead. You also may notice:

  • Dark spots
  • Distorted vision
  • Blurred vision

The changes in your eyesight are largely dependent on the location, stage, and size of the macular hole.

Why do I have a macular hole?

Age is the chief cause for getting a macular hole. As you age, the jellylike substance, or vitreous, inside your eye shrinks and pulls away from your retina. This sometimes causes the macula to stretch, creating a hole. A hole may also form when your macula swells due to an eye disease or eye trauma. 

How is a macular hole treated?

At Austin Eye Center, Dr. Makkouk bases your treatment on the size and stage of the macular hole, along with other factors. If the hole is tiny and is not harming your vision, he may suggest observing the hole over time to track its progression and give your eye a chance to heal naturally.

In some cases, Dr. Makkouk recommends retinal surgery. Vitrectomy is the most common retinal surgery to treat a macular hole. 

During the procedure, Dr. Makkouk removes the vitreous to stop it from pulling on your retina, and then typically inserts a gas bubble to gently close the edges of the hole together as your eye heals. 

Vitrectomy has a success rate of more than 90% in correcting a macular hole. After the surgery, patients have reported regaining some or nearly all of their vision, although results vary.


If you are worried you are losing your vision, trust the expertise of retinal surgeon Dr. Makkouk. Call Austin Eye Center today or book a consultation online to learn about the latest treatments to address a hole in your macula.