Further surgery with additional specialised measures can be performed in the unlikely event that your FTMH does not close and is often successful in closing the hole.
This will depend on multiple factors including your occupation, the level of vision in your other eye, and whether you must drive for a living. I will tailor this advice to your circumstances, but it is generally prudent to allow 2 weeks off from work. In most instances, it will be possible to then return to work or continue to work from home.
There is up to 5-15% risk of developing a FTMH in your other eye. I will individualise this risk to you during your consultation with me by reviewing your OCT scans in detail.
You may have read about the requirement for uncomfortable face-down posturing after surgery for FTMH. The latest evidence suggests that this provides no additional benefit for most FTMHs, but it may be of benefit in some large FTMHs, and may possibly result in better vision outcomes. I will tailor this advice to your eye and circumstances. If required to do so, then face down positioning by day
Injection of a bubble of gas is important in the healing process after surgery to repair the FTMH. The type of gas used will depend on several factors including the size and duration of your FTMH, and how much vision you have in your other eye. I will discuss my recommendations with you in detail during your initial consultation with me. Gases
You will be able to go home 1-2 hours after a local anaesthetic, and slightly longer after a general anaesthetic. The eye pad is removed the next day and you can start instilling your eye drops. There may be a small amount of discharge at this stage. Initially, your vision is likely to be worse
After the anaesthetic is administered, your eye and face will be covered with a sterile drape. The whole vitrectomy operation will then be performed through 3 tiny incisions. You will hear vibrating noises throughout much of the procedure from the vitrectomy machine. You will not be able to see details of what is happening but
The risks of severe complications are very low. Complications include: Retinal detachment. The risk of this is less than 1% but if it occurs, further surgery will be required to prevent visual loss Cataract development. This is where the natural lens in the eye becomes cloudy, and is required in majority of patients within 2 years of initial vitrectomy surgery. When cataract surgery is performed, this does also
There are no known treatments including drops that can prevent the development of full-thickness macular holes
If left alone, there is only up to 1 in 10 chance that a FTMH will spontaneously close with improvement in vision. The vast majority of FTMHs will progress gradually over time to a level where you many not even be able to read the largest print on a standard vision chart. Your peripheral vision will not be affected, however. We know