A macular hole is a small break in the macula, the part of your eye responsible for detailed, central vision.
As you age, the vitreous — the clear, gel-like substance that fills the middle of your eye — begins to shrink and pull away from the retina. As the vitreous pulls away, scar tissue may develop on the macula. Sometimes the scar tissue can warp and contract, causing the retina to wrinkle or bulge.
Other eye conditions associated with macular pucker include:
- Vitreous detachment
- Torn or detached retina
- Inflammation (swelling) inside the eye
- Severe trauma to the eye (from surgery or injury)
- Disorders of the blood vessels in the retina, such as diabetic retinopathy
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