The condition occurs as people get older. We do not know the exact
cause, but It develops as the vitreous gel shrinks. See posterior
vitreous detachment PVD.
Macular holes often follow the condition vitreo-macular
traction (VMT). It is probably an advanced form of VMT.
It is 'normal' for the vitreous to detach from
the back of the retina as we get older. But in this condition,
the vitreous is abnormally 'stuck' to the central part of the retina,
and pulls it a little as it detaches, creating the tiny hole
A hole with good sight may progress. So a patient
with 6/24 vision , for instance, may generally benefit from surgery.
Expert advice is needed for individual patients. |