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Macular surgery

Surgical procedures to improve central vision affected by epiretinal membranes, macular holes and other lesions.

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The macula is the central part of the retina responsible for detailed vision, necessary for reading, recognizing faces and precision activities. When affected by epiretinal membranes, macular holes or vitreomacular traction, blurred vision, image distortion or dark spots in the center of vision may appear.

What is it?

Macular surgery includes microsurgical procedures aimed at repairing alterations in the macular region. Depending on the condition, the goal may be to remove membranes that deform the retina, release traction on the macula or promote closure of a macular hole to improve or stabilize central vision.

Who is it for?

For people with macular diseases such as epiretinal membrane, macular hole, vitreomacular traction or other macular conditions that cause vision loss or image distortion. Each case is evaluated individually to determine whether surgical treatment can offer visual benefit.

How is it performed?

Surgery is performed through vitrectomy using very fine microsurgical instruments to access the inside of the eye. Depending on the case, membranes are peeled, vitreomacular traction is released or the macular hole is treated. In some procedures a gas bubble is placed inside the eye to support anatomical recovery of the macula.

Recovery

Visual recovery is usually progressive and may continue for weeks or months, depending on the type of lesion and time of evolution prior to surgery. When intraocular gas is used, a specific head position may be required for several days to support, for example, proper closure of a macular hole.

Frequently asked questions

Frequently asked questions

Will macular surgery restore full central vision?
The goal is to improve or stabilize vision and halt damage progression. The result depends on the type of disease, lesion size and time of evolution prior to treatment.
Is the surgery painful?
Generally no. The procedure is performed under local or general anesthesia for comfort during surgery. Afterwards, temporary irritation or mild discomfort may occur.
How long does the procedure take?
Duration varies with case complexity, though it usually takes between 30 minutes and one hour.
Can I fly after surgery?
If gas is placed inside the eye, flying or going to high altitudes should be avoided until the gas completely disappears, as it may dangerously raise intraocular pressure.
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