A macular hole (MH) is a retinal break commonly involving the fovea. Idiopathic macular hole is the most common presentation. Risk factors include age, female gender, myopia, trauma, or ocular inflammation.
Distortion of the central vision, central visual loss, or central scotoma can be reported.
In general, most Stage 1 MH can be followed conservatively given approximately 50% chance of spontaneous closure[6]. However, if the patient has symptomatic VMT or even a full-thickness macular hole with associated VMT, some may consider intravitreal ocriplasmin or intravitreal gas or air.