Macular Hole

Vitamins/supplements   Severity   Symptoms   Causes   Self help summary   Self help discusion   News

A macular hole is a small hole in the center of the retina, the macula.

Self Help & Tips

from a customer ...
I thought I'd take the time to let you that with your supplements and acupuncture I've been able to close the hole in my eye. There were three measurements and the progressive trend went as follows
June 2014 > 239 microns
January 2015 > 66 microns
May 15th 2015 > the hole has closed ... I will have to fill in behind the closure for the thickness of the macular membrane ... I'm guessing +/-30 microns or so.
Thanks again. Ted C., Sarnia, ON., May, 2015

The eye contains a jelly-like substance called the vitreous. With age, the vitreous contracts and pulls away from the retina surface. Usually, this separation occurs without noticeable negative effect. The patient might notice floaters but there is no significant visual damage.

macular hole

For some people, however, in spots where the vitreous is firmly attached to the retina surface, pulling can occur on the retina, and a small hole may eventually form in the macula. In addition, as we age the vitreous fluid becomes more liquid and less gel-like. It can readily seep through the resulting defect and cause a dark spot or defect in the patient's central vision noticed through distortion and loss of central vision.


The National Institutes of Health describes three degrees of severity:

  • Stage I: Foveal detachment, in which about 50% of cases will worsen without treatment.
  • Stage II: Partial-thickness, in which about 70% of cases will worsen without treatment.
  • Stage III: Full-thickness causing severe central vision loss.


The severity of the symptoms is dependent on whether the hole is partial or full-thickness.

  • Distorted, wavy vision
  • Blurred central vision
  • Difficulty in detail tasks such as reading
  • Central blind spot or gray area


Rarely, trauma or injury to the eye can lead to macular hole development. Usually, however, these holes develop apparently spontaneously so that there is no known chemical or nutritional way to prevent their development. In addition, there is no way to know who is at risk for developing a hole prior to its appearance in one or both eyes.

In case studies there are a number of instances of macular holes developing following retinal detachment surgery or vitrectomy (removing/replacing the vitreous humour in the eyeball).

Conventional Treatment

Surgery is often used to treat severe macular holes. Learn more.

Complementary Treatment

While surgery is generally considered necessary, with good nutrition for our vision we may prevent connective tissue impairments. About 50% of "stage 1" macular holes can heal by themselves. Since the health of the entire body is a factor in vision health, lifestyle changes and dietary adjustments can be very helpful in gaining and maintaining good vision.

Macular Hole News

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Macular Hole Quick TipSee Vitamins & Supplements to support the connective tissue of the retina.


Though there are no specific studies on nutrients and this particular condition, there is extensive research on nutrients such as lutein, zeaxanthin and bilberry among others that have been shown to be essential for the health of the macula. Based on these studies, Dr. Grossman has selected specific nutrients and products to help support the macula and overall eye health. Some of the research on macular degeneration may be applicable.