Macular hole, epiretinal membrane

Epiretinal membrane is a thin film of fibrous tissue that sometimes forms on the surface of the retina in response to age-related changes in the vitreous, or occasionally, because of inflammation, diabetes or trauma. The membrane can sometimes contract like scar tissue, which in this case is called “macular pucker” – which changes the shape of the surface of the part of the retina which confers the sharpest vision (the macula) and distorts vision even further.

Macular pucker can progress, tearing what’s called a “macular hole”, in which the fluid that occupies the space between the shrinking vitreous and the retina can enter through that hole, into the macula, causing blurring and irritation. A number of other conditions can increase the chances of developing a macular hole, including high myopia (short sightedness), diabetic retinopathy, eye injury or trauma, and retinal detachments.

Macular hole explained

Macular holes tend to affect your central, rather than peripheral, vision, and it can impair your ability to read or do “close work” (such as sewing or using a smartphone). The visual disturbances often take time to manifest, but people tend to notice that straight lines (such as windows or traffic lights) appear bent or wavy, although sometimes black spots and blank holes can be present too. One way of testing for macular hole is to use an Amsler grid (below), in which patients look with each eye separately at the small dot in the center of the grid. Patients with macular disease might see broken or wavy lines.

(A)

(B)

Amsler grid – on screen or on paper (A), or as seen by people with macular disease (B).

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Augeninstitut ELZA
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Thomas S.
Thomas S.
09:37 07 Jul 21
My left eye had to be operated on because of a cataract. As I had an Artiflex lens implanted a few years ago, it had to... be removed first before a modern lens could be implanted to correct the cataract. Prof. Hafezi treated me in an very competent and friendly manner. I am very happy with the result.read more
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Selma A. Rahim
19:45 02 Jul 21
Dr. Hafezi.. the KING OF CXL🤴
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Gianluca Ricci
12:46 10 Apr 21
Great team and service!
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rehaneyecare
05:36 08 Apr 21
Excellent surgeon
Steven H.A
Steven H.A
16:13 11 Jan 21
Prof. F. Hafezi s expertise is enormous and he has a very pleasant and calm nature which gives the patient... security.Thank youread more
Online Commande
Online Commande
09:19 05 Dec 20
Totally creepy, very arrogant Prof.He just want your money.It may explain, why this Prof. is not in the center of the... city of Zürich and why he has been thrown away from University of Geneva.read more
Elena Churilova
Elena Churilova
10:06 17 Nov 20
At the moment, 3 months have passed since the moment I made laser vision correction in this clinic. and I can say that... I am happy that I chose this particular clinic and Prof. F. Hafezi. The entire staff of the clinic is very friendly, treats patients with sympathy and patience if they are nervous before surgery (my big gratitude to Aida Alili for all support and patience). The doctor Hafezi and other doctors of the clinic are very professional and ready to explain to you as many times as you need. I can only recommend!read more
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Augeninstitut ELZA
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Based on 80 reviews
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