Idiopathic macular hole

1. Idiopathic macular hole affects as many as 100,000 people in the United States, predominantly occurring in healthy women in their 60s who have normal refractive errors. 2. Controversy exists over not only the best treatment options, but also whether to treat at all. 3. The basic surgical procedure consists of core vitrectomy, the removal of the vitreous adherent to the retina in the posterior pole, the removal of epiretinal membrane when present, and total fluid/gas exchange.