Treatment
Î Referral to an ophthalmologist who has expertise or experience in
managing macular holes is recommended. (III, G, S)
Î The performance of certain diagnostic procedures is often delegated
to appropriately trained and supervised personnel. However, the
interpretation of the results of the diagnostic procedures, as well as
the medical and surgical management of a macular hole, requires
the medical training, clinical judgment, and experience of an
ophthalmologist.
(III, G, S)
Î Patients should be informed to notify their ophthalmologist promptly
when they have symptoms such as an increase in floaters, a loss of visual
field, metamorphopsia, or a decrease in visual acuity. (III, G, S)
Î Patients with function-limiting postoperative visual impairment should be
referred for vision rehabilitation and social services. (II++, G, S)
Management
