2 Slit-lamp microscope to which is attached a special lens placed in front of the patient's cornea. Operation for macular hole. Not all macular holes need to be operated upon. Stages III and IV generally need surgery. The operation requires complete removal of the vitreous with a vitrectomy instrument.
Special care is taken to remove the vitreous that is still attached around the macular area.
The retina itself is normally covered with a very thin glassy membrane, called the internal limiting membrane. If this membrane appears boggy around the macula, it is removed. Then, expansile gas is injected to replace the vitreous, and the patient must lie in a face-down position for about two weeks. 3 Device used to relieve the discomfort of the patient lying on his face. Left , it consists of a board that slides under the head side of the bed's mattress.