Full thickness macular hole is the result of traction at the centre of the macula, which causes a separation of the neural layers of the retina. This results in loss of vision, distortion and a small blind-spot (scotoma). If detected early, more than 95% of full thickness macular holes can be closed surgically. In this video, brilliant blue dye is used following vitrectomy in order to stain the internal limiting membrane. 25 gauge intraocular forceps are then used to peel the internal limiting membrane around the hole prior to fluid-air exchange and injection of sulfur hexafluoride gas (SF6).

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