Macular hole is a condition that affects the very central portion of the retina. A macular hole may occur for a number of reasons including eye injuries, inflammation inside the eye and most commonly, the normal aging process. As we age, the vitreous gel in the back of our eye becomes more liquefied and often results in a Vitreous Detachment with associated floaters. Sometimes, when the vitreous “pulls” it can actually form a macular hole. Macular holes often begin slowly but usually will affect central vision depending on the severity. They can occur as partial holes only affect part of the macular layers, causing wavy, distorted, blurred vision or they can occur as full thickness holes causing a complete loss of central vision.