Clinical Crossroads: Macular Hole Management
Posted on February 22, 2026 by Robert J. Courtney, M.D. and Salil Shukla, M.D. and in Past CE/CME Presentations
Presented by Retina Specialists, Drs. Robert J. Courtney, M.D. and Salil Shukla, M.D.
Presented at Colorado Retina'a 2026 Mile High Masters of Retina meeting
A pre-recorded interactive case on macular hole management. Watch as a live audience of eye care providers guides decisions based on history, symptoms, hole size, and patient preferences- see what happens when unexpected challenges arise.
CLINICAL PEARLS:
- Full thickness macular holes are classified by size, specifically the minimum linear diameter: Small <250 microns, Intermediate 250-400 microns, Large >400 microns.
- Small macular holes can respond to topical therapy depending on their specific configuration, though they often require ongoing maintenance/monitoring.
- Large macular holes usually require additional surgical maneuvers beyond ILM peeling and gas (such as ILM flaps, hydrodissection, amniotic membrane grafts and retinal autografts).
