A macular hole is a hole in the very center of the retina, the macula. Macular holes generally occur because of abnormal aging changes of the gel that fills the inside of the eye (vitreous gel). Symptoms of a macular hole are often blurred vision, distorted vision, or a fixed blind spot in the central vision. Many macular holes can be closed with vitrectomy surgery. The prognosis for vision return depends on the nature and duration of the macular hole. Patients with symptoms consistent with macular hole should present to the retina clinic as soon as possible for evaluation.