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A Macular Hole is a small defect or hole in the tissue near the center of the macula or the “back of the eye.” The macula is responsible for central vision.

This defect in retina tissue can cause blurred and distorted central vision. Macular holes are related to aging and usually occur in people over age 60. They can begin gradually and become worse over time.

There are three stages to a Macular Hole: Foveal detachments (Stage I), partial-thickness holes (Stage II), and full-thickness holes (Stage III). The size of the hole and the location on the retina may determine how much it will affect a person’s vision. A Stage III hole might mean that most central and detailed vision can be lost. If left untreated, a Macular Hole can lead to a detached retina, a sight-threatening condition that should receive immediate medical attention. Most all Macular Holes, if treated early, can be successfully repaired. In most cases, vision can be saved.



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About Us

Saralyn Notaro Rietz MD is a top rated “Back of The Eye MD.” She specializes in treating diseases of the retina or “back of the eye” which include macular degeneration, diabetic retinopathy, retinal tears and detachments, retinal blood vessels diseases, uveitis and much more.




Erie County
4476 Main Street, Suite 114
Snyder, NY 14226
Phone: (716) 839-9009

Niagara County
525 Wheatfield Street, Suite 15
North Tonawanda, NY 14120
Phone: (716) 839-9009


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