Brief Answer:
In macular holes of stage II repair is needed.

Detailed Answer:
Hello
Welcome to Health care Magic

I am Dr. DADAPEER K, an Ophthalmologist and I answer health problems related to eye.

It seems from the history that 65 year old is having macular hole for 8 months.

The surgical management is indicated in macular holes which are stage II and above.
The stage I macular holes include partial thickness macular holes and surgery is not indicated in them as more than half of them will undergo spontaneous resolution with improvement of vision.
The stage II and above macular holes include full thickness macular holes and surgery is indicated in them. Best surgical results are obtained if they are operated within 6 months. However after 8 months also surgery can be tried with fair amount of success rate.
The visual improvement occurs following surgery even in cases with long standing macular holes of more than 1 year duration. The success rate of surgery is in the rage of 50%-60%. Since it is 8 months following diagnosis surgery is indicated in this case if the stage of macular hole is stage II or more.

I would like to know few more details to answer your question more accurately.

What is the visual acuity in the affected eye?
Do mention the stage of macular hole as diagnosed by your ophthalmologist?


Hence I would suggest surgery if the macular hole is of stage II or more. Do answer the above questions so that I can answer your questions more accurately.

Thank you

With regards

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