EC Ophthalmology

Research Article Volume 17 Issue 3 - 2026

Pattern of Macular Hole in Menilik II Comprehensive Specialized Hospital

Meron Misgana 1 and Dereje Negussie2*

1Ophthalmology Resident, CHS, AAU, Ethiopia 2Assistant Professor of Ophthalmology, CHS, AAU, Ethiopia

*Corresponding Author: Dereje Negussie, Assistant Professor of Ophthalmology, CHS, AAU, Ethiopia.
Received: December 21, 2025; Published: February 23, 2026



Objective: To assess the pattern of macular hole in Menilik II comprehensive specialized hospital, Addis Ababa, Ethiopia.

Method: A prospective cross-sectional study was conducted on patients with macular holes seen at the Retina clinic at Menilik II Comprehensive Specialized Hospital from April 2023 to August 2024. Data were collected using an interviewer-administered questionnaire and analyzed in SPSS version 26.

Results: A total of 56 individuals (58 eyes) were included in this study with age range of 8 to 81 years. Idiopathic macular hole was found in 55.4% of study participants with mean age of 60.6 (24 - 81) years. Traumatic macular hole accounted for 33.9% of macular hole. It was commonly seen in young males with mean age of 31.9 (8 - 70) years. Average size of macular hole was 619.77 (54 - 1115) μm where 82.1% of study participants had macular hole size above 400 μm.

Conclusion: Idiopathic macular hole was found to be the commonest cause of macular hole. It was common in older females. Traumatic macular hole was common in young males. In both Idiopathic and Traumatic macular hole, a larger average size of macular hole was noted.

 Keywords: Macular Hole; Central Vision; Menilik II Hospital; Ethiopia

  1. Ho AC., et al. “Macular hole”. Survey of Ophthalmology 5 (1998): 393-416.
  2. Duker JS., et al. “The international vitreomacular traction study group classification of vitreomacular adhesion, traction, and macular hole”. Ophthalmology12 (2013): 2611-2619.
  3. Rahmani B., et al. “The cause-specific prevalence of visual impairment in an urban population. The Baltimore Eye Survey”. Ophthalmology 11 (1996): 1721-1726.
  4. Mitchell P., et al. “Prevalence and associations of epiretinal membranes, The Blue Mountains Eye Study”. Australia Ophthalmology6 (1997): 1033-1040.
  5. Wang S., et al. “Prevalence of full-thickness macular holes in urban and rural adult Chinese: the Beijing Eye Study”. American Journal of Ophthalmology 3 (2006): 589-591.
  6. Sen P., et al. “Prevalence of idiopathic macular hole in adult rural and urban South Indian population”. Clinical and Experimental Ophthalmology3 (2008): 257-260.
  7. Meuer SM., et al. “The epidemiology of vitreoretinal interface abnormalities as detected by spectral domain optical coherence tomography: the Beaver Dam Eye Study”. Ophthalmology4 (2015): 787-795.
  8. McCannel CA., et al. “Population-based incidence of macular holes”. Ophthalmology7 (2009): 1366-1369.
  9. Parvus MN., et al. “Impact of race and ethnicity on presentation and surgical outcomes of idiopathic macular holes”. Journal of Personalized Medicine 9 (2022): 1518.
  10. Morgan CM and Schatz H. “Idiopathic macular holes”. American Journal of Ophthalmology 4 (1985): 437-444.
  11. Sen P., et al. “Prevalence of idiopathic macular hole in adult rural and urban south Indian population”. Clinical and Experimental Ophthalmology 3 (2008): 257-260.
  12. Ajayi Iyiade A., et al. “Epidemiological review of macular hole in Ekiti, Southwestern Nigeria”. Open Journal of Ophthalmology4 (2020): 276-282.
  13. G Budoff., et al. “Traumatic macular hole: Diagnosis, natural history, and management”. Journal of Ophthalmology (2019): 5837832.
  14. M Gao., et al. “Management modalities for traumatic macular hole: a systematic review and single arm meta-analysis”. Current Eye Research2 (2017): 287-296.
  15. J Huang., et al. “Comparison of full-thickness traumatic macular holes and idiopathic macular holes by optical coherence tomography”. Graefe’s Archive for Clinical and Experimental Ophthalmology8 (2010): 1071-1075.
  16. Arevalo JF., et al. “Optical coherence tomography characteristics of full-thickness traumatic macular holes”. Eye 11 (2008): 1436-1441.
  17. RN Johnson., et al. “Traumatic macular hole”. Ophthalmology 5 (2001): 853-857.
  18. T Yamashita., et al. “Spontaneous closure of traumatic macular hole”. American Journal of Ophthalmology2 (2002): 230-235.
  19. A Gaudric., et al. “Macular hole formation”. Archives of Ophthalmology6 (1999): 744-751.
  20. García-Arumi J., et al. “The role of vitreoretinal surgery in the treatment of postTMH”. Retina5 (1997): 372-377.
  21. Michael S Ip., et al. “Duker anatomical outcome of surgery for Idiopathic macular hole as determined by optical coherence tomography”. Archives of Ophthalmology 1 (2002): 29-35.
  22. Declan C. Murphy., et al. “The effect of macular hole duration on surgical outcomes: an individual participant data study of randomized controlled trials”. Ophthalmology 2 (2023): 152-163.
  23. Alemayehu WT and Shahin S. “Epidemiology of ocular injuries in Addis Ababa, Ethiopia”. Journal of Ophthalmology of Eastern, Central and Southern Africa 1 (2014).

Meron Misgana and Dereje Negussie. “Pattern of Macular Hole in Menilik II Comprehensive Specialized Hospital”. EC Ophthalmology  17.3 (2026): 01-08.