Macular hole (MH) is a vitreoretinal interface disease characterized by a partial or full-thickness neurosensory retinal defect in the center of the macula. Macular hole, per se, has not been studied a lot up to the early nineties. The diagnosis and treatment plan has been dramatically changed in the last two decades. A new classification system based on morphology and vitreoretinal interface pathology has convincingly revealed the pathways related to the formation of a macular hole. The diagnosis and follow-up after treatment, clinically as well as by optical coherence tomography (OCT), has become definitive nowadays. Due to central foveal involvement, metamorphopsia and visual deprivation are the common presenting symptoms that may be reversible after successful anatomical closure following surgery.
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