Macular Holes occur sporadically as a result of the natural aging process of the eye. The vitreous is the clear fluid inside the back of the eye and will shrink with age. The vitreous normally separates from the retina with no negative effect during this process. For some individuals, the vitreous does not separate seamlessly and instead continues to stick to the retina. If the vitreous remains attached to the central portion of the retina, called the macula, vision may be affected. The macular tissue will be stretched and can tear creating a macular hole. A surgical macular repair is the most effective way to treat a macular hole.