40+
years in the field
20,000+
operations
250+
published works
90,000
patients treated
Have you been diagnosed with a macular hole?
A macular hole is not always an emergency, but if left untreated it can lead to permanent loss of central vision. Early treatment offers the best chance of preserving and improving sight, and macular hole surgery is usually recommended within weeks to prevent further decline. At our clinic, urgent cases are prioritised, so you can usually see Professor Williamson within 48 hours.
What is a macular hole?
The macula is the part of the retina responsible for fine detail such as reading or recognising faces. It contains delicate receptors called cones which also provide colour vision. A macular hole is a small break that can cause blurring, distortion, or a blank spot in your central vision.
Some macular holes can be monitored or may close on their own, but many require surgery. Seeing a specialist within 1–3 weeks of diagnosis gives the best chance of restoring vision.
Symptoms of a macular hole
You should seek medical care if you experience:
Blurred or distorted central vision
A small blank or dark spot in your sight
Straight lines appearing bent or wavy
Greater difficulty reading or focusing on detail
A specialist consultation will confirm the diagnosis and explain whether treatment for your macular hole is recommended.
Operation for a macular hole: How it works
Vitrectomy with membrane peel
Macular holes are treated with a delicate operation called a vitrectomy. It is usually performed under local or general anaesthetic, takes less than an hour, and most patients go home the same day. Here is how it works:
- 1
Remove the vitreous
Remove the vitreous
The clear jelly inside the eye (vitreous) is carefully removed to stop it pulling on the retina. This creates the space needed for the macula to heal.
- 2
Release tension on the retina
Release tension on the retina
A fine, transparent membrane on the retinal surface is gently peeled away to reduce stress around the hole and encourage closure.
- 3
Help the hole to heal
Help the hole to heal
A tiny gas bubble is placed inside the eye to lightly press against the macula. This supports the healing process and allows the edges of the hole to come together.
Your macular hole treatment is in expert hands
Professor Tom Williamson is a leader in retinal surgery, combining meticulous technical skill with truly personalised care.
World-class surgical skill
With over 40 years of consistent results in treating complex retinal detachments, he is trusted by thousands of patients worldwide.
A clear plan you can feel confident in
From diagnosis to recovery, every is step tailored to your needs.
Continuity of care you can trust
From your first consultation to your final check-up, you’ll see the same expert surgeon who knows your case in detail.
“I feel very grateful to Professor Williamson each time I watch my small grandson demonstrate a new skill”
Maggie D.
“One call led to an immediate appointment that same morning”
William L.
“He is a very skilled surgeon; I am truly grateful to him, and I would recommend him to anyone without a second thought”
Roger S.
Meet Professor Williamson
Professor Tom Williamson is one of the UK’s foremost retinal surgeons, practising in London. With over 40 years in the field, he has performed more than 20,000 operations and is recognised for both his meticulous technique and consistently successful outcomes. Known for his clear, pragmatic approach, Professor Williamson offers patients highly personalised care with continuity over the long term.
Your macular hole treatment timeline
Bespoke consultation in London
At your first appointment, Professor Williamson will examine the back of your eye and carry out detailed retinal imaging to confirm whether a macular hole is present and assess its stage.
Clear explanation and advice
You’ll see the images of your retina and get a straightforward explanation of the findings, along with recommendations tailored to your case.
Surgery arranged (if needed)
If surgery is recommended, it will be scheduled at an appropriate time for your condition. Most macular holes are treated with a vitrectomy, performed under local or general anaesthetic.
Recovery at home
You’ll return home the same day and can usually resume light activities within a few days. Detailed aftercare notes will be provided, along with information on what to expect as your vision improves.
Follow-up review
A review appointment will be arranged to monitor healing and check your macula is closing as expected. You’ll continue to have access to Professor Williamson for any questions or concerns.
“In recent years there have been times of anxiety when I needed speedy access to the Professor, and the team was always available to calm me and quickly get me in front of him - their standard of care is outstanding”
Anthony T.
How much is surgery for a macular hole?
The cost of a vitrectomy for one eye, for self‑funding patients, is £8,898.
Insurance
We work with major insurance providers, including Bupa, AXA‑PPP, Vitality, WPA, and Aviva. As Professor Williamson is not a fee‑assured consultant, your insurer may not cover the full amount - we’ll confirm any costs with you before treatment.
Get the right advice and treatment for your vision
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