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I am a retina surgeon.
Yes. Time is of the essence with a macular hole.
It will get worse without timely treatment...
You will, however, not go totally blind as the hole enlarges; you will only loose a larger and larger part of your central vision.
You will become legally blind (less than 20/200 vision) but you will still have side vision for getting around...
So. What should you do?
If at all possible, I strongly recommend that you proceed with your vitrectomy, any recommended adjunct treatment of your macular hole, and gas/fluid exchange.
There are places that rent/sell specialized equipment to make it easier for you to do face down positioning. Ask your retina surgeon for stores near you.
Does this make sense to you?
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Dr. Rick MD FACS