A macular hole is a small break in the macula, the central part of the retina responsible for sharp vision. This condition can lead to blurred or distorted vision, making it difficult to read or recognize faces. Macular holes often occur as people age, but they can also result from eye injuries or other eye diseases. Symptoms of a macular hole may include a dark or empty spot in the center of vision. Diagnosis typically involves a comprehensive eye exam, including optical coherence tomography (OCT) to visualize the hole. Treatment options may include observation or surgical intervention, depending on the severity of the condition.