Main finding: The study result do not prove that facedown positioning following surgery is more likely to close large macular holes compared with facing forward. Visual acuity outcomes however may be superior.
Purpose: To determine whether facedown positioning postoperatively improves the outcome for large macular holes.
Study type: Randomized controlled Trial
Condition: Macular Hole
Participants: idiopathic full-thickness macular hole
-at least 400 μm minimum linear diameter
-duration of fewer than 12 months
n=185
Intervention:
Vitrectomy with internal limiting membrane peel and injection of perfluoropropane (14%) gas +/- simultaneous cataract surgery
Group 1: Position face down for 8 hours daily for 5 days
Group 2: Position face forward for 8 hours daily for 5 days
Outcome
Faceforward positioning
Facedown positioning
p-value
Macular hole closure
95.5%
85.6%
0.08
BCVA improvement at 3months (LogMAR)
0.34
0.57
0.01
Share This Article :
Please provide feedback on content published. Thank you.
Source Archive