Positioning patient face-down could improve chances of macula hole closure

February 22, 2012

Positioning patients face down after surgery could improve chances of macula hole closure

Positioning patients face down after surgery could improve chances of macula hole closure, according to a study in the journal Eye.

The randomized, controlled trial, led by Dr J. Bainbridge, included 30 phakic eyes of 30 subjects with idiopathic full-thickness macula holes. Each patient underwent vitrectomy with dye-assisted peeling of the ILM and 14% perfluoropropane gas.

Participants were randomized into two groups. Group 1, the posturing group, were positioned face-down for 10 days and group 2, the non-posturing group, were to avoid a face-up position. The primary measure was anatomical macula hole closure.

The results revealed that macula holes closed in 14 of the 15 eyes in group 1 and in 9 of 15 eyes in group 2. Macula holes smaller than 400μm closed regardless of posturing. In 10 of the 11 remaining group 1 eyes holes larger than 400μm closed and 4 of 10 eyes in group 2.