Posturing after macular hole surgery: a review.
نویسندگان
چکیده
Since the first reports on surgical repair of macular holes, postoperative face-down posturing (FDP) has been part of the management regime. However, prone positioning is unpleasant for patients, and has adverse effects. Over the last decade some vitreoretinal surgeons have reduced the duration of FDP, or even abandoned it altogether. There have been few non-randomised, and even fewer randomised trials addressing this controversy. With high success rates for macular hole surgery and multiple different surgical strategies such as internal limiting membrane peeling, combining macular hole and cataract surgery, and different durations of gas tamponade, analysing the effects of individual factors is difficult. This paper discusses the mechanisms of surgical repair as well as the role of postoperative FDP, and reviews the studies that have attempted to determine its effect on the success of macular hole surgery.
منابع مشابه
Face-down posturing after macular hole surgery: a meta-analysis.
AIMS To assess the effect that the duration of face-down posturing has on the outcome of macular hole surgery. METHODS A literature search was conducted to identify studies related to posturing duration following macular hole surgery. Where appropriate, studies were compared in a meta-analysis. The Mantel-Haenszel fixed-effect method was used to calculate the summary statistics. The main outcom...
متن کاملMacular hole surgery using silicone oil tamponade.
BACKGROUND/AIMS Most surgeons performing macular hole surgery using long acting gas recommend strict postoperative face down posturing for 10-15 days. Patients with chronic systemic illness such as arthritis may be unable to carry out this postoperative regime. Thus there is a need for alternative techniques that would eliminate such a regime. The authors review a series of patients who underwe...
متن کاملPosturing after Macular Hole Surgery: A Review
Since the first reports on surgical repair of macular holes, postoperative face-down posturing (FDP) has been part of the management regime. However, prone positioning is unpleasant for patients, and has adverse effects. Over the last decade some vitreoretinal surgeons have reduced the duration of FDP, or even abandoned it altogether. There have been few non-randomised, and even fewer randomise...
متن کاملRetina Surgery Feature Story
SEPTEMBER 2010 I RETINA TODAY I 75 W hen Kelly and Wendel described vitreous surgery for idiopathic macular holes in 1991, they advised face-down postoperative posturing for patients.1 Since that time, most retina specialists have adopted face-down positioning as a cardinal rule after macular hole surgery, although there is a lack of data showing its necessity. At the American Academy of Ophtha...
متن کاملIndividualized, spectral domain-optical coherence tomography-guided facedown posturing after macular hole surgery: minimizing treatment burden and maximizing outcome.
PURPOSE To evaluate the individualized, optical coherence tomography-guided facedown posturing after macular hole (MH) surgery in minimizing the burden and maximizing outcome. METHODS A retrospective comparative study. One hundred and seven consecutive eyes with an MH (<500 μm) received vitrectomy and gas tamponade. After surgery, optical coherence tomography examination was performed from 6 ...
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ورودعنوان ژورنال:
- Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde
دوره 226 Suppl 1 شماره
صفحات -
تاریخ انتشار 2011