![]() At 6 months, 77% more of the patients in the support-the-break group had retinal displacement compared with the face-down group.Įxamining the variables, the researchers found that neither extent of retinal detachment route of drainage involvement of superior quadrants duration of visual loss preoperative lens status nor gas tamponade were associated with retinal displacement at 6 months.Īt both 8 weeks and 6 months postoperatively, the degree of displacement was also greater in the support-the-break group. ![]() Of the 239 who completed the study, 171 were male and the mean age was 60.8 years.Īt 8 weeks, analysis of the 103 gradable images in the support-the-break group revealed a 94% greater risk of retinal displacement. The researchers recruited 262 patients but excluded those with retinal redetachment. They asked the patients to hold their positions for at least 50 minutes of every hour and throughout the night, and also asked them to complete a positioning and adverse events diary. After that, they positioned all the participants in the support-the-break regimen for a further 6 days. The researchers provided the face-down group with an inflatable travel pillow during the first 24 hours. They positioned patients with superior breaks upright and those with nasal, temporal or inferior breaks on the contralateral cheek. Support-the-break positioning depended on the location of retinal breaks. To fill this gap, Mr Casswell and colleagues randomly assigned patients to either face-down or support-the-break positioning, and they were immediately placed in the positions. Vitreoretinal surgeons advise various positions after this procedure, but with little evidence to show that one is better than another. While macula-involving rhegmatogenous RD repair usually succeeds from an anatomical point of view, as many as 89% of patients experience postoperative distortion. They published the finding in JAMA Opthalmology. ![]() Casswell of Moorfields Eye Hospital, London, UK, and colleagues. “To our knowledge, this is the first study to systematically examine retinal displacement or postoperative distortion at different points after RD repair,” wrote Edward J. Face-down positioning is associated with a reduction in certain complications following macula-involving retinal displacement (RD) repair, according to researchers.
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