Cochrane Review: Face-down positioning or posturing after macular hole surgery

Zusammenfassung

# Face-down positioning or posturing after macular hole surgery. ## BACKGROUND Macular holes cause severe impairment of sight. With the aim of improving the outcome of surgery for macular holes, particularly larger macular holes (those measuring over 400 μm), a variable period of face-down positioning may be advised. This review is an update of a Cochrane Review published in 2011. ## OBJECTIVES To evaluate the effect of postoperative face-down positioning on the outcome of surgery for

Kerninformationen

ry Platform. There were no date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 25 May 2022. ## SELECTION CRITERIA We included randomised controlled trials (RCTs) in which postoperative face-down positioning was compared to no face-down ...

sed dichotomous data as risk ratios (RRs), and continuous data as mean differences (MDs), with 95% confidence intervals (CI). The unit of analysis was eyes. ## MAIN RESULTS We included eight studies allocating a total of 709 eyes (699 participants). There was heterogeneity in study design, includi...

to absence of assessment of adherence to the 'prescribed' intervention of face-down positioning or posturing. The primary outcome of successful anatomical hole closure at one to six months following surgery was reported in 95 of every 100 eyes of participants advised to position face-down for at lea...

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