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Idiopathic macular holes are an important cause of visual loss. Macular holes can be treated by surgically removing the vitreous gel and injecting intraocular gas. Following macular hole surgery, face-down positioning is often advised with the aim of improving the likelihood of macular hole closure. The current evidence of postoperative positioning protocols is insufficient to draw firm conclusions and guide practice. The investigators wish to compare non-face-down positioning and face-down positioning after surgery for macular holes in a randomized trial.
Hypothesis: Non-face-down positioning is equivalent to face-down positioning after surgery for macular holes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Face-down positioning | Active Comparator | Patients advised face-down positioning after surgery for macular hole. |
|
| Non-face-down positioning | Experimental | Patients advised non-face-down positioning after surgery for macular hole. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vitrectomy & Intraocular gas fill | Procedure |
| ||
| Postoperative face-down positioning |
| Measure | Description | Time Frame |
|---|---|---|
| Macular hole closure rate | Macular hole closure rate assessed by optical coherence tomography | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| ETDRS Visual Acuity Gain | 3 months | |
| Degree of postoperative head incline | Position Sensor | 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of the complications | During 3 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Morten la Cour, Professor | Glostrup University Hospital, Copenhagen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Glostrup Hospital, University of Copenhagen | Copenhagen | 2600 | Denmark |
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| ID | Term |
|---|---|
| D012167 | Retinal Perforations |
| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D014821 | Vitrectomy |
| ID | Term |
|---|---|
| D013508 | Ophthalmologic Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| Procedure |
|
| Degree of ocular gas fill |
| 4 days |