Purpose: To determine the rate of successful macular hole closure with 1 day postoperative prone positioning.
Methods: Multi-center review of all consecutive cases of stage 3 and 4 macular hole surgery performed during a 15-month period employing 1 day postoperative face-down positioning regimen. Cataract surgery was not routinely combined with macular hole surgery. Internal limiting membrane peeling was employed in all but 7 eyes. Either SF6 or C3F8 gas tamponade was used. Primary outcome assessed was the rate of hole closure.
Results: 56 eyes of 53 patients were identified. 79% of eyes had stage 3 macular holes and 39 of 56 (70%) eyes were phakic at the time of surgery. Mean preoperative logMAR vision was 0.74 (~20/100 Snellen) and mean postoperative logMAR vision was 0.41 (~20/50 Snellen) with a mean follow-up period of 5.2 months. Macular hole closure was achieved in 52 eyes (93%) with one operation.
Conclusion: Sustained postoperative face-down positioning may not be necessary for successful macular hole closure, since 93% of eyes achieved hole closure with prone positioning for only 1 day.