Face down position after retina surgery12/13/2023 Please note: Always consult with your retinal specialist before following any advice about face-down positioning. Capone’s pioneering research in macular hole surgery, which indicates that face-down positioning is not always required for a successful outcome. He is an internationally recognized clinician, surgeon, and educator who has authored or co-authored over 200 publications in peer-reviewed medical journals, book chapters, and publications from clinical trials. is a board-certified ophthalmologist whose special interests include pediatric vitreoretinal diseases, complicated retinal detachment, ocular oncology, and macular disease. Meet Antonio Capone, Jr., MD, and His Pioneering Work in Face-Down Positioning after Macular Hole SurgeryĪntonio Capone, Jr., M.D. If you can, rent a two-way mirror to enable you to see and be seen by visitors and to watch TV. Do not lift your head to greet or visit with visitors. Keep your head down as much as you can tolerate. After washing it and inserting eye drops, I picked up my head to rinse my hair. I walked, including up and down stairs, with my head down. As a result, every time you lift your head, it’s similar to taking that Band-Aid off a cut. The macula is located at the back of the eye. The pressure of the gas bubble facilitates macular hole closure (like a Band-Aid on a cut). The cut does not heal if you keep taking that Band-Aid off and putting it back on. Here is my layman’s reasoning/interpretation: If you have a bad cut and put on a Band-Aid, that Band-Aid needs to stay on for sound healing. The pressure of the gas bubble is essential for the hole to close. You will find some suggestions at, under the heading “Tips and Hints.” Importance of Face-Down Positioning Be sure to check with your doctor concerning any products mentioned in this document. However, everyone is different, and you will probably discover other techniques/hints that work for you. The following was helpful for me, and I hope that some of this information will be helpful for you in pre-op planning. This section provides in-depth suggestions for making the difficult face-down positioning period of recovery more comfortable – and “survivable.” This is the third of a five-part series, Surviving Recovery from Macular Hole Surgery. Part Three: Suggestions for Maintaining Face-Down Positioning After Macular Hole Surgery
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