dc.contributor.author | Lindtjørn, Birger | en_US |
dc.contributor.author | Krohn, Jørgen Gitlesen | en_US |
dc.contributor.author | Austeng, Dordi | en_US |
dc.contributor.author | Fossen, Kristian | en_US |
dc.contributor.author | Varhaug, Pål | en_US |
dc.contributor.author | Basit, Samy | en_US |
dc.contributor.author | Helgesen, Ole Harald | en_US |
dc.contributor.author | Eide, Geir Egil | en_US |
dc.contributor.author | Forsaa, Vegard Asgeir | en_US |
dc.date.accessioned | 2020-05-15T11:57:22Z | |
dc.date.available | 2020-05-15T11:57:22Z | |
dc.date.issued | 2019 | |
dc.Published | Lindtjørn B, Krohn J, Austeng D, Fossen K, Varhaug P, Basit S, Helgesen OH, Eide GE, Forsaa V. Nonsupine positioning after macular hole surgery: A prospective multicenter study. Ophthalmology Retina. 2019;3(5):388-392 | eng |
dc.identifier.issn | 2468-7219 | |
dc.identifier.issn | 2468-6530 | |
dc.identifier.uri | https://hdl.handle.net/1956/22290 | |
dc.description.abstract | Purpose: To evaluate the postoperative closure rate of full-thickness macular holes (MHs) after nonsupine positioning, which means that the patients avoid upward gaze and a supine sleeping position, and to investigate the correlation between postoperative positioning compliance and closure rate. Design: Prospective, multicenter study (ClinicalTrials.gov identifier, NCT02295943). Participants: Patients undergoing primary surgery for primary MH. Methods: Patients underwent pars plana vitrectomy with internal limiting membrane peeling and sulfur hexafluoride gas tamponade followed by 3 to 5 days of nonsupine positioning. A positioning measuring device that recorded the time spent in the supine position was attached to patients’ forehead after surgery for 24 hours. Main Outcome Measures: Anatomic closure rate of MH at 2 weeks or more after surgery and the time spent in supine position during the first 24 hours after surgery. Results: A total of 205 participants were included, of whom 2 were lost to follow-up. Two hundred two of 203 MHs closed after a single operation, giving a closure rate of 99.5% (95% confidence interval, 97.3%–99.9%). The median time of supine positioning during the first 24 hours was 28 seconds (range, 0:00:00–01:52:28). Because of the very high closure rate, a correlation between positioning compliance and closure rate could not be established. Conclusions: Pars plana vitrectomy with internal limiting membrane peeling followed by a short-term nonsupine positioning accomplished a very high MH closure rate. Thus, face-down positioning was not necessary to achieve excellent closure rates in this study. | en_US |
dc.language.iso | eng | eng |
dc.publisher | Elsevier | eng |
dc.rights | Attribution-NonCommercial-NoDerivs CC BY-NC-ND | eng |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | eng |
dc.title | Nonsupine positioning after macular hole surgery: A prospective multicenter study | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.date.updated | 2020-01-20T13:23:33Z | |
dc.description.version | acceptedVersion | en_US |
dc.rights.holder | Copyright 2019 Elsevier | |
dc.identifier.doi | https://doi.org/10.1016/j.oret.2018.12.006 | |
dc.identifier.cristin | 1763616 | |
dc.source.journal | Ophthalmology Retina | |