MedPath

Positioning in macular hole surgery

Not Applicable
Completed
Conditions
Disease: Ophthalmology
Eye Diseases
Topic: Ophthalmology
Subtopic: Eye (all Subtopics)
Registration Number
ISRCTN12410596
Lead Sponsor
Moorfields Eye Hospital NHS Foundation Trust
Brief Summary

2015 protocol in https://www.ncbi.nlm.nih.gov/pubmed/26576755 2017 statistical analysis plan in https://www.ncbi.nlm.nih.gov/pubmed/28610601 2020 results in https://pubmed.ncbi.nlm.nih.gov/32379288 (added 07/05/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
185
Inclusion Criteria

1. Presence of idiopathic full-thickness macular hole, greater than or equal to 400 µm in diameter as measured OCT
2. Patients electing to have surgery for macular hole, with or without simultaneous phacoemulsification and intra-ocular lens implant
3. Ability and willingness to position face-down or in an inactive faceforward position
4. Lower age limit 18 years

Exclusion Criteria

1. Age-related macular degeneration; glaucoma; diabetic retinopathy; retinal degeneration; amblyopia; previous vitrectomy surgery (refractive error, lens opacity and previous use of ocriplasmin are not exclusion criteria)
2. Traumatic macular hole
3. History of visual loss suggesting macular hole duration longer than 12 months
4. Presence of a retinal tear identified during surgery for which post operative positioning is advised

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Anatomical closure of the macular hole; Timepoint(s): Determined at three months after surgery by masked assessment of OCT scans.
Secondary Outcome Measures
NameTimeMethod
To determine the impact of face-down positioning on sight, quality of life and wellbeing.
© Copyright 2025. All Rights Reserved by MedPath