Duration of facedown positioning after macular hole surgery: a comparison between 1 week and 3 days

Authors

  • David T. L. Liu,

    Corresponding author
    1. Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China
      David T. L. Liu MRCS
      Department of Ophthalmology and Visual Sciences
      Chinese University of Hong Kong
      Prince of Wales Hospital
      Shatin
      Hong Kong
      China
      Tel: + 852 2632 2878
      Fax: + 852 2648 2943
      Email: david_tlliu@yahoo.com
    Search for more papers by this author
  • Chi-Lai Li,

    1. Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China
    Search for more papers by this author
  • Vincent Y. W. Lee

    1. Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China
    Search for more papers by this author

David T. L. Liu MRCS
Department of Ophthalmology and Visual Sciences
Chinese University of Hong Kong
Prince of Wales Hospital
Shatin
Hong Kong
China
Tel: + 852 2632 2878
Fax: + 852 2648 2943
Email: david_tlliu@yahoo.com

Editor,

We read with interest the inspiring article on the duration of facedown positioning after macular hole surgery and noted that patients were kept under close surveillance to ensure that a strict facedown posture was maintained during the study period (Krohn 2005). The author literally implies round-the-clock (24-hour) facedown posturing.

However, even if the necessary precautions for ophthalmic examination, eyedrop instillation and sleep are taken into account, the practicality of such stringent postoperative management is still doubtful. Daily activities such as having meals, bathing, showering and toileting are essential to good health and wellbeing. Dr Krohn did not describe how patients were able to carry out these activities while maintaining an awkward facedown position at all times.

Properly designed logistics to facilitate the performance of these apparently trivial activities may enhance the study and support the validity of its conclusion.

Ancillary