ArticleBMC surgery2013
Short-time prone posturing is well-tolerated and reduces the rate of unintentional retinal displacement in elderly patients operated on for retinal detachment.
Article in BMC surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Face-down positioning or posturing after pars plana vitrectomy for macula-involving rhegmatogenous retinal detachments.The Cochrane database of systematic reviews · 2024Pooled it
- Effect of Face-Down Positioning vs Support-the-Break Positioning After Macula-Involving Retinal Detachment Repair: The PostRD Randomized Clinical Trial.JAMA ophthalmology · 2020Trial
- Evaluation of Retinal Displacement After Rhegmatogenous Retinal Detachment Surgery: A Retrospective Single-Institution Study.Medicina (Kaunas, Lithuania) · 2026Observational
- Feasibility and outcomes of break-upward side-lying positioning after PPV for inferior rhegmatogenous retinal detachment: a retrospective case series.Frontiers in medicine · 2026Article
- Involving Patients in Developing a Patient-Reported Outcome Measure for Retinal Detachment.Ophthalmology science · 2026Article
- [Current trends in the treatment of rhegmatogenous retinal detachment and perioperative positioning strategies in Germany: results of a retina.net survey].Die Ophthalmologie · 2025Article
- Retinal Displacement Following Vitrectomy for Rhegmatogenous Retinal Detachment: A Systematic Review of Surgical Techniques, Tamponade Agents, and Outcomes.Journal of clinical medicine · 2025Review
- [Macular folds after surgical repair of retinal detachment].Die Ophthalmologie · 2022Review
- Scleral Buckling: A Look at the Past, Present and Future in View of Recent Findings on the Importance of Photoreceptor Re-Alignment Following Retinal Re-Attachment.Clinical ophthalmology (Auckland, N.Z.) · 2022Review
- Retinal displacement following pars plana vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment.International ophthalmology · 2021Article
- Long-term outcome of macular shift after retinal detachment repair.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021Article
- Computational fluid dynamics (CFD) simulation analysis on retinal gas cover rates using computational eye models.Scientific reports · 2021Article
- Retinal Displacement: Providing New Insights for Retinal Detachment Surgery.Journal of ophthalmology · 2021Review
- Efficacy and Safety of Vitrectomy without Using Perfluorocarbon Liquids and Drainage Retinotomy Associated with Postoperative Positioning Based on Residual Subretinal Fluid for Rhegmatogenous Retinal Detachment.Journal of ophthalmology · 2021Article
- Multimodal imaging for detecting metamorphopsia after successful retinal detachment repair.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020Article
- Influence of Postoperative Posture on Macular Slippage after Macula-Off Retinal Detachment: A Randomized Controlled Trial.Ophthalmology and therapy · 2019Article
- Tamponade or filling effect: changes of forces in myopic eyes.BioMed research international · 2014Review
- Corneal epithelial wound healing promoted by verbascoside-based liposomal eyedrops.BioMed research international · 2014Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the feasibility, efficacy and safety of strict prone posturing taken for 2 hours after operation in preventing the occurrence of unintentional retinal displacement in elderly patients operated on for retinal detachment (RD).
methodsTwenty patients aged 60 or more with diagnosis of macula-off RD were asked to keep a strict face-down posturing for 2 hours after vitrectomy and 20% sulfur hexafluoride tamponade. IOP was measured immediately before and after surgery and after the 2-hour posturing. A questionnaire was administered to each patient to evaluate the rate of discomfort experienced because of the face-down posturing. Unintentional displacement of the retina was assessed by evaluating the presence of retinal vessel printings on fundus autofluorescence images taken 4 weeks after operation.
resultsThe 2-hour posturing was generally well-tolerated. A mild neck pain was the most common reported symptom. Only a few patients experienced moderate breath shortness while posturing and none had to break the posturing because of respiratory problems. Intraocular pressure (IOP) measured before operation (11.7 ± 2.6 mmHg) was significantly different from IOP recorded at the end of surgery (18.9 ± 4.9 mmHg) and from IOP measured 2 hours after surgery (16.8 ± 4.7 mmHg, P<0.05, Friedman test). IOPs measured immediately and 2 hours after surgery did not differ significantly. Fundus autofluorescence imaging showed RVPs in 7 eyes.
conclusionsThis study shows that a 2-hour face-down posturing is effective in reducing the rate of retinal displacement in patients operated on for rhegmatogenous retinal detachment using vitrectomy and SF6 20%. A 2-hour face-down posturing is feasible for elderly patients and does not appear to cause unwanted, post-operative IOP raises.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.