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Invited Commentary
May 7, 2020

Facedown Postoperative Positioning for Large Macular Holes

Author Affiliations
  • 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida
JAMA Ophthalmol. 2020;138(7):730-731. doi:10.1001/jamaophthalmol.2020.0986

The high success rate for macular hole (MH) surgery is a great source of satisfaction for patients and vitreoretinal surgeons. The discovery of not lasering the macular hole when treating an associated retinal detachment established a therapy that previously did not exist.1 Subsequent studies and experience by many others have identified prognostic subsets that have better or poorer outcomes, such that anatomic success exceeds 90% in most cases, with satisfyingly moderate visual improvement in at least 75%.

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