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Duration of Face Down Positioning for Full-Thickness Macular Hole Repair

Macular Holes

A full-thickness macular hole is when there is a small gap that opens in the center part of the retina (the light-sensitive layer of tissue in the back of the eye). Following surgical repair of these holes, patients have to lie face down for a number of days and nights. The exact amount of time necessary to position is however unknown. The goal of this randomized feasibility clinical trial is to compare 3 days and nights of face-down positioning to 7 days and nights of face-down positioning following pars plana vitrectomy surgery for full-thickness macular holes on key patient outcomes. This study will be a feasibility study to better inform a future larger clinical trial. Additionally, this investigation will be examining the rates of macular hole closure, patient visual acuity following surgery, patient quality of life, patient compliance, and complication rates.

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Participation Requirements

  • Sex:

    ALL

  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion Criteria:

* Consecutive patients with an idiopathic full-thickness macular hole
* Symptom duration of less than 6 months
* Patient must agree to participate in this investigation

Exclusion Criteria:

* Macular hole minimum diameter \>1000 μm
* A history of high myopia (\> -6)
* Traumatic macular hole
* Amblyopia
* Retinal vein occlusion
* Inflammatory eye diseases
* Patients found to have a retinal tear during either the pre-operative assessment or intraoperatively

Study Location

St. Joseph's Hospital King Campus
St. Joseph's Hospital King Campus
Stoney Creek, Ontario
Canada

Contact Study Team

Primary Contact

Keean Nanji, MD

[email protected]
6474575454
Study Sponsored By
St. Joseph's Healthcare Hamilton
Participants Required
More Information
Study ID: NCT06000111