Are there any special positioning requirements after surgery?
Yes, In order to have its maximal effect, the gas bubble left in the eye must apply continued upward pressure against the treated macular hole. Because the macula is located in the back part of the eye, a patient’s head must remain in a facedown position to allow the gas bubble to rise toward the back of the eye and apply that pressure. Patients are asked to maintain this facedown position for approximately 7-10 days after surgery. They are also instructed NOT to sleep on their back for 2-3 weeks after surgery. Is the surgery still an option if I had the macular hole for a long time? Traditionally, Macular holes were treated only if the were less than 6 months old. Any hole older than 6 months was considered poor surgical candidates. Currently, there is scientific evidence in the ophthalmic literature that report good results after surgery for long-standing macular holes. The advancement in microsurgical techniques has opened the door for treatment of a condition that was considered un