Cochrane · systematic review · CD008228

Face‐down positioning or posturing after macular hole surgery

Cundy, O, Lange, CAK, Bunce, C, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.

Questions

current version

GRADE rated

No studies

Included studies

No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 50%Low 1 · 25%Moderate 1 · 25%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Face‐down positioning or posturing versus no face‐down positioning or posturing after macular hole surgery

Population: adults with idiopathic macular holes

4 questions

Outcome	Effect	Evidence	Status / GRADE
Macular hole closure (anatomical assessment) Face‐down positioning or posturing vs no face‐down positioning or posturing after macular hole surgery	RR 1.05 [0.99, 1.12]	8 studies · 699 participants	Low Downgraded: risk of bias, imprecision, inconsistency
Improved visual acuity (ETDRS chart at 4 metres) Face‐down positioning or posturing vs no face‐down positioning or posturing after macular hole surgery	mean difference 2.04	3 studies · 217 participants	Very low Downgraded: risk of bias, imprecision, inconsistency
Quality of life** (various metrics) Face‐down positioning or posturing vs no face‐down positioning or posturing after macular hole surgery	no estimate extracted	2 studies · 178 participants	Very low Downgraded: risk of bias, imprecision, inconsistency
Postoperative nerve compression injury (clinical assessment) Face‐down positioning or posturing vs no face‐down positioning or posturing after macular hole surgery	no estimate extracted	8 studies · 699 participants	Moderate Downgraded: risk of bias