Cochrane · systematic review · CD015514

Face‐down positioning or posturing after pars plana vitrectomy for macula‐involving rhegmatogenous retinal detachments

Fung, THM, Yim, TW, Lois, N, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

Eyes and VisionAMSTAR 2: not assessed
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
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 5 · 83.3%Low 0 · 0%Moderate 0 · 0%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 compared with other positioning

Population: people with primary macula‐involving rhegmatogenous retinal detachments
6 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of eyes with retinal displacement at 6 months or later (RR < 1 favored)
Face‐down positioning vs other positioning
RR 0.73 [0.54, 0.99]1 study · 239 participantsVery low
Downgraded: risk of bias, imprecision
Mean change in logMAR or Snellen visual acuity from baseline to 3 months or later (lower is favored)
Face‐down positioning vs other positioning
no estimate extracted1 study · 56 participantsVery low
Downgraded: risk of bias, imprecision
Mean objective distortion score at 3 months or later (lower is favored)
Face‐down positioning vs other positioning
MD 1.81 study · 219 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life assessments at 3 months or later (higher is favored)
Face‐down positioning vs other positioning
no estimate extracted1 study · 217 participantsVery low
Downgraded: risk of bias, imprecision
Frequency of intervention‐related ocular adverse events (
Face‐down positioning vs other positioning
no estimate extracted1 study · 262 participantsVery low
Downgraded: risk of bias, imprecision
Frequency of intervention‐related non‐ocular adverse events (
Face‐down positioning vs other positioning
no estimate extractedNRNo studies