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Recovery guidelines after macular hole repair have long been an issue for the patient. There is significant controversy as to why patients need face down positioning after this procedure. It is not unheard of retinal surgeons to ask patients to remain face down at all times for 7 or more days after surgery. Some patients are frightened and decide against undergoing this surgical intervention due to the daunting task of extended prone posturing. Others simply can’t physically tolerate this task. Without surgery, these patients are destined to chronic poor central vision with no chance of visual recovery. In short, face-down positioning is tedious, time consuming, and occasionally physically impossible. But, is it necessary?

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