Patient adherence to the face-down positioning after macular hole surgery

Yoshiaki Shimada, Yui Seno, Tadashi Mizuguchi, Atsuhiro Tanikawa, Masayuki Horiguchi Department of Ophthalmology, Fujita Health University Hospital, Aichi, Japan Purpose: To determine adherence to face-down positioning (FDP) among patients who underwent vitrectomy and gas tamponade for macular hol...

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Autores principales:	Shimada Y, Seno Y, Mizuguchi T, Tanikawa A, Horiguchi M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	adherence face-down positioning gas tamponade macular hole vitrectomy Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/72f6429e68aa4163b063cff52e9f22da
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spelling	oai:doaj.org-article:72f6429e68aa4163b063cff52e9f22da2021-12-02T01:06:42ZPatient adherence to the face-down positioning after macular hole surgery1177-5483https://doaj.org/article/72f6429e68aa4163b063cff52e9f22da2017-06-01T00:00:00Zhttps://www.dovepress.com/patient-adherence-to-the-face-down-positioning-after-macular-hole-surg-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Yoshiaki Shimada, Yui Seno, Tadashi Mizuguchi, Atsuhiro Tanikawa, Masayuki Horiguchi Department of Ophthalmology, Fujita Health University Hospital, Aichi, Japan Purpose: To determine adherence to face-down positioning (FDP) among patients who underwent vitrectomy and gas tamponade for macular hole (MH) repair.Method: A total of 69 patients (37 females and 32 males) who underwent primary vitrectomy for MH repair were studied. Nurses recorded whether the patient complied with FDP each time they examined the patient. FDP score was obtained from the nursing records; patients were given a score of 1 if they complied with the FDP and 0 if they did not. The score was recorded four times per day for the first 3 postoperative days. A perfect FDP score was 12. Results: The mean ± standard deviation of the FDP scores was 10.6±1.8 (range: 4–12). Overall, 32 (46.4%) patients scored a perfect 12, and 7 (10.1%) patients scored <8. Failure of the MH closure was observed in only one patient (1.4%), who showed the poorest adherence to FDP (score =4). Consequently, the closure rate in patients with FDP score <7 (2/3, 66.7%) was significantly lower than in patients with an FDP score ≥7 (66/66, 100%) (P<0.05, Fisher’s exact probability test). Conclusion: While adherence to FDP after MH surgery was better than that observed after vitrectomy for rhegmatogenous retinal detachments in our previous study, the percentage of patients with FDP scores <8 did not differ. Statistically, the poor adherence to FDP can negatively impact the effectiveness of the surgery for MH repair. Keywords: adherence, face-down positioning, gas tamponade, macular hole, vitrectomyShimada YSeno YMizuguchi TTanikawa AHoriguchi MDove Medical Pressarticleadherenceface-down positioninggas tamponademacular holevitrectomyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1099-1104 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	adherence face-down positioning gas tamponade macular hole vitrectomy Ophthalmology RE1-994
spellingShingle	adherence face-down positioning gas tamponade macular hole vitrectomy Ophthalmology RE1-994 Shimada Y Seno Y Mizuguchi T Tanikawa A Horiguchi M Patient adherence to the face-down positioning after macular hole surgery
description	Yoshiaki Shimada, Yui Seno, Tadashi Mizuguchi, Atsuhiro Tanikawa, Masayuki Horiguchi Department of Ophthalmology, Fujita Health University Hospital, Aichi, Japan Purpose: To determine adherence to face-down positioning (FDP) among patients who underwent vitrectomy and gas tamponade for macular hole (MH) repair.Method: A total of 69 patients (37 females and 32 males) who underwent primary vitrectomy for MH repair were studied. Nurses recorded whether the patient complied with FDP each time they examined the patient. FDP score was obtained from the nursing records; patients were given a score of 1 if they complied with the FDP and 0 if they did not. The score was recorded four times per day for the first 3 postoperative days. A perfect FDP score was 12. Results: The mean ± standard deviation of the FDP scores was 10.6±1.8 (range: 4–12). Overall, 32 (46.4%) patients scored a perfect 12, and 7 (10.1%) patients scored <8. Failure of the MH closure was observed in only one patient (1.4%), who showed the poorest adherence to FDP (score =4). Consequently, the closure rate in patients with FDP score <7 (2/3, 66.7%) was significantly lower than in patients with an FDP score ≥7 (66/66, 100%) (P<0.05, Fisher’s exact probability test). Conclusion: While adherence to FDP after MH surgery was better than that observed after vitrectomy for rhegmatogenous retinal detachments in our previous study, the percentage of patients with FDP scores <8 did not differ. Statistically, the poor adherence to FDP can negatively impact the effectiveness of the surgery for MH repair. Keywords: adherence, face-down positioning, gas tamponade, macular hole, vitrectomy
format	article
author	Shimada Y Seno Y Mizuguchi T Tanikawa A Horiguchi M
author_facet	Shimada Y Seno Y Mizuguchi T Tanikawa A Horiguchi M
author_sort	Shimada Y
title	Patient adherence to the face-down positioning after macular hole surgery
title_short	Patient adherence to the face-down positioning after macular hole surgery
title_full	Patient adherence to the face-down positioning after macular hole surgery
title_fullStr	Patient adherence to the face-down positioning after macular hole surgery
title_full_unstemmed	Patient adherence to the face-down positioning after macular hole surgery
title_sort	patient adherence to the face-down positioning after macular hole surgery
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/72f6429e68aa4163b063cff52e9f22da
work_keys_str_mv	AT shimaday patientadherencetothefacedownpositioningaftermacularholesurgery AT senoy patientadherencetothefacedownpositioningaftermacularholesurgery AT mizuguchit patientadherencetothefacedownpositioningaftermacularholesurgery AT tanikawaa patientadherencetothefacedownpositioningaftermacularholesurgery AT horiguchim patientadherencetothefacedownpositioningaftermacularholesurgery
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Patient adherence to the face-down positioning after macular hole surgery

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