5 reported that FDP maintenance after vitrectomy and gas tamponade varied considerably among patients. Associated pain and discomfort may thus lead to reduced compliance. Some also experience pressure ulcers and ulnar neuropathies 3, 4. Patients positioned face-down complain of neck, shoulder, and back pain, as well as mental stress, a sense of psychological isolation, and anxiety 2. Postoperative FDP and immobilization cause considerable physical and psychological burden to patients 2. Its appropriate duration remains controversial however, it is generally advised to maintain FDP for ≥ 3 days, depending on the retinal condition. With postoperative FDP, intraocular gas or oil mechanically pushes the retina against the retinal pigment epithelium, keeping the sensory retina attached, and isolating a retinal tear or macular hole from the vitreous fluid 1. Application of the structured exercise would alleviate the patients’ position-induced postoperative physical burden, by reducing pain and discomfort.įace-down positioning (FDP) is a standard posture recommended after vitrectomy and intraocular tamponade for macular holes and retinal detachments. 006 for the back neck, shoulder, and lower back, respectively). The exercise group reported significantly lower pain scores ( P = .003. After the sessions, the exercise group had median numeric pain scores of 2, 1, and 1 at the back neck, shoulder, and lower back, respectively, while the control group had corresponding scores of 5, 3, and 4, respectively. Participants in the exercise group received initial education on the exercise and performed three daily active exercise sessions. Among the subjects, the median age was 62 years, 42 were female, 42 had macular holes, and 19 had retinal detachments. This randomized controlled trial evaluated the effect of a 3-day novel structured exercise on reducing musculoskeletal pain from the face-down posture in 61 participants (31 in the exercise group) who underwent vitrectomy. Despite being of significant concern for patients, the intraoperative pain and discomfort has not been of great interest to retinal surgeons or researchers. Face-down posture after vitrectomy physically burdens patients.
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