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CompletedNCT01020760Updated Apr 26, 2012

Protocol for RCT of Posturing in Phacovitrectomy for Full Thickness Macular Hole (FTMH)

An interventional study of Face down posture in Full Thickness Macular Hole, sponsored by NHS Greater Glasgow and Clyde. Completed at 1 site in United Kingdom. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2012-04-26.

Sponsored by NHS Greater Glasgow and Clyde · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
16 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the effect of postoperative posturing on the outcome of macular hole surgery. Current practice is divided; some individuals are advised to posture face-down for 10 days and others are advised that posturing is unnecessary. By evaluating the effect of posturing in a prospective randomised controlled trial the investigators hope to determine best practice, enabling surgeons and patients to make informed decisions regarding postoperative management.

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Conditions studied

  • Full Thickness Macular Hole

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Keywords

  • Macular hole
  • Vitrectomy
  • Prone posturing
03

In context

Retinal Perforations

156 studies on the registry are indexed under Retinal Perforations; 21 are open to participants now.

This study's enrollment of 30 is below the median of 44 across 104 interventional studies indexed under Retinal Perforations.

Browse Retinal Perforations studies →

Lead sponsor

NHS Greater Glasgow and Clyde is the lead sponsor of 215 studies on the registry; 39 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients having surgery for idiopathic full thickness macular hole
  2. Able and willing to posture face-down for 10 days postoperatively
  3. Agree to participate in the trial and able to give informed consent

Exclusion criteria

Exclusion Criteria:

  1. History of visual loss suggesting a duration of macular hole greater than 12 months
  2. Patients unable or unwilling to posture face-down for 10 days postoperatively
  3. History of trauma that may have been causative
  4. Age less than 16 years (in practice idiopathic macular hole is extremely rare in patients under 30 years).
  5. Previous vitrectomy surgery
  6. Additional retinal breaks occurring during surgery that necessitate post-operative posturing to prevent retinal detachment.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (actual)

Study arms

  • No intervention
    No posture

    Patients will undergo routine phacoemulsification, pars plana vitrectomy, ILM peel and gas fluid exchange with 14% C3F8. They will be advised to avoid supine posturing for seven days after surgery, but will not be advised to posture in the face down or prone position.

  • Experimental
    Face down posture

    Patients will undergo routine phacoemulsification, pars plana vitrectomy, ILM peel and gas fluid exchange with 14% C3F8. They will be advised to posture in the face down or prone position for 50 minutes per hour for seven days.

    Behavioral: Face down posture

Interventions

  • BehavioralFace down posture

    Patients are requested to maintain a strict face down posture for 50 minutes out of every hour for seven days after surgery.

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What researchers measure

Primary outcomes

  1. estimate variance and effect size order to inform power calculations for further studies.

    Time frame: one year

Secondary outcomes

  1. visual acuity and complications

    Time frame: one year

  2. estimate recruitment rate and establish protocol/procedure

    Time frame: one year

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Study locations

1 site
  • Gartnavel General Hospital
    Glasgow, G12 0YN, United Kingdom
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References and documents

Publications

  • Yorston D, Siddiqui MA, Awan MA, Walker S, Bunce C, Bainbridge JW. Pilot randomised controlled trial of face-down posturing following phacovitrectomy for macular hole. Eye (Lond). 2012 Feb;26(2):267-71. doi: 10.1038/eye.2011.220. Epub 2011 Sep 23. Erratum In: Eye (Lond). 2012 Feb;26(2):341. PubMed 21941363 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 26, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01020760
Lead sponsor
NHS Greater Glasgow and Clyde
Responsible party
David Yorston (Consultant Ophthalmologist, NHS Greater Glasgow and Clyde) — Principal investigator
First posted
Nov 26, 2009
Start date
Sep 2008
Primary completion
Aug 2010
Completion
Oct 2010
Last update
Apr 26, 2012

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2012. You cannot join it, but the record below documents what was studied.

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