Macular Hole Surgery Without Face Down Positioning  by Paul E.
Tornambe, M.D.  La Jolla, California   The purpose of this
website is to inform you about macular holes, macular hole
surgery, post operative care with and without face down
posturing, and make you aware of a retina specialist in your
area who performs macular hole surgery and, under usual
circumstances, does not mandate face down positioning. I receive
several calls a month from patients who for one reason or
another are unable to be placed face down and ask for a doctor
in their area who does not require face down positioning. I’m
not sure why many retina physicians are so adamantly in favor of
face down posturing, for the recent literature abounds with
numerous papers verifying that face down positioning is not
necessary (See Bibliography). Old habits are hard to break! The
retina doctors listed on this website are all formally
fellowship trained (one year or more for all US and Canadian
doctors) and have indicated that they usually perform mac