PURPOSE: To analyze the forces affecting pneumatic displacement of submacular hemorrhage and determine an efficient postoperative positioning method for patients. METHOD: Geometric analysis of the forces that act upon submacular hemorrhage in the absence and presence of a gas bubble. RESULTS: A component of gravity force of the hemorrhage parallel to the subretinal space is responsible for pneumatic displacement. This component is largest when the patient is looking straightforward and is absent when the patient is positioned facedown. CONCLUSION: Face down positioning is not optimal for pneumatic displacement of submacular hemorrhage and should be avoided.
PURPOSE: To analyze the forces affecting pneumatic displacement of submacular hemorrhage and determine an efficient postoperative positioning method for patients. METHOD: Geometric analysis of the forces that act upon submacular hemorrhage in the absence and presence of a gas bubble. RESULTS: A component of gravity force of the hemorrhage parallel to the subretinal space is responsible for pneumatic displacement. This component is largest when the patient is looking straightforward and is absent when the patient is positioned facedown. CONCLUSION: Face down positioning is not optimal for pneumatic displacement of submacular hemorrhage and should be avoided.
Authors: Giamberto Casini; Pasquale Loiudice; Martina Menchini; Francesco Sartini; Stefano De Cillà; Michele Figus; Marco Nardi Journal: Int J Retina Vitreous Date: 2019-12-11