Improving Post-Operative Positioning Compliance: A Novel Device

Purpose : The use of intraocular gas for repair of retinal detachments and macular holes is a mainstay of vitreoretinal surgery. Post-operatively, the patient is positioned so that the gas bubble is in apposition to the retinal pigment epithelium. In order to ensure correct position of the gas bubble against these breaks, patients are instructed in specific postoperative positioning of their head. In spite of instructing patients on the importance of proper head positioning after use of intraocular gas, numerous studies have shown patients are not compliant with the prescribed regimen. Our novel positioning device provides real time alerts when the bubble is out of position in the eye and allows patients to correct their position.