Casswell EJ, Yorston D, Lee E, et al. - In this randomized clinical trial, researchers assessed the impact of face-down positioning vs support-the-break positioning on retinal displacement and distortion after macula-involving retinal detachment (RD) repair. Of the 262 randomized individuals, 239 have been analyzed (171 male [71.5%]; mean [SD] age, 60.8 [9.8] years). The amplitude of displacement was linked to worse visual acuity and distortion. Findings suggested an association of face-down positioning with a reduction in the rate and amplitude of postoperative retinal displacement after macula-involving RD repair and with a reduction in binocular diplopia. No association with visual acuity or postoperative distortion has been found.