This article discusses the role of post-operative face-down positioning (FDP) in the surgical management of full-thickness macular hole (FTMH). FDP is believed to improve the closure rate of FTMH by enhancing the contact between the gas bubble and the hole. However, FDP can be challenging for elderly patients and those with comorbidities. The study examined whether FDP improves the anatomical and functional outcomes in FTMH eyes treated with a specific surgical technique. The results showed that FDP did not significantly affect the closure rate or visual acuity in the short term, but after 12 months, the FDP group had better visual acuity and restoration of the ellipsoid zone integrity. Further research is needed to confirm these findings. [Extracted from the article]