A macular tear is usually seen in a head-down or prone position. A macular tear is an eye disease in which the retinal neuroepithelial tissue in the macular area is defective, causing a tear in the central depression of the macula. Surgery is usually used to treat macular degeneration. After surgery, patients need to sleep on their stomachs and maintain a head-down or prone position to promote healing of macular degeneration. If patients are uncomfortable lying down for a long period of time, they can change their position, alternating between sitting, lying down and walking in the head-down position. Patients need to remain in the prone position at all times after macular cleft surgery. Patients injected with inert gas will need to lie down for about two weeks, and those injected with silicone oil will need to lie down for three to four weeks. Patients will also need to avoid any movements that cause increased pressure on the face, such as excessive bending, lifting heavy objects, coughing, and other movements. The position of lying down after macular cleft surgery can be somewhat painful and uncomfortable, so patients are advised to remain stable and make sure to stick with it.