Macular translocation for subfoveal choroidal neovascularization in age- related macular degeneration: A prospective study

作者: Hilel Lewis , Peter K Kaiser , Sharon Lewis , Marc Estafanous

DOI: 10.1016/S0002-9394(99)00207-X

关键词:

摘要: Abstract PURPOSE: To conduct a prospective study of macular translocation in patients with subfoveal choroidal neovascularization secondary to age-related degeneration. METHODS: In 10 eyes and best-corrected visual acuity ranging from 20/50 20/800 (median, 20/111), the fovea was relocated by means scleral imbrication, intentional retinal detachment small posterior retinotomies, partial fluid-air exchange. two eyes, neovascular membranes were removed at time translocation; seven they photocoagulated postoperative period; one eye membrane during reoperation unfold fold. RESULTS: All followed up for 6 months. The median foveal displacement 1286 μm (range, 114 1,919 μm). three (30%), fold formed postoperatively requiring reoperation, these second rhegmatogenous detachment. Best-corrected improved four 10.5 letters) decreased six 14.5 letters). change decrease 5 letters. final 20/80 20/126 eye, 20/160 20/200 20/250 20/640 eye. CONCLUSIONS: Our initial experience limited suggests that this surgical technique is unpredictable. However, degeneration, it offers potential improving function may be associated less loss vision than disease itself, if allowed progress. Further refinements indications are needed make procedure safer, more predictable, beneficial.

参考文章(18)
Takashi Fujikado, Masahito Ohji, Yoshihiro Saito, Atsushi Hayashi, Yasuo Tano, Visual Function After Foveal Translocation With Scleral Shortening in Patients With Myopic Neovascular Maculopathy American Journal of Ophthalmology. ,vol. 125, pp. 647- 656 ,(1998) , 10.1016/S0002-9394(98)00021-X
N. M. Bressler, S. B. Bressler, E. S. Gragoudas, Clinical Characteristics of Choroidal Neovascular Membranes Archives of Ophthalmology. ,vol. 105, pp. 209- 213 ,(1987) , 10.1001/ARCHOPHT.1987.01060020063030
Richard F. Spaide, David R. Guyer, Beryl McCormick, Lawrence A. Yannuzzi, Katherine Burke, Mary Mendelsohn, Anton Haas, Jason S. Slakter, John A. Sorenson, Yale L. Fisher, David Abramson, External beam radiation therapy for choroidal neovascularization Ophthalmology. ,vol. 105, pp. 24- 30 ,(1998) , 10.1016/S0161-6420(98)90980-0
Robert Machemer, Ulrich H. Steinhorst, Retinal separation, retinotomy, and macular relocation: I. Experimental studies in the rabbit eye. Graefes Archive for Clinical and Experimental Ophthalmology. ,vol. 231, pp. 629- 634 ,(1993) , 10.1007/BF00921956
Robert Machemer, Ulrich H. Steinhorst, Retinal separation, retinotomy, and macular relocation: II. A surgical approach for age-related macular degeneration? Graefes Archive for Clinical and Experimental Ophthalmology. ,vol. 231, pp. 635- 641 ,(1993) , 10.1007/BF00921957
HansE Grossniklaus, J.DonaldM Gass, Clinicopathologic correlations of surgically excised type 1 and type 2 submacular choroidal neovascular membranes American Journal of Ophthalmology. ,vol. 126, pp. 59- 69 ,(1998) , 10.1016/S0002-9394(98)00145-7
Eugene de Juan, Anat Loewenstein, Neil M. Bressler, Judith Alexander, Translocation of the Retina for Management of Subfoveal Choroidal Neovascularization II: A Preliminary Report in Humans American Journal of Ophthalmology. ,vol. 125, pp. 635- 646 ,(1998) , 10.1016/S0002-9394(98)00018-X
YOSHIHIKO NINOMIYA, JOHN MICHAEL LEWIS, TOSHIHIDE HASEGAWA, YASUO TANO, Retinotomy and foveal translocation for surgical management of subfoveal choroidal neovascular membranes. American Journal of Ophthalmology. ,vol. 122, pp. 613- 621 ,(1996) , 10.1016/S0002-9394(14)70479-9