作者: Hilel Lewis , Peter K Kaiser , Sharon Lewis , Marc Estafanous
DOI: 10.1016/S0002-9394(99)00207-X
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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.