Macular tranlocation for ubfoveal choroidal neovacularization in age-related macular degeneration: a propective tudy Original Reearch Article

PURPOE: To conduct a propective tudy of macular tranlocation in patient with ubfoveal choroidal neovacularization econdary to age-related macular degeneration. METHOD: In 10 eye of 10 patient with ubfoveal choroidal neovacularization and bet-corrected viual acuity ranging from 20/50 to 20/800 (median, 20/111), the fovea wa relocated by mean of cleral imbrication, intentional retinal detachment with mall poterior retinotomie, and partial fluid-air exchange. In two eye, the choroidal neovacular membrane were removed at the time of macular tranlocation; in even eye they were photocoagulated in the potoperative period; and in one eye the membrane wa removed during reoperation to unfold a macular fold. REULT: All 10 eye were followed up for 6 month. The median potoperative foveal diplacement wa 1286 μm (range, 114 to 1,919 μm). In three eye (30%), a foveal fold formed potoperatively requiring reoperation, with one of thee eye requiring a econd reoperation for a rhegmatogenou retinal detachment. Bet-corrected viual acuity improved in four eye (median, 10.5 letter) and decreaed in ix eye (median, 14.5 letter). The median change in viual acuity wa a decreae of 5 letter. The final bet-corrected viual acuity wa 20/80 in two eye, 20/126 in one eye, 20/160 in four eye, 20/200 in one eye, 20/250 in one eye, and 20/640 in one eye. CONCLUION: Our initial experience with limited macular tranlocation ugget that thi urgical technique i unpredictable. However, in patient with ubfoveal choroidal neovacularization from age-related macular degeneration, it offer the potential for improving viual function and may be aociated with le lo of viion than the dieae itelf, if allowed to progre. Further refinement in urgical indication and technique are needed to make thi procedure afer, more predictable, and more beneficial.