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One year follow up of macular translocation with 360 degree retinotomy in patients with age related macular degeneration.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Abdel-Meguid, Asser A. E. Lappas, Alexandra Hartmann, Kathi Auer, Florentine Schrage, N. Thumann, Gabriella Kirchhof, B. |
| Copyright Year | 2003 |
| Abstract | AIM To evaluate the benefits of macular translocation with 360 degree retinotomy in patients with exudative age related macular degeneration (ARMD). METHODS A consecutive interventional case series was performed on patients who underwent macular translocation between June 1997 and January 2000 at the department of ophthalmology, University of Aachen, Germany. A retrospective pilot study was set up with a minimum follow up of 12 months in 39 consecutive patients with subfoveal choroidal neovascularisation secondary to ARMD. The surgical technique included pars plana vitrectomy, induction of retinal detachment, 360 degree retinotomy, removal of the choroidal neovascular membranes (CNVM), macular translocation, peripheral laser retinopexy, and silicone oil endotamponade. RESULTS 18 patients showed predominantly occult CNVM, six patients had predominantly classic CNVM, and 15 showed subretinal haemorrhage. At the 12 month follow up 13 patients (33%) showed an improvement in visual acuity of more than three lines (logMAR scale), 18 patients (46%) retained stable visual acuity with a change of equal or less than three lines (logMAR scale), and eight patients (21%) showed a decrease in visual acuity of more than three lines (logMAR scale). Recurrence of CNVM was observed in three (8%) eyes at 5-11 months postoperatively. Other complications included proliferative vitreoretinopathy with retinal detachment (n=10), peripheral epiretinal membranes (n=9), macular pucker (n=2), corneal decompensation (n=2), and hypotony (n=11). 18 patients (46%) complained about persistent diplopia. CONCLUSION Macular translocation surgery is able to maintain or improve distant vision in the majority of patients with exudative ARMD. Proliferative vitreoretinopathy and diplopia are the two major complications. A prospective randomised controlled trial comparing macular translocation with observation for patients with the occult form of exudative ARMD may be justified. |
| Starting Page | 448 |
| Ending Page | 448 |
| Page Count | 1 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://bjo.bmj.com/content/bjophthalmol/87/5/615.full.pdf |
| PubMed reference number | 12714406v1 |
| Volume Number | 87 |
| Issue Number | 5 |
| Journal | The British journal of ophthalmology |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Age related macular degeneration CORNEA PLANA 2 Choroid Hemorrhage Corneal Diseases Endotamponade Epiretinal Membrane Exudative vitreoretinopathy 1 Eye Fecal occult blood test Gastrointestinal Hemorrhage Ophthalmology specialty Pathologic Neovascularization Patients Peripheral Nervous System Neoplasms Preparation Proliferative vitreoretinopathy Retina Retinal Detachment Silicone Oils Silicones Structure of pars plana Tissue membrane Visual Acuity benefit |
| Content Type | Text |
| Resource Type | Article |
