Translocation of the macula for management of subfoveal choroidal neovascularization: comparison of results in age-related macular degeneration and degenerative myopia
| Autor: | Gisèle Soubrane, Patrick Simon, Agnès Glacet-Bernard, Nadine Hamelin, Gabriel Coscas |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Indocyanine Green Male Fovea Centralis medicine.medical_specialty Visual acuity genetic structures Eye disease Visual Acuity Neovascularization Macular Degeneration Postoperative Complications Ophthalmology Myopia Humans Medicine Macula Lutea Prospective Studies Fluorescein Angiography Tomography Aged Aged 80 and over business.industry Middle Aged Macular degeneration medicine.disease Choroidal Neovascularization eye diseases medicine.anatomical_structure Choroidal neovascularization Maculopathy Female sense organs Choroid medicine.symptom business Follow-Up Studies Retinopathy |
| Zdroj: | American Journal of Ophthalmology. 131:78-89 |
| ISSN: | 0002-9394 |
| DOI: | 10.1016/s0002-9394(00)00733-9 |
| Popis: | To report the results of limited macular translocation in subfoveal choroidal neovascularization resulting from age-related macular degeneration or degenerative myopia.The first consecutive 32 patients (23 age-related macular degeneration eyes and nine myopic eyes) were operated on with the limited macular translocation technique described by de Juan. Before and after surgery, a complete examination included fluorescein and indocyanine-green angiographies and optical coherence tomography. Mean follow-up was 9 months in the age-related macular degeneration group (range, 6 to 14 months) and 10 months in the myopic group (range, 6 to 15 months).The improvement in visual acuity was better in the myopic group than in the age-related macular degeneration group and was correlated with younger age in the myopic group (P.05). At the end of follow-up, visual acuity improved by 2 lines or more in seven age-related macular degeneration eyes (30%), including four eyes (13%) with an improvement of 6 lines or more, and in six myopic eyes (67%), including two eyes (22%) with an improvement of 6 lines or more. Final visual acuity was unchanged in four age-related macular degeneration eyes (17%) and three myopic eyes (33%), and decreased in 12 age-related macular degeneration eyes (52%). Conversely, the mean foveal displacement was greater in age-related macular degeneration than in myopia (1,105 microm and 685 microm, respectively; P.05). Main complications were retinal detachment (six eyes), neovascularization at the injection site (two eyes), and recurrence of neovascularization (43% of the age-related macular degeneration group and 11% of the myopic group).Limited macular translocation allowed a significant improvement in visual acuity in some eyes with subfoveal neovascularization and resulted in a moderate rate of complications. Longer follow-up and additional studies are required to confirm these findings. |
| Databáze: | OpenAIRE |
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