Anatomic and functional recovery of the fovea after foveal translocation surgery without large retinotomy and simultaneous excision of a neovascular membrane

PURPOSE: To document the anatomic and functional recovery of the fovea after foveal trans location surgery with scleral shortening and simultaneous excision of a neovascular membrane in a patient with age-related macular degeneration, METHOD: Case report. RESULTS: The visual acuity of a 54-year-old woman with age-related macular degeneration im proved from 20/200 to 20/50 after excision of subretinal neovascular membrane and foveal translocation surgery in the right eye. Fixation shifted inferonasally 0.6 disk diameters, corresponding to the direction of foveal translocation, as shown by scanning laser ophthalmoscope microperimetry. Post-operative optical coherence tomography through fixation disclosed normal foveal concavity and intact retinal pigment epithelium. CONCLUSION: Anatomic and functional recovery of the fovea was confirmed in a patient with age-related macular degeneration after foveal translocation surgery with scleral shortening and simultaneous excision of a neovascular membrane. (Am J Ophthalmol 1998;126:839-842, (C) 1998 by Elsevier Science Inc. All rights reserved.).