Macular translocation with 360 degree retinotomy for management of age-related macular degeneration with subfoveal choroidal neovascularization

被引:66
|
作者
Pertile, G [1 ]
Claes, C [1 ]
机构
[1] Middelheim Hosp, Zivojnov Fdn, Dept Ophthalmol, B-2020 Antwerp, Belgium
关键词
D O I
10.1016/S0002-9394(02)01641-0
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE: The aim of this study is to evaluate the functional outcome in a group of patients treated with full macular translocation (FMT) with 360,degree retinotomy for treatment of age,related macular degeneration (ARMD) with subfoveal choroidal neovascularization. DESIGN: Consecutive interventional case series. METHODS: Fifty consecutive eyes (50 patients) with ARMD and subfoveal neovascularization who under. went a FMT in our department from January 1999 to July 2000 are included in this study. Compensatory muscle surgery, as described by Eckardt and associates, was performed on all the eyes. The median follow-up is 21 months (range, 12 to 36; SD, 5.4). RESULTS: The best corrected postoperative visual acuity (BCVA) was improved by 2 or more Snellen lines in 33 eyes (66%) and remained stable (+/- 1 line) in 14 eyes (28%). Only 3 eyes (6%) experienced a deterioration of the BCVA of 2 or more lines. The final BCVA was 20/50 or better in 32% of the cases; only 8 eyes (16%) had a final BCVA < 20/200. Thirty-four (68%) patients are able to read newspaper print (3.3/10) with normal (+3 diopters to +4 diopters) or increased (+5 diopters to +8 diopters) reading ads. Other patients are able to read with magnifying systems. Complications included proliferative vitreoretinopathy (PVR) in 9 eyes (18%), recurrent choroidal neovascularization in 5 eyes (10%), diplopia in 3 eyes (6%), choroidal hemorrhage in 2 eyes (4%), macular hole in 1 eye, and temporary hypotony in 1 eye. CONCLUSIONS: As 68% of the patients in the study group regained reading vision with reading glasses, FMT can be considered an effective approach in cases of subfoveal choroidal neovascularization. Further investigations are necessary to determine which patients will have the most benefit from this complex therapeutic method. (C) 2002 by Elsevier Science Inc. All rights reserved.
引用
收藏
页码:560 / 565
页数:6
相关论文
共 50 条
  • [41] Low dose radiation for subfoveal choroidal neovascularization in age-related macular degeneration. A pilot study - Radiotherapy for age-related macular degeneration
    Valmaggia, C
    Bischoff, P
    Ries, G
    Seelentag, W
    Niederberger, H
    Speiser, P
    DOCUMENTA OPHTHALMOLOGICA, 1997, 93 (04) : 317 - 326
  • [43] Effects of Ranibizumab in Patients with Subfoveal Choroidal Neovascularization Attributable to Age-related Macular Degeneration
    Rothenbuehler, Simon P.
    Waeber, David
    Brinkmann, Christian K.
    Wolf, Sebastian
    Wolf-Schnurrbusch, Ute E. K.
    AMERICAN JOURNAL OF OPHTHALMOLOGY, 2009, 147 (05) : 831 - 837
  • [44] Feeder vessel photocoagulation of subfoveal choroidal neovascularization secondary to age-related macular degeneration
    Shiraga, F
    Ojima, Y
    Matsuo, T
    Takasu, I
    Matsuo, N
    OPHTHALMOLOGY, 1998, 105 (04) : 662 - 669
  • [45] Stereotactic radiation therapy for subfoveal choroidal neovascularization secondary to age-related macular degeneration
    Holz, FG
    Engenhart, R
    Bellmann, C
    Debus, J
    Volcker, HE
    RADIOTHERAPY OF OCULAR DISEASE, 1997, 30 : 238 - 246
  • [46] Anecortave acetate for the treatment of subfoveal choroidal neovascularization secondary to age-related macular degeneration
    Schmidt-Erfurth, U
    Michels, S
    Michels, R
    Aue, A
    EUROPEAN JOURNAL OF OPHTHALMOLOGY, 2005, 15 (04) : 482 - 485
  • [47] PROTON-BEAM IRRADIATION OF SUBFOVEAL CHOROIDAL NEOVASCULARIZATION IN AGE-RELATED MACULAR DEGENERATION
    FRIEDRICHSEN, EJ
    SLATER, JD
    LOREDO, LN
    YONEMOTO, LT
    ING, JJ
    GARCIA, CA
    CHIU, HH
    CHAN, CK
    BLACHARSKI, PA
    SLATER, JM
    INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 1995, 36 (04) : S224 - S224
  • [48] Indirect scatter laser photocoagulation to subfoveal choroidal neovascularization in age-related macular degeneration
    Jennifer Arnold
    Michel Algan
    Gisèle Soubrane
    Gabriel Coscas
    Emmanuel Barreau
    Graefe's Archive for Clinical and Experimental Ophthalmology, 1997, 235 : 208 - 216
  • [49] Periocular triamcinolone and photodynamic therapy for subfoveal choroidal neovascularization in age-related macular degeneration
    Gilson, Marta M.
    Bressler, Neil M.
    Jabs, Douglas A.
    Solomon, Sharon D.
    Thorne, Jennifer E.
    Wilson, David J.
    OPHTHALMOLOGY, 2007, 114 (09) : 1713 - 1721
  • [50] Transpupillary thermotherapy of occult subfoveal choroidal neovascularization in patients with age-related macular degeneration
    Reichel, E
    Berrocal, AM
    Ip, M
    Kroll, AJ
    Desai, V
    Duker, JS
    Puliafito, CA
    OPHTHALMOLOGY, 1999, 106 (10) : 1908 - 1914