Retinotomy and Foveal Translocation for Surgical Management of Subfoveal Choroidal Neovascular Membranes

Ninomiya, Yoshihiko; Lewis, John M.; Hasegawa, Toshihide; Tano, Yasuo

doi:10.1016/s0002-9394(14)70479-9

Cited by 103 publications

(35 citation statements)

References 20 publications

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“…This has been made possible by improvements in the surgical instruments and techniques used for subretinal procedures (Thomas & Ibanez 1994). A new technique for macular relocation is currently receiving attention as a way of treating ARMD (Machemer & Steinhorst 1993;Ninomiya et al 1996), however, it is a highly invasive procedure. Resection of CNV in patients with ARMD may result in damage to the retinal pigment epithelium (Hudson et al 1995;Rosa et al 1996), and thus a satisfactory postoperative outcome, in terms of the prognosis for improved visual acuity, is not always achieved.…”

Section: Discussionmentioning

confidence: 99%

Pars plana vitrectomy for regression of choroidal neovascularization with age‐related macular degeneration

Ikeda

Sawa

Koizumi

et al. 2000

Acta Ophthalmologica Scandinavica

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ABSTRACT.Objective: In age-related macular degeneration, the posterior vitreous surface often remains attached to a higher degree than expected for the patient's age, suggesting the involvement of the posterior vitreous membrane in the pathophysiology of choroidal neovascularization. Thus, we performed simple pars plana vitrectomy and artificial posterior vitreous detachment in order to induce regression of choroidal neovascularization.

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Section: Discussionmentioning

confidence: 99%

Pars plana vitrectomy for regression of choroidal neovascularization with age‐related macular degeneration

Ikeda

Sawa

Koizumi

et al. 2000

Acta Ophthalmologica Scandinavica

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“…Visual acuity increased in the first patient and markedly decreased in the second patient. 42 Wolf et al 43 reported improvement in visual acuity in only 1 of 7 patients treated with macular translocation with the use of a 360°reti-notomy without muscle surgery. Postoperative complications included retinal detachment in 3 eyes and macular pucker in 1 eye.…”

Section: Commentmentioning

confidence: 99%

Macular Translocation With 360° Retinotomy for Exudative Age-Related Macular Degeneration

Aisenbrey

Lafaut²,

Szurman³

et al. 2002

Arch Ophthalmol

130

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Background: Macular rotation surgery comprises surgical extraction of choroidal neovascular membranes in age-related macular degeneration (AMD) and translocation of the foveal neural retina over adjacent retinal pigment epithelium.Objective: To determine whether macular translocation with 360°retinotomy can stabilize and/or improve visual acuity in patients with subfoveal choroidal neovascularization (CNV) secondary to AMD.Design: This study consisted of a standardized surgical procedure on a series of 90 consecutive patients and follow-up examinations at fixed intervals for 12 months.Participants: All patients in this study had experienced recent visual loss resulting from subfoveal CNV caused by AMD. Twenty-six patients had major macular subretinal hemorrhage, 39 patients had occult subfoveal CNV, and 25 patients had classic subfoveal CNV.Methods: Macular translocation surgery was performed between 1997 and 1999. The patients were examined preoperatively and at 3, 6, and 12 months postoperatively, including visual acuity, microperimetry, angiography, and orthoptic assessment.Results: Visual acuity increased by 15 or more letters in 24 patients, remained stable in 37 patients, and deteriorated by 15 or more letters in 29 patients at 12 months postoperatively. A secondary procedure was necessary in 17 patients because of severe complications; proliferative vitreoretinopathy was observed in 17 eyes, macular pucker in 5 eyes, and macular hole in 1 patient. Conclusion:Macular translocation is a technically demanding surgical procedure. Although the procedure has a high rate of surgical and postoperative complications, the functional and anatomical results appear to be promising for selected patients with subfoveal CNV secondary to AMD.

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“…Macular translocation is a surgical procedure in which CNV is typically removed and the macula is displaced so that the fovea overlies normal RPE (Machemer and Steinhorst 1993;Ninomiya et al 1996;de Juan et al 1998;Lai et al 2002;Mruthyunjaya et al 2004). Limited macular translocation involves partially detaching the retina via injection of subretinal fluid and shifting the inferior retina downward with the help of a gas bubble to create a retinal fold.…”

Section: Macular Surgerymentioning

confidence: 99%

Clinical Characteristics and Current Treatment of Age-Related Macular Degeneration

Yonekawa

Kim

2014

Cold Spring Harbor Perspectives in Medicine

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Age-related macular degeneration (AMD) is a multifactorial degeneration of photoreceptors and retinal pigment epithelium. The societal impact is significant, with more than 2 million individuals in the United States alone affected by advanced stages of AMD. Recent progress in our understanding of this complex disease and parallel developments in therapeutics and imaging have translated into new management paradigms in recent years. However, there are many unanswered questions, and diagnostic and prognostic precision and treatment outcomes can still be improved. In this article, we discuss the clinical features of AMD, provide correlations with modern imaging and histopathology, and present an overview of treatment strategies.

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Retinotomy and Foveal Translocation for Surgical Management of Subfoveal Choroidal Neovascular Membranes

Cited by 103 publications

References 20 publications

Pars plana vitrectomy for regression of choroidal neovascularization with age‐related macular degeneration

Pars plana vitrectomy for regression of choroidal neovascularization with age‐related macular degeneration

Macular Translocation With 360° Retinotomy for Exudative Age-Related Macular Degeneration

Clinical Characteristics and Current Treatment of Age-Related Macular Degeneration

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