Editorial
Foveal translocation for exudative age related macular degeneration
| The first 150 words of the full text of this article appear below. |
The idea that the macular neurosensory retina might be
surgically detached and then reattached in such a manner that the fovea is relocated on the underlying retinal pigment epithelium (RPE) and
choroid has been attributed to Lindsey et
al.1 However, the 1983 ARVO abstract did not make
clear that the main purpose of this exercise was to restore vision in
eyes with subfoveal choroidal neovascular membranes (CNVMs)
complicating age related macular degeneration (AMD), and the
experimental and theoretical potential of the method was first realised
clinically by Machemer and Steinhorst2 only in 1993. Their
"macular rotation" procedure comprised induction of retinal
detachment, vitrectomy and 360° peripheral retinotomy, removal of the
CNVM (and any associated subretinal haemorrhage), and 30-80°
rotation of the retina around the axis of the optic nerve before
silicone oil injection and 360° endolaser retinopexy. Of the three
eyes so treated, one showed a major visual improvement while
proliferative
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- Foveal relocation by redistribution of the neurosensory retina
- David Wong and Noemi Lois
Br. J. Ophthalmol. 2000 84: 352-357.[Abstract] [Full Text] [PDF]
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[Abstract] [Full Text]
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