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Histological examination of the pigment epithelium-Bruch membrane-choriocapillaris complex after macular translocation
  1. A BERECZKI,
  2. J TOTH,
  3. I SUVEGES
  1. 1st Department of Ophthalmology, Tomo u25–29, H-1083 Budapest, Hungary
  1. Dr Bereczki

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Editor,—Macular degeneration is the leading cause of blindness in the older population, and it is becoming more and more prevalent.1 At present there is no treatment for the dry type of macular degeneration; for treatment of the wet form, several medical and surgical therapies have been tried, with varying results.2-6

Photodynamic therapy with verteporfin had a significant treatment benefit in predominantly classic choroidal neovascularisation (CNV) lesions.7

Surgical removal of the subretinal membrane is a promising method, but in many cases the visual acuity does not improve. A new technique has been proposed by Machemer and Steinhorst, where after surgical removal of the subretinal membrane the fovea is translocated to an area with healthier pigment epithelium, Bruch's membrane, and choroid.8 9

Variants have been described where only the temporal part …

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