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Br J Ophthalmol 89:1522-1528 doi:10.1136/bjo.2005.074716
  • Perspective

Choroidal neovascularisation in pathological myopia: an update in management

Table 3

 Summary of macular translocations on the treatment of subfoveal myopic CNV

Limited macular translocation Macular translocation with 360° retinectomy
Mateo79 (scleral infolding) Tano78 (both scleral infolding and outfolding) Hamelin74 (scleral infolding) Ichibe76 (scleral infolding) Fujii77 (scleral infolding) Ohji*
*Ohji M, American Academy of Ophthalmology meeting 2004.
Number of eyes 79 eyes 17 eyes 14 eyes 10 eyes 11 eyes 52 eyes
Mean follow up 24 months 26 months (6–18 months) 11 months (6–24 months) 15.7 months (3–28 months) 9.82 months (6–18 months) 32 months (6–59 months)
Mean baseline VA 20/125 20/140 20/250 20/167 20/133 20/122
Mean final VA 20/80 20/124 20/100 20/40 20/87 20/81
Change in VA Improved by 2.0 lines Improved by 0.6 lines Improved by 3.8 lines Improved by 6.3 lines Improved by 0.7 lines Improved by 1.7 lines
Improvement by 2 lines of more 56% 29% 50% 100% 36% 55%
Final VA of 20/40 or better 24% 21% 60% 9% 39%
Mean foveal displacement 942 μm 1245 μm 695 μm 1170 μm 854 μm 2100 μm
Complications Retinal break (21.5%), choroidal haemorrhage (3.7%), insufficient foveal displacement (20%), retinal detachment (8.8%), subfoveal recurrence (28%), macular fold (2.8%) and macular hole (1.2%) CNV enlargement (53%), atrophy of retina/RPE/choroid (18%) Recurrence of CNV (14%), retinal detachment (14%), Macular hole (7%), transient diplopia (14%), transient hyphaema (7%) Vertical and torsional diplopia (20%), 2 iatrogenic retinal breaks (20%), all with mild retinal pigment epithelial damage, recurrent subretinal haemorrhage (30%) 2 retinal detachment (18%), 1 culture negative endophthalmitis (9%), 1 macular hole (9%) Retinal detachment (34%), diplopia (29%), recurrence of CNV (6%)

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