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Consecutive case series with long-term follow-up of full macular translocation for myopic choroidal neovascularisation
  1. Susumu Sakimoto,
  2. Hirokazu Sakaguchi,
  3. Masahito Ohji,
  4. Fumi Gomi,
  5. Yasushi Ikuno,
  6. Takashi Fujikado,
  7. Motohiro Kamei,
  8. Kohji Nishida
  1. Department of Ophthalmology, Osaka University Graduate School of Medicine, Suita, Japan.
  1. Correspondence to Dr Hirokazu Sakaguchi, Department of Ophthalmology, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita-shi, Osaka 565-0871, Japan; sakaguh{at}ophthal.med.osaka-u.ac.jp

Abstract

Aim To examine the long-term outcomes of full macular translocation (FMT) for myopic choroidal neovascularisation (mCNV).

Methods We evaluated a consecutive case series of 60 eyes with mCNV that underwent FMT. We assessed the best-corrected visual acuity (BCVA), fundus photographs and fluorescein angiography images, and evaluated the anatomic and visual outcomes.

Results The mean follow-up period was 76.3 months. The macula was relocated successfully in all eyes. The mean distance of macular translocation was 2842 μm. The baseline BCVA was 0.78 logarithm of the minimum angle of resolution (logMAR) unit; the logMAR BCVA values at 1, 3 and 5 years postoperatively significantly (p<0.001) improved to 0.54 at 1 year and then remained stable. The new fovea was associated with enlargement of the myopic chorioretinal atrophy in 19 (31.7%) eyes. Subfoveal or juxtafoveal CNV at the translocated new fovea developed in five (8.3%) eyes.

Conclusions FMT for mCNV maintained the improvement in VA for more than 5 years. However, postoperative complications and progression of chorioretinal atrophy due to myopia still seem to limit the visual improvement after FMT for mCNV.

  • Treatment Surgery
  • Retina
  • Macula
  • Neovascularisation
  • Vitreous

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