Original articlesLimited inferior macular translocation for the treatment of subfoveal choroidal neovascularization secondary to age-related macular degeneration☆
Section snippets
Methods
A consecutive series of patients with age-related macular degeneration undergoing limited macular translocation for subfoveal choroidal neovascularization was identified. These patients were operated on by one surgeon (Dr de Juan). Inclusion into this study required that the patient have evidence of subfoveal choroidal neovascularization on clinical examination that was confirmed on fluorescein angiography. The choroidal neovascularization had to be associated with age-related macular
Results
This study included 101 consecutive patients (102 eyes) diagnosed with subfoveal choroidal neovascularization associated with age-related macular degeneration, who underwent inferior limited macular translocation consecutively. The demographics of the study group are reported in Table 1. Patient ages ranged from 41 to 89 years with a median age of 76 years.
The choroidal neovascularization characteristics were identified with fluorescein angiography and tabulated (Table 2). Most (79%, 81 of 102)
Discussion
Current treatment options for subfoveal choroidal neovascularization associated with age-related macular degeneration are limited. At the time of this writing, laser photocoagulation remains the only proven and available treatment for subfoveal choroidal neovascularization, and the results of such treatment are routinely disappointing for the patient and physician. Without treatment, these patients typically do very poorly, with a majority experiencing severe visual loss and few maintaining
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This work was supported in part by grants from the Foundation Fighting Blindness, the Macula Vision Research Foundation, and numerous private donors.