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Simultaneous translocation of the macula and underlying retinal pigment epithelium during macular translocation surgery in a patient with long standing myopic neovascular maculopathy
  1. M Ichibe,
  2. K Imai,
  3. M Ohta,
  4. Y Oya,
  5. T Yoshizawa,
  6. H Abe
  1. Department of Ophthalmology, Niigata University School of Medicine, Niigata, Japan
  1. Correspondence to: Dr Ichibe, Department of Ophthalmology, Niigata University School of Medicine, 1-757 Asahimachi, Niigata 951-8510, Japan; ichibem{at}

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Limited macular translocation has been reported to be a promising treatment for some patients with choroidal neovascularisation.1–4 Although this technique has the advantage of being less invasive, there is documentation of various complications that have been experienced with its use.5–8 In this report, we describe an unusual complication associated with limited macular translocation in a patient with long standing choroidal neovascularisation.

Case report

A 35 year old woman was referred to our department because of a gradual decrease in visual acuity in her right eye. At the first visit, her best corrected visual acuity was right eye, 20/40, with a refractive error of −17.5 dioptres in the spherical equivalent. Clinical and angiographic examinations showed a juxtafoveal choroidal neovascularisation. During the subsequent follow up period, choroidal neovascularisation and surrounding retinal pigment epithelial atrophy gradually expanded and involved the subfoveal region (Fig 1A). We gave the …

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