Anatomic and functional recovery of the fovea after foveal translocation surgery without large retinotomy and simultaneous excision of a neovascular membrane

Am J Ophthalmol. 1998 Dec;126(6):839-42. doi: 10.1016/s0002-9394(98)00201-3.

Abstract

Purpose: To document the anatomic and functional recovery of the fovea after foveal translocation surgery with scleral shortening and simultaneous excision of a neovascular membrane in a patient with age-related macular degeneration.

Method: Case report.

Results: The visual acuity of a 54-year-old woman with age-related macular degeneration improved from 20/200 to 20/50 after excision of subretinal neovascular membrane and foveal translocation surgery in the right eye. Fixation shifted inferonasally 0.6 disk diameters, corresponding to the direction of foveal translocation, as shown by scanning laser ophthalmoscope microperimetry. Postoperative optical coherence tomography through fixation disclosed normal foveal concavity and intact retinal pigment epithelium.

Conclusion: Anatomic and functional recovery of the fovea was confirmed in a patient with age-related macular degeneration after foveal translocation surgery with scleral shortening and simultaneous excision of a neovascular membrane.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Female
  • Fixation, Ocular
  • Fovea Centralis / diagnostic imaging
  • Fovea Centralis / physiopathology*
  • Fovea Centralis / transplantation*
  • Fundus Oculi
  • Humans
  • Macular Degeneration / diagnostic imaging
  • Macular Degeneration / physiopathology
  • Macular Degeneration / surgery*
  • Membranes
  • Middle Aged
  • Retina / diagnostic imaging
  • Retina / physiopathology
  • Retina / surgery
  • Retinal Neovascularization / diagnostic imaging
  • Retinal Neovascularization / physiopathology
  • Retinal Neovascularization / surgery*
  • Sclera / surgery
  • Ultrasonography
  • Visual Acuity