Comparison of three techniques of foveal translocation in patients with subfoveal choroidal neovascularization resulting from age-related macular degeneration.
Comparison of three techniques of foveal translocation in patients with subfoveal choroidal neovascularization resulting from age-related macular degeneration.
复制标题
年龄相关性黄斑变性引起的中心凹下脉络膜新生血管形成患者的三种中心凹转位技术的比较。
DOI：
10.1016/s0002-9394(01)01255-7
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发表时间：
2001
影响因子：
4.2
通讯作者：
Y. Tano
中科院分区：
文献类型：
--
作者：
M. Ohji;T. Fujikado;S. Kusaka;Atsushi Hayashi;J. Hosohata;Y. Ikuno;M. Sawa;A. Kubota;N. Hashida;Y. Tano
目的：报告三种方法的结果，在存在的中心凹下脉络膜新生血管膜造成的年龄相关性黄斑degeneration. METHODS我们治疗了51例51眼连续患者的中心凹下脉络膜新生血管膜造成的年龄相关性黄斑degeneration. METHODS三种技术之一的中心凹易位手术：部分视网膜切开术后的中央凹移位（n = 6）、有限移位（n = 9）和360度视网膜切开术后的中央凹移位（n = 36）。所有患者术后随访至少6个月。记录术前、术后脉络膜新生血管膜的大小、中心凹移位量、最佳矫正视力及并发症。结果360 °视网膜切开组中心凹移位的平均距离（3340 μm）大于部分视网膜切开组（1060 μm，P <0.001）和限制性易位组（1120 μm，P <0.001）。部分视网膜切开术组中有2只眼（33%）、有限移位术组中有7只眼（78%）和360度视网膜切开术组中有23只眼（64%）的最终视力达到20/200或更高。最终视力提高0.2对数的最小分辨率角（logMAR）单位或以上的一只眼睛（17%），一只眼睛（11%），和七只眼睛（19%）分别。最终视力维持在1行以内者分别为0眼、5眼（56%）和19眼（53%）。术后分别有5只眼（83%）、0只眼（0%）和15只眼（42%）发生视网膜脱离。结论大量患者在360度视网膜切开术和有限移位后改善或保持了最佳矫正视力。而360-对于较大的脉络膜新生血管膜，行10 °视网膜切开术是最合适的，因为它导致的中心凹位移在三种移位中最大程序.
PURPOSETo report the results of three methods of foveal translocation in the presence of subfoveal choroidal neovascular membrane resulting from age-related macular degeneration.METHODSWe treated 51 eyes of 51 consecutive patients with subfoveal choroidal neovascular membranes resulting from age-related macular degeneration with one of three techniques of foveal translocation surgery: foveal translocation with partial retinotomy (n = 6), limited translocation (n = 9), and translocation with 360-degree retinotomy (n = 36). All patients were followed for at least 6 months postoperatively. The size of the choroidal neovascular membrane and the amount of foveal displacement, the best-corrected visual acuity, and complications were recorded preoperatively and postoperatively.RESULTSThe mean distance of the foveal translocation was greater in the 360-degree retinotomy group (3340 μm) than in the partial retinotomy (1060 μm, P < .001) and the limited translocation groups (1120 μm, P < .001). A final visual acuity of 20/200 or better was achieved in two eyes (33%) in the partial retinotomy group, seven eyes (78%) in the limited translocation group, and 23 eyes (64%) in the 360-degree retinotomy group. The final visual acuity improved by 0.2 logarithm of minimal angle of resolution (logMAR) unit or more in one eye (17%), one eye (11%), and seven eyes (19%), respectively. The final visual acuity was maintained within 1 line in zero eyes, five eyes (56%), and 19 eyes (53%), respectively. A retinal detachment developed postoperatively in five eyes (83%), zero eyes (0%), and 15 eyes (42%), respectively.CONCLUSIONSA significant number of patients improved or maintained best-corrected visual acuity after translocation with 360-degree retinotomy, and limited translocation, whereas translocation with 360-degree retinotomy is suitable for larger choroidal neovascular membranes because it resulted in the greatest foveal displacement among the three translocation procedures.