Retinotomy and foveal translocation for surgical management of subfoveal choroidal neovascular membranes.
Retinotomy and foveal translocation for surgical management of subfoveal choroidal neovascular membranes.
复制标题
视网膜切开术和中心凹易位用于中心凹下脉络膜新生血管膜的手术治疗。
DOI：
--
复制
发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Y. Tano
中科院分区：
文献类型：
--
作者：
Yoshihiko Ninomiya;John Michael Lewis;Toshihide Hasegawa;Y. Tano
目的
报道一种基于黄斑移位技术切除中心凹下新生血管膜并移位中心凹以维持感觉视网膜功能以保留中心视力的手术方法。
方法
3例中心凹下新生血管膜患者接受了手术，以创建近180度的视网膜瓣，去除新生血管组织，并重新附着和旋转视网膜，使中心凹移位到功能性色素上皮上。
结果
在1例年龄相关性黄斑变性患者中，最佳矫正视力从术前的20/200提高到术后的20/20。第二名患者也患有年龄相关性黄斑变性，最佳矫正视力从20/700恶化至20/2，000。在第三例近视变性患者中，最佳矫正视力从20/700提高到20/70。并发症包括两眼黄斑前膜增生，一眼视网膜脱离和新生血管性青光眼。
结论
中心凹移位术有可能恢复某些中心凹下新生血管膜患者的中心视功能。
PURPOSE
To report a surgical procedure for excising subfoveal neovascular membranes and translocating the fovea in an attempt to maintain the function of the sensory retina to preserve central vision, based on the technique of macular relocation.
METHODS
Three patients with subfoveal neovascular membranes underwent surgery for the creation of a nearly 180-degree retinal flap, removal of neovascular tissue, and reattachment and rotation the retina with translocation of the fovea over functional pigment epithelium.
RESULTS
In one patient with age-related macular degeneration, best-corrected visual acuity improved from 20/200 preoperatively to 20/20 postoperatively. A second patient, also with age-related macular degeneration, experienced a worsening of best-corrected visual acuity from 20/700 to 20/ 2,000. In the third patient, with myopic degeneration, best-corrected visual acuity improved from 20/700 to 20/70. Complications included the development of epimacular proliferation in two eyes and retinal detachment and neovascular glaucoma in one eye.
CONCLUSION
The technique of foveal translocation has the potential for restoring central visual function in certain patients with subfoveal neovascular membranes.
影响因子：
4.2
作者：
GLATT, H;MACHEMER, R
通讯作者：
MACHEMER, R
影响因子：
4.2
作者：
DEJUAN, E;MACHEMER, R
通讯作者：
MACHEMER, R
影响因子：
--
作者：
T. Meredith;P. Sternberg;J. M. Brown;R. Murphy;S. Fine;A. Schachat;M. Elman;N. Bressler;J. Haller;P. Orr;J. Starr;K. MacMillan;L. Singerman;T. Rice;M. Novak;S. Smith-Brewer;D. Preseren;G. Fish;B. Jost
通讯作者：
T. Meredith;P. Sternberg;J. M. Brown;R. Murphy;S. Fine;A. Schachat;M. Elman;N. Bressler;J. Haller;P. Orr;J. Starr;K. MacMillan;L. Singerman;T. Rice;M. Novak;S. Smith-Brewer;D. Preseren;G. Fish;B. Jost