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Impressum
Macular Translocation in Nonexudative AMD
Eckardt C., Eckardt U.
Augenklinik der Städt. Kliniken Frankfurt a.M.-Höchst, Gotenstraße 6-8, 65929 Frankfurt
Macular translocation (MT) can achieve suprisingly good results in some
cases of exudative age related macular degeneration (AMD). The aim of
this study was to determine, whether the procedure can also be used to
treat selected cases of nonexudative AMD.
Patients und Methods: Between July 2000 und February 2001 we performed
MT with 360° retinotomy and torsional muscle surgery in 4 patients
with nonexudative AMD. All patients had lost the reading vision of the
eye concerned only some days or weeks before surgery. The fellow eye in
all 4 patients had always a history of several years of loss of reading
ability.
Results: Complications after MT occurred in 2 patients: 1 eye developed
a macular pucker and the other eye developed a PVR retinal detachment.
Compared to the preoperative vision distance visual acuity at final examination
3 to 11 months after MT had changed in the following way: from 0.2 to
0.16, from 0.3 to 0.5, from 0.5 to 0.2, and from 0.2 to 0.5. Two of the
4 patients had regained a reading vision.
Conclusion: In eyes with nonexudative AMD with a short history
of loss of reading vision MT can succesfully restore foveal function.
In the present study, however, there was a high complication rate. It
remains for further examinations to present the middle and long-term follow-up.