The Effect of Macular Translocation for T reatment of Subfoveal Lesion

ABSTRACT

To maintain the function of central vision from the sensory retina at the macular area, we performed macular trasnlocation for the treatment of subfoveal lesion. Laser photocoagulation hardly avoid central scotoma and surgical removal of neovascular membrane tends to result in poor visual outcome because of the unhealthy underlying retinal pigment epithelium. We performed macular translocation in four patients with subfoveal lesion using modified macular translocation technique. Surgical steps include trans pars plana vitrectomy, creation of a retinal detachment, scleral shortening, air-fluid exchange and gas injection. The results were the increased visual acuity in two patients and the improved symptom in two patients. Our result suggested that the macular translocation procedure may be considered as a therapeutic modality for the treatment of patients with subfoveal lesion.