The Effect of Macular Translocation for T reatment of Subfoveal Lesion.

Jung, Joon Gyoon; Koh, Hyoung Jun; Kim, Soon Hyun; Kwon, Oh Woong

Original Article

Journal of the Korean Ophthalmological Society 1999;40(6):1606-1613.
Published online June 1, 1999.

The Effect of Macular Translocation for T reatment of Subfoveal Lesion.

Joon Gyoon Jung, Hyoung Jun Koh, Soon Hyun Kim, Oh Woong Kwon

¹The Institute of Vision Research, College of Medicine, Yonsei University.
²Department of Ophthalmology, College of Medicine, Yonsei University.

중심와하 병변의 치료로서 황반부 전위술의 효과

정준규(Joon Gyoon Jung),고형준(Hyoung Jun Koh),김순현(Sun Hyun Kim),권오웅(Oh Woong Kwon)

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.

Key Words: Subfoveal lesion;Modified macular translocation technique