Anatomic and functional recovery of the fovea after foveal translocation surgery without large retinotomy and simultaneous excision of a neovascular membrane.
OBJECTIVE
To document the anatomic and functional recovery of the fovea after foveal translocation surgery with scleral shortening and simultaneous excision of a neovascular membrane in a patient with age-related macular degeneration.


METHODS
Case report.


RESULTS
The visual acuity of a 54-year-old woman with age-related macular degeneration improved from 20/200 to 20/50 after excision of subretinal neovascular membrane and foveal translocation surgery in the right eye. Fixation shifted inferonasally 0.6 disk diameters, corresponding to the direction of foveal translocation, as shown by scanning laser ophthalmoscope microperimetry. Postoperative optical coherence tomography through fixation disclosed normal foveal concavity and intact retinal pigment epithelium.


CONCLUSIONS
Anatomic and functional recovery of the fovea was confirmed in a patient with age-related macular degeneration after foveal translocation surgery with scleral shortening and simultaneous excision of a neovascular membrane.
Fujikado
T
T
Department of Ophthalmology, Osaka University Medical School, Suita, Japan. fujikado@ophthal.med.osaka-u.ac.jp
Ohji
M
M
Hayashi
A
A
Kusaka
S
S
Tano
Y
Y
D005260:Female; D005403:Fixation, Ocular; D005584:Fovea Centralis / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000637:transplantation*; D005654:Fundus Oculi; D006801:Humans; D008268:Macular Degeneration / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008566:Membranes; D008875:Middle Aged; D012160:Retina / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D015861:Retinal Neovascularization / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012590:Sclera / Q000601:surgery; D014463:Ultrasonography; D014792:Visual Acuity