Comparison of visual function after foveal translocation with 360 degrees retinotomy and with scleral shortening in a patient with bilateral myopic neovascular maculopathy.
OBJECTIVE
To compare the visual outcome after foveal translocation by scleral shortening and that after 360 degrees retinotomy with extraocular muscle surgery in a patient with bilateral myopic neovascular maculopathy.


METHODS
Case report.


RESULTS
A 52-year-old woman with bilateral myopic neovascular maculopathy underwent foveal translocation with scleral shortening in the left eye, and visual acuity improved from 20/70 to 20/30. However, choroidal neovascularization recurred, and the final visual acuity was 20/40 after excision of the choroidal neovascularization. Foveal translocation with 360 degrees retinotomy was performed on the right eye, and visual acuity improved from 20/150 to 20/30. The critical print size was better, and the retinal sensitive area was larger in the right eye.


CONCLUSIONS
The better reading ability shown by foveal translocation by a 360 degrees retinotomy compared with scleral shortening may stem from a larger retinal sensitive area obtained by this method.
Fujikado
T
T
Department of Ophthalmology, Osaka University Medical School, Osaka, Japan. fujikado@ophthal.med.osaka-u.ac.jp
Ohji
M
M
Hosohata
J
J
Hayashi
A
A
Oda
K
K
Tano
Y
Y
D020256:Choroidal Neovascularization / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005451:Fluorescein Angiography; D005466:Fluorocarbons / Q000008:administration & dosage; D005584:Fovea Centralis / Q000637:transplantation*; D006801:Humans; D017075:Laser Coagulation; D008875:Middle Aged; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D009801:Oculomotor Muscles / Q000601:surgery; D012008:Recurrence; D012590:Sclera / Q000601:surgery*; D012827:Silicone Oils / Q000008:administration & dosage; D014792:Visual Acuity; D014794:Visual Fields; D014821:Vitrectomy
D005466:Fluorocarbons; D012827:Silicone Oils