Limited macular translocation for the management of subfoveal retinal pigment epithelial loss after submacular surgery.
OBJECTIVE
To report a case of subfoveal retinal pigment epithelial (retinal pigment epithelium) loss after submacular surgery managed successfully by limited macular translocation.


METHODS
Case report.


RESULTS
A 28-year-old woman presented with a visual acuity of 20/100 caused by subfoveal choroidal neovas-cularization secondary to ocular histoplasmosis syndrome. Submacular resection of the choroidal neovascularization was complicated by inadvertent retinal pigment epithelium loss from beneath the foveal center. She underwent limited macular translocation 5 days after the initial surgery and had successful displacement of the fovea to an area inferior to the retinal pigment epithelium defect. Her visual acuity was 20/60 4 months postoperatively.


CONCLUSIONS
This report demonstrates the feasibility of using limited macular translocation for the management of eyes with central retinal pigment epithelium defect after submacular surgery and extends the clinical indications for limited macular translocation.
Wilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, 600 N. Wolfe St., Baltimore, MD 21287-9277, USA.
G Y
GY
Fujii
E
E
de Juan
M A
MA
Thomas
D J
DJ
Pieramici
M S
MS
Humayun
K G
KG
Au Eong
D000328:Adult; D020256:Choroidal Neovascularization / Q000209:etiology / Q000601:surgery; D015821:Eye Infections, Fungal / Q000150:complications; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006660:Histoplasmosis / Q000150:complications; D006801:Humans; D010857:Pigment Epithelium of Eye / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012160:Retina / Q000637:transplantation*; D012164:Retinal Diseases / Q000209:etiology / Q000601:surgery*; D014792:Visual Acuity