Surgical removal of subfoveal choroidal neovascularization without removal of posterior hyaloid: a consecutive series in younger patients.
OBJECTIVE
Subfoveal choroidal neovascularization (CNV) remains a common and important cause of visual loss. Previous studies have suggested that submacular surgery may improve or maintain visual acuity, particularly in younger patients. The majority of reported cases included removal of the posterior hyaloid during vitrectomy. The authors present a consecutive series of patients age 55 or younger with subfoveal CNV removal without posterior hyaloid removal.


METHODS
Seventeen patients without age-related macular degeneration (ARMD), with subfoveal CNV from choroiditis, presumed ocular histoplasmosis syndrome, myopia, or idiopathic causes, underwent a small retinotomy technique to extract the membranes after vitrectomy without posterior hyaloid removal.


RESULTS
Median improvement in visual acuity was from 20/320 to 20/50. Eleven patients (65%) experienced an improvement of three or more lines of Snellen acuity (average 7.5), 4 (23%) were within two lines of preoperative acuity, and 2 (12%) had decreased acuity, with an average follow-up of 12 months (range 3-31). Choroidal neovascularization recurred in six patients (35%). Postoperative retinal detachment, epiretinal proliferation, or macular hole did not occur.


CONCLUSIONS
In this series of younger patients with subfoveal CNV not from ARMD, visual acuity was improved in the majority after submacular membrane removal. Omission of removal of the posterior hyaloid did not adversely affect outcome.
Lit
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ES
Retina Service of the Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston 02114, USA.
Kim
R Y
RY
Damico
D J
DJ
D000293:Adolescent; D000328:Adult; D020256:Choroidal Neovascularization / Q000209:etiology / Q000601:surgery*; D002833:Choroiditis / Q000150:complications; D015821:Eye Infections, Fungal / Q000150:complications; D005260:Female; D005584:Fovea Centralis / Q000601:surgery*; D006660:Histoplasmosis / Q000150:complications; D006801:Humans; D008875:Middle Aged; D009216:Myopia / Q000150:complications; D012008:Recurrence; D014792:Visual Acuity