Successful macular translocation with temporary scleral infolding using absorbable sture.
OBJECTIVE
To describe successful macular translocation with temporary scleral infolding in a series of patients with small subfoveal choroidal neovascularization due to age-related macular degeneration or ocular histoplasmosis syndrome.


METHODS
Ten eyes of 10 consecutive patients were studied in a prospective, nonrandomized clinical trial. Macular translocation with scleral infolding (MTSI) was performed. Absorbable polyglactin suture was used to create temporary scleral infolding. Distance and stability of retinal translocation, corneal topography, visual acuity, and rates of complications were measured.


RESULTS
The median distance of translocation in the early postoperative period was 1,700 microm (range, 680-3,200) and did not regress after resolution of the scleral infolding. Induced postoperative oblique corneal astigmatism resolved, coinciding with the disappearance of peripheral retinal elevation due to scleral infolding. Three patients gained more than two lines of vision, two patients were within two lines of preoperative vision, and five patients lost more than two lines of vision. Complications were similar to previously published reports.


CONCLUSIONS
Temporary scleral infolding is an effective technique in MTSI. The distance of translocation is comparable to that achieved with nonabsorbable suture or scleral resection, and does not regress after resolution of the scleral infolding. Induced postoperative corneal astigmatism appears to resolve.
Deramo
V A
VA
Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA.
Meyer
C H
CH
Toth
C A
CA
D000368:Aged; D000369:Aged, 80 and over; D001251:Astigmatism / Q000209:etiology / Q000503:physiopathology; D001673:Biodegradation, Environmental; D020256:Choroidal Neovascularization / Q000209:etiology / Q000601:surgery*; D015821:Eye Infections, Fungal / Q000150:complications; D005260:Female; D005451:Fluorescein Angiography; D006660:Histoplasmosis / Q000150:complications; D006801:Humans; D008266:Macula Lutea / Q000637:transplantation*; D008268:Macular Degeneration / Q000150:complications; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects; D011098:Polyglactin 910; D011446:Prospective Studies; D012590:Sclera / Q000601:surgery*; D013537:Sutures; D014792:Visual Acuity
D011098:Polyglactin 910