Reading ability after macular translocation surgery with 360-degree retinotomy.
OBJECTIVE
To report reading ability using a standardized reading chart after macular translocation with 360-degree retinotomy in eyes with age-related macular degeneration (AMD) or with myopic choroidal neovascularization (mCNV).


METHODS
Interventional case series.


METHODS
In 34 eyes of 34 patients with subfoveal choroidal neovascular membrane (AMD, 23; mCNV, 11), macular translocation surgery with 360-degree retinotomy and simultaneous extraocular muscle surgery were performed. The average age was 67.4 +/- 7.9 years, and the average follow-up period was 7.6 +/- 3.3 months. The best-corrected far visual acuity (FVA) was measured with a standardized visual acuity chart using Landolt Cs, and the critical print size (CPS) was determined with the Japanese version of the Minnesota reading chart (MNREAD-J Chart) preoperatively and postoperatively. Preoperative and postoperative change in the CPS was compared with the subjective visual improvement as assessed by a questionnaire.


RESULTS
The postoperative improvement of FVA was statistically significant in eyes with mCNV (P =.010) but not significant in eyes with AMD (P =.495). The postoperative improvement of CPS was statistically significant both in eyes with AMD (P =.027) and in eyes with mCNV (P =.004). The subjective visual improvement was significantly correlated with the change of CPS in patients after a second better eye surgery.


CONCLUSIONS
After macular translocation with 360-degree retinotomy, the improvement of reading ability was significant in eyes with both AMD and mCNV. We conclude that this surgical method is well suited to improve reading ability of patients with AMD or mCNV.
Fujikado
Takashi
T
Department of Visual Science, Osaka University Medical School, Osaka, Japan. fujikado@ophthal.med.osaka-u.ac.jp
Asonuma
Sanae
S
Ohji
Masahito
M
Kusaka
Shunji
S
Hayashi
Atsushi
A
Ikuno
Yasushi
Y
Kamei
Motohiro
M
Oda
Koichi
K
Tano
Yasuo
Y
D000368:Aged; D020256:Choroidal Neovascularization / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005584:Fovea Centralis / Q000637:transplantation*; D006801:Humans; D008268:Macular Degeneration / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery; D011788:Quality of Life; D011932:Reading; D014787:Vision Tests / Q000379:methods; D014792:Visual Acuity / Q000502:physiology