Two-year results of macular translocation with scleral infolding in myopic choroidal neovascularisation.
OBJECTIVE
To assess the two year outcome following macular translocation (MT) with scleral infolding in the management of myopic subfoveal choroidal neovascularisation (CNV).


METHODS
Prospective, clinical interventional noncomparative consecutive case series.


METHODS
79 eyes of 79 patients with myopic subfoveal CNV and less than 6 months of duration of the symptoms.


METHODS
MT with scleral infolding.


METHODS
Visual Acuity (VA), reading ability of 12 point Arial letter sentences at a reading distance without magnifying systems and foveal displacement.


RESULTS
Mean preoperative VA was 20/125, after two years the mean VA was 20/80. Reading ability of 12 point Arial letter sentences at a reading distance (33 cm) was obtained in 59% of the eyes at one year, descending to 43% at two years. Mean foveal displacement after surgery was 942 microns. Intraoperative complications have been: retinal breaks (21.5%) and choroidal haemorrhage not affecting the posterior pole (3.7%). Main postoperative complications have been: Insufficient foveal displacement: 20%; Retinal detachment: 8.8%; Subfoveal recurrence: 28%; macular fold: 2.5% and macular hole: 1.2%.


CONCLUSIONS
MT with scleral infolding offers the opportunity to recover central vision and reading ability in patients with myopic CNV but it remains unpredictable.
Mateo
Carlos
C
Instituto de Microcirugía Ocular, Universidad Autónoma de Barcelona, Barcelona, Spain. carlosmateomd@telefonica.net
Moreno
Javier
J
Rosales
Gilberto
G
Lechuga
Miguel
M
Castillo
Reinaldo
R
Vaz
Fernanda
F
Corcóstegui
Borja
B
D000293:Adolescent; D000328:Adult; D000368:Aged; D020256:Choroidal Neovascularization / Q000209:etiology / Q000601:surgery*; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea / Q000601:surgery; D008297:Male; D008875:Middle Aged; D047728:Myopia, Degenerative / Q000150:complications / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D011183:Postoperative Complications; D011446:Prospective Studies; D012590:Sclera / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity