Rapid recurrence of geographic atrophy after full macular translocation for nonexudative age-related macular degeneration.
OBJECTIVE
To report the recurrence of geographic atrophy (GA) in a patient with nonexudative age-related macular degeneration (AMD) after full macular translocation.


METHODS
Observational case report.


METHODS
Review of the clinical, photographic, and angiographic records of a patient with GA who underwent full macular translocation.


METHODS
Progression of GA.


RESULTS
A 73-year-old man with GA secondary to nonexudative AMD underwent a macular translocation with 360 peripheral retinectomy (MT 360) in his left eye. On postoperative month 4, fundus photography showed subtle alterations of the pigment underneath the translocated foveal region. On postoperative month 9, the visual acuity worsened to preoperative levels and there was frank retinal pigment epithelium atrophy involving the new macular region.


CONCLUSIONS
The rapid recurrence and development of GA in the translocated fovea after MT 360 raise new questions regarding the pathogenesis of GA. They also raise concerns regarding the use of MT 360 in the management of nonexudative AMD.
Khurana
Rahul N
RN
Doheny Retina Institute, Doheny Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Fujii
Gildo Y
GY
Walsh
Alexander C
AC
Humayun
Mark S
MS
de Juan
Eugene
E
Sadda
Srinivas R
SR
D000368:Aged; D001284:Atrophy; D005451:Fluorescein Angiography; D006801:Humans; D008268:Macular Degeneration / Q000601:surgery*; D008297:Male; D010857:Pigment Epithelium of Eye / Q000473:pathology*; D011183:Postoperative Complications; D012008:Recurrence; D012160:Retina / Q000473:pathology* / Q000637:transplantation*; D014792:Visual Acuity; D058609:Visual Field Tests