title: Rapid recurrence of geographic atrophy after full macular translocation for nonexudative age-related macular degeneration.
abstract: 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.
authors.affiliation: Doheny Retina Institute, Doheny Eye Institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
authors.forename: Rahul N
authors.initials: RN
authors.lastname: Khurana
authors.forename: Gildo Y
authors.initials: GY
authors.lastname: Fujii
authors.forename: Alexander C
authors.initials: AC
authors.lastname: Walsh
authors.forename: Mark S
authors.initials: MS
authors.lastname: Humayun
authors.forename: Eugene
authors.initials: E
authors.lastname: de Juan
authors.forename: Srinivas R
authors.initials: SR
authors.lastname: Sadda
mesh_terms: 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