Surgical placement of an optical prosthetic device for end-stage macular degeneration: the implantable miniature telescope.
OBJECTIVE
To describe the surgical procedure for placement of an implantable telescope prosthesis for end-stage age-related macular degeneration.


METHODS
As part of a phase 2/3 clinical trial for patients with bilateral, irreversible age-related macular degeneration, the optimal procedure for monocular placement of the telescope prosthesis was determined.


RESULTS
Because of the unique configuration of the telescope prosthesis, proper wound construction, anterior chamber management, and device insertion after phacoemulsification are critical for successful surgery.


CONCLUSIONS
A unique surgical technique ensures appropriate placement of the telescope prosthesis, while reducing surgical trauma to the corneal endothelium.
Colby
Kathryn A
KA
Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, 243 Charles St, Ste 808, Boston, MA 02114, USA. kacolby@meei.harvard.edu
Chang
David F
DF
Stulting
R Doyle
RD
Lane
Stephen S
SS
D000867:Anterior Chamber / Q000000981:diagnostic imaging / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular; D008268:Macular Degeneration / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008904:Miniaturization; D018918:Phacoemulsification; D011474:Prosthesis Design; D019919:Prosthesis Implantation; D011788:Quality of Life; D016896:Treatment Outcome; D014463:Ultrasonography; D014792:Visual Acuity