Advertisement

The Macula pp 101-114 | Cite as

Current status of macular translocation surgery

  • Eugene de JuanJr
  • G. Y. Fujii
  • K.-G. Au Eong
  • M. S. Humayun
  • R. R. Lakhanpal

Abstract

Macular translocation surgery remains the only treatment with potential for significant visual improvement. Indications are expanding and the surgical technique is continuously improving. The knowledge of the fixation and microperimetry pattern enables better understanding of the macular dysfunction in eyes with subfoveal choroidal neovascularization and should be useful for evaluation of baseline retinal cell viability in order to optimise patient selection. Improved surgical technique and appropriate patient selection result in higher effectiveness and decreased complications.

Keywords

Photodynamic Therapy Retinal Detachment Retinal Break Corneal Astigmatism Pathologic Myopia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Hawkins BS, Bird A, Klein R, West SK (1999) Epidemiology of age-related macular degeneration. Mol Vis 5: 26PubMedGoogle Scholar
  2. 2.
    Bressler NM (2001) Photodynamic therapy of subfoveal choroidal neovascularization in age-related macular degeneration with verteporfin: two-year results of 2 randomized clinical trials-tap report 2. Arch Ophthalmol 119: 198–207PubMedGoogle Scholar
  3. 3.
    Verteporfin therapy of subfoveal choroidal neovascularization in age-related macular degeneration: two-year results of a randomized clinical trial including lesions with occult with no classic choroidal neovascularization—verteporfin in photodynamic therapy report 2 (2001). Am J Ophthalmol 131:541–60CrossRefGoogle Scholar
  4. 4.
    Photodynamic therapy of subfoveal choroidal neovascularization in pathologic myopia with verteporfin (2001) 1-year results of a randomized clinical trial—VIP report no. 1. Ophthalmology 108:841–52CrossRefGoogle Scholar
  5. 5.
    Macular Photocoagulation Study Group (1991) Laser photocoagulation of subfoveal neovascular lesions in age-related macular degeneration. Results of a randomized clinical trial. Arch Ophthalmol 109: 1220–31CrossRefGoogle Scholar
  6. 6.
    Macular Photocoagulation Study Group (1994) Visual outcome after laser photocoagulation for subfoveal choroidal neovascularization secondary to age-related macular degeneration. The influence of initial lesion size and initial visual acuity. Arch Ophthalmol 112: 480–8CrossRefGoogle Scholar
  7. 7.
    Macular Photocoagulation Study Group (1993) Laser photocoagulation of subfoveal neovascular lesions of age-related macular degeneration. Updated findings from two clinical trials. Arch Ophthalmol 111: 1200–9CrossRefGoogle Scholar
  8. 8.
    Beatty S, Au Eong KG, McLeod D, Bishop PN (1999) Photocoagulation of subfoveal choroidal neovascular membranes in age related macular degeneration: the impact of the macular photocoagulation study in the United Kingdom and Republic of Ireland. Br J Ophthalmol 83: 1103–4PubMedCrossRefGoogle Scholar
  9. 9.
    Au Eong KG, Pieramici DJ, Fujii GY, Ng EW, Humayun MS, Maia M, Harlan JB, Jr, Schachat AP, Beatty S, Toth CA, Thomas MA, Lewis H, Eckardt C, Tano Y, De Juan E (2001) Macular translocation: unifying concepts, terminology, and classification. Am J Ophthalmol 131: 2445–3Google Scholar
  10. 10.
    Lindsey P, Finkelstein D, D’Anna S (1983) Experimental retinal rotation. ARVO abstracts Invest Ophthalmol Vis Sci 24: 242Google Scholar
  11. 11.
    Tiedeman J, de Juan E, Machemer R, Hatchell DL, Hatchell MC (1985) Surgical relocation of the macula. ARVO abstracts. Invest Ophthalmol Vis Sci 26: 59Google Scholar
  12. 12.
    Machemer R, Steinhorst UH (1993) Retinal separation, retinotomy, and macular relocation: II. A surgical approach for age-related macular degeneration? Graefes Arch Clin Exp Ophthalmol 231: 635–41PubMedCrossRefGoogle Scholar
  13. 13.
    Eckardt C, Eckardt U, Conrad HG (1999) Macular rotation with and without counter-rotation of the globe in patients with age-related macular degeneration. Graefes Arch Clin Exp Ophthalmol 237: 313–25PubMedCrossRefGoogle Scholar
  14. 14.
    Wirostko WJ, Mittra RA, Rao PK, Borrillo JL, Dev S, Mieler WF (2000) A combination light-pipe, soft-tipped suction, and infusion cannula instrument for macular translocation. Am J Ophthalmol 129: 549–51PubMedCrossRefGoogle Scholar
  15. 15.
    Akduman L, Karavellas MP, MacDonald JC, Olk RJ, Freeman WR (1999) Macular translocation with retinotomy and retinal rotation for exudative age-related macular degeneration. Retina 19: 418–23PubMedCrossRefGoogle Scholar
  16. 16.
    Ninomiya Y, Lewis JM, Hasegawa T, Tano Y (1996) Retinotomy and foveal translocation for surgical management of subfoveal choroidal neovascular membranes. Am J Ophthalmol 122: 613–21PubMedGoogle Scholar
  17. 17.
    Imai K, de Juan E, Jr (1996) Experimental surgical macular relocation by sclera) shortening. ARVO abstracts. Invest Ophthalmol Vis Sci 37[SuppIJ: S116Google Scholar
  18. 18.
    de Juan E, Jr, Loewenstein A, Bressler NM, Alexander J (1998) Translocation of the retina for management of subfoveal choroidal neovascularization II: a preliminary report in humans. Am J Ophthalmol 125: 635–46PubMedCrossRefGoogle Scholar
  19. 19.
    de Juan E, Jr, Vander JF (1999) Effective macular translocation without sclera) imbrication. Am J Ophthalmol 128: 380–2PubMedCrossRefGoogle Scholar
  20. 20.
    Fujii GY, De Juan E, Au EK, Harlan JB (2001) Effective nasal limited macular translocation. Am J Ophthalmol 132: 124–6PubMedCrossRefGoogle Scholar
  21. 21.
    Fujii GY, de Juan E, Jr, Hartranft CD, Jensen PS (2000) Limited macular translocation. In: Ryan S (ed) Retina. St Louis: CV Mosby, 2580–96Google Scholar
  22. 22.
    de Juan E, Jr, Fujii GY (2001) Limited macular translocation. Eye 15: 413–23PubMedCrossRefGoogle Scholar
  23. 23.
    Kamei M, Roth DB, Lewis H (2000) Macular translocation using sclerai clips to create an out-pouching radial fold of the sclera, choroid and retinal pigment epithelium [abstract]. ARVO abstracts. Invest Ophthalmol Vis Sci 41: 5540Google Scholar
  24. 24.
    Lewis H (2001) Macular translocation with chorioscleral outfolding: a pilot clinical study. Am J Ophthalmol 132: 156–63PubMedCrossRefGoogle Scholar
  25. 25.
    Benner JD, Meyer CH, Shirkey BL, Toth CA (2001) Macular translocation with radial sclerai ouffolding: experimental studies and initial human results. Graefes Arch Clin Exp Ophthalmol 239: 815–23PubMedCrossRefGoogle Scholar
  26. 26.
    Fujikado T, Ohji M, Hosohata J, Hayashi A, Oda K, Tano Y (2000) Comparison of visual function after fovea) translocation with 360 degrees retinotomy and with sclerai shortening in a patient with bilateral myopic neovascular maculopathy. Am J Ophthalmol 130: 525–7PubMedCrossRefGoogle Scholar
  27. 27.
    Hayashi A, Usui S, Kawaguchi K, Fujioka S, Kusaka S, Fujikado T, Ohji M,TanoY (2000) Retinal changes after retinal translocation surgery with sclerai imbrication in dog eyes. Invest Ophthalmol Vis Sci 41: 4288–92Google Scholar
  28. 28.
    Deramo VA, Meyer CH, Toth CA (2001) Successful macular translocation with temporary sclerai infolding using absorbable sture. Retina 21: 304–11PubMedCrossRefGoogle Scholar
  29. 29.
    Glacet-Bernard A, Simon P, Hamelin N, Coscas G, Soubrane G (2001) Translocation of the macula for management of subfoveal choroidal neovascularization: comparison of results in age-related macular degeneration and degenerative myopia. Am J Ophthalmol 131: 7889CrossRefGoogle Scholar
  30. 30.
    Kim T, Krishnasamy S, Meyer CH, Toth CA (2001) Induced corneal astigmatism after macular translocation surgery with sclerai infolding. Ophthalmology 108: 1203–8PubMedCrossRefGoogle Scholar
  31. 31.
    Lewis H, Kaiser PK, Lewis S, Estafanous M (1999) Macular translocation for subfoveal choroidal neovascularization in age-related macular degeneration: a prospective study. Am J Ophthalmol 128: 135–46PubMedCrossRefGoogle Scholar
  32. 32.
    Lin SB, Glaser BM, Gould D, Baudo TA, Lakhanpal RR, Murphy RP (2000) Sclera) outfolding for macular translocation. Am J Ophthalmol 130: 76–81PubMedCrossRefGoogle Scholar
  33. 33.
    Ohji M, Fujikado T, Saito Y, Hosohata J, Hayashi A, Tano Y (1998) Fovea) translocation: a comparison of two techniques. Semin Ophthalmol 13: 52–62PubMedCrossRefGoogle Scholar
  34. 34.
    Ohtsuki H, Shiraga F, Hasebe S, Kono R, Yamane T, Fujiwara H (2001) Correction of cyclovertical strabismus induced by limited macular translocation in a case of age-related macular degeneration. Am J Ophthalmol 131: 270–2PubMedCrossRefGoogle Scholar
  35. 35.
    Pieramici DJ, De Juan E, Fujii GY, Reynolds SM, Melia M, Humayun MS, Schachat AP, Hartranft CD (2000) Limited inferior macular translocation for the treatment of subfoveal choroidal neovascularization secondary to age-related macular degeneration. Am J Ophthalmol 130: 419–28PubMedCrossRefGoogle Scholar
  36. 36.
    Potter MJ, Chang TS, Lee AS, Rai S (2000) Improvement in macular function after retinal translocation surgery in a patient with age-related macular degeneration. Am J Ophthalmol 129: 547–9PubMedCrossRefGoogle Scholar
  37. 37.
    Toth CA, Freedman SF (2001) Macular translocation with 360-degree peripheral retinectomy impact of technique and surgical experience on visual outcomes. Retina 21: 293–303PubMedCrossRefGoogle Scholar
  38. 38.
    Wong D, Harding S, Grierson I (2000) Foveal translocation with secondary confluent laser for subfoveal CNV in AMD: 12 month follow up. Br J Ophthalmol 84: 670–1PubMedGoogle Scholar
  39. 39.
    Wong D, Lois N (2000) Foveal relocation by redistribution of the neurosensory retina. Br J Ophthalmol 84: 352–7PubMedCrossRefGoogle Scholar
  40. 40.
    Fujii GY, Humayun MS, Pieramici DJ, Schachat AP, Au Eong KG, de Juan E Jr (2001) Initial experience of inferior limited macular translocation for subfoveal choroidal neovascularization resulting from causes other than age-related macular degeneration. Am J Ophthalmol 131: 90–100PubMedCrossRefGoogle Scholar
  41. 41.
    Fujikado T, Ohji M, Hayashi A, Kusaka S, Tano Y (1998) Anatomic and functional recovery of the fovea after fovea] translocation surgery without large retinotomy and simultaneous excision of a neovascular membrane. Am J Ophthalmol 126: 839–42PubMedCrossRefGoogle Scholar
  42. 42.
    Fujikado T, Ohji M, Saito Y, Hayashi A, Tano Y (1998) Visual function after fovea) translocation with sclera] shortening in patients with myopic neovascular maculopathy. Am J Ophthalmol 125: 647–56PubMedCrossRefGoogle Scholar
  43. 43.
    Ichibe M, Imai K, Ohta M, Hasebe H, Yoshizawa T, Abe H (2001) Fovea! translocation with sclera! imbrication in patients with myopic neovascular maculopathy. Am J Ophthalmol 132: 164–71PubMedCrossRefGoogle Scholar
  44. 44.
    Kadonosono K, Takeuchi S, Iwata S, Uchio E, Itoh N, Akura J (2001) Macular fold after limited macular translocation treated with sclera] shortening release and intravitreal gas. Am J Ophthalmol 132: 790–2PubMedCrossRefGoogle Scholar
  45. 45.
    Roth DB, Estafanous M, Lewis H (2001) Macular translocation for subfoveal choroidal neovascularization in angioid streaks. Am J Ophthalmol 131: 390–2PubMedCrossRefGoogle Scholar
  46. 46.
    Terasaki H, Miyake Y, Suzuki T, Nakamura M, Nagasaka T (2002) Polypoidal choroidal vasculopathy treated with macular translocation: clinical pathological correlation. Br J Ophthalmol 86: 321–7PubMedCrossRefGoogle Scholar
  47. 47.
    Fujii GY, De Juan E, Thomas MA, Pieramici DJ, Humayun MS, Au Eong KG (2001) Limited macular translocation for the management of subfoveal retinal pigment epithelial loss after sub-macular surgery. Am J Ophthalmol 131: 272–5PubMedCrossRefGoogle Scholar
  48. 48.
    Haller JA, Hartranft CD, Fujii GY, Pieramici D, Humayun MS, de Juan E Jr (2000) Limited macular translocation for neovascular maculopathy. Semin Ophthalmol 15: 81–7PubMedCrossRefGoogle Scholar
  49. 49.
    Faude F, Wendt S, Biedermann B, Gartner U, Kacza J, Seeger J, Reichenbach A, Wiedemann P (2001) Facilitation of artificial retinal detachment for macular translocation surgery tested in rabbit. Invest Ophthalmol Vis Sci 42: 1328–37PubMedGoogle Scholar
  50. 50.
    Faude F, Wiedemann P, Reichenbach A (1999) A “detachment infusion” for macular translocation surgery. Retina 19: 173–4PubMedCrossRefGoogle Scholar
  51. 51.
    Fang XY, Hayashi A, Cekic O, Morimoto T, Ohji M, Kusaka S, Kamei M, Fujikado T, Tano Y (2001) Effect of Ca(2+)-free and Mg(2+)-free BSS Plus solution on the retinal pigment epithelium and retina in rabbits. Am J Ophthalmol 131: 481–8PubMedCrossRefGoogle Scholar
  52. 52.
    Kamei M, Roth DB, Lewis H (2001) Macular translocation with chorioscleral outfolding: an experimental study. Am J Ophthalmol 132: 149–55PubMedCrossRefGoogle Scholar
  53. 53.
    Freedman SF, Seaber JH, Buckley EG, Enyedi LB, Toth CA (2000) Combined superior oblique muscle recession and inferior oblique muscle advancement and transposition for cyclotorsion associated with macular translocation surgery. J AAPOS 4: 75–83PubMedCrossRefGoogle Scholar
  54. 54.
    Ohji M, Fujikado T, Kusaka S, Hayashi A, Hosohata J, Ikuno Y, Sawa M, Kubota A, Hashida N, Tano Y (2001) Comparison of three techniques of fovea! translocation in patients with subfoveal choroidal neovascularization resulting from age-related macular degeneration. Am J Ophthalmol 132: 888–96PubMedCrossRefGoogle Scholar
  55. 55.
    Fujii GY, De Juan E, Sunness JS, Humayun MS, Pieramici DJ, Chang TS (2002) Patient selection for macular translocation surgery using scanning laser ophthalmoscope. Ophthalmology 109: 1737–44PubMedCrossRefGoogle Scholar
  56. 56.
    Fujii GY, de Juan EJr, Pieramici DJ, Humayun MS, Phillips S, Reynolds SM, Melia M, Schachat AP (2002) Inferior limited macular translocation for subfoveal choroidal neovascularization secondary to age-related macular degeneration: one-year visual outcome and recurrence report. Am J Ophthalmol 134: 69–74Google Scholar
  57. 57.
    Fujii GY, Pieramici DJ, Humayun MS, Schachat AP, Reynolds SM, Melia M, De Juan E (2000) Complications associated with limited macular translocation. Am J Ophthalmol 130: 751–62PubMedCrossRefGoogle Scholar
  58. 58.
    Au Eong KG, Fujii GY, Ng EW, Humayun MS, Pieramici DJ, de Juan E Jr (2001) Transient formed visual hallucinations following macular translocation for subfoveal choroidal neovascularization secondary to age-related macular degeneration. Am J Ophthalmol 131: 664–6PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 2004

Authors and Affiliations

  • Eugene de JuanJr
    • 1
  • G. Y. Fujii
    • 1
  • K.-G. Au Eong
    • 1
  • M. S. Humayun
    • 1
  • R. R. Lakhanpal
    • 1
  1. 1.The Retina Institute, Doheny Eye Institute, The Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA

Personalised recommendations