Zoran Tomic

Purpose:

To report on our results with full macular translocation (FMT) in the treatment of ARMD.

Methods:

Retrospective study on 15 consecutive eyes that underwent FMT for the treatment of subfoveal CNV in ARMD.

Results:

Visual acuity improved by ‚Č• 2 lines Snellen in 6 operated eyes (40%), remained unchanged in 3 eyes (20%) and worsened in 6 (40%). Reading vision recovered in 5 eyes (33%) and maintained in 2 (13%). Complications included rhegmatogenous retinal¬†detachment in 2 eyes (13%), PVR in 1 eye (6,6%), phthisis bulbi in 1 eye (6,6%) and extrafoveal recurrence in 1 eye (6,6%). Silicone oil was successfully removed in 13 eyes (87%).

Conclusion:

Macular translocation produces adequate translocation beyond the borders of large subfoveal membranes. It is a complex surgery with a number of severe complications (33%). Most of the patients improved or maintained the distance visual acuity (60%). Nearly a half of the patients recovered or maintained useful reading vision (46%).

Take-home message:

Randomised multicenter studies on macular translocation and MT vs. PDT now appropriate. Improved prevention and management of complications may improve future visual outcomes.