Author: Hassan Mortada, Cairo, Egypt

Advantages:

In eyes with massive submacular hemorrhage secondary to neovascular AMD, perform full macular translocation (FMT) remove the submacular hemorrhage, excise the neovascular membrane and translocate the macula to an area with healthier RPE/CC complex. This results in improvement of both distant and reading vision and prevents recurrence of hemorrhage.

Methods:

11 eyes with massive submacular hemorrhage secondary to neovascular AMD underwent FMT. The 2nd eye of these patients had disciform scar and V/A of 1/60 or less. The preoperative and postoperative visual acuity, color and FA pictures were recorded. The goal of surgery could be achieved in all eyes without operative complications. Silicone oil was removed in all eyes with no postoperative complications. Muscle surgery for correction of cyclotropia was performed at time of silicone oil removal.

Effectiveness / Safety:

The technique of FMT is effective in improving distant vision in all eyes. Reading vision could be achieved in 9/11 eyes.

Take home message:

In experienced hands, FMT is an effective, well established and safe technique in restoring vision when the last eye is affected with massive submacular hemorrhage secondary to AMD.