Advantages:

To perform an autologous RPE graft in a case of fibrotic CNV leaving a link between the patch and the original site of it.

Methods:

Standard vitrectomy with induction of retinal detachment and retinectomy of the 180° temporal retina; removal of fibrotic subfoveal fibrotic membrane, preparation of a choroidal patch to move on the macular area leaving a part connected with the original site of choroid.

Effectiveness / Safety:

At the follow-up the patient had the patch in the right position, and autofluorescent, but OCT revealed dome shaped and wrinkling of FTPA. At two weeks follow up the patient had complete revascularization on angiogram and some subretinal fluid at the margin of the patch with persistence of wrinkling of FTPA. At three months follow up the situation remained unchanged.