Fujikado T, Ohji M, Hosohata J, Hayashi A, Oda K, Tano Y
Department of Ophthalmology, Osaka University Medical School, Osaka, Japan.
Am J Ophthalmol. 2000 Oct;130(4):525-7. doi: 10.1016/s0002-9394(00)00582-1.
To compare the visual outcome after foveal translocation by scleral shortening and that after 360 degrees retinotomy with extraocular muscle surgery in a patient with bilateral myopic neovascular maculopathy.
Case report.
A 52-year-old woman with bilateral myopic neovascular maculopathy underwent foveal translocation with scleral shortening in the left eye, and visual acuity improved from 20/70 to 20/30. However, choroidal neovascularization recurred, and the final visual acuity was 20/40 after excision of the choroidal neovascularization. Foveal translocation with 360 degrees retinotomy was performed on the right eye, and visual acuity improved from 20/150 to 20/30. The critical print size was better, and the retinal sensitive area was larger in the right eye.
The better reading ability shown by foveal translocation by a 360 degrees retinotomy compared with scleral shortening may stem from a larger retinal sensitive area obtained by this method.
比较巩膜缩短术治疗黄斑转位术与360度视网膜切开联合眼外肌手术治疗双侧近视性新生血管性黄斑病变患者后的视觉效果。
病例报告。
一名52岁双侧近视性新生血管性黄斑病变女性患者，左眼行巩膜缩短术黄斑转位术，视力从20/70提高到20/30。然而，脉络膜新生血管复发，切除脉络膜新生血管后最终视力为20/40。右眼行360度视网膜切开黄斑转位术，视力从20/150提高到20/30。右眼临界印刷字体大小更好，视网膜敏感区域更大。
与巩膜缩短术相比，360度视网膜切开黄斑转位术显示出更好的阅读能力，可能源于该方法获得的更大视网膜敏感区域。
