Roth D B, Estafanous M, Lewis H
Cole Eye Institute, The Cleveland Clinic Foundation, 9500 Euclid Av/i30, Cleveland, Ohio 44195, USA.
Am J Ophthalmol. 2001 Mar;131(3):390-2. doi: 10.1016/s0002-9394(00)00809-6.
To report a case of visual improvement after macular translocation performed for a subfoveal choroidal neovascular membrane in a patient with pseudoxanthoma elasticum and angioid streaks.
The fovea was translocated inferiorly by scleral imbrication, intentional retinal detachment with a small posterior retinotomy, and partial fluid-air exchange. The choroidal neovascular membrane was photocoagulated 1 week later.
The visual acuity of the patient improved from 20/125 to 20/40. The center of the foveal avascular zone was moved inferiorly 844 microm. The choroidal neovascular membrane was extrafoveal after translocation and was treated with laser photocoagulation.
Macular translocation may be considered in the management of subfoveal choroidal neovascular membrane in patients with pseudoxanthoma elasticum and angioid streaks.
报告1例为患有弹性假黄瘤和血管样条纹的患者的黄斑下脉络膜新生血管膜进行黄斑转位术后视力改善的病例。
通过巩膜叠瓦术、经小视网膜后切开的故意性视网膜脱离和部分液-气交换将黄斑向下转位。1周后对脉络膜新生血管膜进行光凝治疗。
患者视力从20/125提高到20/40。黄斑无血管区中心向下移动了844微米。转位后脉络膜新生血管膜位于黄斑外，接受了激光光凝治疗。
对于患有弹性假黄瘤和血管样条纹的患者，黄斑下脉络膜新生血管膜的治疗可考虑黄斑转位术。
