Adaptation to monocular torsion after macular translocation.
Journal Article
Purpose
To document the functional outcome of two patients following successful macular translocation for the treatment of severe subretinal hemorrhage in age-related maculopathy.Methods
The retina was surgically rotated around the optic nerve with translocation of the fovea either upward or downward to an area of healthy retinal pigment epithelium. In the postoperative period, visual function was carefully studied with emphasis on adaptation to torsion.Results
Visual acuity in one patient improved from 20/200 to 20/80 and the other patient remained at 20/200. Both patients developed horizontal and vertical strabismus with torsion of up to 55 degrees. After a prolonged period of occlusion of the unoperated eye, both patients were subjectively able to adapt to monocular torsion. However, adaptation under binocular conditions did not occur.Conclusion
Macular translocation was successful in improving visual acuity in one patient, with no improvement in the second. Both patients had significant ocular torsion and strabismus, but under monocular conditions they were successful in perceptually adapting to the change in the visual environment. Fear of cyclotorsion should not be a deterrent to considering macular translocation as a possible treatment option for severe subretinal macular hemorrhage if the patient is willing to accept monocular vision.Full Text
Duke Authors
Cited Authors
- Seaber, JH; Machemer, R
Published Date
- February 1997
Published In
Volume / Issue
- 235 / 2
Start / End Page
- 76 - 81
PubMed ID
- 9147954
Pubmed Central ID
- 9147954
Electronic International Standard Serial Number (EISSN)
- 1435-702X
International Standard Serial Number (ISSN)
- 0721-832X
Digital Object Identifier (DOI)
- 10.1007/bf00941733
Language
- eng