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Successful macular translocation with temporary scleral infolding using absorbable sture.

Publication ,  Journal Article
Deramo, VA; Meyer, CH; Toth, CA
Published in: Retina
2001

PURPOSE: To describe successful macular translocation with temporary scleral infolding in a series of patients with small subfoveal choroidal neovascularization due to age-related macular degeneration or ocular histoplasmosis syndrome. METHODS: Ten eyes of 10 consecutive patients were studied in a prospective, nonrandomized clinical trial. Macular translocation with scleral infolding (MTSI) was performed. Absorbable polyglactin suture was used to create temporary scleral infolding. Distance and stability of retinal translocation, corneal topography, visual acuity, and rates of complications were measured. RESULTS: The median distance of translocation in the early postoperative period was 1,700 microm (range, 680-3,200) and did not regress after resolution of the scleral infolding. Induced postoperative oblique corneal astigmatism resolved, coinciding with the disappearance of peripheral retinal elevation due to scleral infolding. Three patients gained more than two lines of vision, two patients were within two lines of preoperative vision, and five patients lost more than two lines of vision. Complications were similar to previously published reports. CONCLUSION: Temporary scleral infolding is an effective technique in MTSI. The distance of translocation is comparable to that achieved with nonabsorbable suture or scleral resection, and does not regress after resolution of the scleral infolding. Induced postoperative corneal astigmatism appears to resolve.

Duke Scholars

Published In

Retina

DOI

ISSN

0275-004X

Publication Date

2001

Volume

21

Issue

4

Start / End Page

304 / 311

Location

United States

Related Subject Headings

  • Visual Acuity
  • Sutures
  • Sclera
  • Prospective Studies
  • Polyglactin 910
  • Ophthalmology & Optometry
  • Ophthalmologic Surgical Procedures
  • Middle Aged
  • Male
  • Macular Degeneration
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Deramo, V. A., Meyer, C. H., & Toth, C. A. (2001). Successful macular translocation with temporary scleral infolding using absorbable sture. Retina, 21(4), 304–311. https://doi.org/10.1097/00006982-200108000-00002
Deramo, V. A., C. H. Meyer, and C. A. Toth. “Successful macular translocation with temporary scleral infolding using absorbable sture.Retina 21, no. 4 (2001): 304–11. https://doi.org/10.1097/00006982-200108000-00002.
Deramo, V. A., et al. “Successful macular translocation with temporary scleral infolding using absorbable sture.Retina, vol. 21, no. 4, 2001, pp. 304–11. Pubmed, doi:10.1097/00006982-200108000-00002.
Deramo VA, Meyer CH, Toth CA. Successful macular translocation with temporary scleral infolding using absorbable sture. Retina. 2001;21(4):304–311.

Published In

Retina

DOI

ISSN

0275-004X

Publication Date

2001

Volume

21

Issue

4

Start / End Page

304 / 311

Location

United States

Related Subject Headings

  • Visual Acuity
  • Sutures
  • Sclera
  • Prospective Studies
  • Polyglactin 910
  • Ophthalmology & Optometry
  • Ophthalmologic Surgical Procedures
  • Middle Aged
  • Male
  • Macular Degeneration