Surgical excision of subfoveal neovascular membranes in age-related macular degeneration

H. M. Lambert; A. Capone; T. M. Aaberg; P. Sternberg; B. A. Mandell; P. F. Lopez

doi:10.1016/S0002-9394(14)71576-4

Surgical excision of subfoveal neovascular membranes in age-related macular degeneration

H. M. Lambert, A. Capone, T. M. Aaberg, P. Sternberg, B. A. Mandell, P. F. Lopez

Research output: Contribution to journal › Article › peer-review

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Abstract

We studied the results of surgical excision of ten consecutive subfoveal choroidal neovascular membranes in ten patients with age-related macular degeneration. The criteria for surgical eligibility included the following: (1) a clearly identifiable subfoveal membrane occupying the entire foveal avascular zone, (2) a visual acuity of 20/200 or worse, (3) minimal subretinal hemorrhage, and (4) an associated exudative macular detachment. Six of the ten patients showed visual improvement at one-month and three- month follow-up visits and seven showed visual improvement by the six-month examination. All ten maculae remained attached without recurrence of subfoveal neovascular membranes throughout the follow-up period. These results suggested that surgical excision is a viable alternative to laser photocoagulation in patients with subfoveal neovascularization in age-related macular degeneration.

Original language	English (US)
Pages (from-to)	257-262
Number of pages	6
Journal	American Journal of Ophthalmology
Volume	113
Issue number	3
DOIs	https://doi.org/10.1016/S0002-9394(14)71576-4
State	Published - 1992

ASJC Scopus subject areas

Ophthalmology

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title = "Surgical excision of subfoveal neovascular membranes in age-related macular degeneration",

abstract = "We studied the results of surgical excision of ten consecutive subfoveal choroidal neovascular membranes in ten patients with age-related macular degeneration. The criteria for surgical eligibility included the following: (1) a clearly identifiable subfoveal membrane occupying the entire foveal avascular zone, (2) a visual acuity of 20/200 or worse, (3) minimal subretinal hemorrhage, and (4) an associated exudative macular detachment. Six of the ten patients showed visual improvement at one-month and three- month follow-up visits and seven showed visual improvement by the six-month examination. All ten maculae remained attached without recurrence of subfoveal neovascular membranes throughout the follow-up period. These results suggested that surgical excision is a viable alternative to laser photocoagulation in patients with subfoveal neovascularization in age-related macular degeneration.",

author = "Lambert, \{H. M.\} and A. Capone and Aaberg, \{T. M.\} and P. Sternberg and Mandell, \{B. A.\} and Lopez, \{P. F.\}",

note = "Funding Information: Accepted forpublication Dec. 27, 1991. From the Department of Ophthalmology, Emory University, Atlanta, Georgia. This study was supported in part byagrant from theMacula Foundation (Dr. Lambert); aHeed-Knapp Ophthalmic Foundation Fellowship (Dr. Capone); an unrestricted departmental grant from Research to Prevent Blindness, Inc., New York, New York; and departmental core grant P30-EY06360. Dr. Lopez was a 1990-1991 Heed Ophthalmic Fellow. Reprint requests to H. Michael Lambert, M.D., Emory University Medical Center, Department of Ophthalmology, 1327 Clifton Rd. N.E., Atlanta, GA 30322.",

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doi = "10.1016/S0002-9394(14)71576-4",

language = "English (US)",

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pages = "257--262",

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AU - Sternberg, P.

AU - Mandell, B. A.

AU - Lopez, P. F.

N1 - Funding Information: Accepted forpublication Dec. 27, 1991. From the Department of Ophthalmology, Emory University, Atlanta, Georgia. This study was supported in part byagrant from theMacula Foundation (Dr. Lambert); aHeed-Knapp Ophthalmic Foundation Fellowship (Dr. Capone); an unrestricted departmental grant from Research to Prevent Blindness, Inc., New York, New York; and departmental core grant P30-EY06360. Dr. Lopez was a 1990-1991 Heed Ophthalmic Fellow. Reprint requests to H. Michael Lambert, M.D., Emory University Medical Center, Department of Ophthalmology, 1327 Clifton Rd. N.E., Atlanta, GA 30322.

PY - 1992

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N2 - We studied the results of surgical excision of ten consecutive subfoveal choroidal neovascular membranes in ten patients with age-related macular degeneration. The criteria for surgical eligibility included the following: (1) a clearly identifiable subfoveal membrane occupying the entire foveal avascular zone, (2) a visual acuity of 20/200 or worse, (3) minimal subretinal hemorrhage, and (4) an associated exudative macular detachment. Six of the ten patients showed visual improvement at one-month and three- month follow-up visits and seven showed visual improvement by the six-month examination. All ten maculae remained attached without recurrence of subfoveal neovascular membranes throughout the follow-up period. These results suggested that surgical excision is a viable alternative to laser photocoagulation in patients with subfoveal neovascularization in age-related macular degeneration.

AB - We studied the results of surgical excision of ten consecutive subfoveal choroidal neovascular membranes in ten patients with age-related macular degeneration. The criteria for surgical eligibility included the following: (1) a clearly identifiable subfoveal membrane occupying the entire foveal avascular zone, (2) a visual acuity of 20/200 or worse, (3) minimal subretinal hemorrhage, and (4) an associated exudative macular detachment. Six of the ten patients showed visual improvement at one-month and three- month follow-up visits and seven showed visual improvement by the six-month examination. All ten maculae remained attached without recurrence of subfoveal neovascular membranes throughout the follow-up period. These results suggested that surgical excision is a viable alternative to laser photocoagulation in patients with subfoveal neovascularization in age-related macular degeneration.

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Surgical excision of subfoveal neovascular membranes in age-related macular degeneration

Abstract

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