Surgical removal of subfoveal choroidal neovascular membranes in age-related macular degeneration

P. T. Merrill, S. J. Saxe, M. D. Lomeo, R. Diaz-Rohena, F. J. LoRusso, H. M. Lambert

Research output: Contribution to journalArticle

Abstract

Purpose To assess the efficacy of surgical excision of subtbveal choroidal ueovascular membranes in patients with age-related macular degeneration (ARMD) Methods Retrospective review of 64 consecutive patients (64 eyes) undergoing surgical removal of ARMD-related subibveal neovascular membranes, with at least three months follow-up Inclusion criteria included pre-operativc acuity of 20/100 or less, and a subfoveal membrane with or without subretinal hemorrhage The surgical method included detachment of the posterior hyaloid, small retinoiomy, subretinal TPA, perfluoro-n-octane. and air-fluid exchange Results Pre-operative acuity ranged from 20/1OÜ to 1/200. with a mean of 20/400 Average follow-up was 17 months (range, 3 to 45 months) The best acuity achieved post-operatively ranged from 20/20 to hand motions, with a mean of 20'200 Final acuity ranged from 20/50 to light perception, with a mean of 20/400 Final acuity was improved 2 or more lines in 24 eyes (37 5°0) (mean 5 lines), stable in 17 eyes (26 6%), and 2 or more lines worse in 23 eyes (35 9%) (mean 5 lines) Conclusions Following surgical excision of ARMD-related subfoveal choroidal neovascular membranes, vision improved or stabilized in the majority of patients Further evaluation of this procedure should be accomplished via completion of a multi-center randomized clinical trial.

Original languageEnglish (US)
JournalInvestigative Ophthalmology and Visual Science
Volume38
Issue number4
StatePublished - Dec 1 1997

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

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