Faculty Collaboration Database

Surgical removal of an extrafoveal fibrotic choroidal neovascular membrane with foveal serous detachment in age-related macular degeneration. Retina 1994;14(2):125-9

Date

01/01/1994

Pubmed ID

7518605

DOI

10.1097/00006982-199414020-00005

Scopus ID

2-s2.0-0028234326 (requires institutional sign-in at Scopus site)   61 Citations

Abstract

BACKGROUND: Visual recovery after submacular surgery for age-related macular degeneration (AMD) has been very limited.

METHODS: A patient with an extrafoveal fibrotic choroidal neovascular membrane from AMD had an overlying serous foveal detachment with the fibrotic tissue elevating the foveal retina. Photocoagulation of the neovascular membrane was not recommended because of its nonpigmented, fibrotic nature. The membrane was surgically excised.

RESULTS: Preoperative and postoperative visual acuity and central 30 degrees visual fields were followed. Visual acuity improved from 20/200 to 20/25, and a preoperative central scotoma resolved completely 18 months after surgical excision of the extrafoveal fibrotic neovascular membrane. There were no intraoperative or postoperative complications.

CONCLUSION: This type of patient may represent a distinct subset of patients with AMD amenable to subretinal surgery who could potentially have good recovery of vision.

Author List

Connor TB Jr, Wolf MD, Arrindell EL, Mieler WF

Author

Thomas B. Connor MD Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Choroid
Fibrosis
Fovea Centralis
Humans
Macular Degeneration
Male
Neovascularization, Pathologic
Retinal Detachment
Visual Acuity
Visual Fields