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NR 1-3/2009
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Translokacja plamki
z retinektomią 360° u chorych z krwotokiem podsiatkówkowym w
przebiegu zwyrodnienia plamki związanego z wiekiem
Macular translocation with
360 retinectomy for submacular hemorrhage in age related macular
degeneration
Marcin Stopa, Jarosław Kocięcki
Z Katedry i Kliniki Okulistyki Uniwersytetu Medycznego w
Poznaniu
Kierownik: dr hab. n. med. Jarosław Kocięcki |
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| Summary: |
Purpose: To report
macular translocation with 360 retinectomy for treatment
of submacular hemorrhage in patients with age related
macular degeneration.
Material and methods: Retrospective review of the
two patients with age related macular degeneration and
submacular hemorrhage, treated with macular
translocation with 360 retinectomy. Outcome measures
included preoperative and postoperative visual acuity at
1, 3, 6 months and 1 year and a difference between
preoperative and postoperative visual acuity at 1 year,
as well as the duration of hemorrhage, hemorrhage size
on preoperative fluorescein angiography and thickness of
the subretinal hemorrhagic complex on preoperative OCT
scans.
Results: The two operated patients were
followed-up for 1 year. Distance visual acuity at 12
months improved in both cases by 0.22 and 0.48 logMAR
respectively. No major intraoperative and postoperative
complications were observed except for a foveal atrophy
on OCT in one patient.
Conclusions: MT360 seems to be an effective
option for submacular hemorrhage treatment in AMD in the
second affected eye. However a further face to face
comparison with other treatment methods and with
combination of tPA, anti-VEGF and pneumatic displacement
in particular, is necessary to fully determine the
efficacy of this technique. |
| Słowa kluczowe: |
translokacja plamki,
krwotok podsiatkówkowy, przerwanie nabłonka barwnikowego
siatkówki, zwyrodnienie plamki związane z wiekiem. |
| Key words: |
macular translocation,
submacular hemorrhage, retinal pigment epithelium tear,
age related macular degeneration. |
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