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Case Reports
. 2003 Mar;87(3):371-2.
doi: 10.1136/bjo.87.3.371-a.

Simultaneous translocation of the macula and underlying retinal pigment epithelium during macular translocation surgery in a patient with long standing myopic neovascular maculopathy

M Ichibe, K Imai, M Ohta, Y Oya, T Yoshizawa, H Abe
Case Reports

Simultaneous translocation of the macula and underlying retinal pigment epithelium during macular translocation surgery in a patient with long standing myopic neovascular maculopathy

M Ichibe et al. Br J Ophthalmol. 2003 Mar.
No abstract available

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Figures

Figure 1
Figure 1
(A) A preoperative fluorescein angiogram shows myopic choroidal neovascularisation with marked atrophy of the surrounding retinal pigment epithelium. An area of relatively healthy retinal pigment epithelium is shown inferonasal to the fovea. (B) A fluorescein angiogram taken 3 months after the surgery demonstrates a sharply delineated blockage of choroidal fluorescence in the translocated macular area (white arrow). The original macular area shows hypofluorescence with larger choroidal vessels well visualised (black arrow). This finding may indicate that the retinal pigment epithelium of the original macular region has been torn away and subsequent atrophy of the underlying choriocapillaris has occurred.
Figure 2
Figure 2
(A) A horizontal optical coherence tomography section taken through the translocated macula displays highly reflective double layers underneath the fovea that probably correspond to the native retinal pigment epithelium and simultaneously translocated retinal pigment epithelium. (B) A postoperative indocyanine green angiogram shows well visualised larger choroidal vessels in the original macular area probably caused by the absence of the retinal pigment epithelium-choriocapillaris complex (black arrow). The relative hypofluorescence in the translocated macular area may represent blockage of choroidal fluorescence by the translocated retinal pigment epithelium (white arrow).
Figure 2
Figure 2
(A) A horizontal optical coherence tomography section taken through the translocated macula displays highly reflective double layers underneath the fovea that probably correspond to the native retinal pigment epithelium and simultaneously translocated retinal pigment epithelium. (B) A postoperative indocyanine green angiogram shows well visualised larger choroidal vessels in the original macular area probably caused by the absence of the retinal pigment epithelium-choriocapillaris complex (black arrow). The relative hypofluorescence in the translocated macular area may represent blockage of choroidal fluorescence by the translocated retinal pigment epithelium (white arrow).
See this image and copyright information in PMC

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References

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