Complications associated with limited macular translocation
PURPOSE: To report the ocular complications associated with the limited macular translocation procedure. METHODS: Retrospective review of 153 consecutive eyes of 151 patients that had the limited macular translocation procedure for subfoveal choroidal neovascularization between April 1996 and Februa...
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| Veröffentlicht in: | American journal of ophthalmology 2000-12, Vol.130 (6), p.751-762 |
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| creator | Fujii, Gildo Y Pieramici, Dante J Humayun, Mark S Schachat, Andrew P Reynolds, Sandra M Melia, Michele De Juan, Eugene |
| description | PURPOSE: To report the ocular complications associated with the limited macular translocation procedure.
METHODS: Retrospective review of 153 consecutive eyes of 151 patients that had the limited macular translocation procedure for subfoveal choroidal neovascularization between April 1996 and February 1999. The major study variables investigated included the incidence of specific ocular complications and their impact on visual acuity at 3 months after the surgery. In addition, baseline patient characteristics and operative factors were evaluated to determine whether they were significant risk factors for the development of an ocular complication. The existence of a surgical procedure learning process was investigated.
RESULTS: One hundred forty-one (92.15%) of 153 eyes achieved at least 3-month follow-up. At least one complication occurred in 53 of 153 eyes (34.6%) and in 51 of these 53 eyes (96.22%) the complications occurred before 3 months of postoperative follow-up. The intraoperative and postoperative complications included retinal detachment (17.4%), retinal breaks (13.4%), macular holes (7.8%), macular fold (4.6%), and intraocular hemorrhage (vitreous, subretinal, or choroidal; 9.2%). Eyes that developed retinal detachment, subretinal hemorrhage, and macular fold had significantly more loss of visual acuity than eyes without each of these complications (
P = .0001,
P = .038, and
P = .027, respectively). The presence of predominantly classic choroidal neovascularization, the occurrence of an intraoperative retinal break, any intraocular hemorrhage, or macular fold formation were significantly associated with retinal detachment (
P = .021,
P = .025,
P = .013, and
P = .014, respectively). The incidence of any complication, retinal detachment, and hemorrhage significantly decreased during the study period, suggesting a learning process (
P = .03,
P = .006,
P = .027, respectively).
CONCLUSIONS: A variety of ocular complications can occur during or after limited macular translocation, and some are associated with reduced postoperative visual acuity. Improved surgical techniques and experience may significantly reduce the incidence of these complications. |
| doi_str_mv | 10.1016/S0002-9394(00)00771-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72485828</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002939400007716</els_id><sourcerecordid>72485828</sourcerecordid><originalsourceid>FETCH-LOGICAL-c465t-47496a5ee5d73619f40d52503cdfb5065dfcfbcc819f51f86105e85fc633ff9c3</originalsourceid><addsrcrecordid>eNqFkMtKxDAUhoMozjj6CEpBEF1Ukza34kJk8AYDLtR1yJwmGEnbMWkV397OtIxLV4ef850LH0LHBF8STPjVC8Y4S4u8oOcYX2AsBEn5DpoSKYqUyILsoukWmaCDGD_6yAUV-2hCCMloVtApup431co70K1r6pjoGBtwujVl8u3a98S7yq1DpaHzOiRt0HX0zYAfoj2rfTRHY52ht_u71_ljunh-eJrfLlKgnLUpFbTgmhnDSpFzUliKS5YxnENplwxzVlqwSwDZtxixkhPMjGQWeJ5bW0A-Q2fD3lVoPjsTW1W5CMZ7XZumi0pkVDKZyR5kAwihiTEYq1bBVTr8KILV2praWFNrJQpjtbGmeD93Mh7olpUp_6ZGTT1wOgI6gva2twAubjlJGc2ynroZKNPL-HImqAjO1GBKFwy0qmzcP4_8AvmpiO8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72485828</pqid></control><display><type>article</type><title>Complications associated with limited macular translocation</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Fujii, Gildo Y ; Pieramici, Dante J ; Humayun, Mark S ; Schachat, Andrew P ; Reynolds, Sandra M ; Melia, Michele ; De Juan, Eugene</creator><creatorcontrib>Fujii, Gildo Y ; Pieramici, Dante J ; Humayun, Mark S ; Schachat, Andrew P ; Reynolds, Sandra M ; Melia, Michele ; De Juan, Eugene</creatorcontrib><description>PURPOSE: To report the ocular complications associated with the limited macular translocation procedure.
METHODS: Retrospective review of 153 consecutive eyes of 151 patients that had the limited macular translocation procedure for subfoveal choroidal neovascularization between April 1996 and February 1999. The major study variables investigated included the incidence of specific ocular complications and their impact on visual acuity at 3 months after the surgery. In addition, baseline patient characteristics and operative factors were evaluated to determine whether they were significant risk factors for the development of an ocular complication. The existence of a surgical procedure learning process was investigated.
RESULTS: One hundred forty-one (92.15%) of 153 eyes achieved at least 3-month follow-up. At least one complication occurred in 53 of 153 eyes (34.6%) and in 51 of these 53 eyes (96.22%) the complications occurred before 3 months of postoperative follow-up. The intraoperative and postoperative complications included retinal detachment (17.4%), retinal breaks (13.4%), macular holes (7.8%), macular fold (4.6%), and intraocular hemorrhage (vitreous, subretinal, or choroidal; 9.2%). Eyes that developed retinal detachment, subretinal hemorrhage, and macular fold had significantly more loss of visual acuity than eyes without each of these complications (
P = .0001,
P = .038, and
P = .027, respectively). The presence of predominantly classic choroidal neovascularization, the occurrence of an intraoperative retinal break, any intraocular hemorrhage, or macular fold formation were significantly associated with retinal detachment (
P = .021,
P = .025,
P = .013, and
P = .014, respectively). The incidence of any complication, retinal detachment, and hemorrhage significantly decreased during the study period, suggesting a learning process (
P = .03,
P = .006,
P = .027, respectively).
CONCLUSIONS: A variety of ocular complications can occur during or after limited macular translocation, and some are associated with reduced postoperative visual acuity. Improved surgical techniques and experience may significantly reduce the incidence of these complications.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/S0002-9394(00)00771-6</identifier><identifier>PMID: 11124294</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Choroidal Neovascularization - etiology ; Choroidal Neovascularization - surgery ; Female ; Fluorescein Angiography ; Follow-Up Studies ; Humans ; Intraoperative Complications - diagnosis ; Macula Lutea - transplantation ; Macular Degeneration - complications ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications - diagnosis ; Retinal Detachment - etiology ; Retinal Hemorrhage - etiology ; Retinal Perforations - etiology ; Retrospective Studies ; Risk Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Tissue Transplantation - adverse effects ; Transplantation, Autologous ; Visual Acuity ; Vitreous Hemorrhage - etiology</subject><ispartof>American journal of ophthalmology, 2000-12, Vol.130 (6), p.751-762</ispartof><rights>2000 Elsevier Science Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-47496a5ee5d73619f40d52503cdfb5065dfcfbcc819f51f86105e85fc633ff9c3</citedby><cites>FETCH-LOGICAL-c465t-47496a5ee5d73619f40d52503cdfb5065dfcfbcc819f51f86105e85fc633ff9c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0002-9394(00)00771-6$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=845422$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11124294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fujii, Gildo Y</creatorcontrib><creatorcontrib>Pieramici, Dante J</creatorcontrib><creatorcontrib>Humayun, Mark S</creatorcontrib><creatorcontrib>Schachat, Andrew P</creatorcontrib><creatorcontrib>Reynolds, Sandra M</creatorcontrib><creatorcontrib>Melia, Michele</creatorcontrib><creatorcontrib>De Juan, Eugene</creatorcontrib><title>Complications associated with limited macular translocation</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>PURPOSE: To report the ocular complications associated with the limited macular translocation procedure.
METHODS: Retrospective review of 153 consecutive eyes of 151 patients that had the limited macular translocation procedure for subfoveal choroidal neovascularization between April 1996 and February 1999. The major study variables investigated included the incidence of specific ocular complications and their impact on visual acuity at 3 months after the surgery. In addition, baseline patient characteristics and operative factors were evaluated to determine whether they were significant risk factors for the development of an ocular complication. The existence of a surgical procedure learning process was investigated.
RESULTS: One hundred forty-one (92.15%) of 153 eyes achieved at least 3-month follow-up. At least one complication occurred in 53 of 153 eyes (34.6%) and in 51 of these 53 eyes (96.22%) the complications occurred before 3 months of postoperative follow-up. The intraoperative and postoperative complications included retinal detachment (17.4%), retinal breaks (13.4%), macular holes (7.8%), macular fold (4.6%), and intraocular hemorrhage (vitreous, subretinal, or choroidal; 9.2%). Eyes that developed retinal detachment, subretinal hemorrhage, and macular fold had significantly more loss of visual acuity than eyes without each of these complications (
P = .0001,
P = .038, and
P = .027, respectively). The presence of predominantly classic choroidal neovascularization, the occurrence of an intraoperative retinal break, any intraocular hemorrhage, or macular fold formation were significantly associated with retinal detachment (
P = .021,
P = .025,
P = .013, and
P = .014, respectively). The incidence of any complication, retinal detachment, and hemorrhage significantly decreased during the study period, suggesting a learning process (
P = .03,
P = .006,
P = .027, respectively).
CONCLUSIONS: A variety of ocular complications can occur during or after limited macular translocation, and some are associated with reduced postoperative visual acuity. Improved surgical techniques and experience may significantly reduce the incidence of these complications.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Choroidal Neovascularization - etiology</subject><subject>Choroidal Neovascularization - surgery</subject><subject>Female</subject><subject>Fluorescein Angiography</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intraoperative Complications - diagnosis</subject><subject>Macula Lutea - transplantation</subject><subject>Macular Degeneration - complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnosis</subject><subject>Retinal Detachment - etiology</subject><subject>Retinal Hemorrhage - etiology</subject><subject>Retinal Perforations - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Tissue Transplantation - adverse effects</subject><subject>Transplantation, Autologous</subject><subject>Visual Acuity</subject><subject>Vitreous Hemorrhage - etiology</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKxDAUhoMozjj6CEpBEF1Ukza34kJk8AYDLtR1yJwmGEnbMWkV397OtIxLV4ef850LH0LHBF8STPjVC8Y4S4u8oOcYX2AsBEn5DpoSKYqUyILsoukWmaCDGD_6yAUV-2hCCMloVtApup431co70K1r6pjoGBtwujVl8u3a98S7yq1DpaHzOiRt0HX0zYAfoj2rfTRHY52ht_u71_ljunh-eJrfLlKgnLUpFbTgmhnDSpFzUliKS5YxnENplwxzVlqwSwDZtxixkhPMjGQWeJ5bW0A-Q2fD3lVoPjsTW1W5CMZ7XZumi0pkVDKZyR5kAwihiTEYq1bBVTr8KILV2praWFNrJQpjtbGmeD93Mh7olpUp_6ZGTT1wOgI6gva2twAubjlJGc2ynroZKNPL-HImqAjO1GBKFwy0qmzcP4_8AvmpiO8</recordid><startdate>20001201</startdate><enddate>20001201</enddate><creator>Fujii, Gildo Y</creator><creator>Pieramici, Dante J</creator><creator>Humayun, Mark S</creator><creator>Schachat, Andrew P</creator><creator>Reynolds, Sandra M</creator><creator>Melia, Michele</creator><creator>De Juan, Eugene</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20001201</creationdate><title>Complications associated with limited macular translocation</title><author>Fujii, Gildo Y ; Pieramici, Dante J ; Humayun, Mark S ; Schachat, Andrew P ; Reynolds, Sandra M ; Melia, Michele ; De Juan, Eugene</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-47496a5ee5d73619f40d52503cdfb5065dfcfbcc819f51f86105e85fc633ff9c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Choroidal Neovascularization - etiology</topic><topic>Choroidal Neovascularization - surgery</topic><topic>Female</topic><topic>Fluorescein Angiography</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intraoperative Complications - diagnosis</topic><topic>Macula Lutea - transplantation</topic><topic>Macular Degeneration - complications</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnosis</topic><topic>Retinal Detachment - etiology</topic><topic>Retinal Hemorrhage - etiology</topic><topic>Retinal Perforations - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Tissue Transplantation - adverse effects</topic><topic>Transplantation, Autologous</topic><topic>Visual Acuity</topic><topic>Vitreous Hemorrhage - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fujii, Gildo Y</creatorcontrib><creatorcontrib>Pieramici, Dante J</creatorcontrib><creatorcontrib>Humayun, Mark S</creatorcontrib><creatorcontrib>Schachat, Andrew P</creatorcontrib><creatorcontrib>Reynolds, Sandra M</creatorcontrib><creatorcontrib>Melia, Michele</creatorcontrib><creatorcontrib>De Juan, Eugene</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fujii, Gildo Y</au><au>Pieramici, Dante J</au><au>Humayun, Mark S</au><au>Schachat, Andrew P</au><au>Reynolds, Sandra M</au><au>Melia, Michele</au><au>De Juan, Eugene</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications associated with limited macular translocation</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2000-12-01</date><risdate>2000</risdate><volume>130</volume><issue>6</issue><spage>751</spage><epage>762</epage><pages>751-762</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>PURPOSE: To report the ocular complications associated with the limited macular translocation procedure.
METHODS: Retrospective review of 153 consecutive eyes of 151 patients that had the limited macular translocation procedure for subfoveal choroidal neovascularization between April 1996 and February 1999. The major study variables investigated included the incidence of specific ocular complications and their impact on visual acuity at 3 months after the surgery. In addition, baseline patient characteristics and operative factors were evaluated to determine whether they were significant risk factors for the development of an ocular complication. The existence of a surgical procedure learning process was investigated.
RESULTS: One hundred forty-one (92.15%) of 153 eyes achieved at least 3-month follow-up. At least one complication occurred in 53 of 153 eyes (34.6%) and in 51 of these 53 eyes (96.22%) the complications occurred before 3 months of postoperative follow-up. The intraoperative and postoperative complications included retinal detachment (17.4%), retinal breaks (13.4%), macular holes (7.8%), macular fold (4.6%), and intraocular hemorrhage (vitreous, subretinal, or choroidal; 9.2%). Eyes that developed retinal detachment, subretinal hemorrhage, and macular fold had significantly more loss of visual acuity than eyes without each of these complications (
P = .0001,
P = .038, and
P = .027, respectively). The presence of predominantly classic choroidal neovascularization, the occurrence of an intraoperative retinal break, any intraocular hemorrhage, or macular fold formation were significantly associated with retinal detachment (
P = .021,
P = .025,
P = .013, and
P = .014, respectively). The incidence of any complication, retinal detachment, and hemorrhage significantly decreased during the study period, suggesting a learning process (
P = .03,
P = .006,
P = .027, respectively).
CONCLUSIONS: A variety of ocular complications can occur during or after limited macular translocation, and some are associated with reduced postoperative visual acuity. Improved surgical techniques and experience may significantly reduce the incidence of these complications.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11124294</pmid><doi>10.1016/S0002-9394(00)00771-6</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Biological and medical sciences Choroidal Neovascularization - etiology Choroidal Neovascularization - surgery Female Fluorescein Angiography Follow-Up Studies Humans Intraoperative Complications - diagnosis Macula Lutea - transplantation Macular Degeneration - complications Male Medical sciences Middle Aged Postoperative Complications - diagnosis Retinal Detachment - etiology Retinal Hemorrhage - etiology Retinal Perforations - etiology Retrospective Studies Risk Factors Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Tissue Transplantation - adverse effects Transplantation, Autologous Visual Acuity Vitreous Hemorrhage - etiology |
| title | Complications associated with limited macular translocation |
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