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Optical coherence tomography on autologous translocation of choroid and retinal pigment epithelium in age-related macular degeneration.
Eye (Lond). 2008 Jun; 22(6):782-9.E

Abstract

PURPOSE

To analyse structural changes after autologous translocation of choroid and retinal pigment epithelium (RPE) in patients with age-related macular degeneration (AMD) using optical coherence tomography (OCT).

METHODS

We performed a prospective nonrandomised study in 29 consecutive patients, who underwent submacular surgery with translocation of an autologous full-thickness graft of RPE, Bruch's membrane, and choroid. All patients had recent loss of reading vision due to AMD. OCT was performed before surgery and at 3- and 6- month follow-up to analyse the morphological appearance of the graft and the overlying retina.

RESULTS

Maximum retinal thickness decreased from mean 408 microm (standard deviation (SD) 127 microm) preoperative to mean 373 microm (SD 104 microm) at 6-month follow-up (P=0.094). In 11 cases (40%), a nearly physiological shape of the retina was seen at this time point. A macular hole persisted in two eyes after silicone oil removal. In most eyes, the highly reflective band of the graft presumably corresponding to RPE was continuous with the surrounding RPE band in all six OCT scans. Eyes with flat appearance of the graft at 6-month follow-up (<300 microm) showed a significantly better functional outcome than eyes with more prominent grafts. Interestingly, most patients did not complain about metamorphopsia, even though the graft was prominent or wrinkled in some cases.

CONCLUSION

OCT is a useful tool in monitoring intra- and subretinal changes after subretinal surgery with graft translocation. We demonstrated that graft translocation may lead to a normalisation of retinal thickness and stabilisation of visual acuity.

Authors+Show Affiliations

Department of Vitreoretinal Surgery, Center for Ophthalmology, University of Cologne, Cologne, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17332766

Citation

Joeres, S, et al. "Optical Coherence Tomography On Autologous Translocation of Choroid and Retinal Pigment Epithelium in Age-related Macular Degeneration." Eye (London, England), vol. 22, no. 6, 2008, pp. 782-9.
Joeres S, Llacer H, Heussen FM, et al. Optical coherence tomography on autologous translocation of choroid and retinal pigment epithelium in age-related macular degeneration. Eye (Lond). 2008;22(6):782-9.
Joeres, S., Llacer, H., Heussen, F. M., Weiss, C., Kirchhof, B., & Joussen, A. M. (2008). Optical coherence tomography on autologous translocation of choroid and retinal pigment epithelium in age-related macular degeneration. Eye (London, England), 22(6), 782-9.
Joeres S, et al. Optical Coherence Tomography On Autologous Translocation of Choroid and Retinal Pigment Epithelium in Age-related Macular Degeneration. Eye (Lond). 2008;22(6):782-9. PubMed PMID: 17332766.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optical coherence tomography on autologous translocation of choroid and retinal pigment epithelium in age-related macular degeneration. AU - Joeres,S, AU - Llacer,H, AU - Heussen,F M A, AU - Weiss,C, AU - Kirchhof,B, AU - Joussen,A M, Y1 - 2007/03/02/ PY - 2007/3/3/pubmed PY - 2008/12/17/medline PY - 2007/3/3/entrez SP - 782 EP - 9 JF - Eye (London, England) JO - Eye (Lond) VL - 22 IS - 6 N2 - PURPOSE: To analyse structural changes after autologous translocation of choroid and retinal pigment epithelium (RPE) in patients with age-related macular degeneration (AMD) using optical coherence tomography (OCT). METHODS: We performed a prospective nonrandomised study in 29 consecutive patients, who underwent submacular surgery with translocation of an autologous full-thickness graft of RPE, Bruch's membrane, and choroid. All patients had recent loss of reading vision due to AMD. OCT was performed before surgery and at 3- and 6- month follow-up to analyse the morphological appearance of the graft and the overlying retina. RESULTS: Maximum retinal thickness decreased from mean 408 microm (standard deviation (SD) 127 microm) preoperative to mean 373 microm (SD 104 microm) at 6-month follow-up (P=0.094). In 11 cases (40%), a nearly physiological shape of the retina was seen at this time point. A macular hole persisted in two eyes after silicone oil removal. In most eyes, the highly reflective band of the graft presumably corresponding to RPE was continuous with the surrounding RPE band in all six OCT scans. Eyes with flat appearance of the graft at 6-month follow-up (<300 microm) showed a significantly better functional outcome than eyes with more prominent grafts. Interestingly, most patients did not complain about metamorphopsia, even though the graft was prominent or wrinkled in some cases. CONCLUSION: OCT is a useful tool in monitoring intra- and subretinal changes after subretinal surgery with graft translocation. We demonstrated that graft translocation may lead to a normalisation of retinal thickness and stabilisation of visual acuity. SN - 0950-222X UR - https://www.unboundmedicine.com/medline/citation/17332766/Optical_coherence_tomography_on_autologous_translocation_of_choroid_and_retinal_pigment_epithelium_in_age_related_macular_degeneration_ L2 - https://doi.org/10.1038/sj.eye.6702761 DB - PRIME DP - Unbound Medicine ER -