Anatomic and functional recovery of the fovea after foveal translocation surgery without large retinotomy and simultaneous excision of a neovascular membrane

PURPOSE: To document the anatomic and functional recovery of the fovea afte r foveal trans location surgery with scleral shortening and simultaneous ex cision of a neovascular membrane in a patient with age-related macular dege neration, METHOD: Case report. RESULTS: The visual acuity of a 54-year-old woman with age-related macular degeneration im proved from 20/200 to 20/50 after excision of subretinal ne ovascular membrane and foveal translocation surgery in the right eye. Fixat ion shifted inferonasally 0.6 disk diameters, corresponding to the directio n of foveal translocation, as shown by scanning laser ophthalmoscope microp erimetry. Post-operative optical coherence tomography through fixation disc losed normal foveal concavity and intact retinal pigment epithelium. CONCLUSION: Anatomic and functional recovery of the fovea was confirmed in a patient with age-related macular degeneration after foveal translocation surgery with scleral shortening and simultaneous excision of a neovascular membrane. (Am J Ophthalmol 1998;126:839-842, (C) 1998 by Elsevier Science I nc. All rights reserved.).