Correction of cyclovertical strabismus induced by limited macular translocation in a case of age-related macular degeneration

PURPOSE: To report a case of strabismus surgery performed to treat cyclover tical strabismus induced by limited macular translocation, METHODS: Case report. RESULTS: A 62-year-old man suffering with age-related macular degeneration and subfoveal choroidal neovascularization, RE, underwent limited macular t ranslocation surgery. The fovea was rotated downward, and his visual acuity improved from 20/100 to 20/25 postoperatively. Cyclovertical diplopia pers isted for 6 months after the operation. A Hess screen test revealed a patte rn that simulated an underaction of the superior oblique muscle and inferio r rectus muscle with an overaction of the ipsilateral inferior oblique musc le. To treat the diplopia, advancement of the superior oblique muscle tendo n and resection of the ipsilateral inferior rectus muscle were performed. B inocular single vision with ISO seconds of are for stereopsis was obtained. CONCLUSION: Cyclovertical strabismus after limited macular translocation is corrective with conventional surgery on the treated eye. (Am J Ophthalmol 2001;131: 270-272, (C) 2001 by Elsevier Science Inc. All rights reserved.).