Macular translocation with chorioscleral outfolding: An experimental study

PURPOSE: Macular translocation by chorioscleral infolding has been proposed as a surgical intervention for exudative age,related macular degeneration, but the surgery is unpredictable and can be associated with severe complic ations. We tested a new surgical technique, macular translocation with chor ioscleral outfolding secured by neurosurgical clips. METHODS: This was a prospective interventional study in two parts; the firs t in human cadaver eyes and the second in pigs. Chorioscleral infolding was performed on six human donor eyes, and chorioscleral outfolding was perfor med on an additional six. The inner surface of the CONCLUSION: Radial chorioscleral outfolding with clips is more predictable and effective than infolding. It produces more translocation and prevents f olds across the fovea, one of the most undesirable complications in macular translocation surgery. (C) 2001 by Elsevier Science Inc. All rights reserv ed.