Effective nasal limited macular translocation

PURPOSE: To describe a case of effective foveal displacement toward the opt ic disk (nasal limited macular translocation) in a patient with a large sub foveal choroidal neovascularization secondary to age-related macular degene ration. METHODS: Case report. RESULTS: A 77-year-old white man presented with decreased vision of 20/400 due to subfoveal predominantly occult CNV secondary to age-related macular degeneration in the left eye. The CNV, measuring 9 Macular Photocoagulation Study disk areas in size,was centered temporally relative to the fovea wit h a minimum desired translocation of 650 mum for nasal macular translocatio n. The patient underwent nasal LMT with punctate retinotomy and temporal ch orioscleral infolding, followed by postoperative head-positioning on his ri ght side. Effective LMT was achieved with a postoperative nasal foveal disp lacement of 1400 mum. The entire CNV was ablated with laser photocoagulatio n postoperatively. His vision improved to 20/40 6 months postoperatively, CONCLUSION: Nasal LMT is feasible and may be considered in patients with su bfoveal CNV centered temporally relative to the fovea. (Am J Ophthalmol 200 1;132: 124-126. (C) 2001 by Elsevier Science Inc. All rights reserved.).