Effective nasal limited macular translocation

Gildo Y. Fujii, Eugene De Juan, Kah Guan Au Eong, Joseph B. Harlan

Research output: Contribution to journalArticlepeer-review


PURPOSE: To describe a case of effective foveal displacement toward the optic disk (nasal limited macular translocation) in a patient with a large subfoveal choroidal neovascularization secondary to age-related macular degeneration. 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 with a minimum desired translocation of 650 μm for nasal macular translocation. The patient underwent nasal LMT with punctate retinotomy and temporal chorioscleral infolding, followed by postoperative head-positioning on his right side. Effective LMT was achieved with a postoperative nasal foveal displacement of 1400 μm. The entire CNV was ablated with laser photocoagulation postoperatively. His vision improved to 20/40 6 months postoperatively. CONCLUSION: Nasal LMT is feasible and may be considered in patients with subfoveal CNV centered temporally relative to the fovea.

Original languageEnglish (US)
Pages (from-to)124-126
Number of pages3
JournalAmerican journal of ophthalmology
Issue number1
StatePublished - 2001
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology


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