Elimination of Juxtafoveal Membrane in Age-related Macular Degeneration

Czech version

Authors: J. Doležalová; I. Karel; J. Dvořák
Authors‘ workplace: Oční klinika LF, Plzeň, přednostka doc. MUDr. R. Říčařová, CSc.
Published in: Čes. a slov. Oftal., , 2000, No. 5, p. 280-285
Category:

Overview

Surgical extraction of the submacular neovascular membrane (SNM) is one of thenew indications for surgery of the macula. The functional results after surgicalextraction of the SNM depend on the state of the submacular pigmented epitheliumand neuroepithelium which is, last not least, conditioned by the etiology of SNM.The majority of SNM in age-related macular degenerations has a poor prognosis,These SNM are as a rule nurished from several vascular sources and markedlydestroy the pigmented epithelium because they penetrate beneath and above it.The authors evaluate in the submitted paper the results of surgical removal of theSNM in two eyes of two patients with age-related macular degeneration. Despitethe relatively favourable juxtafoveal localization of the membrane, a non-compli-cated course of the operation and postoperative course the functional result ofthe operation in the two eyes was not very satisfactory. Chorioretinal scars withextensive defects of the pigmented epithelium in the region of the macula werethe cause of a decline of visual acuity to a level which however could be hardlypreseved by a conservative procedure.

Key words:
age-related macular degeneration , neovascular membrane, surgery

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