14
The outcome is often impressive, with a remarkable increase in visual
acuity.
SURGICAL TRANSPOSITION OF THE MACULA:
Total translocation of the macula with a 360
o
peripheral incision of the
retina: All 4 spots, P (nasal), Θ (optic disc), B (fovea) and K (temporal) are
in the same straight line. After a 360
o
peripheral incision (green arrows), the
retina rotates to its new position at the optic nerve head axis.
83 year old patient with choroidal neovascularization:
Left: Before the operation, vision was 1/10
Right: 21 months following operation, vision reached 9/10
From January of 2012, the installation of embryonic stem cells in the
sub-retinal space for dry ARMD has started.
The outcome is very promising and patients’ vision improved
significantly without complications.
This technique represents an attempt to reset the sub-retinal space
to normal. The results are satisfactory when healthy cells from the
RPE of the same patient are utilized (“autologous graft”). It is not
often used though as new methods are emerging (such as embryonic
stem cells transplantation) that do not need the acquisition of graft
from the patient.
B.
RPE transplantation
C.
Stem cell transplantation in the
sub-retinal space
© 2015 ATHENS EYE HOSPITAL - NIKOLAOS PAPAZOGLOU M.D.
SURGICAL ΤRANSLOCATION OF THE MACULA
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Θ
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