TY - JOUR
T1 - Reading ability after macular translocation surgery with 360-degree retinotomy
AU - Fujikado, Takashi
AU - Asonuma, Sanae
AU - Ohji, Masahito
AU - Kusaka, Shunji
AU - Hayashi, Atsushi
AU - Ikuno, Yasushi
AU - Kamei, Motohiro
AU - Oda, Koichi
AU - Tano, Yasuo
N1 - Funding Information:
This study was supported by Health Sciences Research Grants Japan.
PY - 2002/12/1
Y1 - 2002/12/1
N2 - PURPOSE: To report reading ability using a standardized reading chart after macular translocation with 360-degree retinotomy in eyes with age-related macular degeneration (AMD) or with myopic choroidal neovascularization (mCNV). DESIGN: Interventional case series. METHODS: In 34 eyes of 34 patients with subfoveal choroidal neovascular membrane (AMD, 23; mCNV, 11), macular translocation surgery with 360-degree retinotomy and simultaneous extraocular muscle surgery were performed. The average age was 67.4 ± 7.9 years, and the average follow-up period was 7.6 ± 3.3 months. The best-corrected far visual acuity (FVA) was measured with a standardized visual acuity chart using Landolt Cs, and the critical print size (CPS) was determined with the Japanese version of the Minnesota reading chart (MNREAD-J Chart) preoperatively and postoperatively. Preoperative and postoperative change in the CPS was compared with the subjective visual improvement as assessed by a questionnaire. RESULTS: The postoperative improvement of FVA was statistically significant in eyes with mCNV (P = .010) but not significant in eyes with AMD (P = .495). The postoperative improvement of CPS was statistically significant both in eyes with AMD (P = .027) and in eyes with mCNV (P = .004). The subjective visual improvement was significantly correlated with the change of CPS in patients after a second better eye surgery. CONCLUSIONS: After macular translocation with 360-degree retinotomy, the improvement of reading ability was significant in eyes with both AMD and mCNV. We conclude that this surgical method is well suited to improve reading ability of patients with AMD or mCNV.
AB - PURPOSE: To report reading ability using a standardized reading chart after macular translocation with 360-degree retinotomy in eyes with age-related macular degeneration (AMD) or with myopic choroidal neovascularization (mCNV). DESIGN: Interventional case series. METHODS: In 34 eyes of 34 patients with subfoveal choroidal neovascular membrane (AMD, 23; mCNV, 11), macular translocation surgery with 360-degree retinotomy and simultaneous extraocular muscle surgery were performed. The average age was 67.4 ± 7.9 years, and the average follow-up period was 7.6 ± 3.3 months. The best-corrected far visual acuity (FVA) was measured with a standardized visual acuity chart using Landolt Cs, and the critical print size (CPS) was determined with the Japanese version of the Minnesota reading chart (MNREAD-J Chart) preoperatively and postoperatively. Preoperative and postoperative change in the CPS was compared with the subjective visual improvement as assessed by a questionnaire. RESULTS: The postoperative improvement of FVA was statistically significant in eyes with mCNV (P = .010) but not significant in eyes with AMD (P = .495). The postoperative improvement of CPS was statistically significant both in eyes with AMD (P = .027) and in eyes with mCNV (P = .004). The subjective visual improvement was significantly correlated with the change of CPS in patients after a second better eye surgery. CONCLUSIONS: After macular translocation with 360-degree retinotomy, the improvement of reading ability was significant in eyes with both AMD and mCNV. We conclude that this surgical method is well suited to improve reading ability of patients with AMD or mCNV.
UR - http://www.scopus.com/inward/record.url?scp=0036894458&partnerID=8YFLogxK
U2 - 10.1016/S0002-9394(02)01756-7
DO - 10.1016/S0002-9394(02)01756-7
M3 - 学術論文
C2 - 12470753
AN - SCOPUS:0036894458
SN - 0002-9394
VL - 134
SP - 849
EP - 856
JO - American Journal of Ophthalmology
JF - American Journal of Ophthalmology
IS - 6
ER -