Abstract
Purpose:
The purpose of this study is to evaluate the postoperative clinical outcomes of the first 10 patients that underwent placement of an implantable miniature telescope (IMT) for end-stage age-related macular degeneration (ARMD) at the UC Davis Eye Center.
Methods:
A retrospective analysis of the first 10 patients with end-stage ARMD who underwent IMT placement at the UC Davis Eye Center between 5/2012 and 7/2013 was performed. Visual acuities, intraocular pressures (IOPs), and specular microscopy were analyzed at the preoperative visit and postoperative month 3 and 6 visits. The frequency and number of occupational therapy visits and any postoperative complications were also evaluated.
Results:
The average age of patients undergoing IMT placement was 81.9 years. The average preoperative best spectacle-corrected visual acuities (BSCVA) in patients selected to undergo placement of the IMT was 1.443 logMar (20/550) vision. At postoperative month 3 and 6 visits, BSCVA improved to 1.210 (20/320) and 1.210 (20/320) with an average of 2 Snellen lines of improvement in BSCVA. Preoperatively, the mean IOP of these patients was 14, with mean IOPs of 12 and 12 at 3 and 6 months postoperatively. The average endothelial count of patients preoperatively was 2106 and the average endothelial count at the 6 month visit was 1758. The average number of occupational therapy visits that patients went to was 7 (range 2-10). In terms of postoperative complications, one patient had a fall with expulsion of the IMT.
Conclusions:
The use of IMTs in selected patients suffering from end-stage age related macular degeneration appears to improve visual acuity.
Keywords: 585 macula/fovea •
584 low vision •
421 anterior segment