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E. Bartov, R.M. Romero, I. Yeshurun, H. Quiroz-Mercado; Foveal Choroido-scleral Exbrication: A New Method for Macular Translocation . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2976.
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Purpose: To report a new technique for macular traslocation for choroidal neovascularizacion (CNV) without threatening peripheral retina. Methods: In eight enucleated dog eyes, two rabbit eyes and one human eye a mattress suture was placed to induce in the posterior pole of the eye an external fold of sclera and choroid (exbrication), with and without posterior pole retinal detachment and with and without a trans sclera and choroid suture to fixate the choroid to the sclera and with two methods of external fixation during the suturing. Results: In the animal eyes and in a human AMD-CNV eye, Posterior Pole Sclero-choroidal Exbrication (PPSE) was effective in providing a new retinal pigmen epithelium for the neurosensory retina and in externalizing and confining of all neovascular tissue outside the subretinal space, in the exbrication fold. Conclusions: PPSE may be considered as an alternative surgery in eys with CNV. It has the potential of treating large CNV membranes with minimal or no involvemnet of the peripheral retina and without the need for 360 degrees retinotomy and extensive muscle surgery : .
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