May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
Surgical Removal of Choroidal Neovascularization in Age-Related Macular Degeneration Revisited: A Series by a Single Surgeon in Five Years
T. Hattori; M. Nozaki; M. Yoshida; Y. Ogura
Author Affiliations & Notes
  • T. Hattori
    Department of Ophthalmology, Nagoya City University Medical School, Nagoya, Japan
  • M. Nozaki
    Department of Ophthalmology, Nagoya City University Medical School, Nagoya, Japan
  • M. Yoshida
    Department of Ophthalmology, Nagoya City University Medical School, Nagoya, Japan
  • Y. Ogura
    Department of Ophthalmology, Nagoya City University Medical School, Nagoya, Japan
  • Footnotes
    Commercial Relationships  T. Hattori, None; M. Nozaki, None; M. Yoshida, None; Y. Ogura, None.
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 5014. doi:
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      T. Hattori, M. Nozaki, M. Yoshida, Y. Ogura; Surgical Removal of Choroidal Neovascularization in Age-Related Macular Degeneration Revisited: A Series by a Single Surgeon in Five Years . Invest. Ophthalmol. Vis. Sci. 2003;44(13):5014.

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Abstract

Abstract: : Purpose: To re-evaluate effects and visual prognosis after surgical removal of choroidal neovascularization (CNV) in age-related macular degeneration(AMD). Methods: Fifty seven eyes of 56 patients underwent surgical removal CNV in AMD by a single surgeon. Forty eyes had subfoveal CNV and 17 eyes had juxtafoveal CNV. Postoperative visual prognosis was analyzed according to various preoperative factors, such as type, size and location of CNV, OCT findings, age of the patients. Results:Twenty seven eyes (47%) obtained visual improvement of two lines or more. Visual acuity of 22 eyes (39%) remained within two lines. Eight eyes (14%) showed visual deterioration. Factors associated with the final visual acuity better than 20/100 were smaller CNV (less than 1 disc diameter) and younger age (younger than 70 years). Eyes with juxtafoveal CNV demonstrated better visual prognosis compared to those with subfoveal CNV. Surgical complications included retinal breaks (4%), retinal detachment (5%) and recurrence of CNV (4%). Conclusions: These results appear to be comparable to or better than the results of other treatments. Simple surgical removal of CNV is a safe and effective modality for the treatment of CNV in AMD.

Keywords: age-related macular degeneration • choroid: neovascularization • vitreoretinal surgery 
© 2003, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Permission to republish any abstract or part of an abstract in any form must be obtained in writing from the ARVO Office prior to publication.
Copyright © 2024 Association for Research in Vision and Ophthalmology.
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