Evaluation des modifications anatomiques et fonctionnelles de la macula après chirurgie des membranes néovasculaires rétrofovéolaires dans la dégénérescence maculaire liée à l'âge [Evaluation of functional and anatomical changes in the macula after surgery for retro-foveal neovascularization of membranes in age-related macular degeneration].


Autoria(s): Chauvaud D.; Le Rouic J.F.; Behar-Cohen F.
Data(s)

2000

Resumo

PURPOSE: The aim of this study was to evaluate the direct effect of surgical treatment of subfoveolar neovascular membranes in age related macular degeneration to macular functions. PATIENTS AND METHODS: Thirteen eyes of 13 patients were included in this study. Macular function was assayed by visual acuity and central visual field using the Octopus perimeter before surgery and in the first three post operative months. Pre and post operative fluorescein angiography frames were digitalized and the size of each lesions were compared. RESULTS: After a 3 months follow up, visual acuity remained stable or improved in 66% of the patients. However, visual acuity was better than 0.1 in 15% of the patients. Central visual field comparison disclosed a significant worsening of the retinal sensitivity in the 3 degree field surrounding the central point. On fluorescein frames, submacular scar was 141% of the size of the neovascular membrane. After a mean follow up of 6.9 months (range 3-14), one case of recurrence occurred. A cataract was observed in 85% of the phakic patients followed for more than six months. CONCLUSION: After a short term follow up, surgery can stabilise visual acuity, even though it remains poor. A worsening of the scotoma in the 3 degrees surrounding the central point is observed. However, patients noticed a subjective visual improvement in 62% of the case.

Identificador

https://serval.unil.ch/?id=serval:BIB_3074C05A0F98

isbn:0181-5512 (Print)

pmid:10660645

http://my.unil.ch/serval/document/BIB_3074C05A0F98.pdf

http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_3074C05A0F982

isiid:000085696600006

doi:

Idioma(s)

fr

Direitos

info:eu-repo/semantics/openAccess

Fonte

Journal Français D'ophtalmologie, vol. 23, no. 1, pp. 27-36

Palavras-Chave #Aged; Aged, 80 and over; Atrophy; Fluorescein Angiography; Follow-Up Studies; Humans; Macular Degeneration/pathology; Macular Degeneration/physiopathology; Middle Aged; Neovascularization, Pathologic/surgery; Recurrence; Time Factors; Visual Acuity; Visual Field Tests; Visual Fields
Tipo

info:eu-repo/semantics/article

article