Pedicled retinal pigment epithelium - choroid graft autotranslocation in scarred age-related macular degeneration

The purpose of the study is to analyse the effectiveness of pedicled RPE (retinal pigment epithelium) - choroid graft autotranslocation in scarred neovascular age-related macular degeneration (AMD) treatment. Material and Methods. Pedicled RPE - choroid graft autotranslocation was performed on 8 patients with scarred wet AMD. Follow-up was from 6 to 30 months. Visual acuity, ophthalmoscopy, optical coherent tomography and indocian-green angiography were analysed. Results. The average visual acuity increased from 0.009±0.006 to 0.018±0.022 (p=0.15). Visual acuity increased in 50% of the patients. In 50% of patients visual acuity decreased, which was associated with proliferative vitreoretinopathy in post-op period with retinal detachment formation. No cases of choroidal neovascularization recurrence were detected. According to angiography data normal choroidal perfusion in the rotated RPE - choroid patch was revealed after 1 month during the follow-up examination. Conclusion. Pedicled RPE - choroid graft translocation can be successively performed in case of scarred neovascular age-related macular degeneration.