Macular translocation with 360 retinectomy for submacular hemorrhage in age related macular degeneration

Introduction
To report macular translocation with 360 retinectomy for treatment of submacular hemorrhage in patients with age related macular degeneration.

Material and methods
Retrospective review of the two patients with age related macular degeneration and submacular hemorrhage, treated with macular translocation with 360 retinectomy. Outcome measures included preoperative and postoperative visual acuity at 1, 3, 6 months and 1 year and a difference between preoperative and postoperative visual acuity at 1 year, as well as the duration of hemorrhage, hemorrhage size on preoperative fluorescein angiography and thickness of the subretinal hemorrhagic complex on preoperative OCT scans.

Results
The two operated patients were followed-up for 1 year. Distance visual acuity at 12 months improved in both cases by 0.22 and 0.48 logMAR respectively. No major intraoperative and postoperative complications were observed except for a foveal atrophy on OCT in one patient.

Conclusions
MT360 seems to be an effective option for submacular hemorrhage treatment in AMD in the second affected eye. However a further face to face comparison with other treatment methods and with combination of tPA, anti-VEGF and pneumatic displacement in particular, is necessary to fully determine the efficacy of this technique.