Surgical removal of submacular choroidal neovascularization: A clinicopathologic study and factors influencing visual outcomes

R. P. Corey, I. U. Scott, Harry W Flynn, Jr Rosa R.H., T. G. Murray

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVE: Clinical and histopathologic characteristics of submacular choroidal neovascular membranes (CNV) are investigated and features predictive of postoperative complications or poorer visual outcome following CNV removal are identified. MATERIALS AND METHODS: Records of patients who underwent submacular CNV removal at Bascom Palmer Eye Institute between 1991 and 1998 are reviewed. RESULTS: At 6 months postoperatively, vision was stable or improved in 19/26 (73%) eyes, with 15/26 (58%) having 20/200 to 20/400 vision. Postoperative retinal detachment occurred more commonly in age-related macular degeneration eyes (AMD) (P <0.05), and CNV recurrence occurred most frequently in presumed ocular histoplasmosis (POHS) eyes (P <0.05). The one eye with an extrafoveal CNV in-growth site had the largest improvement in vision postoperatively. Choroid in the specimen was associated with worse postoperative vision (P = 0.05). CONCLUSION: Submacular CNV removal achieves visual stabilization at the 20/200 to 20/400 level in most eyes. Potential risk factors for postoperative complications or poorer visual outcome include the underlying disease process, subfoveal in-growth site of CNV, and presence of choroid in the specimen.

Original languageEnglish
Pages (from-to)406-418
Number of pages13
JournalOphthalmic Surgery and Lasers
Volume32
Issue number5
StatePublished - Sep 26 2001

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Choroidal Neovascularization
Membranes
Choroid
Histoplasmosis
Macular Degeneration
Retinal Detachment
Growth
Recurrence

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Surgical removal of submacular choroidal neovascularization : A clinicopathologic study and factors influencing visual outcomes. / Corey, R. P.; Scott, I. U.; Flynn, Harry W; Rosa R.H., Jr; Murray, T. G.

In: Ophthalmic Surgery and Lasers, Vol. 32, No. 5, 26.09.2001, p. 406-418.

Research output: Contribution to journalArticle

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