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Isolated and pedicled graft in choroidal RPE patch transplantation

Session Details

Session Title: Vitreoretinal Surgery I

Session Date/Time: Thursday 26/09/2013 | 11:00-12:30

Paper Time: 11:16

Venue: Hall 3 (Level 0)

First Author: M.Stopa POLAND

Co Author(s):    P. Rakowicz              

Abstract Details


to report results of pedicled and isolated autologous choroidal RPE patch transplantation surgery for treatment of submacular hemorrhage in a patients with age related macular degeneration.


a retrospective case series of 5 patients (3 males and 2 females) report with a follow of 4 to 40 months.


All patients experienced sudden vision deterioration due to submacular hemorrhage in AMD. They were treated with autologous choroidal RPE patch transplantation. The surgery involved a 180° degree peripheral retinectomy and the preparation of an RPE choroid graft (pedicled grafts in 2 eyes and isolated grafts in 3 cases). Outcome measures included preoperative and postoperative visual acuity at 1, 3 months and at the end of the follow up as well macular status on postoperative OCT scans.


It was feasible to remove submacular hemorrhage and CNV and prepare choroid RPE graft in all eyes. A severe postoperative hemorrhage that lead to vision deterioration was observed in one eye. In one other case a retinal detachment occured that was treated with successive vitrectomy. Visual acuity improved in 4 patients and remained stable in 1 case. The perfusion of the graft was confirmed in ICG angiography.


Surgical techniques for preparation of pedicled and isolated grafts seem to present comparable challenge. Both strategies of autologous choroidal RPE patch transplantation are a surgical option for submacular hemorrhage treatment in AMD.

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