Dr. SUNIL GANEKAL

Dr. SACHIN MAHULI

Abstract

Purpose-Functional and anatomical outcomes of neurosensory retina, RPE and choroidal grafts in end stage wet AMD

Methods- During vitrectomy, RPE–choroidal and neurosensory retinal free graft was

done in 16 eyes of 16 patients. The RPE–choroidal and retinal free graft was placed subretinally (n = 12), intraretinally inside an iatrogenically induced macular hole over the RPE–choroidal graft (n = 4).

Results- Mean follow-up was 6 ± 3.4 months . The mean preoperative VA was count fingers (log MAR = 2.11), which improved to 20/800 (log MAR 1.62 ± 0.46, P = 0.04). Vision was stable in 12 eyes (75%) and improved in 4 eyes (25%). Reading ability improved in 7 eyes (43.7%). Postoperative complications were graft atrophy (n = 4), epiretinal membrane (n = 3), and dislocation of neurosensory retina–choroid–RPE free graft (n = 2).

Conclusion- Autologous transplantation of neurosensory retina, RPE and choroidal grafts are potential surgical alternative in eyes with end-stage exudative AMD

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