ABSTRACT
At the Department of Ophthalmology, Staedtische Kliniken Frankfurt am Main, a two-step technique is routinely used in macular translocation. The first step of the procedure involves torsional muscle surgery for counter-rotation of the globe, phacoemulsification, and implantation of an artificial lens, combined with vitrectomy and macular translocation. The second step is performed: removal of silicone oil, with excision of the posterior capsule. For vitrectomy and macular translocation, it is absolutely imperative that the patient’s own crystalline lens be removed to allow sufficient space to maneuver at the periphery of the fundus. Vitrectomy begins with the standard three-port procedure in which the infusion cannula is sutured in the infero-temporal area. In the vitrectomy, one should assume that the posterior hyaloid is attached. Asteroid hyalosis usually prevents detachment of the posterior vitreous from the retina, both greatly prolonging the procedure and increasing the risks.
