Retinal pigment epithelium autotranslocation in traumatic rupture of the choroid in the macular area. Clinical case.

Abstract

Purpose. To evaluate the effectiveness of the retinal pigment epithelium and choroid autotranslocation performed for traumatic rupture of the choroid in the macular area. Material and methods. A 30-year-old patient with subretinal fibrosis due to traumatic rupture of the choroid in the macular area underwent subretinal surgery with retinal pigment epithelium and choroid autotranslocation. Visual acuity and morphological status were assessed according to optical coherence tomography and ophthalmoscopy. The observation period is 12 months. Results. No side effects and complications were detected during the entire observation period. Visual acuity increased from 0.05 initially to 0.15 by the end of the observation period. The RPE-choroid graft is located in the macular area without signs of exudation and fibrosis, the fovea is in the center of the retinal pigment epithelium – choroid graft, the pigment epithelium is viable. Conclusion. Subretinal surgery with retinal pigment epithelium and choroid autotranslocation is the method of choice in the treatment of post-traumatic rupture of the choroid in the macular area, that can lead to a significant improvement in visual functions. Keywords: Subretinal surgery, vitreo-retinal surgery, choroid rupture, silicone oil, autotranslocation.