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DUKE EYE CENTER

DUKE UNIVERSITY MEDICAL CENTER

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Treatment Procedure

What happens during Macular Translocation Surgery?

First Surgery (Macular Translocation Surgery)

  • You will be comfortably sedated and able to hear your doctor talking, but you will not feel the surgery.
  • If you have a cataract, it will be removed at the beginning of surgery. A lens implant will be placed at the end of surgery or at a future date, if possible.
  • The vitreous gel, a jelly-like substance in the eye, will be removed.
  • Fluid will be placed under the retina to lift it away from the abnormal blood vessels (creating a retinal detachment).
  • The edges of the retina will be cut and the macula moved to a new location. The abnormal blood vessels will be either laser treated or removed.
  • The edges of the retina will be laser treated and silicone oil will be inserted to hold the retina in place.
  • Surgery lasts about 2 hours.

Second Surgery (Eye Muscle Surgery)

  • The second surgery will be performed eight weeks after the macular translocation.
  • A surgeon who is specialized in performing eye muscle surgery will operate on the eye muscles to correct the tilted vision.
  • The eye muscle surgery takes about one hour.

Third Surgery (Oil Removal Surgery)

  • Three to four weeks after the muscle surgery, you will have a third surgery.
  • During this surgery, the retinal surgeon will remove the silicone oil from the eye.
  • This is a 30-minute procedure which is done in the operating room.
  • No positioning is required after this surgery.

For detailed information about your treatment before, during and after surgery, please review our surgery information sheet (Requires Adobe® Acrobat® Reader®).

3 drawings of the retina in front view. First the normal retina with the damaged area covering the central area before surgery. The middle image shows a similar view after Translocation surgery with oil in the eye and the damaged area of the retina rotated away from the central area. The right image shows the retina after muscle surgery with the oil out and the retina rotated back to the normal position with the damaged area away from the central area.

More Information

Treatment Procedure

What to Expect After Treatment

FAQ