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Macular Translocation Surgery Treatment Procedure

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Published: 02/11/2008
Updated: 02/11/2008

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 two hours.
  • You will have 10 days of special positioning after the first surgery.

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 that 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 (PDF).