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Limited macular translocation for wet age-related macular degeneration

 
Guidance issued
 
Number: IPG48

Summary

The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on macular translocation for wet age-related macular degeneration in March 2004.

NICE has reviewed this guidance and is reassessing the procedure. New guidance will be published as a result.  Until the new guidance is published the NHS should continue to follow the recommendations in the guidance below.

The Interventional Procedures Advisory Committee (IPAC) has considered this procedure and NICE has issued a consultation document about its safety and efficacy. Consultation has now ended. IPAC will consider the consultation comments and produce a Final Interventional Procedures Document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.

The consultation period for this procedure closed on the 27th January 2010.

If you wish to be updated to any developments with this procedure, you can express an interest here.

Description

Age-related macular degeneration is an eye disorder that causes problems with central vision (seeing things straight in front of you)and affecting the part of the retina (the back of the eye) called   the macula. Wet macular degeneration happens because fluid leaks into the area under the macula causing scarring.

The aim of macular translocation is to improve vision. It involves cutting and moving the macula on an a nearby healthier area of the retina.

A small cut is made in the retina to get to the outer layers of the eye. A ‘tuck’ is put into these layers with a stitch so that the macula ends up laying over a different part of the choroid layer. This ‘tuck’ method is called limited macular translocation.

OPCS code:

Details

Arrangement:
Special
Topic area:
Eye
Surgical procedures
Specialty:
Geriatric medicine
Medical opthalmology
Specialist advice has been sought from:
Royal College of Ophthalmologists
Date notified to NICE:
01 April 2002
Provisional consultation date:
Winter 2009
Guidance issue date:
24 March 2004

Contact details:

Project manager (for general enquiries or comments)
(for general enquiries or comments)
Ben Doak
Technical lead
(for procedure specific enquiries or comments)
Steven Barnes
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links: