The place of surgery in subfoveal neovascular treatment in age-related macular degeneration]

Surgical treatment of age-related macular degeneration has been developed since 1991 when the limitations of photocoagulation were demonstrated: it is suitable for few patients, high-recurrence rate, and immediate loss of visual acuity for subfoveal membranes. This article will review the different procedures: surgical excision, macular translocation, and macular rotation. We will attempt to clarify the surgical indications, taking into account of the early results of dynamic phototherapy. However, because of the lack of comparative studies, there is no definitive consensus regarding surgery for age-related macular degeneration.