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

NICE has also issued full guidance on Macular translocation with 360° retinotomy for wet age related macular degeneration (Interventional Procedures Guidance no 340).

These replace the previous guidance on Macular translocation for age-related macular degeneration (Interventional Procedures Guidance no. 48, March 2004).  

  • Description

    Age-related macular degeneration is an eye disorder that causes problems with central vision (seeing things straight in front of you) and affects 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 lying over a different part of the choroid layer. This ‘tuck’ method is called limited macular translocation.

  • OPCS4.6 Code(s)

    C83.3 Limited macular translocation

    Includes: Macular translocation NEC

    The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.

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