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Multi Modal Imaging and Choroiditis

ABSTRACT Multi modal imaging techniques involving FA, SD-oct & EDI and ICG angiography accurately delineate the area of choroid/RPE involvement OCT Angiography also an imaging which helps to identify the choroidal hypo or non perfusion compared to retinal layers. AF is a non-invasive technique which helps us to monitor about the early recurrences and the dosing of corticosteroids and immunomodulators The multimodal approach also helps...

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Management of Submacular Hemorrhage

EDITED FILM ABSTRACT Submacular Hemorrhage is one condition which acutely threatens the vision with devastating consequences. Particularly in elderly patients, who live alone and get affected mostly due to age related macular degeneration and not so infrequent submacular hemorrhage, this is a visually and psychologically debilitating. In elderly patients the cause is mostly wet ARMD (Polyp mostly). The sub macular hemorrhage can be...

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Choroidal Tubercle

RETINA PHOTO ABSTRACT CONTACT DETAILS Abhijit CHATTOPADHYAY Priyamvada Birla Aravind Eye Hospital Kolkata, India Email: achattopadhyay2009@gmail.com Cell Phone: +919432274599 Work Phone:...

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Sudden Vision Loss After Intravitreal Gancyclovir

64 old male patient being treated for last 3 years for eosinophillic vasculitis with oral wysolone (10mg/day now) and Tab azathioprone. Complained of slight blurring vision in left eye. Vision was 20/20 in right eye and 20/30 in left eye. Clinically the anterior chamber was quiet, slight RAPD, 1+ cells in Vitreous in left eye. The retina showed left eye retinitis with disc pallor, right eye few retinal haemorrhages. All the necessary...

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Retinal Vein Occlusion: Can it be Due to Vasculitis?

Retinal Vein Occlusion is the one of the most important causes for vision loss due to retinal conditions. Most of the time it is due to some associated systemic factors. Vascultis should be suspected in younger age groups with vein occlusions especially where no contributory systemic factors are present. Vasculitis as a disease presents with varied types of manifestations. Retinal vasculitis usually occurs in young patients with the...

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Drainage of Choroidal Detachments

Choroidal Detachment(CD) is an entity which in most of the time resolve on its own. In few situations, the CD has to be drained to improve the visual acuity and even to save the eye. These situations may arise if the detachments are haemorrhagic with retinal apposition for sufficently long time, or during vitrectomy procedures before the completion of .Traditionally the CD are drained by exposing the choroid after making scleral section...

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Keratoprosthesis & Vitrectomy in Endophthalmitis Involving Cornea

Endophthalmitis with Corneal Involvement is a very grave situation. The prospect of saving the eye is low. The effective Vitrectomy may not be possible due to poor visualization. Also the corneal involvement always make the perforation and auto-evisceration of the eye as a real possibility. The use of keratoprosthesis is a wonderful way to overcome all these obstacles. In this video, we showed how effective this instruments can be. The...

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Sudden Visual Loss

Abhijit Chattopadhyay_RETINA PHOTO 2015 One 87 year old gentleman presented with the recurrent obscuration of vision in RE. The anterior segment showed bilateral IOL and unremarkable. The fundus picture given attached. What is the findings and what investigations should be done ? What can be the results of those investigations? Contact Details: Email: abhijitc@gmail.com Cell Phone:...

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High Intensity Thermal Laser in Non-subfoveal Polypoidal Choroido Vasculopathy – An Effective Method

Advantages: In non-subfoveal idiopathic polypoidal choroido vasculopathy (IPCV) cases, the high to moderate intensity green laser along with or with out anti-vascular endothelial growth factor (anti-VEGF) injections may be tried with good success in cases refractory to photodynamic therapy (PDT). Methods: Five eyes of five patients were studied retrospectively. Two patients were male and three patients were female, the age group ranging...

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Removing the Submacular Scar

Submacular scar in long standing age related macular degeneration cases severly compromise the vision and vis a vis the day to day activity of the person thus affected. Minimum improvements in the vision make these patients happier. It helps them with at least the benefit of improved field of vision. Here we describe surgery in a patient with long standing macular scar. Novel instrumentation technique was used to make a sub macular cannula....

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Macular Hole Surgery – Different Situations

The initial indications for macular hole surgery was only extensive retinal detachment caused by the hole. The modern technique of macular hole surgery with pars plana vitrectomy was started in early 1990s. The initial success rate of closure was about 60%. The surgery came a long way down the timeline to a closure rate of 80% to 90%. We use different vital stains to stain the internal limiting membrane. The viewing system improved a lot...

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25 Gauge Vitrectomy – An Effective Method for Sutureless Diabetic Vitrectomy

http://www.evrs.eu/medias/2010/videos/AbhijitChattopadhyay_VP6_768K.flv Abhijit Chattopadhyay, Chirag Bhatt, Soumen Mandal, Shubhankarsri Paul (Kolkata, India) Advantages: 25 Gauge sutureless methods allow early ambulation and quick recovery. This system also helps in better maintenance of intra-ocular pressure thus reducing the intra-operative bleeding. The hospital staying time also got reduced remarkably. The lid swelling and...

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Bimanual Vitrectomy – A Safer Way to Manage Severe Proliferative Diabetic Retinopathy

http://www.evrs.eu/medias/2010/videos/ChiragBhatt_1_VP6_768K.flv Chirag Bhatt, Aniruddha Maiti, R. C. Paul, P. K. Chatterjee, Aditya Kelkat, Abhijit Chattopadhyay (Kolkata, India) Advantages: Diabetic retinopathy is one of the leading causes of blindness in the world. Vitrectomy may not only remove vitreous hemorrhage but also prevent or relieve traction on the retina from contraction of the fibrovascular membranes that characterize severe...

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