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MY HSO Way as 1st Choice in Complicated RD: Checkmate in Two Moves!

Advantages: The dead space below tamponade, permits concentration of cells of the surgery. So that after a light tamponade is always obtain some small liquid are below the tamponade bubble that facilitates the concentration of inflammatory cells and therefore, the stimulus to proliferate. As a matter of fact is that most proliferative recurrence overcome in the anterior segment. If proliferative relapse may depend of the concentration of...

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My “One Laser Way” for Selected RD

Advantages: The classic technique  for the treatment of the retinal detachment is characterized by two critical points: the drainage and the retinopexy.  The exclusive use of the laser beam allows to reduce the risks during the drainage avoiding not only the mechanical cut but also the risks of hemorrhage, acute hypotone and incarceration. The laser transpupillar retinopexy on attached retinal on external piombaggio allows to reduce the...

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The Different Ways of Managing Traumatized Iris: Save the Iris!

Purpose: We present our strategy on traumatic iris injuries. Ocular traumatology represents an ultra-specialist branch of ocular surgery. The iris is often considered as a boundary area between anterior and posterior segment surgery and is a zone not well defined between the competency of vitreoretinal and anterior segment surgeon. Methods: We reviewed eyes with only anterior injuries or combined anterior and posterior segment injuries. At...

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The Endoscopic Way for Vitreoretinal Disease

Advantages: To show the advantages of the use of an endoscope in various pathologies concerning the eye ball. Endoscopy represents the vision from the inside towards the outside, a completely new vision. Endoscopy is fundamental in the case of opacity of the optic system, but it can be used also in case of transparent optics to explore unreachable areas through a frontal exploration. The distinction in two levels of experience is...

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27 G One Pars Plana Port Vitrectomy with a Reflow Strategy for Macular Diseases

Advantages: To report our results for macular hole using anterior chamber infusion during the reverse zonular flow “Re-flow” (personal technique) one port pars plana 27-gauge vitrectomy technique. Methods: A retrospective analysis of 10 eyes which underwent re-flow one port 27-gauge vitrectomy with the infusion in the anterior chamber for macular hole. This technique was used to decrease the turbulence of fluids in the vitreous cavity...

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29 G Chandelier Light for Optimal Positioning of Adjustable Macular Buckling in High Myopic MH

Purpose: To evaluate the efficacy of a modified Adjustable Macular Buckling Device in the treatment of myopic macular hole retinal detachment with posterior staphyloma. Methods: Two patients with myopic macular detachment and macular hole were operated using the macular buckling procedure. An adjustable Macular Buckling device was utilized in both cases and it was modified by adding a 29-g optical fiber to illuminate its macular...

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Immediate Treatment of Cataract Complication with Small Caliber Vitrectomy. MY WAY

Advantages: To show the use of mini-invasive 25 gauge system in the management of cataract surgery complications. In case of cataract surgery patients may not be mentally prepared that complications can occur … and surgeons as well. Methods: An anterior approach is used utilizing 25 gauge vitrectomy system when capsule rupture occurs and sulcus or posterior iris-fixed IOL implant is performed. In case of total or partial lens fragments...

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Secondary IOL Implantation in the Transconjunctival Era. MAY WAY. From Simplest to Hardest WAYS: ACROBATICS

Purpose: To demonstrate the use of iris-claw posterior IOL (Artisan, Ophtec) implantation combined with transconjunctival vitrectomy surgery system. Methods: In this presentation, we will present different clinical situations where iris claw IOL was used, ranging from the simplest ones to those in which significant damage of the iris necessitated the performance of major ‘acrobatics’ manoeuvres to secure the implant. Since 2002, we...

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Pedunculated choroidal – RPE Patch Transplantation in Severe Neovascular Macular Degeneration

http://www.dailymotion.com/video/x16c8nv Advantages: To perform an autologous RPE graft in a case of fibrotic CNV leaving a link between the patch and the original site of it. Methods: Standard vitrectomy with induction of retinal detachment and retinectomy of the 180° temporal retina; removal of fibrotic subfoveal fibrotic membrane, preparation of a choroidal patch to move on the macular area leaving a part connected with the original...

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Artificial Iris in the Treatment of Aniridia and Iris Coloboma

http://www.dailymotion.com/video/x168r6c Purpose:   Nearby cosmetic IOL and pupillary reconstruction, the artificial iris is a better solution. We show our strategy to suture a foldable IOL on the back surface of the artificial iris to achieve a cosmetic and refractive result on postraumatic aniridia. Setting / Venue:  Department of Ophthalmology, Hospital S. Maria delle Croci, Ravenna, Italy. Methods: We reviewed 5 eyes with combined...

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Myopic Traction Maculopathy: Minimal 25 Gauge Vitrectomy and Pure Gas Bubble

http://www.dailymotion.com/video/x168y92 Advantages: To describe our technique in highly myopic eyes affected by a form of posterior vitreous traction termed myopic traction maculopathy (MTM). Methods: A highly myopic phakic eye with MTM was operated with standard 25G vitrectomy and release of vitreoretinal traction with partially final fluid/gas exchange (pure gas bubble). The vitrectomy has been limited to posterior pole. The patient...

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27 Gauge One Pars Plana Port Vitrectomy with a Reflow Strategy for Macular Diseases and Beyond

http://www.dailymotion.com/video/x15ycyq Advantages: To report our results for macular hole using anterior chamber infusion during the reverse zonular flow “Reverse flow“ (personal technique) one port pars plana 27 gauge vitrectomy technique. Methods: A retrospective analysis of 10 eyes which underwent re-flow one port 27 gauge vitrectomy with the infusion in the anterior chamber for macular hole. This technique was used to decrease...

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Exclusive Laser Beam Use for the Treatment of Rhegmatogenous Retinal Detachment (ElaDAlaR)

http://www.dailymotion.com/video/x1614y8 Advantages: The study of E.la.D.A.la.R (Exoplant, laser-assisted Drainage, Air, laser Retinopexy) technique for the treatment of rhegmatogenous retinal detachment. Methods: Starting from 1996 until 2013, 300 patients have been examined with rhegmatogenous retinal detachment with only one retinal break. They have been treated with Eladalar technique. Surgical technique: segmental scleral buckle with...

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SCH in Blunt Trauma in PK: Early MIVS Approach with “Pole to Pole” Strategy

Advantages: To show the effectiveness and safety of mini-invasive (MIVS) 23 gauge system in the treatment of post-traumatic suprachoroidal hemorrhagic detachment (SCH) in patient operated for PK. Methods: Case report of 61 y/o male patient who undergo to accidental blunt trauma with corneal wound reopening, lens expulsion, iris rupture, vitreous prolapse, retinal detachment and SCH. Surgery with not valved 23 gauge trocars was performed...

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27 Gauge One Pars Plana Port Vitrectomy with a Reflow Strategy for Macular Diseases

Advantages: To report our results for macular hole using anterior chamber infusion during the reverse zonular flow “Re-flow” (personal technique) one port pars plana 27 gauge vitrectomy technique. Methods: A retrospective analysis of 10 eyes which underwent re-flow one port 27 gauge vitrectomy with the infusion in the anterior chamber for macular hole. This technique was used to decrease the turbulence of fluids in the vitreous...

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Miniinvasive Vitrectomy as a Gold Standard for Severe PDR

http://www.dailymotion.com/video/xudueb Advantages: To examine whether 25 gauge vitrectomy might be a good approach for the treatment of severe proliferative diabetic retinopathy (PDR) and macular edema. Methods: 11 patients with severe PDR and macular edema were randomized to either 23 or 25 gauge vitrectomy. The 25 gauge vitrectomy was performed with bimanual technique, 27 gauge chandelier illumination, Tano diamond dusted scraper. 5...

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Tractional Macular Edema in Coats’ Disease After Laser, Cryo and Anti-VEGF; A 25 G MIVS Approach

http://www.dailymotion.com/video/xuct5f http://www.dailymotion.com/video/xudmjn http://www.dailymotion.com/video/xufmom Advantages: To present a case of tractional macular edema in Coats’ disease in a young woman, after 2 years of laser, cryotherapy and anti-VEGF treatment. Methods: A 39-year-old woman with macular pucker in Coats’ disease after 2 years of laser, cryotherapy and anti-VEGF treatment, underwent 25ga mini...

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27 G One Pars Plana Port Vitrectomy with a Reflow Strategy

http://www.dailymotion.com/video/xukyk0 Purpose : To report our results for macular hole using the anterior chamber infusion (during the reverse zonular flow “Re-flow”-personal technique) one pars plana port 27G vitrectomy technique. Setting/Venue: Department of Ophthalmology, Hospital S. Maria delle Croci, Ravenna, Italy Methods: A retrospective analysis of 5 eyes which underwent re-flow one port 27g vitrectomy with the infusion in...

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HSO as First Choice in Complicated RD: Checkmate in Two Moves !

  Advantages: To show our strategy in complicated R.D, with high risk to develop recurrent RD with PVR. If the recurrence depends on the “dead space” where the concentration of fibroblastic cells is elevated, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of the inferior retina, and to “reallocate to the superior retina” eventual recurrence to treat in a second time with light...

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Post-traumatic Aniridia Open Sky Artificial Iris and Secondary IOL Implantation: One Step Technique

Advantages: Nearby cosmetic IOL and pupillary reconstruction, the artificial iris is a better solution. We show our strategy to suture a foldable IOL on the back surface of the artificial iris to achieve a cosmetic and refractive result on posttraumatic aniridia. Methods: We reviewed 2 eyes with combined anterior and posterior segment injuries. Open-sky surgery technique and mini-invasive 25/23G system was used to repair ocular injuries,...

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Treatment of Retinal Detachment in Osteo-odonto Keratoprosthesis (OOKP)

Treatment of Retinal Detachment in Osteo-odonto Keratoprosthesis (OOKP)

Cesare Forlini, Adriana Bratu, Matteo Forlini, Paolo Rossini, (Ravenna, Italy) The patient of this video was a 21 years old male with an uncertain clinical history of bilateral congenital cataract extraction and multiple surgeries for retinal detachment. One eye was enucleated for bulbar phtisis. His only eye underwent an OOKP implant according to Falcinelli for a corneal decompensation and was not amenable for an ulterior PK. The patient...

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E.la.D.A.laR. Treatment of Rhegmatogenous Retinal Detachment: Exclusive Use of Laser Beam (My Way)

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Advantages: The study of E.LA.D.A.LA.R (Exoplant, laser-assisted Drainage, Air, laser Retinopexy) technique for the treatment of rhegmatogenous retinal detachment. Methods: From 1996 to 2007, 300 patients were examined with rhegmatogenous retinal detachment with only one retinal break....

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Hso as 1st Choice in Complicated Retinal Detachment: Checkmate in Two Moves!

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objective: Treatment of complex R.D: checkmate in two moves! Purpose: To show our strategy in complicated R.D, with high (risk to develop recurrent RD with PVR. In such cases, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of (the inferior retina),...

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Role of the Dyes in the Prevention and Treatment of PVR

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objective: To investigate the importance of the dyes for the prevention and treatment of PVR Methods: Patient charts were reviewed retrospectively for 25 eyes of 25 patients (15 male, 10 females) with mean age of 60 years consecutively recruited patients who underwent primary or...

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Routine ILM Remove in the Treatment of RD with PVR

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objectives: To investigate the clinical benefit of internal limiting membrane (ILM) peeling at the macula for the prevention and treatment of epiretinal membrane formation in RD cases with PVR. Methods: Patient charts were reviewed retrospectively for 26 eyes of 25 patients (17 male, 9...

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Pole to Pole Surgery in Severe Post-traumatic PVR — The Role of Temporary Keratoprosthesis and Open Sky Surgery

http://www.dailymotion.com/video/xo99di http://www.dailymotion.com/video/xo9yye Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Purpose: To show the use of temporary keratoprosthesis (TKP, Landers) and of open sky surgery for the visualization of intraocular structures during pars plana vitrectomy in eyes with corneal and retinal pathologies and make possible to manage both in a single surgical...

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Treatment of Retinal Detachment in Osteo-odonto Keratoprosthesis (OOKP)

http://www.dailymotion.com/video/xnl4c0 Cesare Forlini, Adriana Bratu, Matteo Forlini, Paolo Rossini, (Ravenna, Italy) The patient of this video was a 21 years old male with an uncertain clinical history of bilateral congenital cataract extraction and multiple surgeries for retinal detachment. One eye was enucleated for bulbar phtisis. His only eye underwent an OOKP implant according to Falcinelli for a corneal decompensation and was not...

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Post-Traumatic Vitreous Hemorrhages – Case Report


http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages:  To report a case of successful management of post-traumatic vitreous haemorrhage and to discuss the results. Methods:  Case report.  We describe a case of a male patient who presented at our service with a severe dense vitreous hemorrhage...

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Treatment of Post-Traumatic Suprachoroidal Hemorrhages in the Mini-Invasive Era

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Cesare Forlini (Ravenna, Italy) Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages:  To show the effectiveness of use of mini-invasive 25/23 Gauge system for the management of post-traumatic suprachoroidal haemorrhages (SCH). Methods:  We use 25 or 23 Gauge anterior chamber infusion and posterior drainage by means 25 / 23 Gauge...

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Acute Suprachoroidal Hemorrhage during Open Sky Vitrectomy. Is really everything lost?

http://www.evrs.eu/medias/2010/videos/CesareForlini_2_VP6_768K.flv Cesare Forlini (Ravenna, Italy), Adriana Bratu (Ravenna, Italy), Marco De Luca (Napoli, Italy), Matteo Forlini (Modena,Italy), Paolo Rossini (Ravenna, Italy), Monika Weglarz (Krakow, Poland) Advantages: Suprachoroidal hemorrhage is a rare but dangerous complication of intraocular surgery. This video shows a management of expulsive haemorrhage with the extrusion of...

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3,2,1,0…. . ! How Many Ports for PPV in MIS Era?

http://www.evrs.eu/medias/2010/videos/CesareForlini_1_VP6_768K.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages: To describe the how is possible to customize the number of the trocars in the vitreoretinal surgery. Methods: This video shows how is possible to customize the number of the trocars (from the standard 3 to 0 ports) during a vitrectomy....

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25 Gauge Vitrectomy as the Gold Standard for Severe PDR

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages: To examine whether 25 Gauge vitrectomy might be a good approach for treatment of severe proliferative diabetic retinopathy (PDR) and macular edema. Methods: 31 patients with severe PDR and macular edema were randomized to...

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Acute Suprachroroidal Hemorrhage During Open Sky Vitrectomy: … Is Really Everything Lost?

Acute Suprachroroidal Hemorrhage During Open Sky Vitrectomy: … Is Really Everything Lost?

Cesare Forlini (Ravenna, Italy), Adriana Bratu (Ravenna, Italy), Marco De Luca (Napoli, Italy), Matteo Forlini (Modena,Italy), Paolo Rossini (Ravenna, Italy), Monika Weglarz (Krakow, Poland)  Advantages:Suprachoroidal hemorrhage is a rare but dangerous complication of intraocular surgery. This video shows a management of expulsive haemorrhage with the extrusion of intraocular contents during a open sky surgery in an elderly...

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