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Macular Buckle for Retinal Detachment with Macular Hole: Case Report

Macular Buckle for Retinal Detachment with Macular Hole: Case Report SCIENTIFIC POSTER Macular Buckle for Retinal Detachment with Macular Hole Case Report by Luisa Malheiro, Bernardete Pessoa, Joao Melo Beirao, Angelina Meireles, Portugal ABSTRACT Introduction: Macular buckling is a surgical technique used for retinal detachments due to macular hole in high myopic patients. The purpose of the macular buckle is to counteract the pulling...

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Effect of Oral Citicoline in Macular Ganglion Cell Layer Thickness, After Epiretinal Membrane Surgery with Internal Limiting Membrane Peeling

Effect of Oral Citicoline in Macular Ganglion Cell Layer (GCL) Thickness, After Epiretinal Membrane (ERM) Surgery with Internal Limiting Membrane (ILM) Peeling SCIENTIFIC POSTER Effect of Oral Citicoline in Macular Ganglion Cell Layer Thickness, After Epiretinal Membrane Surgery with Internal Limiting Membrane Peeling by Vania Lages ABSTRACT Introduction: Beneficial effects of oral cytidine-5’-diphosphocholine (citicoline) have been...

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Intravitreal Fluocinolone Acetonide Implant in Irvine-Gass Syndrome

Intravitreal Fluocinolone Acetonide Implant in Irvine-Gass Syndrome SCIENTIFIC POSTER Intravitreal Fluocinolone Acetonide Implant in Irvine-Gass Syndrome by Ana Carolina Abreu, Bernardete Pessoa, Vania Lages, Joao Coelho, Irene Barbosa, Angelina Meireles, Portugal ABSTRACT Purpose: To evaluate the effectiveness of a single intravitreal injection of fluocinolone acetonide implant (Iluvien®) in patients with cystoid macular edema (CME) due...

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Macular Detachment – Vitrectomy and Iluvien Fighting – A NGENUITY 3D Capture

Macular Detachment – Vitrectomy and Iluvien Fighting – A NGENUITY 3D Capture EDITED FILM ABSTRACT The authors will present a video of a 23 gauge pars plana vitrectomy (PPV) performed with the NGENUITY 3D Visualization System. The clinical case refers to a type II diabetic patient with a diffuse diabetic macular edema (DME) and a significant submacular detachment/fluid with a concomitant premacular membrane in a background of...

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Intravitreal Ocriplasmin in DME with Vitreomacular Adhesion in Eyes with Proliferative Diabetic Retinopathy

Intravitreal Ocriplasmin in DME with Vitreomacular Adhesion in Eyes with Proliferative Diabetic Retinopathy ABSTRACT Purpose: To evaluate the efficacy of a single intravitreal injection of ocriplasmin (125 µg) in eyes with diabetic macular edema (DME) and focal or loose broad vitreomacular adhesion/traction (VMA) in cases where proliferative diabetic retinopathy (PDR) was present and to compare these results with those obtained in...

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Intravitreal Implants for Treatment of Diabetic Macular Edema in Vitrectomized Patients

Intravitreal Implants for Treatment of Diabetic Macular Edema in Vitrectomized Patients ABSTRACT Purpose: To evaluate and compare the functional, anatomical and safety response after the long-acting intravitreal sustained release fluocinolone acetonide (FAc) implant (0.2 µg/day, ILUVIEN®) and dexamethasone implant (Ozurdex® 0.7 mg) in the treatment of diabetic macular edema (DME) in vitrectomized eyes. Setting: Department of...

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Safety and Efficacy of Intravitreal Ocriplasmin in DME with Vitreomacular Adhesion

Introduction: There are many reports supporting that the relationship of the posterior cortical vitreous to the macula plays a role in the development of diabetic macular edema (DME). Until recently, the only treatment option available for vitreomacular adhesion (VMA) was vitrectomy. Given the risks for vitrectomy, the standard of care has generally been to wait until visual symptoms from VMT have deteriorated enough to justify the...

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Blood in Anterior Chamber at the End of Surgery

A patient underwent a 23g vitrectomy , PFCL assisted, laser retinopexy on the break followed by a fluid air exchange for a retinal detachment. During the removal of the trocars, some air entered the subconjuntival space, and some seconds later blood started to fill all the anterior chamber with a hypotonus globe. The question was : how to proceed? As it was impossible to see what was going in the posterior chamber, it was decided to...

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Open Globe Injuries – Surgical Approach to Ruptures

Rupture is the most severe form of open globe injuries after ocular trauma, not only related to the tissue pathologies that occur at the time of injury but also because of the post-injury destruction associated with the body’s normal healing response process. The diagnosis is usually straightforward because the wound is visible, often even to the naked eye. Still, treating it is a big challenge and should be dealt with by an expert...

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Artificial Iris-IOL with Z Suture Scleral Fixation for Traumatic Mydriasis & Aphakia

Lens subluxation after contusion trauma to right eye in a 67 years old man. An extracapsular cataract extraction was done and patient was refered to vitreoretinal surgery department to perform a secondary intraocular lens (IOL) implantation. Preoperative best-corrected visual acuity was 20/80 with a plus 10 dioptres spectacle correction. He complained of photophobia because of post-traumatic mydriasis. A scleral-fixated artificial iris-IOL...

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Severe Retinitis Pigmentosa of Early Onset in a Previously Diagnosed Amblyopia: Case Report

SCIENTIFIC POSTER_Carolina Vale_2 Background: Retinitis pigmentosa (RP) is a group of hereditary disorders that diffusely involve photoreceptors and pigmental epithelial function with a prevalence of about 1:5000. All inheritance patterns are described and more than 45 genes causing RP have been reported that might explain the heterogenicity of clinical presentation. The majority of RP cases occurs isolated with disease process confined to...

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Asymptomatic Bilateral Chorioretinal Lesions in Chronic Hepatitis C: Case Report

Background: Hepatitis C is an infection caused by Hepatitis C virus (HCV) with both hepatic and extrahepatic manifestations and involving 3% of world population. Chronic infection develops in 70- 80% of the patients. Current recommended treatment is in a combination of ribavirin and peginterferon alfa (PEG-IFN) which is effective in less than 50% of HCV genotype 1 infection. Novel therapy with protease inhibitors such as Telaprevir has...

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Oculocutaneous Albinism. A Case Report

SCIENTIFIC POSTER_Silvia Monteiro_1 Introduction: Oculocutaneous albinism (OCA) is a group of inherited disorders of melanin biosynthesis characterized by a generalized reduction in pigmentation of hair, skin and eyes. The prevalence of all forms of albinism varies considerably worldwide and has been estimated at approximately 1/17,000, suggesting that about 1 in 70 people carry a gene for OCA. The clinical spectrum of OCA ranges, with...

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Retinal Vascular Tortuosity and Recurrent ME in Crohn Disease: A Rare Ocular Manifestation or an Independent Vascular Pathology?

SCIENTIFIC POSTER_Silvia Monteiro_2 Introduction: Crohn’s disease (CD) is primarily considered an inflammatory condition of the small and large intestine, although associated extraintestinal inflammation is relatively common. Extra-intestinal manifestations of CD occur in one third of patients. Ocular complications are infrequent, occurring in less than 10% of cases, but can be associated with significant morbidity. Ocular manifestations...

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Strategy for the Management of Optic Pit Maculopathy

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To report the effectiveness of vitrectomy and adjunct procedures in the resolution of the serous retinal detachment secondary to optic pit. Methods: Eleven patients with macular detachment underwent three ports standard vitrectomy with induction of posterior vitreous detachment, ILM peeling, laser photocoagulation at the...

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Macular Macroaneurysm: Case Report

SCIENTIFIC POSTER_Ana Figueiredo Introduction: Retinal macroaneurysms are described as idiopathic, acquired, round dilations of major retina arterioles, usually singular and unilateral. If located at the posterior pole, they may be associated with macular exudation and hemorrhage resulting in decreased visual acuity. Systemic hypertension is the most common associated risk factor. Pathogenesis of retinal arterial macroaneurysms is not fully...

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Case Reports in CNV (Different from AMD): Second Case

Settings: Ophthalmology Department, Centro Hospitalar do Porto – Hospital Santo António, Oporto, PORTUGAL. Purpose: To report an alternative approach to treat choroidal neovascularization complicating a chronic central serous chorioretinopathy. Case report: A 54 years old male was referred to the Vitreoretinal Unit of our Department on February 2014, complaining of a recent decrease of right eye visual acuity, secondary to the presence...

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Reoperation of Failed MH Closure

Problem: Postoperative persistentmacular hole after standard surgery with ILM peeling is a rare but possible finding. The strategy for further treatment is still under debate and ample treatment recommendations have been published. The aim is to report the surgical outcome with the radial retinal incisions technique. Methods: Sseven eyes underwent a second procedure in which five full-thickness neurosensory retina radial incisions were...

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Inverted ILM Flap in MH with Poor Prognosis

Advantages: Inverted ILM flap technique can achieve good anatomical and functional success in large, long standing macular holes or in non idiopathic macular holes (as macular holes related to myopia, post vitrectomy for retinal detachment or post ocular trauma). Methods: Since July 2009 inverted ILM flap technique has been performed in macular hole with poor anatomical prognosis. ILM is incompletly peeled around the border of the hole...

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Secondary Foldable IOL Knotless Scleral Fixation

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   We will be presenting on knotless scleral fixation of luxated foldable IOLs and for secondary implantation in aphakic eyes in eyes without zonular support. This technique provides the advantage of avoiding iris manipulations, is perfomed through a small corneal incision and does not require the need to order or stock special IOL types....

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Capillary Hemangioma of the Optic Disc

RETINA PHOTO_Miguel Lume To present a photo of a capillary hemangioma of the optic nerve. A 60 year old female patient with a history of reduced visual acuity of her left eye (Hand Movements) was referred to our department for treatment. The patient was previously asymptomatic and her medical records showed only arterial hypertension. She had no history of headaches. At fundus examination, a large orange prepapillary mass was identifiable...

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Bilateral Retinal Hemorrhage – Case Report

Background: Diffuse large B-cell lymphoma is the most common type of non-Hodgkin lymphoma (NHL), accounting for about 1/3 of all cases. It is a B-cell high-grade cancer with fast-growing pattern, needing urgent treatment. It can occur at any time between adolescence and old age and is slightly more common in men. In more than 50% of cases there is extranodal commitment. Diagnosis may be confirmed by lymph node biopsy and treatment should be...

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Knotless Transcleral Suture of a One-Piece Acrysof IOL

http://www.evrs.eu/medias/2008/congress/Knotless-Transcleral-Suture-of-a-One-Piece-Acrysof-IOL.flv Angelina Meireles, João Melo-Beirão, Natália Ferreira, Bernardete Pessoa Advantages: Scleral fixation of a foldable IOL through a small clear corneal incision in eyes without zonular support. Methods: In ten eyes of nine patients a single-piece foldable IOL was implanted  through a small clear corneal incision and fixated to the sclera....

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Vitrectomy in Diabetic Retinopathy

Ferreira Natália, Pessoa Bernardete, Macedo Marta, Queirós Paulo, Meireles Angelina Purpose: Analysis of our experience in the surgical management of diabetic retinopathy complications. Methods: Retrospective revision of the clinical records of diabetic patients submitted to vitrectomy treatment by one of two surgeons (AM, PQ) from July 2001 and December 2002. The variables recorded and analyzed were: pre- and postoperative visual acuity,...

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Vitrectomy with Silicone Oil Tamponade in Proliferative Diabetic Retinopathy

Marta Macedo, MD, Bernardete Pessoa, MD, Natália Ferreira, MD, Paulo Queirós, MD, Angelina Meireles, MD Purpose: To evaluate the role of vitrectomy with silicone oil tamponade in eyes with proliferative diabetic retinopathy. Subjects and methods: Retrospective revision of the records of diabetic patients submitted to vitrectomy surgical treatment from July 2001 to December 2002, performed by two surgeons (AM and PQ). Preoperative...

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SF6 in Diabetic Tractional Retinal Detachment

Bernardete Pessoa, Marta Macedo, Natália Ferreira, Paulo Queirós, Angelina Meireles, Hospital Santo António, Oporto, Portugal Purpose: The authors mean to evaluate the role of SF6 tamponade in eyes with diabetic tractional retinal detachment. Subjects and methods: Retrospective revision of the records of diabetic patients submitted to vitrectomy surgical treatment from July 2001 to December 2002, performed by two surgeons (AM and PQ)....

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