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ARC Course at EVRS directed by Dr. Tamer H. Mahmoud, USA

ABSTRACT The ARC surgical panel will be discussing challenging and interesting surgical cases with videos and include great surgeons from around the world: Sherif Embabi, Egypt; Shunji Kusaka, Japan; Wai-Ching Lam, Hong Kong; Andre Maia, Brazil; Zofia Michalewska, Poland; Athanasios Nikolakopoulos, Greece; Lisa Faia, Jeremy Wolfe, and Tamer Mahmoud from ARC, USA CONTACT DETAILS Tamer H. Mahmoud, MD, PhD Professor of Ophthalmology Oakland...

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Bimanual PVR Surgery with the Help of 25 G Torpedos Lights

Bimanual PVR Surgery with the Help of 25 G Torpedos Lights

Thanasis Nikolakopoulos http://www.evrs.eu/medias/AwardedVideos/Bimanual-PVR-Surgery-with-the-Help-of-25-G-Torpedos-Lights.flv

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Phaco Fragmentation, Without IOL Implantation, in PVR Cases Treated with 25+G Vitrectomy and Silicone Oil

Stratos Gotzaridis, Elias Georg Alas, Thanasios Nikolakopoulos (Athens, Greece) Advantages: Cataract is always a factor that complicates the cases with PVR either during or after the vitrectomy. Removing the cataract and putting an IOL may lead to unstable AC that will allow oil to move into it. Methods: Eleven patients with total retinal detachment and stage IV PVR had also a moderate nuclear sclerosis. They underwent pars plana phaco...

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Video – 25g Sutureless Surgery for Macular Pucker

SYMPOSIUM: SUTURELESS VITRECTOMY Moderator: Anne-Catherine Gribomont Tuesday, June 21, 2005   25g sutureless surgery for macular pucker Author: A. Nikolakopoulos, I. Panidou, E. Fantel, E. Psimenidou, A. Vakalis Abstract : Purpose: To present a new system for 25g sutureless vitrectomy using high vacum for a quicker and safer result. Methods: In our clinic in Thessaloniki we are trying to modify our technique for macular surgery by...

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25 Gauge Surgery and Silicone Oil Made Easy

http://www.evrs.eu/medias/2009/congress/Silicone.flv Authors: Athanasios Nikolakopoulos, E. Fandel, K. Papadopoulou, I. Panidou, Thessaloniki, Greece Advantages: We present our technique of injecting silicone oil in a fast and easy way in complicated retina problems using only 25 G minimal invasive surgery. Methods: The method is using all the abilities of the forced air injection VGFI and MED ONE special silicone oil 25 G injection...

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Removal of Dropped Nucleus with a 23 Gauge System

http://www.evrs.eu/medias/2009/congress/Dislocated-Lens.flv Authors: Katerina Papadopoulos (1), Athanasios Nikolakopoulos (1), Theoni Panagiotoglou (2), Vasiliki Kounali (2), Nikos Fragos (3), George Pappas (2) 1: Thessaloniki, Greece 2: Heraklion, Greece Advantages: To report the surgical outcome and the safety profile of 23-Gauge surgery for the management of dropped nucleus. Methods: A retrospective interventional case series. 26...

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Recent Advances in Vitreoretinal Technology and Techniques. Early Experience with the Next Generation 25 + Technology

http://www.evrs.eu/medias/2009/congress/20-Gauge-23-Gauge-25-Gauge.flv Author: Athanasios Nikolakopoulos, Thessaloniki, Greece Advantages: We present our experience from the use of the new 25g+ Alcon vitrectomy instruments. The need for an every day extended use of small gauge surgery is greatly helped by the innovations of the new 25+. Stiffening 5mm sleeve is not flexible any more and you can mobilize the eye whithout the fear of bending...

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Macula Surgery Made Safe

http://www.evrs.eu/medias/2009/congress/Viewing.flv Authors: Athanasios Nikolakopoulos, I. Panidou, E. Fandel, K. Papadopoulou, Thessaloniki, Greece The presentation is about the results of Macula surgery using all the time wide angle observation system and 25 g instruments and sub bulbar anesthesia. We are presenting our technique of removing the cortical vitreous with the help of triamsinolone painting and the use of brilliand blue to...

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CO-BI-VI Controled Bimanual Vitrectomy

http://www.evrs.eu/medias/2008/congress/CO-BI-VI-Controled-Bimanual-Vitrectomy.flv A.Nikolakopoulos  I.Panidou  E.Fantel  K.Papadopoulou Thessaloniki Greece A new technique using a guided chandelier and a bimanual scleral depressure in order to remove peripheral traction and to imobilize the detached retina, and as a second step fluid air exchange is preformed through the tear and then laser is apllied at the flat under air retina We...

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Diabetic Traction Detachment Treated with Bimanual 25g Sutureless Surgery (Is Silicon Oil Necessary?)

Athanasios Nikolakopoulos, MD (Thessaloniki, Greece), Ifigenia Panidou (Thessaloniki, Greece), Elie Fantel (Thessaloniki, Greece), Apostolos Reptsis (Thessaloniki, Greece), Dimitris Kirodimos (Thessaloniki, Greece), Nikoletta Leventi (Thessaloniki, Greece) PURPOSE: Traction diabetic retina detachments and especially the table tops with the attached vitreous have the higher incidence of iatrogenic retina tears that reduce the rate of success...

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25g Sutureless Surgery and Silicone Oil Injection

Athanasios Nikolakopoulos, MD (Thessaloniki, Greece), Ifigenia Panidou, (Thessaloniki, Greece), Elie Fantel, (Thessaloniki, Greece), Konstantinos Skamnos, (Thessaloniki, Greece), Dimitrios Kurodimos, (Thessaloniki, Greece), Nikoletta Leventi, (Thessaloniki, Greece) PURPOSE: Until now 25g sutureless surgery had limitations, due to instruments small lumen and flexibility. With the new instrumentation we present our technique of injecting...

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Combined Water Phaco Fragmentation and 25G Surgery for Macular Pucker

A. Nikolakopoulos, I. Panidou, E. Fantel, D. Balatsoukas Purpose: To present a minimal combined invesive surgery. Methods: We used water (aqua lase) to remove the lens and 25g surgery for macular pucker. Fine Conclusion: It is the purpose of surgery to produce the best results with the minimal surgical trauma. Take-home message: The water phaco fragmentation uses no distractive energy and the 25g system is the quickest and less traumatic...

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25G Sutureless Vitrectomy for Post Cataract Cystic Macular Edema

A. Nikolakopoulos, I. Panidou, E. Fantel, E. Psimenidou Purpose: The rehabilation of cystoid macular edema by surgical means. Methods: 25g surgery for cystoid macular edema. Results: Limited experience with only 2 cases. Conclusion: There was no serious complication for surgical treatment of cystoid macular edema. Take-home message: There is an option for long standing post complicated cataract macular edema for surgical intervention with...

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25g Sutureless Surgery for Macular Pucker

http://www.evrs.eu/medias/2005/congress/25g-Sutureless-Surgery-for-Macular-Pucker.swf A. Nikolakopoulos, I. Panidou, E. Fantel, E. Psimenidou, A. Vakalis Purpose: To present a new system for 25g sutureless vitrectomy using high vacum for a quicker and safer result. Methods: In our clinic in Thessaloniki we are trying to modify our technique for macular surgery by using 25g instruments-pressurized infusion and high vacum to facilitate quick...

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Bimanual Surgical Techniques in Retinal Surgery

A. Nikolakopoulos, I. Panidou, E. Fantel, D. Balatsoukas, A. Reptis, Ch. Hagiek Purpose: Bimanual surgery in difficult cases like diabetic retinal surgery is greatly dependent on the ability of multi illumination instruments and together with a wide angle viewing systems in order to detect the distant effects of the central bimanual procedure. Methods: We present our experience with light instruments M.I.S illumination system bullet 25 G...

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Diabetic Macular Edema “Prophylactive” Surgery

A. Nikolakopoulos, I. Panidou, E. Fantel, D. Balatsoulas, Ch. Hagiek, A. Reptsis Purpose: We are presenting our ILM removal in diabetic vitrectomies. Methods: We devided our patients in two groups: one with persistent edema and the other with patients that have removal of ILM during a vitrectomy for dense hemorrhage, with or without triamcinolone. Results: After the removal of hemorrhage if the macula have clinical appearance or significant...

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PVR-Retinal Detachment-Dropped Nucleus-Dropped Intraocular Lens all together in One Eye in the Same Time

A.Nikolakopoulos*, A.Pasxali, E.Kousta Greece We presenting the difficulties in a step by step procedure in a case where PVR is including a dropped nucleous together with an intraocula lens with all the problems of its step and questioning the audience of which step is next.

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Removal of Epiretinal Membranes under Perfluorocarbone Heavy Liquid in PVR Surgery

A.Nikolakopoulos MD*, A.Pasxali MD, E.Kousta MD Greece We presenting the benefit of perfluorocarbone liquids ti strech an reveal transparent epiretinal membranes that can be picked up under perfluorocarbone liquid and the major problem of the elasticity of these membranes and the possible need of dyes to remove them completely after the removal of the perfluorocarbone liquid.

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Scleral Depression (Cleaning the Periphery with the Help of Torpido Lights and Vitreous Shaver)

A.Nikolakopoulos MD*, S.Gotzaridis MD, A.Vakalis MD. Greece Purpose: To evaluate the safety and the ontrolled of this technique in pseudophakic eyes with retina detachment. Methods: To overcome the difficulty of a safe (cleaning) of the periphery in aphakic eyes with a mobile retina we are using the 25g four port illumination system (Torpido Light System).This way we can use the other hand for stretching the periphery and together with the...

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Cyclodiode in Eyes that Developed Glaucoma Following Silicone Oil Injection

A.N. Vakalis, A Nikolakopoulos, P, Bloom, D. G. Charteris Thessaloniki, Greece. Glaucoma in eyes that have received injection of silicone oil is notoriously difficult to treat, and destruction of the ciliary body is often the only viable option. Transconjuctival cyclodiode has been reported to be a more controlled way to destroy the ciliary body than cryotherapy. Patients & methods: Retrospective note review of 40 patients who received...

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EIBOS System

Athanasios Nikolakopoulos Thessaloniki, Greece Abstract not written by the author

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The Use of the Fibrovascular STALK in Removing Cortical Membranes from the Macula Area in Proliferative Diabetic Retinopathy Surgery

Athanasios Nikolakopoulos Thessaloniki, Greece In Proliferative Diabetic Retinopathy Surgery the end point of Vitrectomy is usually a flat retina and a small fibrovascular STALK in front of the disc. The reason of not removing that STALK was the possibility of a haemorrage and the avoidance of pulling against nerve fibres without any benefits for the outcome of the operation. In “Agios Dimitrios” Hospital in Thessaloniki,...

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Trauma and Intraocular Foreign Bodies Removal

Athanasios Nikolakopoulos Thessaloniki, Greece In recent years there is a good functional prognosis after intraocular foreign body traumas because of the wide angle observation system. The perfluorocarbone liquid and the understanding of the need to remove the cortical vitreous. If there is not a P.V.R and the macula is functioning there is a much better prognosis factors due to the elimination of surgical irritations-laser instead of cryon...

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