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Retropupillary Iris-claw IOL: Still a «Gold Standard» in MIVS Era

Purpose:  To report the long-term outcome of the use of retropupillary implantation of the Artisan iris-claw intraocular lens (RPICIOL) in several aphakic conditions without capsular support. Method: This is a retrospective analysis of 320 consecutive eyes of 320 patients (222 males and 98 females) without capsular support in whom we performed RPICIOL implantation. Aphakia was associated with trauma (n=141 eyes, group 1), post-cataract...

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Repeated Error During Removal of Metal Non Magnetic IOFB: Perseverare Diabolicum

Introduction: In case of magnetic foreign body my safety exit technique is to use always a magnet to immobilize the foreign body that fluctuates in the vitreous or that is stucked on the retina and contemporarily to grab it with a Machmer diamond dusted forceps. More over the magnet allows you to turn the foreign body in the best position for its extraction. In this case you can reduce to the minimum the opening for the extraction both in...

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Blunt and Penetrating Trauma Due to Fireworks in a 11 Old Boy

A severe trauma caused by bilateral bulbar explosion in a 11 years old boy came to my attention after 6 months from the trauma . One eye left, no light percetion.The second eye with light percetion and operated with MIVS 23G PPV. A dense Viteous hemorrhage was removed. Tractional RD was managed with the removal of ERM, ILM (blue assisted) final. Heavy Silicone oil tamponade. A visual acuity of 0,1 was achived af ter some weeks. Three...

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Sakagushi – Oshima – Tano Technique Without Vitrectomy for VMT

In 2007 Sakaguchi-Oshima-Tano proposed a technique for the removal of the epiretinic membranes and of the vitreomacular traction, without performing vitrectomy, in order to avoid the development of cataract in young and aphakic patient. In this case we use only forceps to remove the membrane without using colorants or other kind of materials. During this technique, anyway the insertion of a Mini-invasive 25/27G forceps causes a loss of...

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Large MH Previously Operated

Case of 74 year old woman with large macular hole. After the first operation with classical technique 23G MIVS PPV. Posterior Hyaloid removal, ILM blu staining assisted regulated SF6 endotamponade the hole was not closed and had also raised margins. Rejection of gas bubble and positioning tight for 7 days did not produced the hoped reattachment of the edges and the closure of the hole.Reoperation and tamponade with heavy silicone and...

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Secondary Intrascleral IOL Implantation According to Schariot Technique

The technique first described by Schariot shows the possibility of a secondary system of IOL folding with prolene lens without stitches and inserting the loops into a scleral tunnel. Such a technique is useful both to reposition the folding IOL with prolene dislocated lens and without having to remove the lens from the bulb, that is the closed eye technique. Its also useful for secondary system usin g these types of lenses by inserting...

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World’s First Bilateral Simultaneous Artificial Iris Implant with Scleral Suturing in Post Traumatic Aniridia and Aphakia in High Myopia

THE INCREDIBLE STORY OF MILVA 52 Years old woman pseudophakic in high myopia suffered blunt trauma in the right eye while playing with her dog with consequent massive haemorrhage and expulsion of the lens and iris. Immediate vitrectomy. 24 days later bumps into a door and suffers another blunt trauma in the left eye with the same complication: massive vitreous haemorrhage with the subsequent expulsion of the lens and iris and immediate...

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

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   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...

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My “One Laser Way” for Selected RD

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   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...

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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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My Different Ways of the Artificial Iris

The artificial iris represents an important innovation in the treatment of posttraumatic iris damage. We present a case series where different surgical techniques have been used both for coloboma and aniridia with artificial iris with meshwork and without. Opensky insertions during reconstructive “pole to pole” surgery are shown, and close eye insertions. In all the aphakic patients, we fixed IOL on the iris to treat aphakia. We...

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The Endoscopic Way for Vitreoretinal Disease

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   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...

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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...

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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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Symptomatic VMT: 27 G Surgical Way vs Injections!

Advantages: In selected cases of VMT, pharmacologic treatment is proposed but the effect is not 100%. The mini MIVS approach obtained complete result but with the risk of surgery and the stimulation of the cataract. My way is a modification of the Oshima technique using a 27 G approach, reflow strategy, slit lamp illumination and only one pars plana port approach with forceps without vitrectomy in this phakic patient. Methods: The use of...

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

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   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...

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

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   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...

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Pedunculated choroidal – RPE Patch Transplantation in Severe Neovascular Macular Degeneration

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 site of choroid. Effectiveness / Safety:...

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Artificial Iris in the Treatment of Aniridia and Iris Coloboma

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 anterior and posterior segment injuries....

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

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 age was 45 years, refractive error was...

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

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 the turbulence of fluids in the vitreous...

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

Advantages: To show our strategy in complicated R.D., with high possibility of developing PVR and R.D. recurrence. In such cases, our first choice is to use HSO as tamponading agent to ensure an efficient tamponade of the inferior sectors and to reallocate to the top an eventual recurrence to be treated at a later time. Methods: 24 selected patients, with high risk of PVR recurrence (>C3) were treated with heavy silicon oil (Densiron...

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

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 or without encircling explant. To drain...

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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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Severe PDR Surgical Strategy

Advantages: Management of severe proliferative diabetic retinopathy is one of the most difficult medical problems of the present time. Methods: We would like to present 10 patients between 25-60 in whom control of diabetes has been unsatisfactory.  Fundus examination, in all of cases showed the final stage of diabetic retinopathy with vitreous hemorrhage, persistent macular edema, new vascular network, huge fibro – vascular...

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Miniinvasive Vitrectomy as a Gold Standard for Severe PDR

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 patients underwent 23 gauge vitrectomy...

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

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 invasive IVTA assisted vitrectomy. We removed macular pucker after staining posterior pole with Dual Blue. During the...

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27 G One Pars Plana Port Vitrectomy with a Reflow Strategy

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 the anterior chamber for macular hole....

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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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“Pole to Pole” Surgery in Trauma Case

“Pole to Pole” Surgery in Trauma Case

Cesare Forlini http://www.evrs.eu/medias/AwardedVideos/Pole-to-Pole-Surgery-in-Trauma-Case.flv

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Safety Exit for the Removal of Giant IOFB

Safety Exit for the Removal of Giant IOFB

Cesare Forlini   http://www.evrs.eu/medias/AwardedVideos/Safety-Exit-for-the-Removal-of-Giant-IOFB.flv

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Use of New Heavy Silicone (Densiron, Oxane) in Complex Cases of Vitreoretinal Surgery

Use of New Heavy Silicone (Densiron, Oxane) in Complex Cases of Vitreoretinal Surgery

Cesare Forlini, Paolo Rossini http://www.evrs.eu/medias/AwardedVideos/Use-of-New-Heavy-Silicone-Densiron,-Oxane)-in-Complex-Cases-of-Vitreoretinal-Surgery.flv

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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)

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. They were treated with Eladalar technique. Surgical technique: Segmental...

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The Functional and Anatomical Changes in Patients with Retinal Detachment After TPPV with ILM Peeling

Robert Rejdak, Malgorzata Pietras-Trzpiel, Katarzyna Nowomiejska, Agnieszka Kalinowska, Tomasz Zarnowski, Cesare Forlini, Anselm Junemann (Lublin, Poland) Advantages: The aim of the study was to evaluate visual function of the macula and changes in retinal layers in patients with retinal detachment following TPPV with Brilliant Peel assisted ILM peeling. Methods: The group consisted of 25 patients (12 male and 13 female) with retinal...

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

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), and to “reallocate to the (superior retina)” eventual recurrence to treat...

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Role of the Dyes in the Prevention and Treatment of PVR

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 secondary vitrectomy with ERM peeling. All our patients presented...

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Routine ILM Remove in the Treatment of RD with PVR

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 females) with mean age of 62 years. The patients were consecutively recruited...

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

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 procedure. Methods: We reviewed 35 eyes with combined anterior and posterior segment injuries...

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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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Congress – One Port VPPV for the treatment of Epimacular disorders: Slit Lamp and new Anterior Chamber Maintain

SYMPOSIUM:MACULA POT POURRI Moderator: Khaled El-Rakhawy Sunday, June 19, 2005 One port VPPV for the treatment of epimacular disorders: Author: Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Barbara Campanini, MD, Department of Ophthalmology – Ravenna Hospital Viale V. Randi, 5 48100 Ravenna, Italy Abstract : Purpose: This presentation shows a personal technique of one port VPPV for the treatment of epiretinal...

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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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2010 RETINAWS – Acute Suprachoroidal Hemorrhage …

http://www.evrs.eu/medias/2010/videos/AcuteSuprachoroidalHemorrhage_VP6_768K.flv

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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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Pintucci’s Keratoprosthesis: an Interrupted History, a Completed Path, a Battle that Goes On…

http://www.evrs.eu/medias/2009/videos/CesareForlini_VP6_768K.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy The video shows the case of a 54 y/o monocular female patient, with the only eye already having undergone Pintucci Keratoprosthesis (KP) implantation. The patient previously had multiple surgeries for retinal detachement following an endophthalmitis caused by Candida; the visual acuity on admission was...

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Pole to Pole Surgery in Trauma Cases and “Dancer” Philosophy

http://www.evrs.eu/medias/2009/congress/Trauma.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: Presenting the “pole to pole” surgical strategy as a reconstruction in trauma cases using multiple procedure surgery all in a single operation. It is important for the ophthalmologist to develop strategic thinking so that it can be used systematically in different cases. Methods: The introduction of...

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Back is Better! Posterior Iris IOL Fixation as a Gold Standard in the Correction of Aphakia

http://www.evrs.eu/medias/2009/congress/Dislocated-Lens.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: The Authors present the use of iris-claw IOL fixation onto the posterior iris surface. The purpose of this technique is to eliminate tilting of the IOL into the anterior chamber (thus achieving a better aesthetic result) and allowing more physiological location of the IOL in the posterior...

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My Way in 23 Gauge Surgery: How to Reduce the Major Post-Operative Complications

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: Presenting our standard surgical behaviour in the use of 23 g Surgery. Methods: 146 consecutive procedures for macular pucker, macular hole, vitreous hemorrhage, macular edema, RRD. The standard technique is: use of BIOM system and Xenon chandelier light; radical triamcinolone-assisted...

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Re-Flow Strategy: Expanded Indications in the Mini-Invasive Era

http://www.evrs.eu/medias/2009/congress/20-Gauge-23-Gauge-25-Gauge.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: The re-flow strategy is a surgical technique developed in 2004 (Vail Vitrectomy 2004, Forlini C. et al.) in which the infusion is placed into anterior chamber. It utilizes the trans-zonular fluid toward the vitreous chamber, and allows changing the fluidinamic concepts into the eye during...

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Endoscopy in Vitreoretinal Surgery: the “First Step”

http://www.evrs.eu/medias/2009/congress/Viewing.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: Presenting the use of endoscopy, as alternative and complementary way of view, in vitreoretinal surgery. This tool can be used for some simple procedures even in mono-manual way. Methods: The 20 gauge endoscopy probe is inserted via pars plana. The “first step” is to use it for diagnosis into the...

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“La vie lumiere”: Routinely Use of Xenon Chandelier Light for Vitreo-Retinal Procedures

http://www.evrs.eu/medias/2009/congress/Illumination.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: The Authors present the routine use of trans-conjunctival, xenon light, chandeliers during vitreo-retinal procedures. The goal of this technique, even in uncomplicated cases, is to obtain a total control of the procedure during all the surgical steps, without the need of an assistant’s help to work in...

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Cosmetic IOL in Trauma Cases: Role of Iris Surgery and Endoscopy

http://www.evrs.eu/medias/2008/congress/Cosmetic-IOL-in-Trauma-Cases:-Role-of-Iris-Surgery-and-Endoscopy.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: Show the combined use of cosmetic scleral-fixed cosmetic IOL, iris surgery and endoscopy in the treatment of post-traumatic aphakia...

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Save the Iris

http://www.evrs.eu/medias/2008/congress/Save-the-Iris.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: Show the importance to try to save the iris tissue and to restore the pupil, in severe ocular trauma. Methods: Several cases of severe ocular trauma with iris rupture, iris dialysis,...

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Full Macular Translocation with 23 Gauge System: “Cau-Tano” Technique

Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy)Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show the effectiveness and the safety of the 23 gauge system for full macular translocation in age-related macular degeneration. Methods: In a case of pseudophakic exudative macula degeneration a standard three port 23 gauge vitrectomy is...

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E.LA.D.A.LA.R.: Personal Technique for the Treatment of Rhegmatogenous Retinal Detachment

http://www.evrs.eu/medias/2008/congress/E.LA.D.A.LA.R.:-Personal-Technique-for-the-Treatment-of-Rhegmatogenous-Retinal-Detachment.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: to show a personal technique for the treatment of rhegmatogenous retinal detachment with scleral buckle...

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Italian Style to Colour the Eye

http://www.evrs.eu/medias/2008/congress/Italian-Style-to-Colour-the-Eye.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S.Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show how to use or avoid the three colours of Italian flag (white, green and red) during vitreoretinal surgery. Methods: The use of IVT® (an approved...

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Re-Flow (Reverse Transzonular Flow Technique) for the Treatment of Macular Diseases

http://www.evrs.eu/medias/2008/congress/Re-Flow-(Revers-Transzonular-Flow-Technique)-for-the-Treatment-of-Macular-Diseases.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy),  Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show the effectiveness of trans-zonular reverse flow (Re-flow) technique in vitreoretinal surgery with...

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Secondary IOL Implantation in the Transconjunctival Era

http://www.evrs.eu/medias/2008/congress/Secondary-IOL-Implantation-in-the-Transconjunctival-Era.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: Show the use of iris-claw posterior IOL (Artisan Ophtec) implants, combined with transconjunctival surgery systems. Methods: Since 2002,...

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Personal Technique of Using a Single 27 Eckardt Light for Bimanual

http://www.evrs.eu/medias/2008/congress/Personal-Technique-of-Using-a-Single-27-Eckardt-Light-for-%20Bimanual.flv Paolo Rossini, Antonio Aversano, Cesare Forlini (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show an original and personal way to use the 27 gauge transconjunctival Eckardt’s chandelier, using only one fiber. Methods:...

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Transconjunctival Approach for the Treatment of Cataract

http://www.evrs.eu/medias/2008/congress/Transconjunctival-Approch-for-the-Treatment-of-Cataract.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy Advantages: To show the use of mini-invasive 25 gauge system in the management of cataract surgery complications. Methods: An anterior approach with 25...

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Mini-Invasive Surgery – Yes; Sutureless – No Thanks!

http://www.evrs.eu/medias/2008/congress/Mini-Invasive-Surgery-Yes:-Sutureless-No-Thanks.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show the effectiveness to use the scleral suture in mini-invaseive 25/23 gauge systems. Methods: Both 25 and 23 gauge trocars are inserted through...

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Mini-Invasive 25-23 Gauge Systems: Expanded Indications

http://www.evrs.eu/medias/2008/congress/Mini-Invasive-25-23-Gauge-Systems:-Expanded-Indications.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show there are no limits in the use of mini-invasive transconjunctival surgery. Methods: Several cases of particular and complex cases are...

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The EVRS Way from Venice to Prague

The EVRS Way from Venice to Prague

Cesare Forlini http://www.evrs.eu/medias/AwardedVideos/The-EVRS-Way-from-Venice-to-Prague.flv

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Vitrectomy Session – Peeling

http://www.evrs.eu/medias/2007/videos/vitrectomysession-peeling.flv

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Perseverare Doabolicum

Perseverare Doabolicum

Cesare Forlini http://www.evrs.eu/medias/AwardedVideos/Perseverare-Doabolicum.flv

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Reverse Trans-zonular Flow (Re-flow Strategy) in the Treatment of Vitreoretinal Diseases

http://www.evrs.eu/medias/2006/videos/Reverse-Trans-zonular-Flow-(Re-flow-Strategy)-in-the-Treatment-of-Vitreoretinal-Diseases.flv Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy), Stefano Dolce, MD (Ravenna, Italy), Antonio Aversano, MD (Ravenna, Italy), William Gualtieri, MD (Ravenna, Italy) SYNOPSIS Personal technique of one port VPPV for the treatment of vitreoretinal disorders based on the use of the slit lamp,...

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Heavy Silicones in Severe Vitreoretinal Diseases

Heavy Silicones in Severe Vitreoretinal Diseases

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy) SYNOPSIS To describe the usefulness of new heavy silicone oils in the management of complex cases of vitreoretinal surgery: a severe penetrating trauma, a macular trans-location for large paramacular hole in previous vitrectomy for CNV removal, and a closed trauma in previous PK patient with iris and lens expulsion.   VIDEO not communicated Sorry for the...

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Colorants in Vitreo-retinal Surgery “United Colours of Vitrectomy”

http://www.evrs.eu/medias/2006/videos/Colorants-in-Vitreo-retinal-Surgery-United-Colours-of-Vitrectomy.flv Giuseppe Giunchiglia, MD (Palermo, Italy), Cesare Forlini, MD (Ravenna, Italy), Benedetto Scarpulla, MD (Palermo, Italy), Francesco la Barbera, MD (Palermo, Italy) SYNOPSIS This video shows the use of colorants during the various stages of vitreo-retinal surgery. An endovitreal injection of Triamcinolone Acetonide and/or of Tripan Blue...

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Pole to Pole Sugery in Trauma Case: The Dancer

Pole to Pole Sugery in Trauma Case: The Dancer

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy), Stefano Dolce, MD (Ravenna, Italy), Antonio Aversano, MD (Ravenna, Italy), William Gualtieri, MD (Ravenna, Italy) SYNOPSIS Complex cases of ocular traumatology, which involve different sectors of the eyeball. A “pole to pole” surgical strategy has been chosen, developing a global surgical strategy, putting aside the traditional distinctions between anterior and...

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Bulbar Rupture: “Close-as-you-go” Technique… But When, Where and Why to Stop?

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy), Stefano Dolce, MD (Ravenna, Italy), William Gualtieri, MD (Ravenna, Italy), Antonio Aversano, MD (Ravenna, Italy) PURPOSE: The management of severe globe injuries depends on several factors that do not tolerate prefixed schemes or dogmas. The “close-as-you-go” technique consists in the restoration of the globe integrity suturing both cornea and sclera surfaces step...

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Heavy Silicones in Severe Vitreoretinal Diseases

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy) SYNOPSIS To describe the usefulness of new heavy silicone oils in the management of complex cases of vitreoretinal surgery: a severe penetrating trauma, a macular trans-location for large paramacular hole in previous vitrectomy for CNV removal, and a closed trauma in previous PK patient with iris and lens expulsion.

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Pole to Pole Surgery in Trauma Case: “The Dancer”

http://www.evrs.eu/medias/2006/videos/Pole-to-Pole-Surgery-in-Trauma-Case:-The-Dancer.flv Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy), Stefano Dolce, MD (Ravenna, Italy), Antonio Aversano, MD (Ravenna, Italy), William Gualtieri, MD (Ravenna, Italy) SYNOPSIS Complex cases of ocular traumatology, which involve different sectors of the eyeball. A “pole to pole” surgical strategy has been chosen, developing a...

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One Port VPPV for the Treatment of Epimacular Disorders: Slit Lamp and New Anterior Chamber Maintainer (ACM) in Phakic Patient. Personal Technique

Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Barbara Campanini, MD, Department of Ophthalmology – Ravenna Hospital Viale V. Randi, 548100 Ravenna, Italy Purpose: This presentation shows a personal technique of one port VPPV for the treatment of epiretinal disorder. Moreover, it will be shown that through anterior chamber infusion it is possibile to create a new dynamics in intraocular flows. Methods: This one port VPPV...

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Triam-Time: “Parmesan” Central Vitrectomy in Macular Disease

Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Roberto Lodi, MD – Department of Ophthalmology, Ravenna Hospital Viale V. Randi, 5 48100 Ravenna, Italy Purpose: The use of triamcinolone has been recently proposed as a means in vitreoretinal surgery. Its injection into the vitreous chamber allows us to find new strategies in the difficult phases of vitreoretinal surgery. This study aims at defining the use of...

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RPE Protection from IFCG Staining

Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Barbara Campanini, MD, Department of Ophthalmology – Ravenna Hospital Viale V. Randi, 548100 Ravenna, Italy Purpose: Aim of this presentation is to show the usefullness and the effectiveness of the employement of TA and PFCL in protecting EPR and Müller cells in the macular hole level, during the staining phase by IFCG for the removal of MLI in macular hole...

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Use of Double Tamponade in Retinal Detachment with Macular Hole in High Myopia. Case Report

Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Barbara Campanini, MD – Department of Ophthalmology, Ravenna Hospital Viale V. Randi, 5 48100 Ravenna, Italy Purpose: Aim of the study is to evaluate the use of double tamponade (F6H8-PDMS) in the surgery for retinal detachment with macular hole in high myopia. The research of new tamponades originates from the need of having a long term vitreous substitute able to provide a...

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Circular Macular Translocation in Selected Cases of CNV and Heavy Silicone Tamponade

Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Roberto Lodi, MD – Department of Ophthalmology, S. Maria delle Croci Hospital, Ravenna, Italy Purpose: To evaluate the role of heavy tamponade in circular macular translocation. Methods: After PPVV we performed circular macular translocation and heavy silicone oil tamponade. 1 patient had age related macular degeneration with CNV and 1 atrophic age related macular...

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PDR: Triamcinolone Assisted Bimanual Surgery and “Re-Flow” Technique

C. Forlini, MD, G. Giunchiglia, MD, G. Lorusso, MD, M. Ambesi, MD Purpose: To show the advantages of epiretinal membrane bimanual removal in diabetic proliferation. Methods: Bimanual removal techniques with either variable angle “bullet” probes or new Eckardt’s chandelier are presented. In addition to that we used the personal Re-Flow technique with anterior chamber infusion and injected triamcinolone during the various...

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Anterior PVR in Post-Traumatic Pseudophakic Case with Refractory Glaucoma and Opacification of the Graft

Cesare Forlini, MD*, Giacoma Lorusso, MD, Annamaria Martini, MD, PhD, Roberto Lodi, MD, Marco Moretti, MD, Giuseppe Giunchiglia, MD Italy We present a case of anterior PVR which was noticed only after removing corneal leucoma. The scleral fixation IOL was removed and an open sky retinotomy was performed before re-implanting the IOL which was previously removed. A retinal counter-rotation was performed and silicone oil tamponade was...

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Double Tamponade F6H8/Silicone Oil in Advanced PVR

Cesare Forlini, MD*, Giacoma Lorusso, MD, Roberto Lodi, MD, Marco Moretti, MD, Giuseppe Giunchiglia, MD, Massimo Ambesi, MD Italy Purpose: To evaluate the use of double tamponade in advanced PVR when it is necessary to perform a wide retinotomy Methods: We present an advanced PVR case after complications of previous episcleral surgery and haemorrhagic choroidal detachment.After via pars plana vitrectomy and circular retinotomy we removed...

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Closed Eye Technique for the Repositioning of Luxated and Subluxated IOL

Cesare Forlini Ravenna, Italy In presence of luxated and subluxated IOL the surgical strategy depends on a mixing of different factors, among which there are the kind of IOL, the experience of the surgeon and the available instrumentation. We show different kinds of IOL where we need vitrectomy techniques in order to solve the problem. The via pars plana entries, necessary to remove the vitreous body, become very useful for the...

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Post Cataract Surgery Endophthalmitis

Cesare Forlini Ravenna, Italy Acute post surgical endophthalmitis is always a very serious event which needs accurate monitoring and urgent intervention when signs and symptoms get worse. Sometimes the surgeon is faced with very advanced stages of endophthalmitis which have seriously compromised the eye ball. In these cases, the first goal is to save the eye ball which would otherwise be destined to phthisis and secondly, to achieve the...

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Cosmetic IOL in Traumatic Aniridia in Anterior and Posterior Disorders

Cesare Forlini Ravenna, Italy Serious traumas may produce serious damages in the eyeball so that we sometimes need to intervene both in the anterior and the posterior sector in only one surgical step. The video shows the change of a cosmetic IOL in order to solve the luxation of the haptic part of the IOL. At the same time, the surgeon has performed a corneal graft and the removal of the ILM, which caused the contraction of the central...

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Double Tamponade in Macular translocation with Circular Retinotomy

Double Tamponade in Macular translocation with Circular Retinotomy

Cesare Forlini Ravenna, Italy Form March 2001 to May 2001 we performed 3 cases of retinal translocation and double tamponade in bilateral classic subfoveal CNV occurred less than 6 months before. Eckardt’s technique was used: limbal phacoemulsification with acrylic  IOL implantation in the bag, pars plana vitrectomy, posterior hyaloid detachment, base vitrectomy, production of retinal detachment with BSS infusion under the retina,...

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BIOM II and Intraocular Fiber

Cesare Forlini Ravenna, Italy The use of non-contact panoramic systems allows remarkable advantages when compared to non-panoramic systems and contact panoramic systems themselves. The advantages are related especially to the panoramic view and consequently to the opportunity to have a complete control of fundus during the various steps of vitreo-retinal surgery. Advantages include the possibility to have a very good visualization also...

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Double Tamponade in Macular Translocation with Circular Retinotomy

Cesare Forlini Ravenna, Italy Form March 2001 to May 2001 we performed 3 cases of retinal translocation and double tamponade in bilateral classic subfoveal CNV occurred less than 6 months before. Eckardt’s technique was used: limbal phacoemulsification with acrylic  IOL implantation in the bag, pars plana vitrectomy, posterior hyaloid detachment, base vitrectomy, production of retinal detachment with BSS infusion under the retina,...

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Spaghetti Technique in Vitreoretinal Surgery

Cesare Forlini Ravenna, Italy Spaghetti technique is a surgical technique that was born and conceived for removal of PVR subretinal membranes. These can be reached through a retinotomy whose size is variable, often very small the fundamental concept is that a traction is tangential to the retinal surface must be exented; this concept is common in all vitreoretinal surgery and spaghetti technique fits well with it. The PVR subretinal...

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