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Three in One: PVD, Laser Treated Retinal Break, Elevated Choroidal Nevus

Retina Photo Three in One PVD, Laser Treated Retinal Break, Elevated Choroidal Nevus by Enrico Bertelli, Italy Enrico Bertelli, Italy Contact Details: Enrico Bertelli Ophthalmic Department, San Maurizio Regional Hospital Bolzano Italy Cell Phone : 00393409191017 Work Phone : 00390471908605 Email :...

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Simple Aspiration for Removal of MIRAgel Scleral Buckle Explants: A Novel Technique

Enrico Bertelli, Paolo Santorum, Italy Background: Episcleral explants made of hydrogel (methylacrylate-2-hydroxyethylacrylate, MIRAgel, Medical Instruments Research Associates Inc., Waltham, MA) have been widely used as scleral buckles as an alternative to silicone buckles. These sponge-like material presented some theorical advantages: it was soft and elastic, therefore easier to manipulate, and gentler on the sclera intraoperatively; it...

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Multimodal Imaging of Silicone Oil-related Visual Loss

ABSTRACT Silicone Oil-related visual loss can be defined as a visual decrease of at least 2 Snellen lines (SL) following Silicone oil removal, caused by the acute development of an irreversible, central scotoma. In two recently published, large case series the incidence of this phenomenon varies from 3,3% to 5,9%. While extensive ERG abnormalities have been frequently described in this affection, FA and OCT-abnormalities have not yet been...

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Morning Glory Syndrome in a 10-months Old Infant, Wide Field Fundus Image Acquired with Speculum

RETINA PHOTO           ABSTRACT Background: Ultra-wide field (UWF) imaging of the fundus (Optos, Daytona) is a valuable diagnostic tool, allowing the acquisition of up to 200° of the retina in a single image. The instrument requires the patient to lean forward towards the instrument, keeping the eye well open and correctly aligned in the acquisition opening, fixating the aiming light. It is therefore generally...

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Shaken Baby Syndrome in a 8-months Old Infant, Bilateral Ultra-wide Field Fundus Images Acquired with Speculum

RETINA PHOTO       ABSTRACT Background: Ultra-wide field (UWF) imaging of the fundus (Optos, Daytona) is a valuable diagnostic tool, allowing the acquisition of up to 200° of the retina in a single image. The instrument requires the patient to lean forward towards the instrument, keeping the eye well open and correctly aligned in the acquisition opening, fixating the aiming light. It is therefore generally unsuitable for...

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Treatment of Severely Visually Impairing Ectopia Lentis Related to Marfan Syndrome in Pre-school Children: Report of 2 Cases Now Approaching 3 and 5 Years Follow-up Respectively

Treatment of Severely Visually Impairing Ectopia Lentis Related to Marfan Syndrome in Pre-school Children: Report of 2 Cases Now Approaching 3 and 5 Years Follow-up Respectively SCIENTIFIC POSTER Treatment of Severely Visually Impairing Ectopia Lentis Related to Marfan Syndrome in Pre-school Children by Enrico Bertelli ABSTRACT The Authors report results in terms of safety and efficacy of phacoaspiration, capsulectomy, anterior vitrectomy...

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Treatment of Post-traumatic Hypotony Related to Cyclodialysis Cleft: Our Experience in Two Cases

Treatment of Post-traumatic Hypotony Related to Cyclodialysis Cleft: Our Experience in Two Cases ABSTRACT The Authors present two different surgical approaches in the treatment of hypotony following post-traumatic cyclodyalisis clefts. Cyclodialysis cleft is a rare post-traumatic complication, often difficult to treat, in spite of multiple surgeries. Case reports: A 29 YO male patient developed cyclodialysis cleft after a penetrating...

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Intraoperative Detection of a Vasoproliferative Tumor During Phacovitrectomy

Purpose: To illustrate a personal approach to the accidental intraoperative finding of a very large (8mm max. diameter) Vasoproliferative Retinal Tumor (VPRT) during Phacovitrectomy for long-standing Coat’s disease. Background: VPRTs are benign, vascular masses located in the peripheral retina. Shields and Coworkers have classified them as idiopathic or secondary to congenital, inflammatory, vascular, traumatic, dystrophic or...

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Large Vasoproliferative Tumor Detected During Phacovitrectomy for Coat’s Disease

Enrico Bertelli_RETINA PHOTO 2015 Contact Details: Email: enrbertelli@gmail.com Cell Phone: +393409191017

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15 Years Follow-up of a Severe Case of CSCR

Purpose: Severe types of central serous chorioretinopathy (CSC) have a chronic and persisting nature. Multimodal imaging presently allows thorough documentation of apparently quiescent phases, as well as acute exudative episodes. Limited information concerning long-term natural history of severe CSC is available in the literature. The purpose of the Authors is to report clinical and multimodal imaging features of a bilateral, severe case...

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Bullous Exudative Retinal Detachment Due to Giant Rip of the RPE in Course of Chronic Central Serous Retinopathy, Treated with Photodynamic Therapy

http://www.evrs.eu/medias/2010/congress/Central-Serous-Chorioretinopathy.flv Enrico Bertelli, Stefano Coser, Veronika Rogger (Bolzano, Italy) Advantages: Various authors have reported that photodynamic therapy (PDT) can be an effective treatment for serous exudation in Central Serous Chorioretinopathy (CSC). This approach is based on the notion that choroidal hyperpermeability, as demonstrated by indocyanine green angiography, is an...

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23 Gauge for Proliferative Diabetic Retinopathy: It Has to Be!

http://www.evrs.eu/medias/2010/videos/EnricoBertelli_VP6_768K.flv Enrico Bertelli, Paolo Pelanda (Bolzano, Italy) Advantages: 23 Gauge transconjunctival vitrectomy is a minimally invasive vitreoretinal technique that offers the advantages of sutureless surgery combined with the benefits of a sturdy instrumentation, this latter feature making it potentially suitable for a large number of indications. Methods: The video highlights the ample...

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27 Gauge Twinlight Chandelier as an All-Purpose Light Source in Vitreoretinal Surgery

http://www.evrs.eu/medias/2009/videos/EnricoBertelli_VP6_768K.flv Author: Enrico Bertelli, Bolzano, Italy Advantages: 27G Eckardt twinlight chandelier (DORC, Zuidland, Holland) is a light probe that has been made available on the market since mid-2008, with the purpose of facilitating bimanual vitreoretinal surgery. The instrument consists of 2 separate optic fibers, that can be independently inserted through the sclera. Methods: In 15...

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Macular Surgery with Trans-Conjunctival 23 Gauge Vitrectomy Effectiveness of Internal Air Tampoanade in the Prevention of Postsurgical

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Authors: Enrico Bertelli, Stefano Coser, Paolo Pelanda, Veronika Rogger, Bolzano, Italy Advantages: Post-surgical hypotony is a rare but potentially dangerous complication of mini-invasive sutureless vitrectomy. Individual characteristics of the sclera or variables in dynamic and extension of performed vitrectomy may lead to unpredictable selfsealing features of...

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Tranconjunctival Sutureless 23 Gauge Vitrectomy: Modified 2 Step Technique

http://www.evrs.eu/medias/2009/congress/20-Gauge-23-Gauge-25-Gauge.flv Authors: Enrico Bertelli, Stefano Coser, Paolo Pelanda, Helga Pernter, Bolzano, Italy Advantages: An original, modified, transconjunctival, 2-step 23G microcannula insertion technique is presented. The advantage of this bimanual, modified technique is that an instrument is constantly engaging the sclerotomy. Methods: In our modified two-step technique the introduction of...

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27 Gauge Twinlight Chandelier as an All-Purpose Light Source in VR Surgery

27 Gauge Twinlight Chandelier as an All-Purpose Light Source in VR Surgery

Enrico Bertelli, Bolzano, Italy Advantages: 27G Eckardt twinlight chandelier (DORC, Zuidland, Holland) is a light probe that has been made available on the market since mid-2008, with the purpose of facilitating bimanual vitreoretinal surgery. The instrument consists of 2 separate optic fibers, that can be independently inserted through the sclera. Methods: In 15 consecutive eyes 27G twinlight chandelier was used as exclusive light source...

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The Snowstorm Technique: Triamcinolone Suspension in the Infusion Bottle

http://www.evrs.eu/medias/2008/congress/The-Snowstorm-Technique:-Triamcinolone-Suspension-in-the-%20Infusion-Bottle.flv Enrico Bertelli Advantages: Triamcinolone Acetonide (TA)-assisted vitrectomy has been first described in 2000, and has become popular among vitreoretinal surgeons. Vitreous staining properties of TA suspension in the conventional use improve visualization of vitreous fibers and vitreoretinal interface. However they offer...

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32 Gauge Needles for Antiangiogenic Intravitreal Injections

Enrico Bertelli, Stefano Coser, Chiara M Eandi Advantages: In the era of pharmacological therapy for the treatment of proliferative and/or exudative maculopathies intravitreal injections have become the principal route of administration of drugs. To our knowledge, to date only 27 G and 30 G needles have been used for intravitreal administration of these drugs. 32 G needles are routinely used in laboratories for intravitreal injections in...

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Vitrectomy Session – Subretinal Bubbles

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

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Indocyanine Green (ICG) Mediated Phototrombosis of a Large Retinal Hemangioblastoma in von Hippel-Lindau Disease

Enrico Bertelli, (Bolzano, Italy) PURPOSE: To assess the efficacy of ICG mediated phototrombosis in the treatment of large vascular lesions, and in particular of a 6 mm large, actively exudating retinal hemangioblastoma in a case of von Hippel- Lindau disease. METHODS: A 31 year old female patient presented with history of decreased vision in her right eye dating back several months. Visual acuity had decreased to 20/200. Fundus examination...

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