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Surgical Treatment of Optic Pit Retinal Detachment with an Inverted Flap of Intern Limitant Membrane

Surgical Treatment of Optic Pit Retinal Detachment with an Inverted Flap of Intern Limitant Membrane ABSTRACT Optic pit is a rare ocular malformation that can lead to retinal detachment. Several treatments have been proposed including gas tamponade, laser and vitrectomy. We propose an another approach to other forms of treatments. A flap of intern limiting membrane is added in order to isolate the optic pit from the vitreous cavity. The...

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A Rare Complication of Intravitreal Injection with Anterior Chamber Paracentesis: Inadvertent Retinal Trauma Induced by the Needle

A Rare Complication of Intravitreal Injection with Anterior Chamber Paracentesis: Inadvertent Retinal Trauma Induced by the Needle ABSTRACT We report four cases of traumatic retinal lesion related to the needle used for anti-VEGF intravitreal injection. An aqueous paracentesis was performed before the injection in all cases. A 30-gauge needle with a ½ inch long tip was always used. In three cases, the distal end of the needle was...

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Sub-retinal Gas Bubble After RD Surgery

Contact Details: Email: frankbecquet@yahoo.fr Cell Phone: /+33662085506

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Vitreo Retinal Incarceration

Contact Details: Email: frankbecquet@yahoo.fr Cell Phone: /+33662085506

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Posterior Pole Tear After ERM Surgery

Contact Details: Email: frankbecquet@yahoo.fr Cell Phone: /+33662085506

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Anterior Capsulophimosis Problem

Contact Details: Email: frankbecquet@yahoo.fr Cell Phone: /+33662085506

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Ozurdex Stuck in the Sclera

Contact Details: Email: frankbecquet@yahoo.fr Cell Phone: +33662085506

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MH After IVTs

Contact Details: Email: frankbecquet@yahoo.fr Cell Phone: /+33662085506

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Reasons for Aflibercept Prescription in Wet AMD in Real Life

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To describe the main reason for aflibercept prescription in the treatment of exudative age-related macular degeneration (AMD) during the initial weeks of availability of this drug in a clinical setting. Patients and methods: During the first 16 weeks of availability in France, four experienced practitioners in retinal disease...

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Why I Still Perform Buckling in Selected Cases

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Principles of rhegmatogenous retinal detachment (RRD) surgical management remains the same than 40 years ago: finding all retinal breaks, sealing the retinal breaks by creating a chorioretinal scar around the breaks («retinopexy»), drainage of subretinal fluid in some cases, and relief of vitreoretinal traction. To achieve these...

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Posterior Iris Claw Implantation for Correction of Aphakia : Technique and Long-term Results

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To evaluate the indications, the safety, and the results of retropupillary implantation of iris claw intra ocular lenses in the correction of aphakia Patients and methods: This retrospective study included 50 eyes of 50 patients who underwent retropupillary iris claw IOL fixation between January 2010 and January...

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Interest of Reading Evaluation with an Eye Tracker in Idiopathic Macular Hole Before and After Surgical Treatment

Purpose: To evaluate the effect of idiopathic macular hole on eye movements during reading before and after macular hole surgery. Methods: Twelve patients with unilateral idiopathic full-thickness macular hole were included in this prospective case-control study. In the diseased eye, all patients underwent standard two-port pars plana vitrectomy with posterior hyaloid and ILM removal. Main outcome measures were the number and durations...

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Curses and Misfortune of 23 Gauge Vitrectomy

Setting: Vitreoretinal department, clinique Sourdille, Nantes, France Purpose: Although transconjunctical sutureless vitrectomy is a major step forward in vitreoretinal surgery when compared to 20 gauge vitrectomy, it has its own set of complications and shortcomings. We present in this film a series of complications we could record during the last five years. Methods: We selected an anthology of complications and shortcomings specific...

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Evaluating Adjunctive Surgery to Ozurdex for the Treatment Macular Edema Following RVO

Ozurdex®, a dexamethasone (DEX) intravitreal implant, has been shown in randomized controlled trials to reduce macular edema and improve visual acuity in patients with either branch retinal vein occlusion (BRVO) or central retinal vein occlusion (CRVO). However, repeated injections are usually necessary, particularly for CRVO patients. And the long-term adverse events, including the incidence of cataract and glaucoma, are still...

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How to Minimize Scleral Buckling Complications?

Frank Becquet, Jean-François Le Rouic, Didier Ducournau (Nantes, France) Purpose: To evaluate the use, tolerance and complications of episcleral implants in retinal detachment surgery. Methods: A review was carried out on the medical reports of 2155 patients with a single surgical procedure (cryotherapy and scleral buckling) for rhegmatogenous retinal detachment that were operated on by three surgeons (Frank Becquet, Jean-François Le...

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Management of Exudative Retinal Detachment Following Surgery in Nanophthalmic Eyes

Frank Becquet, Jean-François Le Rouic, Didier Ducournau (Nantes, France) Purpose: To report three cases of nanophthalmic uveal effusion syndrome with exudative retinal detachment after intraocular surgery. Methods: Three patients were referred to us with a persistent exudative retinal detachment after intraocular surgery (surgery of glaucoma in two cases and cataract in one case). Sclerectomy and vortex vein decompression were performed...

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Macular Hemathoma Due to ARMD in the Era of Anti-VEGF: Has Anything Changed?

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Jean-François Le Rouic, Frank Becquet, Didier Ducournau (Nantes, France) Introduction:  Although anti-VEGF therapy is a breakthrough in the treatment of exudative age-related macular degeneration (ARMD), sub-macular haemorrhage remains a major concern which may still need surgical treatment when the bleeding is large and thick.  We wondered if the main characteristics and the...

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Is Idiopathic Epiretinal Membrane a Kind of Chronic Retinal Vein Occlusion?

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Frank Becquet, Xavier Zanlonghi, Jean-François Le Rouic, Didier Ducournau (Nantes, France) Purpose: To evaluate retinal macular function by multifocal electroretinogram (mfERG) in patients with idiopathic epiretinal membrane (ERM) or retinal vein occlusion (RVO). Methods: In this retrospective comparative study, records of nine patients...

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Tricks to Enhance Security in Sutureless and Microincisional Vitrectomy

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Authors: Frank Becquet, Nantes, France Sutureless sclerotomies in microincisional vitrectomy are now widely used, but questions have been raised about self sealing properties of non sutured sclerotomy wounds. Greater risks of hypotony, endophthalmitis and even retinal detachment (due to leakage of vitreous or fluid through the incision) have been pointed out by...

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How to Avoid the Internal Tamponade Invading the Anterior Chamber.

http://www.evrs.eu/medias/2008/congress/How-to-Avoid-the-Internal-Tamponade-Invading-the-Anterior-Chamber.flv Frank Becquet Advantage: In case of zonulo-capsular disruption (zonular defect, artisan IOL, aphakia, etc.), retinal tamponading agents could invade the anterior chamber during silicone oil injection or could flatten an artisan IOL against the cornea during gas exchange. Method: The anterior chamber is filled completely with a...

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Dissection of Proliferative Diabetic Retinopathy Using the Vitreotome with Flow Control

http://www.evrs.eu/medias/2008/congress/Dissection-of-Proliferative-Diabetic-Retinopathy-Using-the-Vitreotome-with-Flow-Control.flv Jean-François Le Rouic, Frank Becquet, Didier Ducournau Advantage: The precise aspirating flow control of recent vitrectomy machines and the reduction of the vitreotome port allow for a selective grasping and cutting of preretinal proliferations. This technique reduces the need for iterative exits through the...

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Vitrectomy Session – IOFB

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

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Vitrectomy Session – Lenses

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

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Vitrectomy Session – Silicone

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

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Treatment of Macular Hematoma Due to Age-related Macular Degeneration by Displacement with Vitrectomy and Gas Injection

Jean-François Le Rouic, MD (Nantes, France), Frank J. Becquet, MD, PhD (Nantes, France), Pascal Peronnet, MD (Nantes, France), Caroline Pousset-Decre, MD (Nantes, France), Elisabeth Hermouet- Leclair, (Nantes, France), Philippe Gayet, (Nantes, France), Didier Ducournau, MD (Nantes, France) PURPOSE: To report the pre- and postoperative findings after displacement of recent submacular hemorrhages due to age-related macular degeneration...

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Particular Profile for Idiopathic Central Retinal Vein Occlusion in Young Adults

Frank J. Becquet, MD, PhD (Nantes, France), Jean-François Le Rouic, MD (Nantes, France), Didier Ducournau, MD (Nantes, France) PURPOSE: To describe and evaluate the prevalence of intensive sport practising among patients with earlyonset central retinal vein occlusion (CRVO). METHODS: Intensive sport practising was evaluated in a consecutive series of 10 patients with CRVO who were younger than 45 years of age (mean age, 37.2 years) from a...

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Internal Limiting Membrane Peeling in Macular Surgery: a Common Physiopathological Mechanism Suggested by Functional Results

http://www.evrs.eu/medias/2005/congress/Internal-Limiting-Membrane-Peeling-in-Macular-Surgery:-a-Common-Physiopathological-Mechanism-Suggested-by-Functional -Results.swf Jean-François Le Rouic, Didier Ducournau, Frank Becquet Purpose: To investigate visual acuity (VA) outcomes after internal limiting membrane (ILM) peeling in macular idiopathic epiretinal membrane (ERM), diabetic macular edema (DME), macular hole (MH), and chronic macular...

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Pre and Postoperative Functional and Anatomical Changes in Patients with Idiopathic Epiretinal Membrane

http://www.evrs.eu/medias/2005/congress/Pre-and-Postoperative-Functional-and-Anatomical-Changes-in-Patients-with-Idiopathic-Epiretinal-Membrane.swf F. Becquet, X. Zanlonghi, L. Libeau Purpose: To evaluate retinal macular function and morphology before and after removal of unilateral idiopathic epiretinal membrane (ERM). Methods: In this prospective case-control study, nine patients (9 eyes, mean age of 69 years) with unilateral ERM...

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Slit Lamp Illumination for Bimanual Surgery in the Treatment of Proliferative Diabetic Retinopathy

J.F. Le Rouic, F. Becquet, D. Ducournau Purpose: To report the usefulness of the slit lamp which allows bimanual surgery in complex retinal surgery such as proliferative diabetic retinopathy. Methods: Presentation of demonstrative cases in which bimanual surgery under slit lamp illumination was helpful for the treatment of proliferative diabetic retinopathy. Results: During surgery, slit lamp provides a good illumination of the fundus and a...

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Surgical Techniques for Proliferative Diabetic Retinopathy

Didier Ducournau, Frank Becquet, Jean-François Le Rouic Surgical techniques used for proliferative diabetic retinopathy (PDR) dissection are refering to two fundamentals: – Never induce perpendicular forces to avoid tearing the retina. This eliminates instruments with high grasping effect like forceps. We will prefer blunt hooks which will slip in case of high adherence. – Prefer natural plan of cleavage. This will eliminate...

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Evaluating Adjunctive Surgical Procedures of Vitrectomy for Diabetic Macular Edema with Visual Acuity and Optical Coherence Tomographic Outcomes

F. Becquet, J.F. Le Rouic, D. Ducournau, Department of vitreo-retinal surgery, Clinique Sourdille, Nantes, France Purpose: To investigate visual acuity and optical coherence tomographic (OCT) outcomes, and adverse events, associated with intravitreal triamcinolone acetonide (TA) injection and pars plana vitrectomy for diabetic macular edema (DME). Methods: Retrospective, non-comparative, interventional, consecutive case series. Records were...

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PVR Analysis Using Cell-Flare Meter Laser

Frank Becquet Nantes, France Purpose: Increases in aqueous flare intensity indicate the breakdown of the ocular blood-aqueous barrier. This condition could partly influence proliferative vitreoretinopathy (PVR) development in rhegmatogenous retinal detachment (RD) because increased proteinaceous flare in the intraocular fluids is probably a stimulus to further cellular proliferation. Thus, changes in aqueous protein concentration in RD at...

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Risk Factors for Recurrence and Failure in Phakic Versus Pseudophakic Rhegmatogenous Retinal Detachment

Frank Becquet, Jean-François Le Rouic Nantes, France Purpose : The aim of this study was to evaluate frequency and risk factors of retinal recurrence and failure in relation to the lens status (phakic or pseudophakic eye). Methods : This retrospective study included 3098 patients who consecutively underwent surgical repair (primary posterior vitrectomy and/or scleral buckling technique) for retinal detachment (RD) performed by the same...

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Risk Factors for Recurrence and Failure after Vitrectomy Versus Scleral Buckling in Rhegmatogenous Retinal Detachment Surgery

Claire Douat, Frank Becquet, Didier Ducournau, Nantes, France Purpose: Retinal reattachment can be achieved by different surgical approaches such as primary posterior vitrectomy (PPV) or scleral buckling techniques (SB). Recently, PPV as a first intention treatment for rhegmatogenous retinal detachment (RRD) has become fashionable in comparison with SB. The aim of this retrospective study was to evaluate the risk factors for RRD recurrence...

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Vitrectomy Procedure Cost Evaluation

Frank Becquet Nantes, France Purpose: To assess whether there are differences in vitrectomy procedure cost and to analyse the cost of different options for vitrectomy in European countries. Methods: Approximately 200 European vitreoretinal surgeons were sounded out for this study. The direct costs of various disposable and non disposable materials used for vitrectomy were asked as well as country, annual number of vitrectomy procedures, and...

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