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Stellaris PC: A Ventury Pump for Fellows in Training

The Stellaris PC is a ventury pump vitrectomy machine. As you know, the control of the vacuum is the main parameter of the setting available in the software. The new interface gives you the opportunity to optimize and increase the security during the procedures. Purpose: The communication aims to explain how to use the different combinations to give the best sensations to the surgeon, well adapted to the way he manages the...

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Retinal Detachment: Try a Scleral Buckling First!

In this presentation, we will reflect on our experience in using scleral buckling procedure as the initial treatment modality for retinal detachment. Contact Details: Email: martiano.d@gmail.com Cell Phone: +33624122418  

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Endoscopy-guided 20G PPV in Severe Endophthalmitis: Literature Review & Report of 18 Cases

Objective: We aim to report the anatomical and functional outcomes after endoscopy-guided vitrectomy, in a series of severe endophthalmitis. We also aim to identify two different clinical presentation modes and to compare the outcomes. Patients & Methods: Retrospective case study, single center, all patients who underwent endoscopic vitrectomy 20ga (Endo optiks E4 system) for severe endophthalmitis were included. For each case, data...

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Management of Submacular Hemorrhage by Combined Subretinal Injections of t-PA and Aflibercept

Background / Aims: Acute and massive hematoma involving the macula is a devastating complication; age-related macular degeneration (ARMD) is the main cause. Undertreating choroidal neovascularization may explain it in some cases but it also may follow intravitreal anti-VEGF injection especially in previously treated eyes. Other underlying causes include retinal arterial macroaneurysms. In both cases, volume and time to evacuation have...

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Medical Limits in Macular Edema After RVO

Purpose: To compare the quality of life of different patients treated for macular edema: – Some are treated using topics injections (triamcinolone, lucentis) – Some are treated using a surgical procedure (ILM peeling combined or not to triamcinolone injection) Material and Methods: It is very important to know how the different patients organise their live between the different control, OCT, angiographes, and the normal live...

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3 Ways to Reache the Right Place

3 Ways to Reache the Right Place

Guy L’Helgoual’Ch   http://www.evrs.eu/medias/AwardedVideos/3-Ways-to-Reache-the-Right-Place.flv

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PDT Low Fluence: Spectral Domain OCT

http://www.evrs.eu/medias/2010/congress/Age-Related-Macular-Degeneration-2.flv Guy L’Helgoual’ch (Brest, France) Advantages: Early evaluation with spectral domain OCT of the anatomical modifications of the various retinal layers after PDT, illustrates the need for adjuvant therapy. Methods: Standard parameters were used with respect to Visudyne dose, perfusion, wash out duration, and diode laser power setting. Low fluence was...

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Why Endoscope Became Indispensable for Me

http://www.evrs.eu/medias/2008/congress/Why-Endoscope-Became-Indispensable-for-Me.flv Guy L’Helgoual’ch Advantages: To create a new standard of visualisation of the posterior segment in any cases , to give everybody, nurses, fellows, any member of your team, the possibility to follow the surgical procedure. Methods: Smalll videos and surgical cases ; from the most simple to more complicated cases ; increasing the surgeon’s technical...

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From my Wii to my Endoscope

http://www.evrs.eu/medias/2008/congress/From-my-Wii-to-my-Endoscope.flv Guy L’Helgoual’ch Advantages: Endoscopic vitrectomy is today the most stressless device you can immagine for a large part of posterior vitrectomy indications. Methods: To show the various steps of the learning curve ; the different slides explain the different phases you have to go through, the same way you did when your learned to play the Wii with your childrens...

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Tritherapy Using Avastin, Visudyne and Triamcinolone as Treatment of Neovascular AMD

Guy l’Helgoualch, MD (Brest, France) PURPOSE: To check using Avastin in intravitreous injection reduces the surface and the thickness of the neovascular membrane. To check improving the effect of PDT and reducing the side effects increases the final visual acuity. To verify this protocol of tritherapy reduces the number of treatment during the period of follow-up. METHODS: The population of patients includes the same proportion of...

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Combined Treatment: Photodynamic Therapy with Visudyne and Intravitreous Injection of Triamcinolone (IVT)

http://www.evrs.eu/medias/2005/congress/Combined-treatment:-Photodynamic-therapy-with-visudyne-and-intravitreous-injection-of-triamcinolone-(IVT).swf Guy L’Helgoual’ch Purpose: To estimate the interest of intravitreous injection of Triaminolone 24 hours after Photodynamic Therapy with Visudyne used as treatment of néovascular complications of age related macular degeneration. Methods: During a period longer than 2 years, each patient...

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Photodynamic Therapy with Visudyne: Complications

Guy L’Helgoual’ch Purpose: To analyse the photodynamic therapy’s complications and try to understand parts of the mecanisms. Methods: Fluorescein and ICG angiograph are done using a Topcon Imagenet system Adobe Photoshop software to analyse the pictures and create traces from the lesion and laser’s spot area Morphing software to compare the angiographs. Results: Using Adobe photoshop software, it is possible to show the...

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Preferential Hyper Acuity Perimeter: Clinical and Angiographic Correlations

http://www.evrs.eu/medias/2005/congress/Preferential-hyper-acuity-perimeter:-clinical-and-angiographic-correlations.swf Guy L’Helgoual’ch Purpose: To appreciate the correspondence of P.H.P.’s results with angiograph’s pictures for patients cured for age related macular degeneration, treated or not. Methods: 9 months using P.H.P. during the follow-up of patients for age related macular Degeneration. Some of the patients have got a...

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T.S.V. 25 and PVR

Guy L’ Helgoual’ch, MD Clinique Pasteur, Brest, France One sentence objective: To test the T.S.V. 25 efficiency in P.V.R. surgical procedures Purpose: After18 months using T.S.V. 25 in partial vitrectomy procedures such as macular surgery, to answer the question: Is T.S.V. 25 a new disposable device in P.V.R. treatment? Methods: After testing the efficiency of the different instruments and learning to operate with, it was...

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Practical use of Scroll Pump

Guy L’Helgoual’ch Brest, France The communication suggests the simultaneous observation of short surgery sequences and variations of flow and rate on the monitoring screen of the Millenium. The quick modifications of the viscosities are perfectly handled by the new concept of pump measuring the flow introduced by Bausch and Lomb group. The very small parameters are so highly mastered make new surgical techniques of vitreo-retinal...

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