content top

Expulsive Hemorrhage During Penetrating Keratoplasty: A Strategy for Management. Video Presentation

Expulsive Hemorrhage During Penetrating Keratoplasty: A Strategy for Management. Video Presentation ABSTRACT We present a case of loss of the anterior chamber, forward projection of intraocular contents during placing the second suture of a corneal graft. Immediate management including forced placement of the second suture, an immediate pars plana stab with core vitrectomy, further deepening of the anterior chamber and placement of...

Read More

Double Rectangular Scleral Mesh for Dislocated IOLs: A Closed Vitrectomy Approach

Double Rectangular Scleral Mesh for Dislocated IOLs: A Closed Vitrectomy Approach ABSTRACT Introduction: Dislocated IOLs months to years following IOL implantation represent a challenging entity. We present a new technique of ab interno approach to replace the IOLs in the sulcus following PPV. Materials & Methods: 5 cases of dislocated IOLs are presented. Age range from 8-50 years. All cases were myope with no capsular support....

Read More

Partial Lamellar Scleral Resection in a Choroidal Melanoma with Extraocular Extension

A 60-year-old male presenting with large sized melanoma with extraocualr extension. Management included partial lamellar resection, with full thickness eye wall resection around the extra ocular extension and scleral graft. Postoperative recovery was smooth and patient received adjuvant transpupillary thermotherapy. Five year follow up was uneventful. Contact Details: Email: ihabsaad@hotmail.com Cell Phone:...

Read More

Pattern Choroidal Dystrophy

              Contact Details: Email: ihabsaad@hotmail.com Cell Phone:...

Read More

Ocular Histoplasmosis, Retcam

              Contact Details: Email: ihabsaad@hotmail.com Cell Phone:...

Read More

Insufficient Laser, Preretinal Hemorrhage

              Contact Details: Email: ihabsaad@hotmail.com Cell Phone:...

Read More

Albino Fundus 1

              Contact Details: Email: ihabsaad@hotmail.com Cell Phone:...

Read More

Coats Disease: Management of Lipid Exudates by Trans-scleral Drainage, Triamcinolone Injection Followed by Laser Peripheral Ablation

Aim: To evaluate the role of intravitreal Triamcinolone (TA) with or without trans-scleral drainage in management of Coats disease. Methods: Retrospective, interventional case series. Results: Fifteen consecutive cases with Coats disease were managed with 4mg/0.1ml intravitreal Triamcinolone injection on presentation and were followed for a minimum of one year duration. Additional management strategies including drainage of subretinal fluid...

Read More

Subthreshold Diode Micropulse Laser for the Treatment of Clinically Significant DME Less than 400 μ

Purpose: To assess effect of micropulse diode laser (MPDL) on best corrected visual acuity (BCVA) and central foveal thickness (CFT) in treatment of clinically significant diabetic macular oedema (CSME) as compared to conventional argon green laser (CGL) treatment. Design: Single-center, prospective, interventional, comparative study. Methods: Twenty four patients (40 eyes) with diabetic CSME were randomly assigned to MPDL (n=20) or CGL...

Read More

Wide Angle Fundus Imaging and Fluorescein Angiography in Evaluation and Management of Retinal Pathologies and Intraocular Tumors

Introduction: Wide angle fundus photography using Retcam II is the state of the art technique in evaluating pediatric retinal diseases and tumor conditions. The introduction of ultra wide field 200Ëš fundus imaging and fluorescein angiography for adult fundus imaging is opening the window for diagnosis and management of many peripheral retinal conditions in retinal disorders and tumor conditions. Materials & Methods: Prospective...

Read More

Iatrogenic Breaks in ROP Stage 4, 5

Contact Details: Email: ihabsaad@hotmail.com Cell Phone: /+201001768768

Read More

Retinal Break During Posterior Hyaloid Detachment and ILM Peeling

Contact Details: Email: ihabsaad@hotmail.com Cell Phone: /+201001768768

Read More

Complications During 23G Trocar Insertion

Contact Details: Email: ihabsaad@hotmail.com Cell Phone: /+201001768768

Read More

Double Rectangular Scleral Mesh for Dislocated IOLs: A Closed Vitrectomy Approach

Contact Details: Email: ihabsaad@hotmail.com Cell Phone: +201001768768

Read More

Expulsive Hemorrhage During Penetrating Keratoplasty

Contact Details: Email: ihabsaad@hotmail.com Cell Phone: +201001768768

Read More

Expulsive Hemorrhage During Penetrating Keratoplasty

Contact Details: Email: ihabsaad@hotmail.com Cell Phone: +201001768768

Read More

Subthreshold Diode Micropulse Photocoagulation for Significant DME

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To assess effect of micropulse diode laser (MPDL) on best corrected visual acuity (BCVA) and central foveal thickness (CFT) in treatment of clinically significant diabetic macular oedema (CSME) as compared to conventional argon green laser (CGL) treatment. Design: Single-center, prospective, interventional, comparative...

Read More

Ranibizumab vs Ranibizumab + Laser vs Bevacizumab in the Treatment of Threshold ROP

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: The aim of the study is to compare the efficacy of intravitreal ranibizumab injection, intravitreal ranibizumab injection combined with retinal laser ablation, and intravitreal bevacizumab injection in treatment of zone and posterior zone 2 severe threshold retinopathy of prematurity (ROP). Patients and methods: A...

Read More

Pars Plan Lensectomy + Vitrectomy in Stages 4 and 5 ROP

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: Stages 4 and 5 ROP represent a severe form of ROP resulting in visual blindness. Pars plana lvitrectomy with or without lensectomy may offer a dismal prognosis in fixing the retinal detachment. Methods: A series of 15 consecutive cases of severe tractional retinal detachment and falciform folds presenting as stages 4 (8...

Read More

Optic Pit in Pediatric Age Group

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To demonstrate two cases of optic nerve pit in paediatric age group. Methods and results: A one-year old female with skin and mucous membrane manifestations of tuberous sclerosis was found to have an optic nerve pit with subretinal fluid OS and astrocytic hamartomas OD. Over a follow up period of 3 years, the patient had stable...

Read More

Comparative Evaluation of Two Wide Angle Viewing Systems for Retinoblastoma in Pediatric Age Group

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To evaluate Optos Wide angle fundus photography (OWAFF) in evaluation and further management of pediatric age group with retinoblastoma. Methods: 15 Patients previously treated and managed at the EyeWorld Hospital were evaluated. Age ranged from 3- 7 years. Fundus photos were taken with Optos 200Tx, and compared to Retcam...

Read More

The EVRS Macular Hole Study Results

Read More

Super-selective Intraophthlamic Artery Melfalan for Management of Advanced Intraocular Retinoblastoma: Two-year Results

Purpose: To evaluate the role of superselective ophthalmic artery melfalan (SSOAM) for management of advanced retinoblastoma whether as a primary or secondary treatment modality. Methods: Ten cases of advanced stage D disease were managed by SSOAM. Seven cases presented after failure of other therapeutic modalities to control the tumor and 3 cases presented with advanced uniocular disease. SSOAM was given as initial therapy for 1-3...

Read More

Modified Vortex Vein Decompression in Idiopathic Ciliochoroidal Effusion

Introduction: Idiopathic ciliochoroidal effusion is a specific pathological entity with abnormal thickened sclera resulting in significant exudative retinal detachment. Methods: 4 cases of idiopathic ciliochoroidal effusion presented with total exudative retinal detachment. Modified vortex vein decompression was performed. Effectiveness / Safety: Flattening of the retina was achieved in all cases. There were no ocular...

Read More

Coats’ Disease: Intravitreal Triamcinolone with or Without Transscleral Drainage: The Way to Go!

Purpose: To evaluate the role of intravitreal Triamcinolone (TA) in the early management of Coats’ disease with or without trans-scleral drainage. Methods: Retrospective, interventional case series. Fifteen consecutive cases with Coats’ disease were managed with 4mg/0.1ml intravitreal Triamcinolone injection on presentation and were followed up for a minimum duration of one year. Additional management strategies included...

Read More

Pars Plana Lensectomy / Vitrectomy in Stages 4 and 5 ROP

Stage 5 ROP is a severe form of ROP resulting in retinal detachment and visual blindness. Pars plana lensectomy vitrectomy may offer a dismal prognosis in fixing these detachments.

Read More

Angiography and Swept Source OCT

Advantages:   Wide-angle fundus photography is the state of the art technique in evaluating pediatric retinal diseases and tumor conditions. The introduction of ultra wide field 200˚ fundus imaging and fluorescein angiography for adult fundus imaging is opening the window for diagnosis and management of many peripheral retinal conditions in retinal disorders and tumor conditions. Methods: Prospective evaluation of pediatric and...

Read More

Videotheque Course

The course illustrates surgical strategies and intraoperative peculiarities for a variety of VR diseases. The presenters will demonstrate the initial situation, the surgical procedure and the outcomes of individual cases. There will be room for an exchange of opinions among the panel as well as with the audience.

Read More

Expulsive Hemorrhage During Penetrating Keratoplasty

We present a case of loss of the anterior chamber, forward projection of intraocular contents during placing the second suture of a corneal graft. Immediate management including forced placement of the second suture, an immediate pars plana stab with core vitrectomy, further deepening of the anterior chamber and placement of closing sutures. Postoperatively, there was recovering of vision with full function of the graft. Immediate maneuvers...

Read More

ERM Removal in a Case of Von Hippel Lindau Angioma Post-brachytherapy

We present an unusual case of Von Hipple Lindau angiomas managed by brachytherapy. During post-operative follow up, an epiretinal membrane developed causing dragging of the macula and diminution of visual acuity. A 23 gauge pars plana vitrectomy was performed with removal of ERM and endolaser to the angiomas residuals. ERM came as one sheet and was found to extend to the retinal periphery. Visual acuity and OCT thickness improved...

Read More

The EVRS Macular Edema Study Results

Read More

Micropulse Laser Following Intra Vitreal Bevacizumab in Diffuse DME

Advantages: Intravitreal bevacizumab followed by laser micropulse in CSME offers a clear advantage of non-inducing a visible retinal burn and having a potential efficiency in reducing foveal thickness and visual acuity Methods: Prospective case series. One hundred and twenty cases of non-ischemic non-tractional CSME with macular thickness more than 400 microns as defined by OCT were managed by initial intravitreal bevacizumab injection...

Read More

PPV in Management of Type 1 Non-tractional DME After Failure of all Therapies

Advantages: PPV is a useful method in management of non-tractional, non-ischemic resistant diffuse diabetic macular edema associated with type 1 DM Methods: Type 1 Diabetic macular edema (DME) is typically managed by thermal laser, intravitreal injections and systemic control. An entity of diffuse DME persists despite all therapies. We present 5 cases of diffuse non-tractional, non-ischemic diffuse DME in type 1 DM managed by clear...

Read More

Management of ME in Retinitis Pigmentosa with Topical Dorzolamide

Advantages: Retinitis pigmentosa may be associated with macular edema and cystoid spaces. Topical dorzolamide may be useful in improving macular edema. Methods: Prospective evaluation of the use of dorzolamite  (topical 3 times daily for 3-6 months) in ME cases associated with RP. Six cases with RP were identified by OCTas having macular edema. A course of dorzolamide drops was initiated 3 times/day for 3-6 months. Evaluation of...

Read More

Macular Edema and Exudates in the Pediatric Age Group

Advantages: Identification of causes of macular edema and exudates in pediatric age group in important. Methods: Prospective case series. Pediatric macular edema and exudates provide definite challenges to the practicing ophthalmologist. We present a case series of pediatric macular edema and exudates related in 5 cases to the presence of peripheral retinal hemangioblastoma related to Von Hippel Lindau (VHL) disease and in 16 cases to...

Read More

Management of Unusual Choroidal Tumors Presenting with Exudative Retinal Detachment

Ihab Saad Othman (Giza, Egypt) Advantages: Partial lamellar resection is an advantageous method in diagnosis and management of unusual choroidal tumors. Methods: We present a series of 5 cases of unusual choroidal tumors including uveal hemangiopericytoma, schwannoma, leiomyoma ectopic lacrimal gland tumor, presenting with exudative retinal detachment. Cases were recognized and managed with partial lamellar resection resulting in...

Read More

Management of Exudative Retinal Detachment in Pediatric Age Group

Ihab Saad Othman (Giza, Egypt) Advantages: Exudative retinal detachment in pediatric age group represents a specific pathological entity that has to be properly diagnosed and managed away from conventional vitrectomy techniques. Methods: Retrospective review of cases with total exudative retinal detachment including Coats’s disease, inflammatory retinitis and chroiditis. 15 cases were identified with a mean age of 3 years (range 1...

Read More

Modified Vortex Vein Decompression in Idiopathic Ciliochoroidal Effusion

Ihab Saad Othman (Giza, Egypt) Advantages: Idiopathic ciliochoroidal effusion is a specific pathological entity with abnormal thickened sclera resulting in total exudative retinal detachment. Methods: 4 cases of idiopathic ciliochoroidal effusion presented with total exudative retinal detachment. Modified vortex vein decompression was performed in 2 quadrants by creating a 90% scleral window around the vortex veins and drainage of...

Read More

Management of Localized Choroidal Hemangioma by Brachytherapy

Ihab Saad Othman (Giza, Egypt) Advantages: Brachytherapy is a safe and an effective method in inducing vascular occlusion and flattening of the retina in localized choriodal hemangiomas. Methods: Prospective evaluation of 12 cases of localized choroidal hemangiomas associated with exudative retinal detachment managed by brachytherapy application in a dose of 20 Gys. Method follow up was 5 years. Effectiveness / Safety: Brachytherapy...

Read More

Brachytherapy is a Useful Adjunct in Management of Large Active Retinal Angimatosis

http://www.evrs.eu/medias/2010/congress/Vascular-Pathologies-in-Young-Patients.flv Ihab Saad Othman, Abdullah EL Hussein (Giza, Egypt) Advantages: Retinal hemangioblastoma can attain large size, especially in perinatal period. Management includes repeated argon laser photocoagulation, cryotherapy. Brachytherapy is an effective technique in management with minimal complications. Methods: A series of 3 consecutive patients with large...

Read More

Management of Lipid Exudates in Coats’ Disease by Adjuvant Intravitreal Triamcinolone: Effects and Complications

http://www.evrs.eu/medias/2010/congress/Vascular-Pathologies-in-Young-Patients.flv Ihab Saad Othman, Magdy Moussa, Manal Bouhaimed (Giza, Egypt) Advantages: Coats disease is associated with vascular leaky telangiectatic vessels. Intravitreal triamcinolone injection modulates leaking vessels and is associated with subretinal fluid resorption that can be followed by laser peripheral photoablation. Methods: Retrospective, interventional case...

Read More

Effects of Initial Intravitreal Bevacizumab (Avastin) Prior to Laser Photocoagulation in Threshold Retinopathy of Prematurity

http://www.evrs.eu/medias/2010/congress/Vascular-Pathologies-in-Young-Patients.flv Ihab Saad Othman, Mohamed Sabry, Hany ELMekawy, Hisham Hosny (Giza, Egypt) Advantages: Threshold zone 1 and 2 ROP is a progressive disease with vision threatening complications. In this cohort, we could achieve retinal stabilization when 0.06 mg / 0.05 ml injection was performed 3-4 days prior to retinal ablation. Methods: Fourteen eyes received intravitreal...

Read More

Coats Disease: Management of Lipid Exudates by Intravitreal Triamcinolone with or without Subretinal Fluid Drainage: Effects and Complications

Authors: Ihab Saad Othman, Magdy Moussa, Giza, Egypt Advantages: Coats disease is associated with vascular leaky telangiectatic vessels. Intravitreal triamcinolone injection modulates leaking vessels and is associated with subretinal fluid resorption that can be followed by laser peripheral photoablation. Methods: Twelve consecutive cases with Coats disease. Eleven cases presented in children and a single case presented in a 23-year-old...

Read More

Laser Micropulse in CSME

http://www.evrs.eu/medias/2009/congress/Which-Laser.flv Author: Ihab Saad Othman, Giza, Egypt Advantages: Laser micropulse in CSME offers the clear advantage of not inducing a visible retinal burn and having a potential efficacy in reducing foveal thickness. Methods: Prospective case series. Two hundred and twenty cases of non-ischemic CSME with macular thickness less than 400 microns as defined by OCT were managed primarily and...

Read More

Partial Lamellar Uvectomy for Choroidal Tumors: 9 Years Egyptian Experience

http://www.evrs.eu/medias/2009/congress/Tumor.flv Ihab Saad Mahmoud Othman, MD, FRCS (Glasg), Cairo, Egypt Advantages: Uveal melanoma resection offers a last resort in management of large and extra-large uveal tumors when enucleation remains the only option. Studies have shown no statistical difference in long-term survival between enucleation and surgical resection. Methods: Consecutive prospective case series presenting with iris,...

Read More
content top