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Vitrectomy in Treatment Naive Diabetic Macular Edema

This movie presents the idea behind vitrectomy in treatment naive diabetic macular edema with and without epiretinal membranes. Surgical technique with ILM peeling will be demonstrated in multiple cases. Everything will be documented with SD-OCT and Swept Source OCT images. Intrasurgically, vitreomacular traction is present in most cases of diabetic macular edema, even if not visible in OCT images. Finally, surgical anatomic and functional...

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Diving Deeper into the Eye with Swept Source OCT

Swept Source OCT, due to a longer wavelength than conventional Spectral Domain OCT, enables simultaneous visualization of the vitreous, retina and choroid. Moreover, Swept Source OCT enables choroidal imaging and improves retina imaging in eyes with media opacities. First, we introduce a challenging way of interpreting choroidal imaging. Unlike retinal thickness, choroidal thickness varies depending not only on the age and axial length,...

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Status of the Choroid Before and After Vitrectomy with ILM Peeling for Idiopathic ERM

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: The aim of this study is to evaluate the choroidal thickness and the outer choroidoscleral boundary before and after vitrectomy for idiopathic epiretinal membrane in one eye and in the unaffected fellow eye and in healthy volunteers. Methods: A prospective, cross-sectional study will be presented. Twenty-one patients with...

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Are Macular Holes only a Vitreoretinal Interface Disease?

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: The aim of this study is to report on choroidal thickness and the morphology of the outer choroidoscleral boundary in Swept Source OCT in patients with full thickness macular holes before and after surgery. The secondary goal is to compare the morphology of the choroid with their fellow eyes and with healthy...

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How to Seal a MH with a Scleral Buckle?

RETINA PHOTO_Janusz Michalewski We illustrate the case of a 76-year-old woman with rhegmatogenous retinal detachment (RRD) and coexisting full-thickness macular hole (FTMH). On admission, the patient presented counting fingers vision in her left eye. Fundus evaluation revealed RRD with peripheral tear, involving three quadrants of the retina and the macula. Spectral Domain optical coherence tomography (SD-OCT) confirmed FTMH (Figure 1a, b)....

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Morphological Changes in Spectral Domain Optical Coherence Tomography Guided Bevacizumab Injections in Wet AMD, 12-months Results

Advantage: This paper aims to describe retinal changes during Spectral Domain Optical Coherence Tomography (SD-OCT) guided Bevacizumab treatment for neovascular age- related macular degeneration (AMD). Material and Methods: 47 eyes of 45 patients with wet AMD treated on demand with Bevacizumab. We used 3-dimensional SD-OCT to measure photoreceptor defects and subretinal fibrosis. The main efficacy endpoints were the SD-OCT measurements...

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Early Onset Exudative AMD Detected with Monthly SD-OCT with Eye-tracking of the Fellow Eye in Patients Treated with Anti-VEGF

Advantage: To determine the frequency and characteristic features of new- onset neovascularization (CNV) in age related macular degeneration (AMD) with spectral domain optical coherence tomography (SD-OCT). Methods: Prospective, observational study of 68 patients with unilateral CNV treated with Bevacizumab. SD-OCT and visual acuity (logMAR) was measured at baseline and then monthly in both, the Bevacizumab treated eye and in the study...

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Inverted Internal Limiting Membrane Flap Technique in Macular Hole Associated with Pathological Myopia

Advantages: To present the anatomic and functional results of vitrectomy with the “Inverted ILM Flap Technique” in myopic macular holes without retinal detachment. Methods: A prospective, interventional study of 19 myopic eyes with a spherical equivalent greater than -6D with macular holes in 18 consecutive patients. Pre- and postoperative evaluation of visual acuity and SD-OCT images was performed. The main outcome measure was...

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Correlation of Normal Choroidal Thickness and Volume Measurements with Axial Length and Age Using Swept Source Optical Coherence Tomography and Optical Low Coherence Reflectometry

Advantages: To report normal choroidal thickness and volume measurement in healthy eyes using swept source optical coherence tomography (SS-OCT). Additionally to correlate the results with axial length, age and refractive error. Methods: Prospective observational study of 122 healthy eyes. All patients underwent a complete ophthalmologic examination. Imaging was performed with SS-OCT. Choroidal thickness and volume measurements were...

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Lamina Suprachoroidea & Suprachoroidal Space Delineating the Outer Margin of the Choroid in Swept-Source OCT

Advantages: To define the morphology of outer choroidal margins in swept source optical coherence tomography (SS-OCT). Methods: This is a prospective observational study of 180 eyes: 20 eyes of healthy volunteers, 20 eyes of myopic patients and 20 eyes from each of the following groups: macular hole (before and after surgery), lamellar macular hole, epiretinal membranes, drusen, dry age related macular degeneration, neovascular age...

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Comparative Study of Vitrectomy with ILM Peeling vs Anti-VEGF in DME

Advantages: To compare anatomic and functional results of vitrectomy with internal limiting membrane (ILM) peeling and anti- VEGF (Avastin) injection for the course of diabetic macular edema. Methods: Comparative non- randomized study of 68 eyes, of patients with diabetic macular edema. 50 eyes were treated with repeated injections of anti- VEGF (Avastin), 18 eyes had undergone vitrectomy with ILM peeling. Pre- and best-achieved...

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Natural Course of Disc Pit

Advantages: Our purpose was to study the clinical course of optic pit maculopathy using spectral optical coherence tomography (OCT) images, and to discuss possible ways of fluid entrance into the subretinal space. Methods: 11 eyes with a macular detachment in combination with an optic pit were examined using spectral OCT, with axial resolution 3-6µm. In selected cases, fluorescein angiography and scanning laser ophthalmoscopy were...

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Long-term Spectral Domain OCT After Surgery for ERM

Purpose: To describe retinal morphology before and after surgery for epiretinal membranes. Additionally to evaluate factors responsible for the final visual outcome. Material and Methods: A retrospective study of 126 eyes followed with SD- OCT for a period of 18 months. Pars plana vitrectomy with trypan blue staining was performed in all eyes. Results: Increased preoperative central and maximum retinal thickness (p=0.04) and IS/ OS...

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Non-Full Thickness Macular Holes. A Closer Look!

Non-Full Thickness Macular Holes. A Closer Look!

Zofia Michalewska, Janusz Michalewski, Zofia Nawrocka, Jerzy Nawrocki (Lodz, Poland) Video documents a new theory of idiopathic non-full thickness macular holes based on spectral domain OCT (SD-OCT) observations and clinical appearance before and during surgery. It seems very probable that all these entities are caused by vitreoretinal traction, which produces local internal limiting membrane (ILM) defect in the fovea. These leads to...

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Is Scleral Buckling Really the Less Traumatic Surgery – A Spectral Optical Coherence Tomography Study

Zofia Michalewska*, Janusz Michalewski, Dominik Odrobina, Slawomir Cisiecki, Maciej Bednarski, Jerzy Nawrocki (Lodz, Poland) Advantages: Spectral Domain Optical Coherence Tomography presents retinal architecture after scleral buckling and explains why visual acuity does not always fully recover after surgery. Methods: This is a single centre, prospective analysis of 132 consecutive eyes after scleral buckling, which were evaluated with...

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Should the Training of Young Vitreoretinal Surgeons Begin with Learning Scleral Buckling? Difficulties and Results in the Second Year of Scleral Buckling Surgery

Dominik Odrobina, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: Should the training of young vitreoretinal surgeons begin with learning scleral buckling? Methods: Analysis of the difficulties in the various stages of the operation and evaluation of results in the second year of scleral buckling surgery. Effectiveness / Safety: Scleral buckling, as a treatment for retinal detachment, should not be...

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Optical Coherence Tomography (SOCT) in Patients After Vitrectomy with ILM Peeling for Retinal Detachment with PVR

Dominik Odrobina, Zofia Michalewska, Janusz Michalewski, Jerzy Nawrocki (Lodz, Poland) Objectives: SOCT allows detailed imaging of retinal microstructure in patients after vitrectomy with ILM peeling and silicone oil tamponade for retinal detachment with PVR. Methods: Nineteen (19) patients after vitrectomy with ILM peeling for PVR retinal detachment were included in this study. All patients were interviewed and an ophthalmologic...

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Retinal Changes After Vitrectomy – A Spectral Domain Optical Coherence Tomography Study

Michalewska Zofia*, Cisiecki Slawomir, Michalewski Janusz, Odrobina Dominik, Bednarski Maciej, Nawrocki Jerzy (Lodz, Poland) Premise: Spectral Domain Optical Coherence Tomography (SD-OCT) may demonstrate in the retinal architecture after primary pars plana vitrectomy an explanation as to why visual acuity may not recover fully after surgery. Methods: This is a single center, prospective analysis of 121 consecutive eyes following primary...

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Non-Full Thickness Macular Holes. A Closer Look!

Zofia Michalewska, Janusz Michalewski, Zofia Nawrocka, Jerzy Nawrocki (Lodz, Poland) Video documents a new theory of idiopathic non-full thickness macular holes based on spectral domain OCT (SD-OCT) observations and clinical appearance before and during surgery. It seems very probable that all these entities are caused by vitreoretinal traction, which produces local internal limiting membrane (ILM) defect in the fovea. These leads to...

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A New Observation/Illumination System For Vitreoretinal Surgery – Own Experience

A New Observation/Illumination System For Vitreoretinal Surgery – Own Experience Background: The purpose of this paper is to present a new observation/illumination system for vitreoretinal surgery. Methods: Over 400 eyes were treated with the use of optical fiberfree intravitreal surgery system (OFFISS), a device consisting of a 40-D aspheric field lens underslinging the microscope. An inverting device is inbuilt in this...

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Congress – Clinicodiagnostic correlation of macular disease

SYMPOSIUM:MACULOPATHIES Moderator: Ferenc Kuhn Monday, June 20, 2005 Clinicodiagnostic correlation of macular disease Author: Nawrocki Jerzy, Michalewski Janusz, Michalewska Zofia, Nawrocka Zofia Abstract : Purpose: The aim of the video is to present HRT II and OCT correlations with clinical picture of selected macular diseases. Methods: Pictures of HRT II and OCT are compared with surgical observations during vitrectomy for macular...

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Early Laser Treatment and Late Laser Treatment in Central Serous Chorioretinopathy – Results, Spectral Optical Coherence Tomography Findings

http://www.evrs.eu/medias/2010/congress/Central-Serous-Chorioretinopathy.flv Dominik Odrobina, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: Advantages of early laser treatment vs late laser treatment in CSC. Methods: 20 eyes with acute CSC (duration less than 6 months) – Group A, and 15 eyes with chronic CSC (duration more than 6 months) – Group B were included in this study. In every eye...

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Acute and Chronic Central Serous Chorioretinopathy – Microstructural Changes in Spectral Optical Coherence Tomography

http://www.evrs.eu/medias/2010/congress/Central-Serous-Chorioretinopathy.flv Dominik Odrobina, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: SOCT has important value in analyzing microstructural changes in CSC. Methods: 30 eyes with acute CSC (duration less than 6 months) – Group A, and 25 eyes with chronic CSC (duration more than 6 months) – Group B were included in this study. Effectiveness...

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Core Vitrectomy Using Intrector Combined with Bevacizumab in the Treatment of Choroidal Neovascularization in AMD

http://www.evrs.eu/medias/2010/congress/Age-Related-Macular-Degeneration-2.flv Slawomir Cisiecki (Lodz, Poland), Maciej Bednarski (Lodz, Poland), Michael Koss (Frankfurt am Main, Germany), Janusz Michalewski (Lodz, Poland) Advantages: The aim of combined treatment in cases of exudative ARMD is to reduce the rate of anti-VEGF injections. Core vitrectomy using intrector is indicated when there is no response after three monthly intravitreal...

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Long-Term Clinicodiagnostic Correlations of CNV Treated with Bevacizumab on Demand

http://www.evrs.eu/medias/2010/congress/Age-Related-Macular-Degeneration.flv Janusz Michalewski, Slawomir Cisiecki, Krzysztof Dziegielewski, Zbigniew Pikulski, Dominik Odrobina, Jerzy Nawrocki (Lodz, Poland) Advantages: To describe and analyze morphological changes in the retina of patients treated on demand with intravitreal bevacizumab for more than 18 months. Methods: Patients with exudative AMD were treated when activity of CNV in...

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Spectral Domain OCT Determinants of Active Neovascular Membrane

http://www.evrs.eu/medias/2010/congress/Age-Related-Macular-Degeneration.flv Janusz Michalewski, Slawomir Cisiecki, Krzysztof Dziegielewski, Zbigniew Pikulski, Dominik Odrobina, Jerzy Nawrocki (Lodz, Poland) Advantages: To describe different signs of active CNV presented by Spectral domain OCT examination. Methods: Retrospective, descriptive analysis of patients treated “on demand” with repeated intravitreal injections of bevacizumab...

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Vitrectomy with ILM Peeling vs without ILM Peeling for Proliferative Diabetic Retinopathy

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Dominik Odrobina, Sławomir Cisiecki, Krzysztof Dzięgielewski, Zbigniew Pikulski, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: To analyze the effect of internal limiting membrane (ILM) peeling on the anatomical and functional outcomes in patients undergoing vitrectomy for proliferative diabetic retinopathy with vitreous...

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ILM Peeling as a Prophylaxis for Epiretinal Membrane Formation

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Authors: Jerzy Nawrocki, Dominik Odrobina, Janusz Michalewski, Lodz, Poland Advantages: The purpose of the presentation is to present the rationale of ILM peeling for prevention of macular pucker. Macular pucker surgery is well known since many years however, according to our current knowledge epiretinal membrane formation is not only epiretinal disease but also...

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Optic Pit Maculopathy-Diagnosis with Spectral OCT and its Implications for Treatment

http://www.evrs.eu/medias/2009/videos/JerzyNawrocki_3_VP6_768K.flv Authors: Jerzy Nawrocki, Zofia Nawrocka, Janusz Michalewski, Zofia Michalewska, Lodz, Poland Advantages: Spectral OCT was used to analyze surgical images of optic pit maculopathy. Methods: Vitrectomy with air tampodane was performed in 4 eyes and with silicone oil tampodane in one eye. One patient was followed up who decided against surgery. Effectiveness / Safety: SOCT...

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Spectral OCT History of Macular Hole

http://www.evrs.eu/medias/2009/videos/JerzyNawrocki_2_VP6_768K.flv Authors: Jerzy Nawrocki, Zofia Nawrocka, Janusz Michalewski, Zofia Michalewska, Lodz, Poland Advantages: To present the formation of macular hole and mechanism of its closure after vitrectomy. Methods: Both eyes of patients with macular holes were examined with spectral OCT (6 and 3um resolution). Effectiveness / Safety: Three different types of macular hole formation were...

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The Inverted ILM Flap Technique for Large Macular Holes

http://www.evrs.eu/medias/2009/videos/JerzyNawrocki_1_VP6_768K.flv Authors: Jerzy Nawrocki, Zofia Michalewska, Zofia Nawrocka, Janusz Michalewski, Lodz, Poland Advantages: To present a new idea of macular hole closure with the use of inverted ILM flap as a base membrane to improve the results in large, long-lasting macular hole. To evaluate postoperative results after vitrectomy in lamellar macular hole. Additionally to determine factors...

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Spectral OCT Determined Anti-VEGF Treatment

http://www.evrs.eu/medias/2009/congress/When-Re-Treating.flv Authors: Janusz Michalewski, Slawomir Cisiecki, Dominik Odrobina, Krzysztof Dziegielewski, Zbigniew Pikulski, Zofia Michalewska, Maciej Bednarski, Jerzy Nawrocki, Lodz, Poland Advantages: Spectral domain OCT determined anti- VEGF therapy enabled the reduction of number of injections. Moreover Spectral OCT enabled to determine some prognostic factors for anti- VEGF...

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The Inverted ILM Flap Technique for Large Macular Holes

The Inverted ILM Flap Technique for Large Macular Holes

Jerzy Nawrocki, Zofia Michalewska, Zofia Nawrocka, Janusz Michalewski, Lodz, Poland Advantages: To present a new idea of macular hole closure with the use of inverted ILM flap as a base membrane to improve the results in large, long-lasting macular hole. To evaluate postoperative results after vitrectomy in lamellar macular hole. Additionally to determine factors influencing postoperative outcome after vitrectomy for lamellar macular...

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Microsurgical Scleral Buckling with OFFISS

http://www.evrs.eu/medias/2008/congress/Microsurgical-Scleral-Buckling-with-OFFISS.flv Jerzy Nawrocki, Zofia Nawrocka, Zofia Michalewska, Janusz Michalewski Advantages: OFFISS was developed to improve quality of vitrectomy by bimanual vitrectomy without endoillumination. Since the system is combination of indirect ophthalmoscopy and microscope it was used for microsurgical scleral buckling. It does not require to change the surgical concept...

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ILM as an Adjuvant for Stage IV Macular Hole Surgery

http://www.evrs.eu/medias/2008/congress/ILM-as-an-Adjuvant-for-Stage-IV-Macular-Hole-Surgery.flv Jerzy Nawrocki, Zofia Michalewska, Zofia Nawrocka, Janusz Michalewski Advantages: The aim of this presentation is to demonstrate a new technique in macular hole surgery in cases of large stage IV macular holes. Leaving a 1-2mm remnant of ILM on the surface of the macular hole improves visual and anatomic outcomes in patients with stage IV...

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Iris Reconstruction Combined with Vitreoretinal Surgery

http://www.evrs.eu/medias/2006/videos/Iris-Reconstruction-Combined-with-Vitreoretinal-Surgery.flv Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Zofia Michalewska,MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland) SYNOPSIS Video presents different cases of iris recon-struction combined with vitreoretinal surgery. In case of present iris structure own iris was used for reconstruction. In other cases coloured iris...

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The Use of Iris Retractors in Vitreoretinal Surgery and in Combined Procedures

http://www.evrs.eu/medias/2006/videos/The-Use-of-Iris-Retractors-in-Vitreoretinal-Surgery-and-in-%20Combined-Procedures.flv Zofia Nawrocka, MD (Lodz, ), Jerzy Nawrocki, MD, PhD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, MD (Lodz, Poland) SYNOPSIS The aim of this video is to present the use of iris retractors during vitreous surgery with special attention to combined phacoemulsification – vitrectomy...

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OFFISS for Microsurgical Scleral Buckling

http://www.evrs.eu/medias/2006/videos/OFFISS-for-Microsurgical-Scleral-Buckling.flv Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Zofia Michalewska, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland) SYNOPSIS The video presents general idea of scleral buckling for rhegmatogenous retinal detachment. Additional animation of patient’s symptoms of retinal detachment is presented. This was created by a patient who...

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ILM Peeling with the Use of Trypan Blue in Different Indications

http://www.evrs.eu/medias/2006/videos/ILM-Peeling-with-the-Use-of-Trypan-Blue-in-Different-Indications.flv Zofia Nawrocka, MD (Lodz, Poland), Jerzy Nawrocki, MD, PhD (Lodz, Poland), JanuszMichalewski, MD (Lodz, Poland), Zofia  Michalewska, MD (Lodz, Poland) SYNOPSIS Simple method of staining with trypan blue is presented. After closing of infusion line small amount of trypan blue is slowly injected over the macula. This allows putting the...

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The Use of Different Illumination / Observation Systems for Peripheral Vitrectomy

The Use of Different Illumination / Observation Systems for Peripheral Vitrectomy

Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, (Lodz, Poland) SYNOPSIS This video presents BIOM, OFFISS and horizontal slit illumination used for peripheral vitrectomy. The use of three different systems of illumination and observation during vitrectomy, allows to achieve more adequate viewing. This may improve completeness of peripheral vitrectomy. New...

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Iris Reconstruction Combined with VitreoRetinal Surgery

Iris Reconstruction Combined with VitreoRetinal Surgery

Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Zofia Michalewska,MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland) SYNOPSIS Video presents different cases of iris recon-struction combined with vitreoretinal surgery. In case of present iris structure own iris was used for reconstruction. In other cases coloured iris prosthesis lens was used in primary and secondary procedure. Good cosmetic and functional results...

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The Use of Different Illumination/Observation Systems for Peripheral Vitrectomy

http://www.evrs.eu/medias/2006/videos/The-Use-of-Different-Illumination-Observation-Systems-for-Peripheral-Vitrectomy.flv Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, (Lodz, Poland) SYNOPSIS This video presents BIOM, OFFISS and horizontal slit illumination used for peripheral vitrectomy. The use of three different systems of illumination and observation...

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Spectral OCT in Follow-up of Patients after Macular Hole Surgery

Slawomir Cisiecki, (Sieradz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, MD (Lodz, Poland), Jerzy Nawrocki, MD (Lodz, Poland) PURPOSE: To evaluate the correlation between S-OCT and visual acuity after macular hole surgery after macular hole surgery. METHODS: This study involved eyes who had undergone anatomically succesful idiopathic macular hole surgery. Association between type of macular closure, size of well...

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SOCT “Copernicus:” A New Diagnostic Tool in Retinology

Jerzy Nawrocki, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, MD (Lodz, Poland), Slawomir Cisiecki (Sieradz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Krzisztof Dziegielewski, MD (Lodz, Poland), Zbigniew Pikulski (Lodz, Poland) PURPOSE: To demonstrate new, recently commercially available SOCT examination of the retina in comparison to standard OCT. METHODS: SOCT uses spectral / Fourier domain detection...

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Trypan Blue Staining for Macular Hole and Macular Pucker Surgery

Nawrocki Jerzy, Nawrocka Zofia, Michalewska Zofia, Michalewski Janusz Purpose: The aim of the video is to present the technique of macular hole and macular pucker surgery with the use of trypan blue. Methods: Standard pars plana vitrectomy is performed. After closing the infusion line trypan blue staining is injected slowly on the macula surface. After one minute trypan blue staining is removed. Removal of epiretinal membranes and the ILM...

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Clinicodiagnostic Correlation of Macular Disease

Nawrocki Jerzy, Michalewski Janusz, Michalewska Zofia, Nawrocka Zofia Purpose: The aim of the video is to present HRT II and OCT correlations with clinical picture of selected macular diseases. Methods: Pictures of HRT II and OCT are compared with surgical observations during vitrectomy for macular hole, optic pit retinal detachment and other indications with macular pathology. Results: HRT II allows to present the topography of macular...

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Vitreous Surgery for Proliferative Diabetic Retinopathy with End Stage Renal Disease

Nawrocki Jerzy, Michalewski Janusz, Michalewska Zofia Background: Anatomical and functional results after vitreoretinal surgery in patients with diabetic retinopathy and renal failure, undergoing hemodialysis or after renal transplantation are presented. Material and method: Vitreous surgery was performed in 22 patients (29 eyes), combined procedures of phacoemulsification and vitrectomy was performed in 5 of them. All surgical procedures...

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Vitreous Surgery Without Endoillumination for Proliferative Diabetic Retinopathy

Vitreous Surgery Without Endoillumination for Proliferative Diabetic Retinopathy

Nawrocki Jerzy, Michalewska Zofia, Michalewski Janusz Background: This video presents both slit lamp and wide field vitreous surgery without endoillumination. Material and method: Images achieved during surgery without endoillumination are compared with standard vitrectomy technique. Results: Vitreous surgery without endoillumination using slit lamp or wide field observation system showed some advantages. Bimanual technique of membranes...

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Vitreous Surgery without Endoillumination for Proliferative Diabetic Retinopathy

Nawrocki Jerzy, Michalewska Zofia, Michalewski Janusz Background: This video presents both slit lamp and wide field vitreous surgery without endoillumination. Material and method: Images achieved during surgery without endoillumination are compared with standard vitrectomy technique. Results: Vitreous surgery without endoillumination using slit lamp or wide field observation system showed some advantages. Bimanual technique of membranes...

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Retinotomy for Severe PVR Retinal Detachment

Jerzy Nawrocki*, Zofia Michalewska, Janusz Michalewski Poland This video presents cases of severe PVR retinal detachment treated with 180-3600 retinotomy and retinectomy. In some cases location of retinotomy was posterior to the equator. However this agressive method of treatment should be restricted to very severe cases, the obtained results show that this can be a useful method in selected cases. This technique was also combined with...

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Vitreous Surgery with Use of Trypan Blue Staining for PVR Retinal Detachment

  Jerzy Nawrocki*, Janusz Michalewski, Zofia Michalewsk Poland This video presents vitreous surgery for different stages of PVR retinal detachment. The use of trypan blue staining improves the visualisation of epiretinal membranes, ILM and remnants of the vitreous. This allows to improve both the quality of surgery and results. The video presents the use of that method not only during vitreous surgery but also in cases of...

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