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Tractional RD of the Posterior Pole Related to a Multi Injected ERM

In a case of macular edema, is it reasonable to treat it with multiple injections without paying attention to the etiology? It is in this case an epiretinal membrane, which obviously should have been treated by surgery. Contact Details: Email: jeanpaul.amar@gmail.com Cell Phone:...

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An Unlikely Surgery in a Case of Macular Subretinal Hematoma

After several IVTs on a macular hemorrhage, after 2 months, a huge and calcified hematoma with a complete loss of vision was successfully operated with a trans-retinal extraction of the hematoma. The removal of the hematoma in the vitreous cavity was possible thanks to the use of an aspiration-flow control pump. The main secret of this surgery is to remove by aspiration all the blood above and under the retina. The surgery was ended by a...

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Choroidal Hemorrhage

Contact Details: Email: jean-paul@amar.com.fr Cell Phone: /+33609540033

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Submacular Hemorrhages After Too Many IVTs

Contact Details: Email: jean-paul@amar.com.fr Cell Phone: /+33609540033  

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PDR After Numerous IVTs

Contact Details: Email: jean-paul@amar.com.fr Cell Phone: /+33609540033  

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RD After IVT for ERM

Contact Details: Email: jean-paul@amar.com.fr Cell Phone: +33609540033

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Post IVT Endophthalmitis

Contact Details: Email: jean-paul@amar.com.fr Cell Phone: /+33609540033  

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High Infusion Flow in Mini Invasive Vitrectomy

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   In flow rate vitrectomy, the major concept is »isoflow » which means that you need to perform a vitrectomy with an equal flow for the infusion and for the aspiration. This is the mandatory condition to allow a vitrectomy in « isopressure”. This understanding leads you to an important concept which is that your infusion flow...

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Advantages of ILM Blue in Macular Surgery

Internal Limiting membrane removal has been confronted by 2 obstacles for several years. These obstacles are circumvented nowadays by: Minimising the surgical trauma induced to the neurosensorial tissue, and the certainty to have removed the complete limiting membrane, from the papilla to the temporal raphe, and going until the vascular arcades. The use of a dye that was shown to be non-toxic allows a controllable, complete and...

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New Trocars

The use of infusion trocars in the mini invasive transscleral 23, 25 or 27 gauge techniques forces us to a double reduction of the infusion flow by introducing an infusion cannula in the transscleral trocar. Our new concept allows the direct fixation of the infusion pipe on the transscleral trocar, avoiding the double reduction. This induces a considerable lowering of the risk created by a too weak infusion...

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Discussion

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ILM Peeling in RVO

The study is on 150 patients with a follow-up of at least one year. The aim of the study is to show the interest / advantage of ILM Peeling in RVO considering functional recovery, and to compare these results to other existing techniques. The study shows significantly the superiority of ILM Peeling in the quality of functional results, confirmed by the stabilization of the OCT measured macular thickness, but mostly, as opposed to other...

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ILM Peeling Technique

The aim of the surgery is to reduce and stabilize the macular oedema. The surgery has to be atraumatic and complete, with a big rhexis including the whole macular area, to the optic center in nasal, the vascular arcades and the temporal vascular raphe. An uncomplete/only partial removal, particularly in temporal, will induce bad post-operative results, that are the origin of the often heard criticism about the...

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Advantages of the Aspiration Flow Control During Peripheral PPV

Jean-Paul Amar (Cannes, France) Whatever the technique used during vitrectomy, physical law will determine the quality and the safety of the PPV. In fact, to perform a complete vitrectomy, some principles are mandatory: • We have to control the flow rate of the cutting system. • In order to decrease the gradient of pressure and this way the dangerous movements of the retina, the occlusion during the closure of the vitrectomy probe...

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ILM Peeling in Branch Retinal Vein Occlusion & Central Retinal Vein Occlusion

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Jean-Paul Amar (Cannes, France) The author made a study on 130 cases over 3 years. The results confirmed those presented last year by Didier Ducournau. The removal of the ILM demonstrates a long-term improvement of visual acuity and a nearly total disappearance of neovascular glaucoma. The importance of the improvement is higher than...

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Densiron: an Up–Date Tamponade for Giant Retinal Tears Retinal Detachment

http://www.evrs.eu/medias/2009/congress/Giant-Tear.flv Author: Jean–Paul Amar, Cannes, France In contrast to standard retinal detachment procedure, the management of giant retinal tears introduces a mechanical difficulty in managing the slippage of the retina and the exposure of the retinal pigment epithelium. The injection from bottom to top and the density of the densiron will allow a secure and easy surgery by increasing control during...

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Is Surgical Ablation of Blood Neovessels Still Useful?

http://www.evrs.eu/medias/2009/congress/Surgery.flv Author: Jean-Paul Amar, Cannes, France Subretinal surgery has slowly disappeared but 75% of eyes with a subretinal heamatoma are lost. The subretinal drainage of the blood and the surgical ablation of the blood neovessels seem to remain still useful with a quite low rate of complications.

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Endoscopy: a Tool in Standard Vitreous Surgery Procedure

http://www.evrs.eu/medias/2009/congress/Viewing.flv Author: Jean Paul Amar, Cannes, France Advantages: The use of the endoscope during a vitreo retinal surgery in RD or during a scleral suture of lens will take away the usual shadow. Endoscopy is a fabulous tool for diagnosis and control. It gets you closer to excellence methods.

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Retrograde Heavy Silicone Oil Injection in Difficult Cases

http://www.evrs.eu/medias/2008/congress/Retrograde-Heavy-Silicone-Oil-Injection-in-Difficult-Cases.flv Jean-Paul Amar Advantages: In difficult retinal detachments, the control of Silicone / Fluid exchange and the safety with which the maneuver is carried out are the two main goals to obtain. Methods: At the end of the surgery, especially in giant tears, the usual management is very difficult and risky, especially when one performs the...

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Management of UGH Syndrom in Eyes Implanted with an Artisan

http://www.evrs.eu/medias/2008/congress/Management-of-UGH-Syndrom-in-Eyes-Implanted-with-an-%20Artisan.flv Jean-Paul Amar Advantages: It is a very easy and safe technique when one needs to practice an explantation of an iris clow lens. Methods: Cutting one leg of the clow allows an explantation without any hard contact with the iris.

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Advantages and Inconveniences of the Cryo-gas Vitrectomy in the Treatment of Pseudophakic Retinal Detachment

http://www.evrs.eu/medias/2006/videos/Advantages-and-Inconveniences-of-the-Cryo-gas-Vitrectomy-in-the-Treatment-of-Pseudophakic-Retinal-Detachment.flv Jean-Paul Amar, MD (Cannes, France) SYNOPSIS The use of cryo-gas vitrectomy with two open doors helped by the per-op slit lamp allows the overall treatment of retinal detachment while lowering the usual complications of vitrectomy.

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Advantages and Inconveniences of the Cryo-Gas Vitrectomy in the Treatment of Pseudophakic Retinal Detachment

Advantages and Inconveniences of the Cryo-Gas Vitrectomy in the Treatment of Pseudophakic Retinal Detachment

Jean-Paul Amar, MD (Cannes, France) SYNOPSIS The use of cryo-gas vitrectomy with two open doors helped by the per-op slit lamp allows the overall treatment of retinal detachment while lowering the usual complications of vitrectomy. ...

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Interest of Scleral Work in Retinal Detachment Failures after Endocular Surgery

Jean-Paul Amar France After many failures of endocular surgery, the only solution seems to be a retinotomy. Before that, associating a fold with an indentation can be done. The importance of a shortening fold depends on the length of the intra-scleral course of the posterior point that holds the indentation. Take- Home Message: Don’t forget the scleral work despite the endocular surgery progress.

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Management of intra-operative capsular ruptures

Jean Paul Amar Cannes, France It’s a major complication that involves the long term prognosis for the patient’s visual acuity. A semiological analysis is imperative as soon as the capsular rupture occurs. -This will avoid actions that will worsen the initial situation -This will determine the therapeutical choices -The elements of the prognosis determine the likely outcome and long term complications. The proper handling is to...

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Simultaneous Peripheral Vitrectomy-Cryo Technique

Jean-Paul Amar Cannes, France This vitrectomy technique uses the intra-operative slit lamp and two open doors that allow a cutting view of the surgical site and avoid the usual dangerous inferior open door. As the second hand of the surgeon is free, he is able to practice the indentation. After a complete vitrectomy, especially on the edges of the tear, the sub-retinal fluid is drawn up through the tear. The retinopexy can be done on a flat...

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Retrospective Study on Pseudophakic Retinal Detachment Treated by Vitrectomy-Cryo-Gas

Jean-Paul Amar Cannes, France Methods: This study includes 207 pseudophakic patients who had their retinal detachment treated by vitrectomy-cryo-gaz surgery in a first procedure. Some of them already had surgery before somewhere else, some others not. Some of them had complications in cataract surgery, some others not. The vitrectomy-cryo-gaz surgical technique is a vitrectomy with only 2 open doors helped by the slit lamp and a Kilp lens....

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