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Phakoanaphylactic Endophthalmitis 67 Years After Trauma

Phakoanaphylactic Endophthalmitis 67 Years After Trauma Fabian Höhn Background and Purpose: Phacoanaphylactic Endophthalmitis is a rare disease that develops infrequently after lens injury or due to a leakage of lens protein through the capsule of a hypermature cataract. It is believed to be caused by an immune reaction to lens protein and constitutes as an autoimmune, granulomatous inflammation centered on lens material. Methods: We...

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The Bell Pepper Experiment: Introducing A Novel Self-Sealing “Screwcut” Incision for Sutureless Transconjunctival Vitrectomy

http://www.evrs.eu/medias/2010/videos/LarsOlofHattenbach_VP6_768K.flv Lars-Olof Hattenbach (Ludwigshafen am Rhein, Germany) Flattened sclerotomies are an essential step in ensuring postoperative wound stability in transconjunctival sutureless vitrectomy. However, in complex cases involving complete vitrectomy with shaving of the vitreous base, laser application and peeling of surface membranes, conventional angled incisions often leak at...

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Video Journal of Vitreoretinal Surgery (VJVRS)

Authors: Alireza Mirshahi, Lars-Olof Hattenbach, Ludwigshaven, Germany Advantages / Purpose: To aid in the transfer of knowledge and skills of vitreoretinal surgical procedures for ophthalmic surgeons and allied personnel and to provide a platform for scientific publication of surgical videos. Methods: Video Journal of Vitreoretinal Surgery (VJVRS) is designed as a new, independent, peer-reviewed, free-access online and DVD journal that...

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Clinical Outcome after Vitrectomy with or without Internal Limiting Membrane Peeling in Proliferative Diabetic Vitreoretinopathy Patients with Macular Edema

L. O. Hattenbach, P. N. Jentzmik, J. Puchta, Y. Sinangin, F. Koch – Klinik für Augenheilkunde, Netzhaut- und Glaskörperchirurgie, Klinikum der Johann Wolfgang Goethe Universität, Frankfurt am Main, Germany Purpose: To investigate visual recovery and clinical outcome after pars plana vitrectomy with or without internal limiting membrane (ILM) peeling in patients with macular edema associated with proliferative diabetic vitreoretinopathy...

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Limited Invasive Procedures to Treat CNV’s in ARMD

Frank Koch, MD, 1, Lars-Olof Hattenbach, MD, 1, Albert Augustin, MD, 2 – 1 University Eye Clinic Frankfurt/M., Germany, 2. Staedt. Kliniken Karlsruhe, Germany Purpose: To summarize the treatment potentials of steroid injections w/o laser coagulation for treatment of the macula in ARMD. Methods: Triamcinolone (0.4 to 20 mg) is injected intravitreally and/or subretinally. Subthreshold laser is applied transretinally or subretinally through...

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The Risk of Subretinal Hemorrhages in Patients with Age-Related Macular Degeneration Receiving Antithrombotic Agents

C. Kuhli, I. B. Fischer, M. Lüchtenberg, F. Koch, L.-O. Hattenbach Purpose: It is well established that the use of antithrombotic agents is associated with major bleeding complications. However, few studies have delineated the risk of subretinal hemorrhages in patients with age-related macular degeneration (ARMD) receiving antithrombotic therapy. Methods: Eighty consecutive patients with subretinal hemorrhage secondary to ARMD were...

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Why Should True Bimanual Surgery Be Accepted as the Gold Standard for Surgery in Proliferative Vitreoretinopathy (PDVR)?

Frank H.J. Koch, Boris Kacer, L.-O. Hattenbach, University Eye Clinic, Frankfurt/M., Germany Purpose: To document significant steps in vitreoretinal surgery which are based on true bimanual procedures. Methods: The authors of this paper have evaluated around 1000 vitreo-retinal PDVR interventions which are routinely recorded on DV-tapes and processed to a G4 Macintosh computer for further analysis and editing. The analysis of the PDVR cases...

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Xenon-Arc Light Assisted Pars Plana Vitrectomy in Proliferative Diabetic Vitreoretinopathy

Hattenbach L.-O.,1, Nikolic S.,2, Koch F.,1. 1: Klinik für Augenheilkunde, Klinikum der J.W. Goethe Universität, Frankfurt am Main, Germany. 2: Klinikum Barnim, Eberswalde, Germany Purpose: To assess the efficacy and safety of xenon-arc light assisted bimanual vitreoretinal surgery in eyes with proliferative diabetic vitreoretinopathy. Methods: Ten consecutive eyes of 10 patients with proliferative diabetic vitreoretinopathy were included...

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Does Size Really Matter in PDVR?

Nikolic S., Kacer B., Koch F., Hattenbach L.-O. Background: The following attributes of the 25 Gauge transconjunctival vitrectomy technique are often discussed: the quality of the intraocular illumination, the unintentional bending of some instruments and perhaps the sutureless closure with the vitreous incarceration in the entry sites. Methods: In order to investigate on the above mentioned conditions in diabetic retino- and maculopathy we...

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Preventing Corneal Epithelial Complications in Vitreoretinal Surgery

Hattenbach LO, Kacer B, Koch F Frankfurt, Germany Several studies suggest that corneal complications such as edema requiring intraoperative epithelial debridement, epithelial defects or delayed postoperative healing of corneal epithelial defects constitute a common problem in patients who undergo vitreoretinal surgery. In particular, diabetics or individuals with penetrating ocular trauma are at risk to develop complications involving the...

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