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25 Gauge Diabetic Vitrectomy: Precise Membranectomy Without Scissors

ABSTRACT Well known are “cosmetic” advantages of small gauge surgery, namely 25ga (shorter procedure, patients´ comfort, less inflammation, no astigmatism), however, more important are the “surgical” advantages (smaller required flow, smaller risk of retina or vitreous incarceration, better surgical accuracy, almost no retinal tears, a single instrument for various manipulations: base dissection, delamination, segmentation...

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Pneumatic Displacement of Submacular Hemorrhage

Pneumatic Displacement of Submacular Hemorrhage ABSTRACT Advantage: Pneumatic displacement of large submacular hemorrhage in hemorrhagic AMD (and similar conditions) using intraocular injection of C3F8 leads to a fast relief, enables blood reabsorption and opens the way to the continuation of AMD treatment. We do not use any additional medicaments as TPA but continue with anti-VEGF therapy in most cases. Method: The pneumatic...

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Vitreous Floaters Not Only in Young Anxious Engineers

Advantages: 1. Vitrectomy helps in all kinds of vitreous opacities. 2. We broke the concept that the typical patient with vitreous floaters is a young anxious engineer. Methods: We analyzed 83 eyes of 63 patients who underwent vitrectomy for vitreous floaters (asteroid hyalosis, PVD, and floaters only) between 2010 and 2015. 47 were male, 36 female eyes. Their mean age was 60 years, ranging from 22 to 82; the median was 61. The mean...

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Efficacy of Idiopathic Macular Hole Retreatment After Primary Pars Plana Vitrectomy

Martina Rubesova_SCIENTIFIC POSTER 2015 Purpose: The aim of this study was to evaluate the efficacy of retreatment of macular hole in patients in whom primary pars plana vitrectomy (PPV) did not lead to the anatomical closure of the full-thickness defect, and to analyse the causes of its failure. Methods: Patients after primary surgical treatment by pars plana vitrectomy with a peeling of internal limiting membrane (IML) and gas tamponade...

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Stimulation Laser in CSCR

Purpose: We use an individualized treatment for CSC based both on traditional procedures and on experimental ones. Laser stimulation therapy can be beneficial even in cases without the typical focus of leakage. In difficult cases without any defined or even anticipated leakage we use experimental therapy with anti-VEGF injections. Even intensive topical steroid therapy, usually strictly rejected, proved to be useful in rare cases. Methods:...

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Threshold Laser for Perifoveal Teleangiectasies

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Macular edema due to perifoveolar teleangiectasies is difficult to treat when the TAE are located close to, or at the border of the FAZ. Advantages: Encouraged by the good results of the stimulation treshold or subtreshold laser in CSC without visible focus (we presented this method at the EVRS meeting in Sevilla), we use this treatment...

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Individualized Treatment in Macular Edema: Focal vs Diffuse

What I am going to show is that while in focal ME (in CSCh or in NPDR or in TAE etc.), the primary laser treatment is very efficient and almost harmless, thus I recommend laser primarily in these cases. In diffuse edema (as in BRVO, CRVO, DR, Irvine-Gass, uveitis et al), laser coagulation is controversial (often inefficient and even harmful). I will express my embarrassment about the proper choice of the best method of treatment and rather...

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Is There a Universal Technique How to Treat Rhegmatogenous Retinal Detachment?

Ivan Fiser, Petr Bedrich, Frantisek Benda, Martina Rubesova (Prague, Czech Republic) Advantages: We do not have a universal preference in treating RD. We treat each patient individually, according to the finding, to his/her wishes, preferences and abilities, such as the ability of facedown positioning. Methods: We prefer scleral buckling in younger phakic patients while in pseudophakic detachment we more often perform vitrectomy, however,...

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Individualized Therapy in Diabetic Maculopathy

http://www.evrs.eu/medias/2010/congress/Non-Proliferative-Diabetic-Maculopathies.flv Ivan Fiser, Martina Rubesova (Prague, Czech Republic) Advantages: We consider diabetic macular edema a very individual disease, which cannot be treated according to a single template. No doubt that in focal edema the direct laser coagulation of leaking MA brings the best effect. Diffuse edema is more questionable; grid laser is controversial or even...

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Combined Treatment of CME after Branch Retinal Vein Occlusion

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Ivan Fiser, Martina Rubesova (Prague, Czech Republic) Advantages: In most cases of persisting CME after BRVO we use vitrectomy with ILM peeling which has a good effect in more than 60 % of eyes but. In some patients we start with Avastin that brings a repeated benefit but later recurrences of CME happen. Laser coagulation in edematous...

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Combined Treatment of CME after Central Retinal Vein Occlusion

Ivan Fiser, Martina Rubesova (Prague, Czech Republic) Advantages: CME after CRVO is a typical case where it is very difficult to define which treatment is best to start with. Triamcinolone can be helpful (which was shown in a recent study) but a recurrence can happen. Avastin also has a temporary effect. ILM peeling can be beneficial, too, but we also see recurrences of CME after it. Laser treatment of edematous retina is difficult. We...

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