European VitreoRetinal Society a certain philosophy

http://www.dailymotion.com/video/xudueb Advantages: To examine whether 25 gauge vitrectomy might be a good approach for the treatment of severe proliferative diabetic retinopathy (PDR) and macular edema. Methods: 11 patients with severe PDR and macular edema were randomized to either 23 or 25 gauge vitrectomy. The 25 gauge vitrectomy was performed with bimanual technique, 27 gauge chandelier illumination, Tano diamond dusted scraper. 5...

http://www.dailymotion.com/video/xuct5f http://www.dailymotion.com/video/xudmjn http://www.dailymotion.com/video/xufmom Advantages: To present a case of tractional macular edema in Coats’ disease in a young woman, after 2 years of laser, cryotherapy and anti-VEGF treatment. Methods: A 39-year-old woman with macular pucker in Coats’ disease after 2 years of laser, cryotherapy and anti-VEGF treatment, underwent 25ga mini...

http://www.dailymotion.com/video/xukyk0 Purpose : To report our results for macular hole using the anterior chamber infusion (during the reverse zonular flow “Re-flow”-personal technique) one pars plana port 27G vitrectomy technique. Setting/Venue: Department of Ophthalmology, Hospital S. Maria delle Croci, Ravenna, Italy Methods: A retrospective analysis of 5 eyes which underwent re-flow one port 27g vitrectomy with the infusion in...

  Advantages: To show our strategy in complicated R.D, with high risk to develop recurrent RD with PVR. If the recurrence depends on the “dead space” where the concentration of fibroblastic cells is elevated, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of the inferior retina, and to “reallocate to the superior retina” eventual recurrence to treat in a second time with light...

Advantages: Nearby cosmetic IOL and pupillary reconstruction, the artificial iris is a better solution. We show our strategy to suture a foldable IOL on the back surface of the artificial iris to achieve a cosmetic and refractive result on posttraumatic aniridia. Methods: We reviewed 2 eyes with combined anterior and posterior segment injuries. Open-sky surgery technique and mini-invasive 25/23G system was used to repair ocular injuries,...

Cesare Forlini, Adriana Bratu, Matteo Forlini, Paolo Rossini, (Ravenna, Italy) The patient of this video was a 21 years old male with an uncertain clinical history of bilateral congenital cataract extraction and multiple surgeries for retinal detachment. One eye was enucleated for bulbar phtisis. His only eye underwent an OOKP implant according to Falcinelli for a corneal decompensation and was not amenable for an ulterior PK. The patient...

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Advantages: The study of E.LA.D.A.LA.R (Exoplant, laser-assisted Drainage, Air, laser Retinopexy) technique for the treatment of rhegmatogenous retinal detachment. Methods: From 1996 to 2007, 300 patients were examined with rhegmatogenous retinal detachment with only one retinal break....

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objective: Treatment of complex R.D: checkmate in two moves! Purpose: To show our strategy in complicated R.D, with high (risk to develop recurrent RD with PVR. In such cases, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of (the inferior retina),...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objective: To investigate the importance of the dyes for the prevention and treatment of PVR Methods: Patient charts were reviewed retrospectively for 25 eyes of 25 patients (15 male, 10 females) with mean age of 60 years consecutively recruited patients who underwent primary or...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objectives: To investigate the clinical benefit of internal limiting membrane (ILM) peeling at the macula for the prevention and treatment of epiretinal membrane formation in RD cases with PVR. Methods: Patient charts were reviewed retrospectively for 26 eyes of 25 patients (17 male, 9...

http://www.dailymotion.com/video/xo99di http://www.dailymotion.com/video/xo9yye Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Purpose: To show the use of temporary keratoprosthesis (TKP, Landers) and of open sky surgery for the visualization of intraocular structures during pars plana vitrectomy in eyes with corneal and retinal pathologies and make possible to manage both in a single surgical...

http://www.dailymotion.com/video/xnl4c0 Cesare Forlini, Adriana Bratu, Matteo Forlini, Paolo Rossini, (Ravenna, Italy) The patient of this video was a 21 years old male with an uncertain clinical history of bilateral congenital cataract extraction and multiple surgeries for retinal detachment. One eye was enucleated for bulbar phtisis. His only eye underwent an OOKP implant according to Falcinelli for a corneal decompensation and was not...

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages:  To report a case of successful management of post-traumatic vitreous haemorrhage and to discuss the results. Methods:  Case report.  We describe a case of a male patient who presented at our service with a severe dense vitreous hemorrhage...

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Cesare Forlini (Ravenna, Italy) Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages:  To show the effectiveness of use of mini-invasive 25/23 Gauge system for the management of post-traumatic suprachoroidal haemorrhages (SCH). Methods:  We use 25 or 23 Gauge anterior chamber infusion and posterior drainage by means 25 / 23 Gauge...

http://www.evrs.eu/medias/2010/videos/CesareForlini_2_VP6_768K.flv Cesare Forlini (Ravenna, Italy), Adriana Bratu (Ravenna, Italy), Marco De Luca (Napoli, Italy), Matteo Forlini (Modena,Italy), Paolo Rossini (Ravenna, Italy), Monika Weglarz (Krakow, Poland) Advantages: Suprachoroidal hemorrhage is a rare but dangerous complication of intraocular surgery. This video shows a management of expulsive haemorrhage with the extrusion of...

http://www.evrs.eu/medias/2010/videos/CesareForlini_1_VP6_768K.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages: To describe the how is possible to customize the number of the trocars in the vitreoretinal surgery. Methods: This video shows how is possible to customize the number of the trocars (from the standard 3 to 0 ports) during a vitrectomy....

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages: To examine whether 25 Gauge vitrectomy might be a good approach for treatment of severe proliferative diabetic retinopathy (PDR) and macular edema. Methods: 31 patients with severe PDR and macular edema were randomized to...

Cesare Forlini (Ravenna, Italy), Adriana Bratu (Ravenna, Italy), Marco De Luca (Napoli, Italy), Matteo Forlini (Modena,Italy), Paolo Rossini (Ravenna, Italy), Monika Weglarz (Krakow, Poland)  Advantages:Suprachoroidal hemorrhage is a rare but dangerous complication of intraocular surgery. This video shows a management of expulsive haemorrhage with the extrusion of intraocular contents during a open sky surgery in an elderly...

http://www.evrs.eu/medias/2009/videos/CesareForlini_VP6_768K.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy The video shows the case of a 54 y/o monocular female patient, with the only eye already having undergone Pintucci Keratoprosthesis (KP) implantation. The patient previously had multiple surgeries for retinal detachement following an endophthalmitis caused by Candida; the visual acuity on admission was...

http://www.evrs.eu/medias/2009/congress/Trauma.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: Presenting the “pole to pole” surgical strategy as a reconstruction in trauma cases using multiple procedure surgery all in a single operation. It is important for the ophthalmologist to develop strategic thinking so that it can be used systematically in different cases. Methods: The introduction of...

http://www.evrs.eu/medias/2009/congress/Dislocated-Lens.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: The Authors present the use of iris-claw IOL fixation onto the posterior iris surface. The purpose of this technique is to eliminate tilting of the IOL into the anterior chamber (thus achieving a better aesthetic result) and allowing more physiological location of the IOL in the posterior...

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: Presenting our standard surgical behaviour in the use of 23 g Surgery. Methods: 146 consecutive procedures for macular pucker, macular hole, vitreous hemorrhage, macular edema, RRD. The standard technique is: use of BIOM system and Xenon chandelier light; radical triamcinolone-assisted...

http://www.evrs.eu/medias/2009/congress/20-Gauge-23-Gauge-25-Gauge.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: The re-flow strategy is a surgical technique developed in 2004 (Vail Vitrectomy 2004, Forlini C. et al.) in which the infusion is placed into anterior chamber. It utilizes the trans-zonular fluid toward the vitreous chamber, and allows changing the fluidinamic concepts into the eye during...

http://www.evrs.eu/medias/2009/congress/Viewing.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: Presenting the use of endoscopy, as alternative and complementary way of view, in vitreoretinal surgery. This tool can be used for some simple procedures even in mono-manual way. Methods: The 20 gauge endoscopy probe is inserted via pars plana. The “first step” is to use it for diagnosis into the...

http://www.evrs.eu/medias/2009/congress/Illumination.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: The Authors present the routine use of trans-conjunctival, xenon light, chandeliers during vitreo-retinal procedures. The goal of this technique, even in uncomplicated cases, is to obtain a total control of the procedure during all the surgical steps, without the need of an assistant’s help to work in...

http://www.evrs.eu/medias/2008/congress/Cosmetic-IOL-in-Trauma-Cases:-Role-of-Iris-Surgery-and-Endoscopy.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: Show the combined use of cosmetic scleral-fixed cosmetic IOL, iris surgery and endoscopy in the treatment of post-traumatic aphakia...

http://www.evrs.eu/medias/2008/congress/Save-the-Iris.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: Show the importance to try to save the iris tissue and to restore the pupil, in severe ocular trauma. Methods: Several cases of severe ocular trauma with iris rupture, iris dialysis,...

Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy)Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show the effectiveness and the safety of the 23 gauge system for full macular translocation in age-related macular degeneration. Methods: In a case of pseudophakic exudative macula degeneration a standard three port 23 gauge vitrectomy is...

http://www.evrs.eu/medias/2008/congress/E.LA.D.A.LA.R.:-Personal-Technique-for-the-Treatment-of-Rhegmatogenous-Retinal-Detachment.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: to show a personal technique for the treatment of rhegmatogenous retinal detachment with scleral buckle...

http://www.evrs.eu/medias/2008/congress/Italian-Style-to-Colour-the-Eye.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S.Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show how to use or avoid the three colours of Italian flag (white, green and red) during vitreoretinal surgery. Methods: The use of IVT® (an approved...

http://www.evrs.eu/medias/2008/congress/Re-Flow-(Revers-Transzonular-Flow-Technique)-for-the-Treatment-of-Macular-Diseases.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy),  Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show the effectiveness of trans-zonular reverse flow (Re-flow) technique in vitreoretinal surgery with...

http://www.evrs.eu/medias/2008/congress/Secondary-IOL-Implantation-in-the-Transconjunctival-Era.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: Show the use of iris-claw posterior IOL (Artisan Ophtec) implants, combined with transconjunctival surgery systems. Methods: Since 2002,...

http://www.evrs.eu/medias/2008/congress/Personal-Technique-of-Using-a-Single-27-Eckardt-Light-for- Bimanual.flv Paolo Rossini, Antonio Aversano, Cesare Forlini (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show an original and personal way to use the 27 gauge transconjunctival Eckardt’s chandelier, using only one fiber. Methods:...

http://www.evrs.eu/medias/2008/congress/Transconjunctival-Approch-for-the-Treatment-of-Cataract.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy Advantages: To show the use of mini-invasive 25 gauge system in the management of cataract surgery complications. Methods: An anterior approach with 25...

http://www.evrs.eu/medias/2008/congress/Mini-Invasive-Surgery-Yes:-Sutureless-No-Thanks.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show the effectiveness to use the scleral suture in mini-invaseive 25/23 gauge systems. Methods: Both 25 and 23 gauge trocars are inserted through...

http://www.evrs.eu/medias/2008/congress/Mini-Invasive-25-23-Gauge-Systems:-Expanded-Indications.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show there are no limits in the use of mini-invasive transconjunctival surgery. Methods: Several cases of particular and complex cases are...