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Congress – Pars Plana Vitrectomy wth ILM Peeling in Macular Hole Surgery

SYMPOSIUM: VITREOMACULAR INTERFACE VISUALIZATION / SURGICAL APPROACH Moderators: Claudio Azzolini, Etienne Bovey Tuesday, June 21, 2005 Pars plana vitrectomy (PPV) with ILM peeling in maculer hole surgery Author: Yaprak Banu Ünver, MD, Nur Acar, MD, Ziya Kapran, MD, Mehmet Cakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Eylem Y. Pınarcı, MD Abstract : In stage 2, 3 and 4 maculer holes, anatomical and functional success is...

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Outcomes of Combined 23 Gauge Transconjunctival Sutureless Vitrectomy and Cataract Surgery

Necip Kara, Ahmet Taylan Yazici, Ercument Bozkurt, Mehmet Cakir, Nese Alagoz, Ahmet Demirok, Omer Faruk Yilmaz (Istanbul, Turkey) Advantages: To evaluate the anatomical and functional results of combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery. Methods: This retrospective, consecutive, noncomparative case series was observed to 20 eyes of 20 patients who underwent combined 23-gauge transconjunctival...

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Pneumatic Displacement of Acute Submacular Haemorrhage with and without the Use of Tissue Plasminogen Activator

Osman Cekic, Mehmet Cakir, Omer F. Yilmaz Advantages: To displace massive submacular haemorrhage by injecting intravitreal C3F8 gas with and without the use of tissue plasminogen activator (tPA). Methods: Twenty-one eyes of 21 patients with recently developed (up to 10 days) dense submacular haemorrhage underwent intravitreal injection of pure C3F8 gas (0.4-0.5ml) followed by face down positioning for pneumatic displacement. Seven of them...

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Photodynamic Therapy for Iatrogenic Choroidal Neovascularization Associated with Laser Photocoagulation in Central Serous Chorioretinopathy

Osman Cekic, Mehmet Cakir, Omer F. Yilmaz Advantages: To report the result of photodynamic therapy (PDT) for an iatrogenic choroidal neovascularization (CNV) complicating focal argon laser coagulation in a case with central serous chorioretinopathy. Methods: A 45-year-old woman that developed CNV upon focal argon laser photocoagulation for chronic central serous chorioretinopathy was treated with ocular PDT with verteporfin. Effectiveness...

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Retina Pigment Epithelial Tear Following Bevacizumab for Exudative Age-Related Macular Degeneration: An OCT Follow-Up

Osman Cekic, Mehmet Cakir, Omer F. Yilmaz Advantages: To report the usefulness of serial optical coherence tomography (OCT) follow-up of a case with retinal pigment epithelial (RPE) tear after intravitreal bevacizumab injection for serous pigment epithelial detachment (PED) from neovascular age-related macular degeneration (AMD). Methods: An 80-year-old woman underwent 1.25 mg intravitreal bevacizumab treatment for serous PED secondary to...

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The Triple Therapy with PDT, Intravitreal Bevacizumab & Triamcinolone Injection for CNV due to AMD

Osman Cekic, Mehmet Cakir, Cengiz Alagoz, Nese Alagoz, Omer F. Yilmaz Advantages: To demonstrate the effectiveness of triple therapy in patients with subfoveal choroidal neovascular membrane (SCNM) related to age-related macular degeneration (AMD). Methods: Twenty-nine eyes of 26 patients (10 male, 16 female, mean age: 71.2 years) with SCNM that underwent triple therapy were evaluated retrospectively. Intravitreal injection of 2 mg...

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Vitrectomy and Subretinal tPA in Submacular Hemorrhage

Mehmet Cakir, MD, Ziya Kapran, MD, Nur Acar, MD, Y. Banu Ünver, MD, Tugrul Altan, MD, Zerrin Bayraktar, MD – Beyoglu Eye Research and Education Hospital, Istanbul Submacular hemorrhage in age related macular degeneration (ARMD) leads to severe visual loss in the early period by photoreceptor damage. At the same time, subretinal hemorrhage prevents the diagnosis and the treatment of the primary pathology. Tissue plasminogen activator...

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Therapeutic Approach to Acute Submacular Hemorrhage

http://www.evrs.eu/medias/2005/congress/Therapeutic-Approach-to-Acute-Submacular-Hemorrhage.swf Ziya Kapran, Tugrul Altan, Mehmet Cakir, Nur Acar, Yaprak B. Ünver, Zerrin Bayrakar Purpose: To evaluate the efficacy of pneumatic displacement of submacular hemorrhage with sulfur hexafluoride (SF6) gas tamponade, with or without use of tissue plasminogen activator (tPA). Methods: Pneumatic displacement or surgical removal of the submacular...

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Surgical Extraction of Choroidal Neovascular Membranes (CNVM)

Ziya Kapran, Tugrul Altan, Mehmet Çakır, Nur Acar, Yaprak B. Ünver, Aslı Utine, Zerrin Bayraktar Purpose: Evaluation of the results of surgical extraction of the choroidal neovascular membranes (CNVM). Methods: Four eyes of 4 patients who underwent surgical extraction of CNVM between July 2002 and July 2003 were retrospectively evaluated. Complications, visual prognosis, and recurrence rate were recorded. Results: The etiology of the...

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Intravitreal Triamcinolone Acetonide Injection for the Management of Branch Retinal Vein Occlusion

N. Acar, M. Çakır, Y. B. Ünver, Z. Kapran, T. Altan, Z. Bayraktar, E. Y. Pınarcı, I. Perente, M. Dogan Purpose: To evaluate the efficacy of intravitreal triamcinolone acetonide (IVTA) injection for the treatment of macular edema (ME) due to branch retinal vein occlusion (BRVO) by OCT. Methods: In this prospective study, a total 42 eyes of 42 patients with BRVO in which visual acuity is ≤ 0.5 Snellen lines with ME were included in...

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Intravitreal Triamcinolone Acetonide Injection for the Management of Diabetic Macular Edema

http://www.evrs.eu/medias/2005/congress/Intravitreal-Triamcinolone-Acetonide-Injection-for-the-Management-of-Diabetic-Macular-Edema.swf Mehmet Cakir, MD, C. Aslı Utine, MD, Nur Acar, MD, Y. Banu Ünver, MD, Muhammed Beyazal, MD, Irfan Perente, MD, Tugrul Altan, MD, Zerrin Bayraktar, MD, E. Yaman Pınarcı, MD, Ziya Kapran – Beyoglu Eye Research and Education Hospital, Istanbul Purpose: To evaluate the efficacy of intravitreal...

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Results of Surgery in Traumatic Macular Holes

http://www.evrs.eu/medias/2005/congress/Results-of-Surgery-in-Traumatic-Macular-Holes.swf Tugrul Altan, Mehmet Çakir, Ziya Kapran, Irfan Perente, Nur Acar, Yaprak B. Ünver, Zerrin Bayraktar, Canan Aslı Utine Purpose: To evaluate the anatomical and functional success of pars plana vitrectomy (PPV) in traumatic macular holes. Methods: The records of 5 eyes of 5 patients who underwent PPV due to traumatic macular hole between September 2001...

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One Year Results of Photodynamic Therapy in Eyes with Choroidal Neovascular Membranes due to Age Related Macular Degeneration

http://www.evrs.eu/medias/2005/congress/One-year-results-of-photodynamic-therapy-in-eyes-with-choroidal-neovascular-membranes-due-to-age-related-macular-degeneration.swf Tugrul Altan, Ziya Kapran, Mehmet Cakir, Nur Acar, Yaprak B. Unver, Zerrin Bayraktar Purpose: To evaluate the effectiveness of photodynamic therapy with verteporfin in preserving vision at 1 year in eyes with CNVM due to ARMD. Methods: 44 eyes of 43 patients who had...

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Taut Posterior Hyaloid Removal in Diabetic Macular Edema

Z. Kapran, N. Acar, Y. B. Ünver, M. Çakır, T. Altan, Z. Bayraktar, E. Y. Pınarcı Diabetic macular edema (DME) is a significant source of visual deterioration in diabetic patients. Vitreus traction has been shown to play a role in DME. Attached taut posterior hyaloid causes tangential and/or anteroposterior traction leading to DME and even to shallow macular detachment (MD) which is very well demonstrated with optical coherens...

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Vitreoretinal Surgery for Epiretinal Membranes (ERM)

http://www.evrs.eu/medias/2005/congress/Vitreoretinal-Surgery-for-Epiretinal-Membranes-(ERM).flv N. Acar, Y. B. Ünver, M. Çakır, Z. Kapran, T. Altan, Z. Bayraktar, Z. Kayaarası Idiopathic epiretinal membranes leads to vision loss due to macula edema, dense membrane over the fovea or sensory foveal elevation. In secondary ERMs other retinal pathologies contribute to the vision loss. Increase in visual acuity is achieved with pars plana...

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Pars Plana Vitrectomy (PPV) with ILM Peeling in Maculer Hole Surgery

http://www.evrs.eu/medias/2005/congress/Pars-Plana-Vitrectomy-(PPV)-with-ILM-Peeling-in-Maculer-Hole-Surgery.flv Yaprak Banu Ünver, MD, Nur Acar, MD, Ziya Kapran, MD, Mehmet Cakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Eylem Y. Pınarcı, MD In stage 2, 3 and 4 maculer holes, anatomical and functional success is achieved with vitreoretinal surgery (VRC). Internal limiting membran (ILM) peeling with or without staining increases the...

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Management of Submacular Hemorrhage with C3F8 Gas Injection

Faruk Eroglu, MD, Mehmet Cakir, MD, Sadun Yalcin, MD, Tunc Ovali, MD, Hanef Cakir, MD, Aydin Yildirim, MD – Türkiye Hospital Eye Clinic, Istanbul, Turkey Purpose: To investigate the safety, efficiency and complications of intravitreal injection of perfluoropropane gas for displacement of submacular hemorrhage, without the use of tissue plasminogen activator(tPA). Methods: Pure perfluoropropane gas (0.5 ml) was injected into the vitreous...

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The Effect of Pars Plana Vitrectomy on Rubeosis Iridis and IOP, an Analysis of Associated Factors

Tugrul Altan, MD, Ziya Kapran, MD, Zerrin Bayraktar, MD, Nur Acar, MD, Yaprak B. Unver, MD, Mehmet Cakir, MD Purpose: To determine the effect of pars plana vitrectomy on rubeosis iridis (RI) and intraocular pressure and to evaluate the risk factors for the development of RI and glaucoma in diabetic eyes. Methods: 201 eyes of 201 patients that underwent pars plana vitrectomy for the complications due to proliferative diabetic retinopathy...

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Early Postvitrectomy Diabetic Vitreous Hemorrhage: Incidence and Associated Factors

Zerrin Bayraktar, MD, Ziya Kapran, MD, Tugrul Altan, MD, Nur Acar, MD, Yaprak Banu Ünver, MD, Mehmet Çakır, MD, Mustafa Dogan, MD Purpose: To evaluate early postvitrectomy hemorrhage incidence and factors associated with hemorrhage in diabetic patients. Methods: 197 eyes with tractional retinal detachment and/or with vitreous or subhyaloid hemorrhage underwent pars plana vitrectomy between 2001 and 2003. Postvitrectomy vitreous...

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Intraoperative and Postoperative Complications after Vitrectomy in Diabetic Cases

Nur Acar, MD, Yaprak Banu Unver, MD, Ziya Kapran, MD, Mehmet Cakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Basak Yılmaz, MD, Irfan Perente, MD Purpose: To evaluate the incidence of intraoperative and postoperative complications encountered after pars plana vitrectomy (PPV) in diabetic cases. Methods: The medical records of 201 consecutive eyes with diabetic retinopathy that underwent PPV were reviewed retrospectively for the...

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Visual Prognosis after Pars Plana Vitrectomy for Tractional Retinal Detachment in Diabetic Patients

Ziya Kapran, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Nur Acar, MD, Yaprak Banu Ünver, MD, Mehmet Çakır, MD, Zeynep Kayaarası, MD Purpose: To evaluate the surgical outcomes and patient benefit after pars plana vitrectomy for diabetic tractional retinal detachment. Methods: In this retrospective study, data were analyzed for 96 consecutive vitrectomy for tractional diabetic retinal detachment procedures performed between 2001 and 2003...

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Visual Outcome after Pars Plana Vitrectomy for Vitreous and/or Subhyaloidal Hemorrhage in Diabetic Patients

Zerrin Bayraktar, MD, Ziya Kapran, MD, Tugrul Altan, MD, Nur Acar, MD, Yaprak Banu Ünver, MD, Mehmet Çakır, MD, Burak Erden, MD Purpose: To investigate visual benefit from pars plana vitrectomy for vitreous and/or subhyaloidal hemorrhage without tractional detachment in diabetic patients. Methods: Data were analyzed for pars plana vitrectomy for vitreous and/or subhyaloidal hemorrhage in 71 eyes. Patient characteristics, intraoperative...

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Early Period OCT Findings in Macular Edema after Intravitreal Triamcinolone Acetonide

Mehmet Cakır, MD, Ziya Kapran, MD, Nur Acar, MD, Yaprak Banu Unver, MD, Tugrul Altan, MD, Zerrin Bayraktar, MD, Mustafa Dogan, MD Purpose: To determine the effect of intravitreal triamcinolone acetonide on macular edema in the early period evaluated by optical coherence tomography (OCT). Methods: In this prospective study performed in Beyoglu Eye Education and Research Hospital between January and March 2004, 21 eyes of 20 patients with...

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Bimanual Vitrectomy in Diabetic Traction Retinal Detachment

Nur Acar, MD, Yaprak Banu Unver, MD, Ziya Kapran, MD, Mehmet Cakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Sinan Albayrak, MD The surgical repair of complex diabetic traction retinal detachments requires the removal of the vitreous and the release of anteroposterior and tangential forces from the retina. In standard pars plana vitrectomy only one active instrument can be used since the other hand holds an illuminating light. Bimanual...

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Step-Wise Surgical Approach in Diabetic Eyes Complicated by Traction Retinal Detachment

Ziya Kapran, MD, Nur Acar, MD, Yaprak Banu Unver, MD, Mehmet Cakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD The techniques of surgical management of diabetic traction retinal detachment (TRD) have evolved considerably over the last decade. Release of anteroposterior and tangential tractions is the primary goal. Membrane segmentation, delamination, en bloc excision of fibrovascular tissues are the techniques. In this video, step-wise...

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OCT Findings in Diabetic Macular Edema after Intravitreal Triamcinolone Acetonide

Eylem Yaman, MD, Mehmet Cakır, Ziya Kapran, MD, Irfan Perente, MD, Yaprak Banu Unver, MD, Nur Acar, MD, Tugrul Altan, MD, Zerrin Bayraktar, MD, Muhammet Beyazal, MD Purpose: To determine the efficacy of intravitreal triamcinolone acetonide on diabetic macular edema (ME) by optical coherence tomography (OCT). Methods: In this prospective study performed in Beyoglu Eye Education and Research Hospital between January and March 2004, 16 eyes...

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The Effect of Preoperative Scatter Photocoagulation on Visual Outcome on Vitrectomize Diabetic Cases

Yaprak Banu Ünver, MD, Nur Acar, MD, Ziya Kapran, MD, Mehmet Çakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Irfan Perente, MD Purpose: To evaluate the effect of preoperative scatter photocoagulation on visual outcome in vitrectomized diabetic cases. Methods: Retrospective review of 163 consecutive eyes undergoing vitrectomy for intravitreal/subhyaloid hemorrages and macula threatening tractional/rhegmatogenous retinal detachment. The...

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The Effectiveness of Intravitreal Triamcinolone Acetonide for Diabetic Macular Edema

Faruk Eroglu, MD, Mehmet Çakır, MD, Aydın Yıldrım, MD, Hanefi Çakır, MD, Nusret Bas, MD, A.Kadir Egemenoglu, MD, Ahmet Bas, MD, H.Hüseyin Altunbas, MD, Demir Basar, MD, Türkiye Hospital Eye Clinic, Istanbul, Turkey Purpose: To evaluate the efficacy and safety of 1 intravitreal 4mg triamcinolone acetonide (IVTA) for treatment of diabetic macular edema (DME). Methods: The prospective clinical interventional study included 24 eyes of...

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