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A Novel Approach for the Management of Macular Detachment Associated with Optic Disc Pit: Temporal Inverted Internal Limiting Membrane Flap Technique and a New Heavy Silicone Oil (Densiron Xtra)

A Novel Approach for the Management of Macular Detachment Associated with Optic Disc Pit: Temporal Inverted Internal Limiting Membrane Flap Technique and a New Heavy Silicone Oil (Densiron Xtra) EDITED FILM ABSTRACT A case which had bilateral macular detachment with optic pit was operated with a new technique. 23G PPV, posterior hyaloid removal, Brilliant Blue assited ILM peeling was performed using the Tano diamond dusted scrapper in...

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Silicone Oil in the Surgical Management of Endophthalmitis

Silicone Oil in the Surgical Management of Endophthalmitis ABSTRACT Purpose: A randomized prospective study was designed to determine the role of silicone oil in the surgical management of endophthalmitis. Methods: The study subjects were 42 patients in whom clinical signs of endophthalmitis developed within 6 weeks of cataract surgery (phacoemulsification) or secondary lens implantation. All patients had advanced, severe endophthalmitis....

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A Novel Drug Delivery Route for Treatment of Diabetic Macular Edema: Suprachoroidal Triamcinolone Acetonide Administration

A Novel Drug Delivery Route for Treatment of Diabetic Macular Edema: Suprachoroidal Triamcinolone Acetonide Administration ABSTRACT Purpose: To evaluate the safety, tolerability and efficacy of of suprachoroidal injection of triamcinolone acetonide (TA) for diabetic macular edema (DME). Methods: Seventeen eyes of 17 patients were given suprachoroidal injection of 4mg TA for DME. Injection was performed with a 30G needle approximately 1mm...

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A Novel Approach for the Management of Macular Detachment Associated with Optic Disc Pit: Temporal Inverted Internal Limiting Membrane Flap Technique and a New Heavy Silicone Oil (Densiron Xtra)

A Novel Approach for the Management of Macular Detachment Associated with Optic Disc Pit: Temporal Inverted Internal Limiting Membrane Flap Technique and a New Heavy Silicone Oil (Densiron Xtra) ABSTRACT Purpose: To evaluate the anatomic and functional results of the treatment of macular detachment associated with optic disc pit(ODP), with temporal inverted internal limiting membrane (ILM) flap combined with a new heavy silicone oil...

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Combined 25g Vitrectomy + Sheathatomy + ILM Peeling + Phacoemulsification + IOL Implantation for the Treatment ofBranch Retinal Vein Occlusion

Murat Oncel, MD (Istanbul, Turkey) SYNOPSIS This film demonstrates the use of the transcon-junctival sutureless 25-gauge vitrectomy system combining with clear corneal phacoemulsification and posterior chamber intraocular lens implantation. Sheathotomy was performed either using a special knife or nitinol flexiable extandible pick with trypan blue-assisted peeling of the internal limiting membrane in branch retinal vein occlusion. Pre- and...

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A New Microscope with Wide Angle Viewing System without Endoillumination

A New Microscope with Wide Angle Viewing System without Endoillumination

Murat Oncel, MD (Istanbul, Turkey) SYNOPSIS This film demonstrates the technique of using a new microscope observation system for vitrectomy procedures that does not require the use of fiber optic illumination. Without fiber optic illumination, the surgeon is able to perform bimanuel surgery. A 40D non-contact lens provides a wide-angle viewing. ...

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Intravitreal Injection Versus Systemic Bevacizumab (Avastin) Therapy for Diabetic Macular Edema

http://www.evrs.eu/medias/2006/congress/Intravitreal-Injection-Versus-Systemic-Bevacizumab-(Avastin)-Therapy-for-Diabetic-Macular-Edema.swf Murat Oncel, MD (Istanbul, Turkey) PURPOSE: To compare the safety and efficacy of intravitreal and systemic bevacuzimab(Avastin) in the treatment of patients with clinically significant diabetic macular edema(DME). METHODS: 23 patients with clinically significant DME involving the foveal center were...

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A New Microscope with Wide Angle Viewing System without Endoillumination

http://www.evrs.eu/medias/2006/videos/A-New-Microscope-with-Wide-Angle-Viewing-System-without-Endoillumination.flv Murat Oncel, MD (Istanbul, Turkey) SYNOPSIS This film demonstrates the technique of using a new microscope observation system for vitrectomy procedures that does not require the use of fiber optic illumination. Without fiber optic illumination, the surgeon is able to perform bimanuel surgery. A 40D non-contact lens provides a...

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Heavy Silicone Oil vs Standard Silicone Oil for the Management of Complicated Retinal Detachment: A Prospective Randomized Study

Murat Oncel, MD (Istanbul, Turkey) PURPOSE: A randomized prospective study was designed to compare the efficacy and safety of heavy silicone silicone oil (HSO) and standard silicone oil (SSO) for complicated retinal detachments. METHODS: 45 patients were recruited for this prospective study. Inclusion criteria were retinal detachment (RD) secondary to proliferative vitreoretinopathy (stage>C2) involving the inferior part of the retina....

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Epiretinal Membrane (ERM) Surgery: with and without Internal Limiting Membrane (ILM) Peeling

http://www.evrs.eu/medias/2005/congress/Epiretinal-Membrane-(ERM)-Surgery:-with-and-without-Internal-Limiting-Membrane-(ILM)-Peeling.swf Murat Oncel Purpose: To evaluate the clinical outcome and compare the recurrence rate of epiretinal membrane (ERM) after vitrectomy for idipathic epiretinal membrane removal with or without peeling of the internal limiting membrane (ILM). Methods: Fifty two eyes of 52 consecutive patients were incorporated...

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Internal Limiting Membrane Surgery: Using a New Viewing System without Endoillumination

Murat Oncel Purpose: Vitrectomy and epiretinal membrane surgery was performed with a new microscope which incorporates a noncontact wide angle viewing system without using endoillumination. With this system you have wide field with good stereopsis view. The vitrectomy can be performed with two sclerotomies.

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Trypan Blue-Assisted Removal of Internal Limiting Membrane (ILM) and Epiretinal Membrane (ERM)

Murat Oncel Purpose: This film documents the technique of peeling the internal limiting membrane and epiretinal membrane in cases of severe PVR, macular holes, macular edema (diabetic cases, branch and central retinal vein occlusion) with the aid of trypan blue.

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Clinical Experience with Heavy Silicone Oil in Diabetic Tractional Retinal Detachment

Melda Yenerel, M.D., Murat Oncel, M.D., World Eye Hospital and Yeditepe University Medical School, Istanbul, Turkey Purpose: To evaluate the efficacy and safety of a silicone oil-RMN3 mixture(heavy silicone oil) as a heavier as water internal retinal tamponade after vitrectomy in severe proliferative diabetic retinopathy. Methods: 7 patients(7 eyes) were included in this study. Age ranged from 31 to 62 years. 5 were male, 2 female. All eyes...

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Endophthalmitis Following Intravitreal Triamcinolone Injection in a Diabetic Patient

Melda Yenerel, Murat Oncel

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Combined Phacoemulsification and 25 Gauge Sutureless Vitrectomy System in Diabetic Patients

Murat Oncel, M.D., Melda Yenerel, M.D., Yeditepe University Medical School, Istanbul, Turkey Purpose: To evaluate the safety and efficacy after combining clear corneal phacoemulsification and posterior chamber IOL implantation with TSV25-gauge system in eyes with significant cataract and coexisting retinal disorders resulting from diabetic retinopathy. Methods: This prospective study consisted 15 eyes of 15 patients with various...

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Trypan-Blue Assisted Internal Limiting Membrane Removal in Diabetic Macular Edema

Murat Oncel, M.D., Melda Yenerel, M.D.Yeditepe, University Medical School, Istanbul, Turkey Purpose: To evaluate the anatomic and functional results of pars plana vitrectomy with trypan blue-assisted internal limiting membrane(ILM) removal in diabetic macular edema. Methods: 7 patients with long standing diffuse or cystoid macular edema secondary to diabetic retinopathy were included in the study. 4 patients were male, aged 57(32-71). After...

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Retinal Detachtment with PVR in Myopic Eyes after Phakic Intraocular Lens Implantation

Murat Oncel Turkey Purpose: To report a case series of rhegmatogenous retinal detachment(RRD) after phakic intraocular lens(IOL) implantation and its incidence. Methods: Retrospective interventional case series. Seven eyes that developed RRD after phakic IOL implantation were described. Surgery was performed in all of the seven eyes to repair the RRD. The mean follow-up time was 10 months after vitreoretinal surgery. Results: 7 eyes (6...

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Management of Dislocated Double IOL with Retinal Detachment with Severe PVR

Murat Oncel Turkey This video demonstrates the management of dislocated double IOL( one of the dislocated IOL is a scleral fixated IOL the other dislocated IOL is on top of the retina), with retinal dethacment with severe PVR; includes the following techniques: epiretinal and subretinal proliferation, ILM peeling, retinotomy, liquid perfluorocarbon injection and endolaser.

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Vitrectomy for Severe PVR

Murat Oncel Turkey This film demonstrates the technique of a retinal detachment with very severe PVR, and includes the management of epiretinal and subretinal proliferation, ILM peeling and 360 degree retinotomy.

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Trypan Blue-Assisted Removal of internal Limiting Membrane and Epiretinal Membrane

Murat Oncel Turkey This film documents the technique of peeling the ILM and ERM in cases of severe PVR, macular holes, macular edema (diabetic cases, branch and central retinal vein occlusion) with the aid of trypan blue.

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Removal of Dislocated Lens with a Perfluorocarbon Liquid and Implantation of Scleral Fixated Posterior Chamber Intraocular Lens

Murat Oncel Istanbul, Turkey Removal of dislocated hard lenses remains hazardous. Several techniques prone to failure and complications have been reported. We used perfuoro phenanthrane,a perfluorocarbon liquid, to facilitate the safe removal of posteriorly dislocated hard lens. The dislocated lens were floated off the retinal surface by perfuorocarbon liquid in the anterior vitreous cavity and delivered by using standard extracapsular...

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Surgical Management of Postoperative Endophthalmitis

Murat Oncel Istanbul, Turkey In this video we have demonstrated the surgical approach for mild and severe cases of endophthalmitis. Pars plana vitrectomy, IOL extraction and membranectomy techniques has been described.

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Silicone Oil in the Surgical Management of Endophthalmitis

Murat Oncel Istanbul, Turkey Purpose: A randomized study was designed to determine the role of silicone oil in the surgical management of endophthalmitis. Methods: The study subject were 62 patients in whom clinical signs of endophthalmitis developed within 6 weeks of cataract surgery or secondary lens implantation. All patients had advanced, severe endophthalmitis. They were randomly assigned to treatment with pars plana vitrectomy with or...

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Treatment of Giant Retinal Tears without Scleral Buckling. Use of Perfluorocarbon Liquids and Vitreous Base Dissection

Murat Oncel Istanbul, Turkey Purpose: To evaluate the anatomic and visual outcome of giant retinal tears with no scleral buckle, and instead lensectomy, vitrectomy and placement of an intraocular lens. Methods: 9 patients were included in this study. Under panaromic viewing, a posterior vitrectomy, removing of the anterior flap, injecting perfluorophenantherene, photocoagulation of the peripherial retina 360 degree, lens...

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