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Effect of Oral Citicoline in Macular Ganglion Cell Layer Thickness, After Epiretinal Membrane Surgery with Internal Limiting Membrane Peeling

Effect of Oral Citicoline in Macular Ganglion Cell Layer (GCL) Thickness, After Epiretinal Membrane (ERM) Surgery with Internal Limiting Membrane (ILM) Peeling SCIENTIFIC POSTER Effect of Oral Citicoline in Macular Ganglion Cell Layer Thickness, After Epiretinal Membrane Surgery with Internal Limiting Membrane Peeling by Vania Lages ABSTRACT Introduction: Beneficial effects of oral cytidine-5’-diphosphocholine (citicoline) have been...

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Spider IOL

Spider IOL EDITED FILM ABSTRACT The authors aim to describe a surgical technique for management of eyes without adequate capsular support, by implantation of a four-haptic hydrophilic acrylic foldable intraocular lens (IOL), Bausch & Lomb AKREOS Adapt AO® with a transscleral knotless zigzag suture. Surgical technique consists in small gauge pars plana vitrectomy, small corneal incision (between 2,0 mm and 2,4 mm) for iOL...

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Anterior Segment Complications – Multiple Solutions

Anterior Segment Complications – Multiple Solutions EDITED FILM ABSTRACT The authors present the posterior segment approach for solving anterior segment complications in cataract surgery. From retro-pupillary iris-claw IOLs, to modified glued IOL technique or improvised scleral suspension with normal “in-the-bag” IOLs. The authors show their tricks and also the pros and cons for each technique. CONTACT...

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Intravitreal Implants for Treatment of Diabetic Macular Edema in Vitrectomized Patients

Intravitreal Implants for Treatment of Diabetic Macular Edema in Vitrectomized Patients ABSTRACT Purpose: To evaluate and compare the functional, anatomical and safety response after the long-acting intravitreal sustained release fluocinolone acetonide (FAc) implant (0.2 µg/day, ILUVIEN®) and dexamethasone implant (Ozurdex® 0.7 mg) in the treatment of diabetic macular edema (DME) in vitrectomized eyes. Setting: Department of...

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Vitrectomy and ILM Peeling With and Without Fovea-sparing IML in Bilateral Myopic Foveoschisis

SCIENTIFIC POSTER 2016_Vitrectomy and ILM Peeling With and Without Fovea-sparing IML in Bilateral Myopic Foveoschisis Natalia Ferreira The authors describe the case of a 39-year-old female, with high myopia and bilateral myopic foveoschisis. She underwent an anterior chamber phakic IOL implantation in both eyes, 6 years before. She started to complain of decreased visual acuity and metamorphopsia since a few months ago and she was referred...

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Limitless Internal Limiting Membrane

Internal Limiting Membrane (ILM) peeling is actually a common surgical procedure performed in different retinal disorders like epiretinal membrane, macular edema of various etiology, foveosquisis, macular hole or sub-ILM hemorrage. Current treatment of macular hole is vitrectomy associated to complete IML peeling or inverted IML flap technique. However, macular hole closure failure can occur in few cases after standard procedure. In the...

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Safety and Efficacy of Intravitreal Ocriplasmin in DME with Vitreomacular Adhesion

Introduction: There are many reports supporting that the relationship of the posterior cortical vitreous to the macula plays a role in the development of diabetic macular edema (DME). Until recently, the only treatment option available for vitreomacular adhesion (VMA) was vitrectomy. Given the risks for vitrectomy, the standard of care has generally been to wait until visual symptoms from VMT have deteriorated enough to justify the...

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Artificial Iris-IOL with Z Suture Scleral Fixation for Traumatic Mydriasis & Aphakia

Lens subluxation after contusion trauma to right eye in a 67 years old man. An extracapsular cataract extraction was done and patient was refered to vitreoretinal surgery department to perform a secondary intraocular lens (IOL) implantation. Preoperative best-corrected visual acuity was 20/80 with a plus 10 dioptres spectacle correction. He complained of photophobia because of post-traumatic mydriasis. A scleral-fixated artificial iris-IOL...

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Strategy for the Management of Optic Pit Maculopathy

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To report the effectiveness of vitrectomy and adjunct procedures in the resolution of the serous retinal detachment secondary to optic pit. Methods: Eleven patients with macular detachment underwent three ports standard vitrectomy with induction of posterior vitreous detachment, ILM peeling, laser photocoagulation at the...

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Re-intervention in De-novo Vitreous Opacities After PPV in Familial Amyloidotic Polyneuropathy in Portuguese Patients

SCIENTIFIC POSTER_Natalia Ferreira Purpose: To report management of de novo vitreous amyloid opacities after previous pars plana vitrectomy in familial amyloidotic polyneuropathy. Methods: Retrospective observational consecutive case series of 4 eyes. Demographic data, TTR mutation involved, age at the beginning of disease, period of evolution of disease, liver transplant, time between total vitrectomy and repeat intervention and the...

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Ocular Changes in Familial Amyloidotic Polyneuropathy Type I

Familial amyloidotic polyneuropathy (FAP) type I is an inherited disorder with autosomal dominant transmission, related to mutant transthyretin (TTR) and characterized by systemic extracellular accumulation of amyloid. TTR is mainly synthesized in the liver, but there is also production in the retinal pigment epithelium. One point mutation in which a methionine residue replaces the valine residue at position 30 (TTR Val30Met) is the most...

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Vitreous Opacities & Retinal Amyloid Microangiopathy in Familial Amyloidotic Polyneuropathy

Familial amyloid polyneuropathy (FAP) is an inherited disorder with autosomal dominant transmission, characterized by systemic extracellular accumulation of amyloid fibrils. The peripheral nervous system and the heart are the main target organs, but the eye may also be involved. The most common type of FAP is related to transthyretin (TTR) and Portugal is an endemic country for FAP TTR Val30Met.TTR is mainly produced by the liver, but a...

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Inverted ILM Flap in MH with Poor Prognosis

Advantages: Inverted ILM flap technique can achieve good anatomical and functional success in large, long standing macular holes or in non idiopathic macular holes (as macular holes related to myopia, post vitrectomy for retinal detachment or post ocular trauma). Methods: Since July 2009 inverted ILM flap technique has been performed in macular hole with poor anatomical prognosis. ILM is incompletly peeled around the border of the hole...

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Secondary Foldable IOL Knotless Scleral Fixation

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   We will be presenting on knotless scleral fixation of luxated foldable IOLs and for secondary implantation in aphakic eyes in eyes without zonular support. This technique provides the advantage of avoiding iris manipulations, is perfomed through a small corneal incision and does not require the need to order or stock special IOL types....

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Thick, Adherent and Whitish Posterior Hyaloid: What is it?

RETINA PHOTO_Natalia Ferreira Few conditions are associated to thickening of posterior hyaloid membrane. Familial amyloidotic polyneuropathy (FAP) is characterized by systemic accumulation of mutant amyloigogenic transthyretin in different tissues, the eye included. FAP has peculiar ocular manifestations. Deposition of amyloid in vitreous cavity is a frequent one. Vitreous amyloid deposits (around collagen) are characteristic whitish and...

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Bilateral Retinal Hemorrhage – Case Report

Background: Diffuse large B-cell lymphoma is the most common type of non-Hodgkin lymphoma (NHL), accounting for about 1/3 of all cases. It is a B-cell high-grade cancer with fast-growing pattern, needing urgent treatment. It can occur at any time between adolescence and old age and is slightly more common in men. In more than 50% of cases there is extranodal commitment. Diagnosis may be confirmed by lymph node biopsy and treatment should be...

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Article – Vitrectomy In Diabetic Retinopathy

Vitrectomy In Diabetic Retinopathy Hospital Geral de Santo António. Porto, Portugal Vitrectomy In Diabetic Retinopathy Ferreira N, Pessoa B, Macedo M, Queirós P, Meireles A Hospital Geral de Santo António. Porto, Portugal Background Diabetic retinopathy is a vascular retinal disease. Prolonged hyperglycaemia in diabetes can result in increased permeability and progressive occlusion of retinal vessels. These alterations may lead...

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Knotless Transcleral Suture of a One-Piece Acrysof IOL

http://www.evrs.eu/medias/2008/congress/Knotless-Transcleral-Suture-of-a-One-Piece-Acrysof-IOL.flv Angelina Meireles, João Melo-Beirão, Natália Ferreira, Bernardete Pessoa Advantages: Scleral fixation of a foldable IOL through a small clear corneal incision in eyes without zonular support. Methods: In ten eyes of nine patients a single-piece foldable IOL was implanted  through a small clear corneal incision and fixated to the sclera....

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Vitrectomy in Diabetic Retinopathy

Ferreira Natália, Pessoa Bernardete, Macedo Marta, Queirós Paulo, Meireles Angelina Purpose: Analysis of our experience in the surgical management of diabetic retinopathy complications. Methods: Retrospective revision of the clinical records of diabetic patients submitted to vitrectomy treatment by one of two surgeons (AM, PQ) from July 2001 and December 2002. The variables recorded and analyzed were: pre- and postoperative visual acuity,...

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Vitrectomy with Silicone Oil Tamponade in Proliferative Diabetic Retinopathy

Marta Macedo, MD, Bernardete Pessoa, MD, Natália Ferreira, MD, Paulo Queirós, MD, Angelina Meireles, MD Purpose: To evaluate the role of vitrectomy with silicone oil tamponade in eyes with proliferative diabetic retinopathy. Subjects and methods: Retrospective revision of the records of diabetic patients submitted to vitrectomy surgical treatment from July 2001 to December 2002, performed by two surgeons (AM and PQ). Preoperative...

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SF6 in Diabetic Tractional Retinal Detachment

Bernardete Pessoa, Marta Macedo, Natália Ferreira, Paulo Queirós, Angelina Meireles, Hospital Santo António, Oporto, Portugal Purpose: The authors mean to evaluate the role of SF6 tamponade in eyes with diabetic tractional retinal detachment. Subjects and methods: Retrospective revision of the records of diabetic patients submitted to vitrectomy surgical treatment from July 2001 to December 2002, performed by two surgeons (AM and PQ)....

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