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Complicated RD Repair Due to a MH in a Non Myopic Eye

A middle aged women presented with a retinal detachment secondary to a re-opened macular hole which was repaired twenty years ago.Two operations were required to re attach the retina an d close the hole. The case was complicated by a failure of the hole to close and during the second operation the hole enlarged. Discussion will involve how to approach a macular hole associated with a retinal detachment, the best way to peel the ILM when...

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What Happens to Eyes Which Fail Pneumatic Retinopexy

Purpose: To review consecutive retinal detachments repaired with PR over a recent three year period and compare the outcome of failed cases regarding final anatomic success, final visual acuity and overall cost versus eyes successfully repaired with one operation. Regarding retinal detachment repair, CMS has determined single operation success (SOS), not visual recovery, will be used as the primary parameter to measure quality of care and...

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Scleral Buckling…Are you Crazy!!! Back to the Future!

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   We have developed a new scleral buckling exoplant that can be inserted in minutes with one anterior suture which provides 4 clock hours of circumferential buckling.It is removed in three weeks, usually in the office. It resolves most problems associated with scleral buckling including strabismus, induced refractive error, and buckle...

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Targeted PRP Directed By Optos Wide Field Fluorescein Angiography To Treat Severe DME

12 Patients with severe DME (CMT > 350 microns) were prospectively enrolled. Wide field Optos fluorescein angiography to determine areas of poor peripheral perfusion. Patients then underwent an injection of Avastin and PRP directed to areas of poor perfusion. Two more monthly injections of Avastin were given. If at the end of 4 months observation period DME persisted, wide field angiography was repeated and more PRP was applied to areas...

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Macular Hole Surgery Without Face-down Positioning Using the Latest Vitreoretinal Techniques

Purpose: To evaluate the success rate of surgical repair of full-thickness macular holes without face-down positioning in a large series. Methods: A retrospective chart review of 81 consecutive patients with idiopathic full-thickness macular holes <750m in diameter were treated with standard surgical techniques by a single surgeon (PET). Surgical technique included 23-gauge pars plana vitrectomy, ICG-assisted peeling of the internal...

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Sutureless Scleral Buckling

The purpose of the presentation is to describe a new temporary device for non drainage scleral buckling which requires no suturing. The device is left in place for 4-7 days. It is used to treat retinal detachments secondary to retinal breaks not exceeding one clock hour in any quadrant where there is sufficient orbital support. It can be used in phakic patients with inferior breaks or young patients without resulting in buckling induced...

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Effect of Intraoperative 5-Fluorouracil and Low Molecular Weight Heparin on the Outcome in High-risk Proliferative Vitreoretinopathy

http://www.evrs.eu/medias/2006/congress/Effect-of-Intraoperative-5-Fluorouracil-and-Low-Molecular-Weight-Heparin-on-the-Outcome-in-High-risk-Proliferative-Vitreoretinopathy.swf Guruprasad S. Ayachit, MS (Hubli, Karnataka, India), Paul Tornambe, MD (Poway, CA) PURPOSE: To determine whether these pharmacological agents prevent PVR. To determine whether there are any adverse effects. METHODS: In this prospective randomized single masked...

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Post Cataract Endophthalmitis Caused By Pseudomonas Aeruginosa

Naveenam S. Muralidhar, MD (Bangalore, India), Paul E. Tornambe, MD (Poway, CA), Hemanth Murthy, MD (Bangalore, India), Veena Hemanth, MD (Mysore, India) PURPOSE: Endophthalmitis due to Pseudomonas has been reported to have poor outcome. We present our results of managing this condition with good outcome. METHODS: A retrospective analysis of records of 16 eyes of 16 patients with acute post operative endophthalmitis following cataract...

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Vitreous Surgery for Recalcitrant NVG in PDR

Guruprasad S. Ayachit, MS (Hubli, India), Paul E. Tornambe, MD (Poway, CA) PURPOSE: When transpupillary laser ablation is not feasible, does direct retinal ablation by endolaser and cryotherapy result in regression of NVI, control of IOP and preservation of vision? Is the surgery fraught with any risks? METHODS: A prospective, interventional, noncomparative case series. 14 patients with PDR with no previous laser and recalcitrant NVG were...

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A FA/ICG Analysis of the Retinal/Choroidal Vasculature and Choroidal Neovascular Membrane Complex Six Months Following Intravitreal Avastin Injections

Paul E. Tornambe, MD (Poway, CA)* PURPOSE: There are concerns that pan VEGF suppression may negatively effect the retinal and choroidal vasculature. The purpose of this paper is to describe what effect pulsed pan-VEGF inhibition using intravitreal Avastin has upon the retinal and choroidal vasculature and the six month response of the sub foveal choroidal neovascular membrane to intravitreal Avastin injections? METHODS: Thirty consecutive...

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2 Cases of Live Intraocular Nematodes Removed Live by Vitrectomy

Guruprasad S. Ayachit, MS (Hubli, Karnataka, India), Paul E. Tornambe, MD (Poway, CA) SYNOPSIS An interesting case of a live intravitreal nema-tode in a 14 year boy who presented with diminution of vision in the Lt eye of 2 months duration. The video shows the nematode live preoperatively and the surgical procedure of its removal live. Another interesting case of a live subretinal nematode causing blurred vision in a 16 year old boy. The...

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