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Autologous Lens Capsular Flap Transplantation for Persistent Macular Holes

Slawomir Cisiecki, Karolina Boninska, Maciej Bednarski, Poland Purpose: To analyze the anatomical and functional results after autologous lens capsular transplantation technique for persistent macular holes. Methods: A retrospective observational study of 5 eyes of 5 patients treated with vitrectomy with autologous lens capsular flap transplantation. Transplantation of a flap harvested from the posterior lens capsule was performed in 4...

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Early Onset Exudative AMD Detected with Monthly SD-OCT with Eye-tracking of the Fellow Eye in Patients Treated with Anti-VEGF

http://www.dailymotion.com/video/x168ujv Advantage: To determine the frequency and characteristic features of new- onset neovascularization (CNV) in age related macular degeneration (AMD) with spectral domain optical coherence tomography (SD-OCT). Methods: Prospective, observational study of 68 patients with unilateral CNV treated with Bevacizumab. SD-OCT and visual acuity (logMAR) was measured at baseline and then monthly in both, the...

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Comparative Study of Vitrectomy with ILM Peeling vs Anti-VEGF in DME

http://www.dailymotion.com/video/xudv5d Advantages: To compare anatomic and functional results of vitrectomy with internal limiting membrane (ILM) peeling and anti- VEGF (Avastin) injection for the course of diabetic macular edema. Methods: Comparative non- randomized study of 68 eyes, of patients with diabetic macular edema. 50 eyes were treated with repeated injections of anti- VEGF (Avastin), 18 eyes had undergone vitrectomy with ILM...

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Natural Course and Surgical Treatment of Vitreomacular Traction Syndrome

http://www.dailymotion.com/video/xuk2n3 http://www.dailymotion.com/video/xuk3gz Advantages: To present the natural course vs. vitrectomy for macular oedema in vitreomacular traction syndrome. Methods: 52 patients with vitreomacular traction syndrome were examined with mean follow- up of 12 months. Patients had complete ophthalmic examination and spectral domain optical coherence tomography (SD- OCT) on a regular course. Effectiveness /...

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&bdquo Things About Retinal Detachment you Would Like to Know But You Did not Have a Chance to Ask…“ – Grill the Experts – Young EVRS Session on Surgical Techniques in Primary Rhegmatogenous Retinal Detachment

Agnieszka Nowosielska (Warsaw, Poland), Sławomir Cisiecki (Lodz, Poland) Two-part course, prepared by Young EVRS, is dedicated to ophthalmologists who are beginners and moderately advanced in performing retinal detachment operations. The aim of the course is to present surgical indications and techniques in every detail covering as many practical aspects as possible. Part I will cover problems concerning prophylaxis and technique of...

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Is Scleral Buckling Really the Less Traumatic Surgery – A Spectral Optical Coherence Tomography Study

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Zofia Michalewska*, Janusz Michalewski, Dominik Odrobina, Slawomir Cisiecki, Maciej Bednarski, Jerzy Nawrocki (Lodz, Poland) Advantages: Spectral Domain Optical Coherence Tomography presents retinal architecture after scleral buckling and explains why visual acuity does not always fully recover after surgery. Methods: This is a single centre, prospective...

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Should we Always Peel ILM in Stages A and B PVR Retinal Detachment?

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Slawomir Cisiecki (Lodz, Poland) Advantages: Peeling of the ILM is an extremely effective prophylaxis for postoperative epiretinal membrane formation and is also a well-known part of primary vitrectomy in more advanced stages (beyond Stage B) PVR retinal detachments. However, some surgeons recommend ILM peeling in general...

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ILM Peeling as a Prophylaxis of Macular Pucker in PVR Retinal Detachment Treatment – Retinectomy with ILM Peeling vs Without ILM Peeling

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Dominik Odrobina, Maciej Bednarski, Slawomir Cisiecki, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: To analyze the effect of internal limiting membrane (ILM) peeling on the anatomical and functional outcomes in patients undergoing retinectomy of 180 degrees to 360 degrees for retinal detachment with Grade D-1 PVR, paying particular role to...

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Retinal Changes After Vitrectomy – A Spectral Domain Optical Coherence Tomography Study

http://www.dailymotion.com/video/xs2x28 Michalewska Zofia*, Cisiecki Slawomir, Michalewski Janusz, Odrobina Dominik, Bednarski Maciej, Nawrocki Jerzy (Lodz, Poland) Premise: Spectral Domain Optical Coherence Tomography (SD-OCT) may demonstrate in the retinal architecture after primary pars plana vitrectomy an explanation as to why visual acuity may not recover fully after surgery. Methods: This is a single center, prospective analysis of...

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Core Vitrectomy Using Intrector Combined with Bevacizumab in the Treatment of Choroidal Neovascularization in AMD

http://www.evrs.eu/medias/2010/congress/Age-Related-Macular-Degeneration-2.flv Slawomir Cisiecki (Lodz, Poland), Maciej Bednarski (Lodz, Poland), Michael Koss (Frankfurt am Main, Germany), Janusz Michalewski (Lodz, Poland) Advantages: The aim of combined treatment in cases of exudative ARMD is to reduce the rate of anti-VEGF injections. Core vitrectomy using intrector is indicated when there is no response after three monthly intravitreal...

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Long-Term Clinicodiagnostic Correlations of CNV Treated with Bevacizumab on Demand

http://www.evrs.eu/medias/2010/congress/Age-Related-Macular-Degeneration.flv Janusz Michalewski, Slawomir Cisiecki, Krzysztof Dziegielewski, Zbigniew Pikulski, Dominik Odrobina, Jerzy Nawrocki (Lodz, Poland) Advantages: To describe and analyze morphological changes in the retina of patients treated on demand with intravitreal bevacizumab for more than 18 months. Methods: Patients with exudative AMD were treated when activity of CNV in...

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Retinal Vein Occlusion

Slawomir Cisiecki (Lodz, Poland), Mario Facino (Genoa, Italy), Manal Bouhaimed (Kuwait), Michael Koss (Frankfurt / Main, Germany) Diagnosis of  RVO (ancilliary test), imaging (FAG, OCT), pathophysilogy, potential laboratory work up – Michael Koss Medical therapy (new drugs, laser treatment) – Slawomir Cisiecki Surgical therapy (state of art, ILM peeling vs vitrectomy , sheatotomy, neurotomy as a history? – possible...

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Spectral Domain OCT Determinants of Active Neovascular Membrane

http://www.evrs.eu/medias/2010/congress/Age-Related-Macular-Degeneration.flv Janusz Michalewski, Slawomir Cisiecki, Krzysztof Dziegielewski, Zbigniew Pikulski, Dominik Odrobina, Jerzy Nawrocki (Lodz, Poland) Advantages: To describe different signs of active CNV presented by Spectral domain OCT examination. Methods: Retrospective, descriptive analysis of patients treated “on demand” with repeated intravitreal injections of bevacizumab...

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Vitrectomy with ILM Peeling vs without ILM Peeling for Proliferative Diabetic Retinopathy

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Dominik Odrobina, Sławomir Cisiecki, Krzysztof Dzięgielewski, Zbigniew Pikulski, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: To analyze the effect of internal limiting membrane (ILM) peeling on the anatomical and functional outcomes in patients undergoing vitrectomy for proliferative diabetic retinopathy with vitreous...

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Primary Vitrectomy in Phakic Eyes with Air Tamponade – Unnecessary Risk or Rationale Approach?

http://www.evrs.eu/medias/2009/congress/Systematic-Primary-Pars-Plana-Vitrectomy-vs-Only-in-Selected-Cases.flv Author: Slawomir Cisiecki, Lodz, Poland Advantages: 1. Possibility of adequately calculate IOL power in subsequent cataract surgery in macula off retinal detachments 2. Preservation of crystalline lens (accommodation) in cases of young patients with longer delay of cataract surgery 3. No risk of exodrainage, no postoperative...

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Spectral OCT Determined Anti-VEGF Treatment

http://www.evrs.eu/medias/2009/congress/When-Re-Treating.flv Authors: Janusz Michalewski, Slawomir Cisiecki, Dominik Odrobina, Krzysztof Dziegielewski, Zbigniew Pikulski, Zofia Michalewska, Maciej Bednarski, Jerzy Nawrocki, Lodz, Poland Advantages: Spectral domain OCT determined anti- VEGF therapy enabled the reduction of number of injections. Moreover Spectral OCT enabled to determine some prognostic factors for anti- VEGF...

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Own Modification How to Provide Chandelier Light without Making Another Hole in the Eye in 20 Gauge PPV

http://www.evrs.eu/medias/2008/congress/Own-Modification-How-to-Provide-Chandelier-Light-without- Making_Another-Hole-in-the-Eye-in-20-Gauge-PPV.flv Cisiecki Slawomir Advantages: One hand free in order to perform own indentation with simultaneous wide angle viewing under BIOM, Very fast possibility to separate two light sources in order to achieve shadow-free illumination in cases needing bimanual work. In cases of retinal detachment...

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Spectral OCT in Follow-up of Patients after Macular Hole Surgery

Slawomir Cisiecki, (Sieradz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, MD (Lodz, Poland), Jerzy Nawrocki, MD (Lodz, Poland) PURPOSE: To evaluate the correlation between S-OCT and visual acuity after macular hole surgery after macular hole surgery. METHODS: This study involved eyes who had undergone anatomically succesful idiopathic macular hole surgery. Association between type of macular closure, size of well...

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SOCT “Copernicus:” A New Diagnostic Tool in Retinology

Jerzy Nawrocki, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, MD (Lodz, Poland), Slawomir Cisiecki (Sieradz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Krzisztof Dziegielewski, MD (Lodz, Poland), Zbigniew Pikulski (Lodz, Poland) PURPOSE: To demonstrate new, recently commercially available SOCT examination of the retina in comparison to standard OCT. METHODS: SOCT uses spectral / Fourier domain detection...

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