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The Surgical Management of a Dropped Nucleus – A Vitreoretinal Approach

Purpose: To determine the recommendations from VR surgeons regarding the surgical management of a dropped nucleus. Method: A European-wide survey of 77 vitreoretinal-trained ophthalmic surgeons was conducted from 1st March to 31st March 2012. Questions regarding the surgical management of a dropped nucleus were posed. Results: 67.5% of VR surgeons think the anterior segment surgeon should perform an anterior vitrectomy at the time of the...

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Management of Choroidal Neovascularisation in Best’s Disease

Purpose:   Review of the management of choroidal neovascularisation secondary to Best’s vitelliform macular dystrophy. Materials and methods: Eight eyes of 6 patients with Best’s disease complicated by choroidal neovascularization (CNV) were included. The visual acuity, angiographic and optical coherence tomography (OCT) findings were used to assess management outcome.  All patients presented with reduction in visual acuity.  Two...

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Detachment Repair Without Heavy Liquid

Theodoros Potamitis (Limassol, Cyprus) Advantages: The use of heavy liquid to flatten bullous retinal detachments, although very simple has several major disadvantages. Adding heavy liquid adds two steps to the process of vitrectomy, injection and removal of the PFCL. If heavy liquid enters the sub-retinal space it turns a simple procedure into a complicated one. The pressure exerted by the heavy liquid can give a false appearance of...

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Hemorrhagic Retinal Detachments

Theodoros Potamitis (Limassol, Cyprus) Advantages: Without a large retinotomy massive clots of blood can be removed from the subretinal space in a simple air-fluid exchange. Methods: Tissue plasminogen activator is injected three days prior to surgery to liquify the clotted blood. A standard three-port vitrectomy is then performed and through a 20G retinotomy and using air-fluid exchange the subretinal blood is evacuated. Effectiveness /...

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Glaucoma After Retinal Detachment Repair

Katerina Papastavrou, Yianna Antoniou, Theodoros Potamitis (Limassol, Cyprus) The management of a retinal detachment patient does not stop after the reattachment of the retina. Often the most devastating complications and loss of vision occur long after the vitreo-retinal surgeon has finished his/her work. Thinking about glaucoma before vitreo-retinal surgery, as well as at the time of surgery can help save the patients sight. The time to...

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Avastin Laser Combination Equivalent to ILM Peeling in Central Retinal Vein Occlusion: A Review of Cases

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Theodoros Potamitis, Yianna Antoniou (Limassol, Cyprus) Advantages: The use of Avastin has revolutionized the management of many retinal vasculopathies over the past few years and when its use leads to the avoidance of surgery the advantages to the patient are obvious. Methods: Patients over a five-year period with CRVO treated by...

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Bevacizumab in the Management of Anterior Segment Neovascularization

http://www.evrs.eu/medias/2010/congress/Non-Age-Related-Macular-Degeneration-Nor-Diabetes-Neovascularization.flv Katia Papastavrou, Theodoros Potamitis, Maria Staktopoullou (Limassol, Cyprus) Advantages: Neovascularization of the anterior segment and anterior chamber angle is a devastating complication of many retinal vasculopathies. The use of intravitreal bevacizumab is minimally invasive and it is very effective in controlling...

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The Advantages of 20 Gauge Vitrectomy in Advanced Proliferative Diabetic Retinal Detachments

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Theodoros Potamitis, Yianna Antoniou (Limassol, Cyprus) Advantages: Although 23 Gauge and 25 Gauge vitrectomy systems have recently revolutionized our surgical techniques in many retinal pathologies, in our most complicated cases of tractional retinal detachments the advantages conferred by the use of 20 Gauge instruments outweighs the benefits of smaller gage...

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Miscellaneous Medical Session

http://www.evrs.eu/medias/2007/videos/miscellaneous.flv

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Medical & Surgical Strategy Session

http://www.evrs.eu/medias/2007/videos/medicalandsurgicalstrategy.flv

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Vitrectomy Session – Subretinal Bubbles

http://www.evrs.eu/medias/2007/videos/vitrectomysession-subretinalbubbles.flv

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Ocular Shotgun Injury Management, Visual and Structural Results

Theodoros Potamitis, MD (Limassol, Cyprus), Pantelis Ellinas, MD (Limmasol, Cyprus), Aristos Kafkalias, MD (Limassol, Cyprus) PURPOSE: To classify shotgun injuries followed up over a six year period and assess the predicting factors for final surgical and visual outcome. METHODS: Patients with ocular shotgun injuries usually received primary surgical treatment in their referring hospital. Initial assessment was made at that hospital and...

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The Use of tPA in the Management of Sub-Retinal Haemorrhages

Theodoros Potamitis, Aristos Kafkalias, Eleni Topuzi Purpose: To evaluate the efficacy and safety of sub-retinal haemorrhage removal during vitrectomy, augmented by the use of tPA. Methods: Eight cases of massive sub-retinal haemorrhage due to AMD are reviewed. The method used and the timing for tPA injection are presented. Results: In all eight cases peripheral vision improved so that the patients gained navigation vision. Removal of the...

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Kenalog Assisted Removal of ILM in Macular Hole Surgery

http://www.evrs.eu/medias/2005/congress/Kenalog-Assisted-Removal-of-ILM-in-Macular-Hole-Surgery.swf Theodoros Potamitis Purpose: To assess the value of kenalog coating in the removal of ILM for macular hole surgery. Methods: The results of 44 cases of macular holes, stages III and IV, treated surgically are reviewed. The results of cases performed without kenalog (18) are compared to those in which kenalog was used to aid the removal of the...

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