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Surgical Prevention of PVR in Serious Ocular Trauma

http://www.evrs.eu/medias/2008/congress/Surgical-Prevention-of-PVR-in-Serious-Ocular-Trauma.flv Ferenc Kuhn, Wolfgang Schrader, Robert Morris, Viktoria Mester Advantages: Prevention of the development of proliferative vitreoretinopathy is crucial in preserving vision in the injured eye. Since pharmacologic methods have largely been unsuccessful, a new surgical approach is attempted. Methods: Prophylactic chorioretinectomy is performed...

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Results and Complications of Vitrectomy and Internal Limiting Membrane Removal in the Treatment of Macular Edema

Ferenc Kuhn, Robert Morris, Viktoria Mester, Gyongyi Kiss, Zsuzsanna Szijarto, Balint Kovacs, Beatrix Cser Purpose: To evaluate the results and complications of internal limiting membrane (ILM) removal in the treatment of macular edema. Methods: Retrospective and prospective studies on eyes undergoing vitrectomy with ILM removal for eyes with clinically significant macular edema. Results: Of the 68 eyes, follow-up (average: 9 months) was...

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Clinical Course and Results of Surgical Treatment of Epiretinal Membranes (ERM)

http://www.evrs.eu/medias/2005/congress/Clinical-Course-and-Results-of-Surgical-Treatment-of-Epiretinal- Membranes-(ERM).swf Viktoria Mester, Ferenc Kuhn, Yahya Ali Al Midwahi Purpose: Evaluation of the etiology, incidence, clinical course, and prognosis of surgical cases of epimacular proliferation. Methods: Retrospective review of 52 consecutive patients who underwent pars plana vitrectomy for epimacular proliferation. Results: The common...

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Hemorrhagic Macular Cysts in Terson Syndrome

Ferenc Kuhn, Robert Morris, Viktoria Mester Purpose: To present the incidence, clinical appearance, surgical management, and prognosis of hemorrhagic macular cysts (HMC). Methods: Retrospective case series. Results: The incidence of HMC among patients with Terson syndrome was 42% (15 out of 36). In 11 eyes (73%) the cyst was submembranous (under the internal limiting membrane [ILM]). All cysts were removed without complication, and vision...

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Vitrectomy for Optic Pit-Related Retinal Detachment

Ferenc Kuhn, Robert Morris, Viktoria Mester Purpose: To present an effective intraocular approach for the treatment of eyes with optic pitrelated retinal detachment. Methods: Retrospective case series. Results: Twenty-one eyes underwent pre- or intraoperative laser (L) at the disc margin, complete vitrectomy (V), including separation and removal of the posterior hyaloid face, and gas tamponade (G) with postoperative positioning “LVG...

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Internal Limiting Membrane Removal Indications and Techniques

Ferenc Kuhn, Robert Morris, Viktoria Mester, Gyongyi Kiss, Purpose: To present the rationale, indications, and techniques of internal limiting membrane (ILM) removal. Methods: Analysis of personal experience and videotape demonstration. Results: Surface traction relief is the primary reason for ILM peeling. A long list of indications for ILM removal exist today, including its original condition (hemorrhagic macular cyst in eyes with Terson...

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Internal Limiting Membrane Removal for Severe Macular Edema

Ferenc Kuhn, Robert Morris, Viktoria Mester, Gyongyi Kiss, Zsuzsanna Szijarto, Balint Kovacs, Beatrix Cser Purpose: To evaluate the results and complications of internal limiting membrane (ILM) removal in the treatment of macular edema. Methods: Retrospective and prospective studies on eyes undergoing vitrectomy with ILM removal for eyes with clinically significant macular edema. Results: Of the 68 eyes, follow-up (average: 9 months) was...

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Ocular Trauma Management: A Logic-Based Approach

Ferenc Kuhn, M.D*, Ph.D, Viktoria Mester, M.D., Robert Morris, M.D., Judit Lang, M.D. United States Goal: To help resolve the controversy over the timing for surgery in patients with intraocular foreign bodies – an example of how logic-based thinking can help the ophthalmologist in decision-making. Method: A logic-based, critical analysis of the literature. Results: Most patients who develop endophthalmitis do so by the time they...

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Posteriorly dislocated lens and IOL: Why vitrectomy?

Ferenc Kuhn, Hungary/Birmingham, USA Viktoria Mester, Hungary Observation or various types of surgical intervention have been recommended for eyes with lens material or intraocular lens luxated into the vitreous cavity. This presentation discusses the principles of an optimal treatment approach and reviews two series of patients treated by the authors.

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Traumatic Cataract: an Indication for the Vitreoretinal Surgeon

Ferenc Kuhn, Pecs, Hungary/Birmingham, USA Viktoria Mester, Pecs, Hungary Synopsis: To show the difficulties in the preoperative evaluation of eyes with lens trauma and demonstrate the advantages of and potential problems with various treatment options. Objective: To enable surgeons making the correct preoperative and intraoperative decisions when treating patients with traumatic cataract and to facilitate early visual...

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Expulsive Choroidal Hemorrhage: is this a Problem no More?

Ferenc Kuhn, Hungary/Birmingham, USA Robert Morris Birmingham, USA Viktoria Mester, Hungary With current cataract removal techniques, the risk of an intraoperative expulsive choroidal hemorrhage is much lower – but it is still not zero. This presentation discusses the precautions surgeons should take to minimize the risk and the steps that need to be taken should such a hemorrhage occur.

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The Postero-Anterior (P/A) Vitrectomy Technique

Ferenc Kuhn1,2 ,Viktória Mester2,3, Robert Morris1 1Birmingham, AL, USA 2Pécs, Hungary 3Abu Dhabi, UAE Purpose: To determine whether a new, P/A vitrectomy technique offers advantages over the traditional antero-posterior approach. Methods: In the last few years, we employed a different technique for vitreous removal: our initial step of surgery is detaching the posterior cortical hyaloid. Actual removal of the vitreous follows, with as...

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Primary Vitrectomy (PPV) for Non Complicated Rhegmatogenous Retinal Detachment (RD)

Ferenc Kuhn, M.D., Ph.D.,1,2 Viktória Mester, M.D.,2,3 Robert Morris, M.D.1 1Helen Keller Foundation, Birmingham, AL, USA 2Department of Ophthalmology, University of Pécs, Hungary 3Department of Ophthalmology, Mafraq Hospital, Abu Dhabi, UAE Purpose: To evaluate whether primary PPV is an acceptable alternative to treat eyes with noncomplicated rhegmatogenous RD. Methods: Comparing two approaches (external: cryopexy and scleral buckling...

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