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The Vitreous Gel as Reason of Failure in Macular Hole Surgery

From the review of the surgical failures that occurred in the last 3 years, it is suggested that a blob of hyaluronic acid resulting from the residual vitreous gel pooled inside the hole is a possible additional reason for failures in the surgery of macular holes. Vitrectomy mainly provides the removal of visible cortical vitreous composed of fibrils of collagen, but a variable amount of viscous hyaluronic acid often collects at the...

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Our Current Multitasking Approach to BRVO and CRVO

http://www.evrs.eu/medias/2009/congress/Retinal-Vein-Occlusions.flv Authors: Vincenzo Ferrara, G. Macrì, Vito Belloli, Arona, Italy Advantages: Macular dysfunction occurs in almost all eyes with central retinal vein occlusion (CRVO) and branch retinal vein occlusions (BRVO) presenting a persistent macular edema, nonperfusion of the parafoveal capillaries, and damage to the retinal pigment epithelium caused by extensive hemorrhage....

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Pascal Laser vs Conventional Laser in Daily Practice and Diabetic Retinopathy

http://www.evrs.eu/medias/2009/congress/Which-Laser.flv Authors: Vincenzo Ferrara, G.F. Pacelli, Vito Belloli, Arona, Italy Advantages: Pascal® is a short-pulsed patterned scanning laser photocoagulation system which offers the main advantages of applying multiple spots almost simultaneously in different patterns chosen on the basis of different available models. The operator can select arcs, circular grid or sections of grids or use a...

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Silicone Oil and Macular Hole: Yes, We Still Use It!

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Author: Vincenzo Ferrara, Vito Belloli, Arona, Italy Advantages: Macular holes occur mostly in elderly people presenting frequently with health problems and creating serious difficulties in keeping uncomfortable postoperative postures. Furthermore, most of the phakic patients develop cataract in a period of time variable from few months to one or two years after surgery,...

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Analysis of Failures in Macular Hole Surgery

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Authors: Vincenzo Ferrara, Vito Belloli, Arona, Italy Advantages: Latest advances in macular hole surgery techniques have greatly contributed to the successful postoperative anatomic and functional results achieved by this surgery. Methods: A major part of this success may be attributed to a safer and more complete removal of the tangential tractions given by posterior...

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Timing and Strategy for Vitrectomy in Diabetic Macula Edema

http://www.evrs.eu/medias/2009/congress/Diabetes.flv Authors: Vincenzo Ferrara, G.F. Pacelli, Vito Belloli, Arona, Italy Advantages: To assess the impact of vitrectomy on Macular Sensitivity (MS) in our management of Diabetic Macular Edema, investigating possible implications of different vitreo-retinal relationships in the efficacy of our surgical treatment. Methods: We analysed patients with Diabetic Macular Edema thicker than 450 microns...

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Vitrectomy Session – Subretinal Bubbles

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

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Vitrectomy Session – Hemorrhages

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

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Vitrectomy Session – Peeling

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

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The Iatrogenic Price of Some Tips and Tricks

Vincenzo Ferrara, MD (Arona, Italy), Daniele Battistello, MD (Busto Arsizio, Italy), Vito Belloli, MD (Robecchetto, Italy) SYNOPSIS In recent years several maneuvers and tools have been introduced in the vitreoretinal routine to facilitate, make safer or simply  speed up our surgery. Among these, the staining with colorants of the surfaces to be peeled or the use of self-sealing transconjunctival small incisions are the more popular....

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The Use of Trypan Blue for the Staining of the ILM. Why not?

V. Ferrara, D. Battistello, V. Belloli Purpose: The peeling of the Internal Limiting Membrane (ILM) has became a common step in macular surgery in almost all macular surface surgeries. Indocyanine Green (ICG) still remains the most used dye for facilitating the maneuver. Nevertheless, the are several evidences of toxicity occurred after its use. Since almost two years a new colorant (Trypan Blue) has been introduced in the market to stain...

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