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Corticosteroid Intravitreal Treatment in AMD Patient with a Recent Stroke

ABSTRACT Introduction: Anti-angiogenic treatment with anti-vascular endothelial growth factor (anti-VEGF) for patients with exudative neovascular age-related macular degeneration (AMD) is the most effective in slowing the progression of visual loss and is first choice therapy. The safety data in patients with cerebrovascular accidents (CVA) in the last 6 months is limited since this condition has been considered as an exclusion criterion in...

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Alternative Diffuse DME Treatment: Laser Photostimulation versus Topical Medical Therapy

Introduction: The standard first-line treatment for diffuse diabetic macular edema (DDME) is intravitreal injections. Although considered safer and more effective than laser, these drugs may have serious ocular and systemic complications. Recent research of the pharmacological properties of Nepafenac, found that this drug could reach the retina in sufficient concentrations to produce beneficial effects. We evaluated the efficacy of...

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Prevention of Endophthalmitis Following Intravitreal Anti-VEGF Injection

Vladimir Poposki_SCIENTIFIC POSTER 2015 Introduction: The endophthalmitis is a devastating complication of intravitreal injection (IVI) procedure. Topical antibiotics are used by consensus and protocol, because of supposed advantage of its use in the reduction of conjunctival bacterial growth. However, this benefit is controversial. Many studies concluded that they do not alter the incidence nor reduce the risk of endophthalmitis. Even...

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Giant Retinal Tear with Total RD & Advanced PVR

Advantages: A 40-year-old man suffers difficult light perception in the right eye for six months. A giant retinal tear with total retinal detachment and advanced vitreous retinal proliferation was observed. With the operation we try to restore the visual function as much as possible. Methods: Our surgical technique consists of the following: scleral buckle, accessory endoilumination, 23G vitrectomy, epiretinal proliferation extraction,...

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Long-term Outcomes of CSCR

Settings: Institut Catala de Retina, Barcelona, Spain Purpose: To describe the characteristics of chronic central serous chorioretinopathy (CCSC) with a long duration of follow-up. Methods: Retrospective analysis of patients diagnosed of CCSC between 2011 and 2014 with foveal involvement and follow-up of at least one year. Results: We included 45 patients (48 eyes) of 233 cases of central serous chorioretinopathy (39.5%). Mean follow-up...

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Retinal Inflammation and DME: Novel Approach

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Objectives: To evaluate the efficacy of topical nepafenac in patients with impaired blood-retinal barrier (BRB) in the macular area. Methods: In a prospective pilot study 15 eyes were included; in the first visit and controls complete eye examination was performed (mean follow-up: 79 days). Visual acuity (VA), central thickness (CT) and...

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Ranibizumab vs Bevacizumab vs Combined Therapy PDT-Ranibizumab for the Treatment of Age-related Macular Degeneration: One-year Follow-up

Advantages: To compare the efficiency of three different treatments analyzing the changes in visual acuity (VA), number of used doses and costs. Methods: In a randomized prospective study we created three groups: Group-A, where we administered 0.5 mg (0.05ml) of intravitreal (IV) Ranibizumab, for three consecutive months; Group-B, where we combined the photodynamic therapy together with an IV injection of Ranibizumab; Group-C, where we...

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Choroidal Vasculopathy Polipoydal. PTD guided by ICG. Long-term Period Results

Advantages: To evaluate the long-term outcome of patients suffering from symptomatic polypoidal choroidal vasculopathy (CVP), treated with focal photodynamic therapy (PDT), guided by indocyanine green (ICG). Methods: A prospective study of 11 eyes of 10 patients. Initially treated with focal PDT-VI guided. In 11 eyes the minimum follow up was 12 months, 9 eyes of 24 months, 7 to 36 months, 4 of 48 months and 3 to 60 months. We evaluated...

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Focal RPE Angiographic Leaks Visualized by En-face OCT: “A New Diagnostic Technique”

Advantages: In central serous chorioretinopathy (CSC), we evaluated the optical coherence tomography (OCT) images of the retinal pigment epithelium (RPE) obtained by scanning in an “en-face” direction (parallel to the retinal surface), and compared them, firstly, with the morphological findings in the unaffected eyes and secondly, with the leakage points on fluorescein angiography (FA). Methods: In prospective study 42 eyes of 21...

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Complicated Cataract Surgery with Lens Cortex Luxation and Traumatic Iridodialysis

An eighty-two year-old man had undergone cataract surgery in the previous fifteen hours. During the operation a sudden increase of intraocular pressure occurred that caused a posterior capsule rupture with an associated traumatic iridodialysis. The patient was then referred to the retina department. Methods: Our used technique consisted in a vitrectomy with remaining cortex extraction, implantation of an intraocular lens at the sulcus and...

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Sectioned and Luxated Intraocular Lens Inside the Vitreous Cavity with an Associated Giant Retinal Tear

A seventy year-old woman had undergone cataract surgery twenty-four hours before. During the intraocular lens (IOL) implantation into the capsular bag, the posterior haptic was broken down remaining inside the injector. The anterior segment surgeon tried then to extract the IOL but during this maneuver it was accidentally luxated into the vitreous cavity through a posterior capsule rupture. At that point the surgeon performed an anterior...

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Macular Complications After Vitreoretinal Surgery

Daniel Vilaplana, Vladimir Poposki, Isaac Alarcon, Saideh Khaouly-Alonso (Barcelona, Spain) Advantages: Post vitrectomy macular complications are very serious. The prognosis is very poor and in some cases it might be irreversible. Few publications refer to this problem. Methods: Cases with secondary macular pathology such as: epiretinal macular membranes, cystoid macular edema, persistence of the retinal macular detachment, macular hole,...

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360º Giant Retinal Tear as a Complication of a Cataract Surgery

Daniel Vilaplana, Vladimir Poposki (Barcelona, Spain) An eighty-year-old woman had been operated on for a cataract in her right eye twenty-four hours previously. During the operation a posterior capsule rupture occurred. The surgeon performed an anterior vitrectomy. The patient was sent to retinal department because she was suffering from a 360º giant retinal tear. The technique we employed was vitrectomy, perfluorocarbon liquid,...

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The Role of Photodynamic Therapy in Central Serous Chorioretinopathy

Isaac Alarcon, Daniel Vilaplana, Vladimir Poposki, M. Castilla, Xavier Acebes (Barcelona, Spain) Advantages: Photodynamic therapy (PDT) can be a useful and powerful tool to treat the different clinical forms of Central Serous Chorioretinopathy (CSC) and its possible complications. Methods: Classic CSC: PDT can be useful to treat CSC specially when the patient suffers more than one episode from the same focal leak in the fundus. We show...

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Macular Fold after Vitreoretinal Detachment Surgery

http://www.evrs.eu/medias/2010/videos/DanielVilaplana_VP6_768K.flv Daniel Vilaplana, Vladimir Poposki, Isaac Alarcon (Sabadell-Barcelona, Spain) Advantages: Macular fold is a very uncommon, but serious pathology. When this complication is repaired a good and comfortable vision is obtained. Methods: A 65-year-old man presented a superior retinal detachment. He underwent surgery with a vitrectomy, perfluorocarbon liquid (PFCL),...

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Treatment of Diffuse Diabetic Macular Edema: Bevacizumab versus Multifocal Photocoagulation

http://www.evrs.eu/medias/2009/congress/Diabetes.flv Authors: Vladimir Poposki, Daniel  Vilaplana, Daniela Poposka, Isaac Alarcón, O.  Marínez-Giralt, M. Castilla , Barcelona, Spain Advantages: To evaluate the efficacy of Bevacizumab regarding photocoagulation in the treatment of diffuse diabetic macular edema (EMDD). Methods: In a prospective and randomised study, 25 eyes of 15 patients with mean age of 70 years were analysed. Complete...

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How to Manage Polypoidal Choroidal Vasculopathy?

Authors: Isaac Alarcon, Daniel Vilaplana, Vladimir Poposki, Olga Martinez-Giralt, Miguel Castilla, Xenia Acebes, Barcelona, Spain Advantages / Purpose: Polypoidal choroidal vasculopathy is a disease with characteristic choroidal vascular abnormalities. Although the polypoidal choroidal vasculopathy and age-related macular degeneration have been known to share common genetic factors, its clinical characteristics suggest that polypoidal...

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Intravitreal Bevacizumab vs Macular Grid Photocoagulation in Non-Ischemic BRVO

http://www.evrs.eu/medias/2009/congress/Retinal-Vein-Occlusions.flv Authors: Isaac Alarcon, Daniel Vilaplana, Vladimir Poposki, Olga Martinez-Giralt, Miguel Castilla, Xenia Acebes, Barcelona, Spain Advantages: Intravitreal Bevacizumab achieves better results in terms of visual acuity in these patients. Methods: Prospective randomized clinical study with 20 patients with non-ischemic BRVO with macular edema. 11 female an 9 male, the mean...

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Bilateral Giant Retinal Tear

http://www.evrs.eu/medias/2009/congress/Giant-Tear.flv Authors: Daniel Vilaplana, Vladimir Poposki, D. Martin, Isaac Alarcon, M. Castilla, Barcelona, Spain Advantages: Bilateral retinal detachment as a consequence of a bilateral giant retinal tear I a very uncommon pathology. We present our surgical technique to obtain a satisfactory result with a prompt recovery of the life style of the patient. Methods: Under general anesthesia we...

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Chronic and Hemorragic Retinal Detachment im Proliferant Diabetic Retinopathy

http://www.evrs.eu/medias/2009/videos/DanielVilaplana_2_VP6_768K.flv Authors: Daniel Vilaplana, Vladimir Poposki, Isaac Alarcon, D. Martin, M. Castilla, Barcelona, Spain Advantages: A 65-year-old homeless man with hand movements vision in his left eye for a long period (the patient was unaware of this). He has been recently diagnosed with advanced diabetes mellitus. He suffered from high-risk proliferation with a chronic and haemorrhagic...

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Where is the Limit?

http://www.evrs.eu/medias/2009/videos/DanielVilaplana_1_VP6_768K.flv Authors: Daniel Vilaplana, Vladimir Poposki, S. Beckers, Isaac Alarcon, M. Castilla, Barcelona, Spain Advantages: A 26-year-old man with questionable light perception in the right for many months (the patient was unaware of this). He also had uveitis episodes in this eye and HIV positivity as a consequence of his drug addiction. A total chronic non-rhegmatogenous retinal...

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Retinal Re-Detachment in Eyes with Silicone Oil

http://www.evrs.eu/medias/2008/congress/Retinal-Re-Detachment-in-Eyes-with-Silicone-Oil.flv Daniel Vilaplana; Vladimir Poposki; Daniel Martin Advantages: Retinal detachment presenting in eyes intervened on previously and tamponaded with silicone oil has a bad prognosis. We present our own surgery technique that combines different procedures. Methods: Our surgical technique consists of the following steps: phacoemulsification (if necessary);...

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Surgical Treatment of Chronic Inferior Retinal Detachment

http://www.evrs.eu/medias/2008/congress/Surgical-Treatment-of-Chronic-Inferior-Retinal-Detachment.flv Daniel Vilaplana, Vladimir Poposki, Sebastian Beckers, Miguel Castilla Advantages: The chronic detachment of the inferior retina presents an elevated risk of recurrence. Elimination of the peripheral inferior retina by retinotomy and retinectomy entails a high percentage of...

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Multifocal Electroretinogram, Antioxidant Drugs and Dry AMD

Alarcón Valero Isaac, Vilaplana i Blanch Daniel, Poposky Vladimir, Martínez-Giralt Olga, Berniell Trota José Antonio, Acebes Roldán Xènia, Castilla Céspedes Miguel Purpose: Analyse the usefulness of antioxidant drug supplementation using multifocal electroretinogram (mf-ERG) in normal and dry AMD eyes. Methods: 48 eyes, all have had cataract surgery and with a visual acuity of 20/40 or better. Two groups: cases (24 eyes), (dry-AMD)...

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Management of an Intraocular Lens Luxated into the Vitreous Cavity

http://www.evrs.eu/medias/2008/congress/Management-of-an-Intraocular-Lens-Luxated-into-the-Vitreous-Cavity.flv Daniel Vilaplana, Vladimir Poposki, Daniel Martin, Miguel Castilla Advantages: An intraocular lens was luxated into the vitreous cavity. To suture the lens in the sulcus we developed our own surgical technique with no need to take the lens out of the eye and exchange it. Methods: The surgical steps performed were: vitrectomy,...

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Photodynamic Therapy: Focal Treatment for Idiopathic Polypoidal Choroidal Vasculopathy

http://www.evrs.eu/medias/2008/congress/Photodynamic-Therapy:-Focal-Treatment-for-Idiopathic-Polypoidal-Choroidal-Vasculopathy.flv Daniel Vilaplana, Vladimir Poposki, Daniel Martin, Isaac Alarcon, Miguel Castilla Advantages: The focal (selective) treatment with photodynamic therapy (PDT) to treat idiopathic polypoidal choroidal vasculopathy (IPCV) has the advantage of producing minimum changes in the choroid and pigment epithelium. Methods:...

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Acquired Retinal Astrocytoma Managed with Endoresection

http://www.evrs.eu/medias/2006/videos/Acquired-Retinal-Astrocytoma-Managed-with-Endoresection.flv Daniel Vilaplana, MD (Sabadell, Spain), Vladimir Poposki, MD (Barcelona, Spain), Miguel Castilla Cespedes, MD (Barcelona, Spain), Francesc Alameda, MD (Barcelona, Spain), Carol L. Shields, MD (Philadelphia, PA) SYNOPSIS A 49 year old male noted decreased visual acuity in the left eye for 5 months. The visual acuity was 20/200. Endoresection was...

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Acquired Retinal Astrocytoma Managed with Endoresection

Acquired Retinal Astrocytoma Managed with Endoresection

Daniel Vilaplana, MD (Sabadell, Spain), Vladimir Poposki, MD (Barcelona, Spain), Miguel Castilla Cespedes, MD (Barcelona, Spain), Francesc Alameda, MD (Barcelona, Spain), Carol L. Shields, MD (Philadelphia, PA) SYNOPSIS A 49 year old male noted decreased visual acuity in the left eye for 5 months. The visual acuity was 20/200. Endoresection was performed and a low grade astrocytoma was confirmed. Two years later the visual acuity is...

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