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Uncommon Macular Holes and How to Treat Them

Uncommon Macular Holes and How to Treat Them EDITED FILM ABSTRACT The video presents the inverted ILM flap technique for unusual macular holes: persistent macular holes lasting up to five years after successful vitrectomy for rhegmatogenous retinal detachment, were treated with the inverted ILM flap technique. Nonproliferative and proliferative diabetic retinopathy cases with macular hole are presented. Myopic retinal detachment macular...

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Subretinal Injections of BSS Combined with Vitrectomy and ILM Peeling in Diabetic Macular Edema

Subretinal Injections of BSS Combined with Vitrectomy and ILM Peeling in Diabetic Macular Edema ABSTRACT Purpose: To present results of a novel surgical technique in treatment naive diabetic macular oedema. Methods: Prospective interventional study. Core vitrectomy, posterior hyaloid detachment, trypan blue staining and ILM peeling were performed. Subretinal BSS injection followed. Results: 6 eyes of 6 patients were operated. Central...

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Macular Holes in Diabetic Patients Treated with Inverted ILM Flap

Macular Holes in Diabetic Patients Treated with Inverted ILM Flap ABSTRACT Purpose: To present different characteristics of macular holes in diabetic patients with and without retinopathy. Additionally, to examine the results of vitrectomy with the inverted ILM flap technique. Material and Methods: Retrospective, observational study. We reviewed our database in order to select patients with diabetes and macular holes treated with the...

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Managing Optic Pit. The Right Stuff !

Managing Optic Pit. The Right Stuff ! ABSTRACT Purpose: To present a new surgical technique, stuffing the inverted ILM flap into the optic disc pit, as a successful treatment of maculopathy caused by the optic disc pit. Methods: This case series discusses 6 eyes in 6 patients with optic disc pit associated maculopathy. Four eyes had previous vitrectomy, including three optic pit cases and one morning glory with optic pit. In optic pit...

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Swept Source OCT Angiography of Full Thickness Macular Holes – Artifacts May Appear in Segmentation

Swept Source OCT Angiography of Full Thickness Macular Holes – Artifacts May Appear in Segmentation ABSTRACT Purpose: The aim of this study was to evaluate macular microcirculation with Swept Source OCT Angiography (SS-OCTA) in eyes with full-thickness macular holes before and after surgery and in fellow eyes. This is the first presentation of swept source OCT Angiography in a series of macular hole cases. Design & Methods: This...

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Why Did I Choose the Inverted ILM Flap Technique?

Simple surgical maneouver. Better anatomical results. Earlier visual recovery. Large and difficult macular holes may be succesfully closed with this technique. No additional equipment/ dye etc. is necessary. Enables hole closure in different indications (traumatic, high myopia). It allows succesful treatment of myopic macular hole with retinal detachment. Reoperations are predictable, logic and easy to perform. Temporal inverted ILM...

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Managing Optic Pit – The Right Stuff !

A video showing how the authors have used various techniques to manage optic pit with vitrectomy over the past 15 years. Surgical modifications to standard vitrectomy are shown and the authors comment on the various techniques used and the results obtained. They also refer to the literature, which prompted them to develop a new approach to treat the condition. The latest modification involves “stuffing” the optic pit – with...

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Why Did I Choose Spectral Domain OCT (Spectralis, Heidelberg Engineering)?

Perfect reproducibility – eye- tracking thanks to cooperation of scanning laser ophthalmoscope and SD- OCT beams. Enhanced depth OCT, which enables visualization of the choroid. Follow-up mode, which enables perfect follow- up f. ex. in wet AMD patients and vitreomacular interface diseases. Glaucoma module, which is probably the most reliable on makret. It enables to precisely measure the nerve fiber layer around the optic nerve and...

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Vitrectomy in Treatment Naive Diabetic Macular Edema

This movie presents the idea behind vitrectomy in treatment naive diabetic macular edema with and without epiretinal membranes. Surgical technique with ILM peeling will be demonstrated in multiple cases. Everything will be documented with SD-OCT and Swept Source OCT images. Intrasurgically, vitreomacular traction is present in most cases of diabetic macular edema, even if not visible in OCT images. Finally, surgical anatomic and functional...

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Small Can Be Beautiful: Upgrading the Inverted ILM Flap Technique

The Inverted ILM Flap Technique is a method that I developed for the treatment of macular holes. Postoperative spectral OCT images show that the inverted ILM flap serves as a scaffold for tissue migration or proliferation towards the centre of the macular hole to close the macular hole. The method continues to prove successful in large macular holes, holes of long duration and in myopic macular holes. Initially, when developing the...

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Diving Deeper into the Eye with Swept Source OCT

Swept Source OCT, due to a longer wavelength than conventional Spectral Domain OCT, enables simultaneous visualization of the vitreous, retina and choroid. Moreover, Swept Source OCT enables choroidal imaging and improves retina imaging in eyes with media opacities. First, we introduce a challenging way of interpreting choroidal imaging. Unlike retinal thickness, choroidal thickness varies depending not only on the age and axial length,...

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Temporal Inverted Flap Technique for MH Closure. A Comparative Study

Advantage: The aim of this study is to present the comparative non-randomised study of Temporal Inverted Flap Technique vs. Classic ILM Flap Technique for Macular Hole Closure. Methods: This is a single center, comparative study. 43 eyes of 39 patients mean age 67, were operated with classic ILM Flap technique (Group A) and 44 eyes of 40 patients, mean age 66, were operated on using only a temporal flap of ILM (Group B). In group B, ILM...

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Status of the Choroid Before and After Vitrectomy with ILM Peeling for Idiopathic ERM

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: The aim of this study is to evaluate the choroidal thickness and the outer choroidoscleral boundary before and after vitrectomy for idiopathic epiretinal membrane in one eye and in the unaffected fellow eye and in healthy volunteers. Methods: A prospective, cross-sectional study will be presented. Twenty-one patients with...

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Are Macular Holes only a Vitreoretinal Interface Disease?

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: The aim of this study is to report on choroidal thickness and the morphology of the outer choroidoscleral boundary in Swept Source OCT in patients with full thickness macular holes before and after surgery. The secondary goal is to compare the morphology of the choroid with their fellow eyes and with healthy...

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How to Seal a MH with a Scleral Buckle?

RETINA PHOTO_Janusz Michalewski We illustrate the case of a 76-year-old woman with rhegmatogenous retinal detachment (RRD) and coexisting full-thickness macular hole (FTMH). On admission, the patient presented counting fingers vision in her left eye. Fundus evaluation revealed RRD with peripheral tear, involving three quadrants of the retina and the macula. Spectral Domain optical coherence tomography (SD-OCT) confirmed FTMH (Figure 1a, b)....

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OCTs Discussion

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Morphological Changes in Spectral Domain Optical Coherence Tomography Guided Bevacizumab Injections in Wet AMD, 12-months Results

Advantage: This paper aims to describe retinal changes during Spectral Domain Optical Coherence Tomography (SD-OCT) guided Bevacizumab treatment for neovascular age- related macular degeneration (AMD). Material and Methods: 47 eyes of 45 patients with wet AMD treated on demand with Bevacizumab. We used 3-dimensional SD-OCT to measure photoreceptor defects and subretinal fibrosis. The main efficacy endpoints were the SD-OCT measurements...

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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

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 Bevacizumab treated eye and in the study...

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Inverted Internal Limiting Membrane Flap Technique in Macular Hole Associated with Pathological Myopia

Advantages: To present the anatomic and functional results of vitrectomy with the “Inverted ILM Flap Technique” in myopic macular holes without retinal detachment. Methods: A prospective, interventional study of 19 myopic eyes with a spherical equivalent greater than -6D with macular holes in 18 consecutive patients. Pre- and postoperative evaluation of visual acuity and SD-OCT images was performed. The main outcome measure was...

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Reoperations of Macular Holes Treated with Inverted ILM Flap Technique

Advantages: To present causes and surgical technique for reoperations in failed macular hole surgery in eyes previously operated with the inverted ILM flap technique. Methods: 11 eyes (6% of cases operated between 01.2008- 12.2011). During repeated surgery in all cases it was found that the inverted ILM flap reapproximated into its original position and did not close the macular hole. The ILM flap was put once again over the macular hole...

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Temporal Inverted Internal Limiting Membrane Flap for Macular Hole

Advantages: To present a new surgical technique, in which Internal Limiting membrane (ILM) is not removed only in the papillomacular bundle during vitrectomy for macular hole. Methods: This is a prospective study of 80 eyes of 80 patients. 40 eyes with macular holes were operated with the Inverted ILM technique (Group 1). 40 eyes were operated with modification of this technique, in which ILM was removed only on the temporal side of the...

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Correlation of Normal Choroidal Thickness and Volume Measurements with Axial Length and Age Using Swept Source Optical Coherence Tomography and Optical Low Coherence Reflectometry

Advantages: To report normal choroidal thickness and volume measurement in healthy eyes using swept source optical coherence tomography (SS-OCT). Additionally to correlate the results with axial length, age and refractive error. Methods: Prospective observational study of 122 healthy eyes. All patients underwent a complete ophthalmologic examination. Imaging was performed with SS-OCT. Choroidal thickness and volume measurements were...

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Lamina Suprachoroidea & Suprachoroidal Space Delineating the Outer Margin of the Choroid in Swept-Source OCT

Advantages: To define the morphology of outer choroidal margins in swept source optical coherence tomography (SS-OCT). Methods: This is a prospective observational study of 180 eyes: 20 eyes of healthy volunteers, 20 eyes of myopic patients and 20 eyes from each of the following groups: macular hole (before and after surgery), lamellar macular hole, epiretinal membranes, drusen, dry age related macular degeneration, neovascular age...

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Angiography and Swept Source OCT

Advantages:   Wide-angle fundus photography is the state of the art technique in evaluating pediatric retinal diseases and tumor conditions. The introduction of ultra wide field 200˚ fundus imaging and fluorescein angiography for adult fundus imaging is opening the window for diagnosis and management of many peripheral retinal conditions in retinal disorders and tumor conditions. Methods: Prospective evaluation of pediatric and...

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The EVRS Macular Edema Study Results

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Does Vitreous Surgery for Diabetes Complications Have an Influence on the Course of Macular Edema in Long-term Follow-up?

Advantages: To evaluate the influence of vitreous surgery performed for vitreous hemorrhage and traction retinal detachment (macular edema excluded) as a complication of diabetic retinopathy with or without ILM peeling on macular edema formation. Additionally to evaluate long-term spectral domain optical coherence tomography (SD-OCT) follow- up of macular structure. Methods: 101 eyes of patients, who had undergone vitrectomy were...

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

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 peeling. Pre- and best-achieved...

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Treatment of Optic Pit Maculopathy with Vitrectomy and Arcuate ILM Peeling

Advantages: To present the results of vitrectomy, laser and arcuate ILM peeling at the temporal margin of the optic nerve and air tamponade. Methods: 9 patients with symptopatic maculopathy associated with optic disc pit were treated between 2008 and 2011. Surgical technique consisted of central vitrectomy, posterior hyaloid detachment, laser treatment at the temporal margin of the optic disc and ILM peeling at the temporal margin of...

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Natural Course of Disc Pit

Advantages: Our purpose was to study the clinical course of optic pit maculopathy using spectral optical coherence tomography (OCT) images, and to discuss possible ways of fluid entrance into the subretinal space. Methods: 11 eyes with a macular detachment in combination with an optic pit were examined using spectral OCT, with axial resolution 3-6µm. In selected cases, fluorescein angiography and scanning laser ophthalmoscopy were...

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Natural Course and Surgical Treatment of Vitreomacular Traction Syndrome

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 / Safety: 15 eyes had vitrectomy performed and 13 had spontaneous resolution of...

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Long-term Spectral Domain OCT After Surgery for ERM

Purpose: To describe retinal morphology before and after surgery for epiretinal membranes. Additionally to evaluate factors responsible for the final visual outcome. Material and Methods: A retrospective study of 126 eyes followed with SD- OCT for a period of 18 months. Pars plana vitrectomy with trypan blue staining was performed in all eyes. Results: Increased preoperative central and maximum retinal thickness (p=0.04) and IS/ OS...

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Non-Full Thickness Macular Holes. A Closer Look!

Non-Full Thickness Macular Holes. A Closer Look!

Zofia Michalewska, Janusz Michalewski, Zofia Nawrocka, Jerzy Nawrocki (Lodz, Poland) Video documents a new theory of idiopathic non-full thickness macular holes based on spectral domain OCT (SD-OCT) observations and clinical appearance before and during surgery. It seems very probable that all these entities are caused by vitreoretinal traction, which produces local internal limiting membrane (ILM) defect in the fovea. These leads to...

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

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 analysis of 132 consecutive eyes after scleral buckling, which were evaluated with...

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Should the Training of Young Vitreoretinal Surgeons Begin with Learning Scleral Buckling? Difficulties and Results in the Second Year of Scleral Buckling Surgery

Dominik Odrobina, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: Should the training of young vitreoretinal surgeons begin with learning scleral buckling? Methods: Analysis of the difficulties in the various stages of the operation and evaluation of results in the second year of scleral buckling surgery. Effectiveness / Safety: Scleral buckling, as a treatment for retinal detachment, should not be...

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Optical Coherence Tomography (SOCT) in Patients After Vitrectomy with ILM Peeling for Retinal Detachment with PVR

Dominik Odrobina, Zofia Michalewska, Janusz Michalewski, Jerzy Nawrocki (Lodz, Poland) Objectives: SOCT allows detailed imaging of retinal microstructure in patients after vitrectomy with ILM peeling and silicone oil tamponade for retinal detachment with PVR. Methods: Nineteen (19) patients after vitrectomy with ILM peeling for PVR retinal detachment were included in this study. All patients were interviewed and an ophthalmologic...

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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

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 development of macular pucker. Methods: Consecutive and prospective series of 84...

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

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 121 consecutive eyes following primary...

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Non-Full Thickness Macular Holes. A Closer Look!

Zofia Michalewska, Janusz Michalewski, Zofia Nawrocka, Jerzy Nawrocki (Lodz, Poland) Video documents a new theory of idiopathic non-full thickness macular holes based on spectral domain OCT (SD-OCT) observations and clinical appearance before and during surgery. It seems very probable that all these entities are caused by vitreoretinal traction, which produces local internal limiting membrane (ILM) defect in the fovea. These leads to...

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A New Observation/Illumination System For Vitreoretinal Surgery – Own Experience

A New Observation/Illumination System For Vitreoretinal Surgery – Own Experience Background: The purpose of this paper is to present a new observation/illumination system for vitreoretinal surgery. Methods: Over 400 eyes were treated with the use of optical fiberfree intravitreal surgery system (OFFISS), a device consisting of a 40-D aspheric field lens underslinging the microscope. An inverting device is inbuilt in this...

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Congress – Clinicodiagnostic correlation of macular disease

SYMPOSIUM:MACULOPATHIES Moderator: Ferenc Kuhn Monday, June 20, 2005 Clinicodiagnostic correlation of macular disease Author: Nawrocki Jerzy, Michalewski Janusz, Michalewska Zofia, Nawrocka Zofia Abstract : Purpose: The aim of the video is to present HRT II and OCT correlations with clinical picture of selected macular diseases. Methods: Pictures of HRT II and OCT are compared with surgical observations during vitrectomy for macular...

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Non-Full Thickness Fovea Defects, Either Idiopathic or Secondary to Vascular Diseases

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: Spectral OCT (SD-OCT) allows visualizing differences between idiopathic non- full thickness macula defect, as lamellar macular hole or macular pseudo hole and non- full thickness macula defect secondary to vascular diseases, as vein occlusion, diabetic macular edema and...

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Early Laser Treatment and Late Laser Treatment in Central Serous Chorioretinopathy – Results, Spectral Optical Coherence Tomography Findings

http://www.evrs.eu/medias/2010/congress/Central-Serous-Chorioretinopathy.flv Dominik Odrobina, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: Advantages of early laser treatment vs late laser treatment in CSC. Methods: 20 eyes with acute CSC (duration less than 6 months) – Group A, and 15 eyes with chronic CSC (duration more than 6 months) – Group B were included in this study. In every eye we...

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Acute and Chronic Central Serous Chorioretinopathy – Microstructural Changes in Spectral Optical Coherence Tomography

http://www.evrs.eu/medias/2010/congress/Central-Serous-Chorioretinopathy.flv Dominik Odrobina, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: SOCT has important value in analyzing microstructural changes in CSC. Methods: 30 eyes with acute CSC (duration less than 6 months) – Group A, and 25 eyes with chronic CSC (duration more than 6 months) – Group B were included in this study. Effectiveness...

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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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Factors Determining Postoperative Results after Surgery for Lamellar Macular Hole

http://www.evrs.eu/medias/2009/congress/Is-ILM-Peeling-Mandatory.flv Author: Zofia Michalewska, Lodz, Poland Advantages: Surgery for lamellar macular hole enables visual acuity improvement in most cases. Additionally, Spectral OCT facilitates determining factors influencing postoperative outcome after vitrectomy. Methods: 20 eyes of 20 subjects with lamellar macular hole were included into the study. Spectral OCT examination was performed...

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Optic Pit Maculopathy-Diagnosis with Spectral OCT and its Implications for Treatment

http://www.evrs.eu/medias/2009/videos/JerzyNawrocki_3_VP6_768K.flv Authors: Jerzy Nawrocki, Zofia Nawrocka, Janusz Michalewski, Zofia Michalewska, Lodz, Poland Advantages: Spectral OCT was used to analyze surgical images of optic pit maculopathy. Methods: Vitrectomy with air tampodane was performed in 4 eyes and with silicone oil tampodane in one eye. One patient was followed up who decided against surgery. Effectiveness / Safety: SOCT...

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Spectral OCT History of Macular Hole

http://www.evrs.eu/medias/2009/videos/JerzyNawrocki_2_VP6_768K.flv Authors: Jerzy Nawrocki, Zofia Nawrocka, Janusz Michalewski, Zofia Michalewska, Lodz, Poland Advantages: To present the formation of macular hole and mechanism of its closure after vitrectomy. Methods: Both eyes of patients with macular holes were examined with spectral OCT (6 and 3um resolution). Effectiveness / Safety: Three different types of macular hole formation were...

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The Inverted ILM Flap Technique for Large Macular Holes

http://www.evrs.eu/medias/2009/videos/JerzyNawrocki_1_VP6_768K.flv Authors: Jerzy Nawrocki, Zofia Michalewska, Zofia Nawrocka, Janusz Michalewski, Lodz, Poland Advantages: To present a new idea of macular hole closure with the use of inverted ILM flap as a base membrane to improve the results in large, long-lasting macular hole. To evaluate postoperative results after vitrectomy in lamellar macular hole. Additionally to determine factors...

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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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The Inverted ILM Flap Technique for Large Macular Holes

The Inverted ILM Flap Technique for Large Macular Holes

Jerzy Nawrocki, Zofia Michalewska, Zofia Nawrocka, Janusz Michalewski, Lodz, Poland Advantages: To present a new idea of macular hole closure with the use of inverted ILM flap as a base membrane to improve the results in large, long-lasting macular hole. To evaluate postoperative results after vitrectomy in lamellar macular hole. Additionally to determine factors influencing postoperative outcome after vitrectomy for lamellar macular...

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Microsurgical Scleral Buckling with OFFISS

http://www.evrs.eu/medias/2008/congress/Microsurgical-Scleral-Buckling-with-OFFISS.flv Jerzy Nawrocki, Zofia Nawrocka, Zofia Michalewska, Janusz Michalewski Advantages: OFFISS was developed to improve quality of vitrectomy by bimanual vitrectomy without endoillumination. Since the system is combination of indirect ophthalmoscopy and microscope it was used for microsurgical scleral buckling. It does not require to change the surgical concept...

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ILM as an Adjuvant for Stage IV Macular Hole Surgery

http://www.evrs.eu/medias/2008/congress/ILM-as-an-Adjuvant-for-Stage-IV-Macular-Hole-Surgery.flv Jerzy Nawrocki, Zofia Michalewska, Zofia Nawrocka, Janusz Michalewski Advantages: The aim of this presentation is to demonstrate a new technique in macular hole surgery in cases of large stage IV macular holes. Leaving a 1-2mm remnant of ILM on the surface of the macular hole improves visual and anatomic outcomes in patients with stage IV...

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Iris Reconstruction Combined with Vitreoretinal Surgery

http://www.evrs.eu/medias/2006/videos/Iris-Reconstruction-Combined-with-Vitreoretinal-Surgery.flv Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Zofia Michalewska,MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland) SYNOPSIS Video presents different cases of iris recon-struction combined with vitreoretinal surgery. In case of present iris structure own iris was used for reconstruction. In other cases coloured iris...

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The Use of Iris Retractors in Vitreoretinal Surgery and in Combined Procedures

http://www.evrs.eu/medias/2006/videos/The-Use-of-Iris-Retractors-in-Vitreoretinal-Surgery-and-in-%20Combined-Procedures.flv Zofia Nawrocka, MD (Lodz, ), Jerzy Nawrocki, MD, PhD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, MD (Lodz, Poland) SYNOPSIS The aim of this video is to present the use of iris retractors during vitreous surgery with special attention to combined phacoemulsification – vitrectomy...

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OFFISS for Microsurgical Scleral Buckling

http://www.evrs.eu/medias/2006/videos/OFFISS-for-Microsurgical-Scleral-Buckling.flv Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Zofia Michalewska, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland) SYNOPSIS The video presents general idea of scleral buckling for rhegmatogenous retinal detachment. Additional animation of patient’s symptoms of retinal detachment is presented. This was created by a patient who...

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ILM Peeling with the Use of Trypan Blue in Different Indications

http://www.evrs.eu/medias/2006/videos/ILM-Peeling-with-the-Use-of-Trypan-Blue-in-Different-Indications.flv Zofia Nawrocka, MD (Lodz, Poland), Jerzy Nawrocki, MD, PhD (Lodz, Poland), JanuszMichalewski, MD (Lodz, Poland), Zofia  Michalewska, MD (Lodz, Poland) SYNOPSIS Simple method of staining with trypan blue is presented. After closing of infusion line small amount of trypan blue is slowly injected over the macula. This allows putting the...

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The Use of Different Illumination / Observation Systems for Peripheral Vitrectomy

The Use of Different Illumination / Observation Systems for Peripheral Vitrectomy

Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, (Lodz, Poland) SYNOPSIS This video presents BIOM, OFFISS and horizontal slit illumination used for peripheral vitrectomy. The use of three different systems of illumination and observation during vitrectomy, allows to achieve more adequate viewing. This may improve completeness of peripheral vitrectomy. New...

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Iris Reconstruction Combined with VitreoRetinal Surgery

Iris Reconstruction Combined with VitreoRetinal Surgery

Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Zofia Michalewska,MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland) SYNOPSIS Video presents different cases of iris recon-struction combined with vitreoretinal surgery. In case of present iris structure own iris was used for reconstruction. In other cases coloured iris prosthesis lens was used in primary and secondary procedure. Good cosmetic and functional results...

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The Use of Different Illumination/Observation Systems for Peripheral Vitrectomy

http://www.evrs.eu/medias/2006/videos/The-Use-of-Different-Illumination-Observation-Systems-for-Peripheral-Vitrectomy.flv Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, (Lodz, Poland) SYNOPSIS This video presents BIOM, OFFISS and horizontal slit illumination used for peripheral vitrectomy. The use of three different systems of illumination and observation...

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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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Trypan Blue Staining for Macular Hole and Macular Pucker Surgery

Nawrocki Jerzy, Nawrocka Zofia, Michalewska Zofia, Michalewski Janusz Purpose: The aim of the video is to present the technique of macular hole and macular pucker surgery with the use of trypan blue. Methods: Standard pars plana vitrectomy is performed. After closing the infusion line trypan blue staining is injected slowly on the macula surface. After one minute trypan blue staining is removed. Removal of epiretinal membranes and the ILM...

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Clinicodiagnostic Correlation of Macular Disease

Nawrocki Jerzy, Michalewski Janusz, Michalewska Zofia, Nawrocka Zofia Purpose: The aim of the video is to present HRT II and OCT correlations with clinical picture of selected macular diseases. Methods: Pictures of HRT II and OCT are compared with surgical observations during vitrectomy for macular hole, optic pit retinal detachment and other indications with macular pathology. Results: HRT II allows to present the topography of macular...

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Vitreous Surgery for Proliferative Diabetic Retinopathy with End Stage Renal Disease

Nawrocki Jerzy, Michalewski Janusz, Michalewska Zofia Background: Anatomical and functional results after vitreoretinal surgery in patients with diabetic retinopathy and renal failure, undergoing hemodialysis or after renal transplantation are presented. Material and method: Vitreous surgery was performed in 22 patients (29 eyes), combined procedures of phacoemulsification and vitrectomy was performed in 5 of them. All surgical procedures...

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Vitreous Surgery Without Endoillumination for Proliferative Diabetic Retinopathy

Vitreous Surgery Without Endoillumination for Proliferative Diabetic Retinopathy

Nawrocki Jerzy, Michalewska Zofia, Michalewski Janusz Background: This video presents both slit lamp and wide field vitreous surgery without endoillumination. Material and method: Images achieved during surgery without endoillumination are compared with standard vitrectomy technique. Results: Vitreous surgery without endoillumination using slit lamp or wide field observation system showed some advantages. Bimanual technique of membranes...

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Vitreous Surgery without Endoillumination for Proliferative Diabetic Retinopathy

Nawrocki Jerzy, Michalewska Zofia, Michalewski Janusz Background: This video presents both slit lamp and wide field vitreous surgery without endoillumination. Material and method: Images achieved during surgery without endoillumination are compared with standard vitrectomy technique. Results: Vitreous surgery without endoillumination using slit lamp or wide field observation system showed some advantages. Bimanual technique of membranes...

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Retinotomy for Severe PVR Retinal Detachment

Jerzy Nawrocki*, Zofia Michalewska, Janusz Michalewski Poland This video presents cases of severe PVR retinal detachment treated with 180-3600 retinotomy and retinectomy. In some cases location of retinotomy was posterior to the equator. However this agressive method of treatment should be restricted to very severe cases, the obtained results show that this can be a useful method in selected cases. This technique was also combined with...

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Vitreous Surgery with Use of Trypan Blue Staining for PVR Retinal Detachment

  Jerzy Nawrocki*, Janusz Michalewski, Zofia Michalewsk Poland This video presents vitreous surgery for different stages of PVR retinal detachment. The use of trypan blue staining improves the visualisation of epiretinal membranes, ILM and remnants of the vitreous. This allows to improve both the quality of surgery and results. The video presents the use of that method not only during vitreous surgery but also in cases of...

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