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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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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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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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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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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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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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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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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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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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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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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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