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Rhegmatogenous Retinal Detachment: When You Can’t Find the Tear

Purpose: The purpose of this work is to report the injection of subretinal trypan blue to identify occult retinal breaks during vitrectomy for rhegmatogenous retinal detachment (RRD) repair. Methods: Case report of a patient with RRD in whom the causative retinal break could not be found during surgery, even after scleral indentation. Trypan blue 0.15% was injected into the peripheral subretinal space using a 39 g cannula after injection...

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Managing Submacular Hemorrhage – Two Different Surgical Approaches

Purpose: We present two different surgical approaches to address submacular hemorrhage. Setting / Venue: Department of Ophthalmology – Centro Hospitalar e Universitário de Coimbra, Portugal. Methods: We present the cases of two patients with submacular hemorrhage that underwent 23-gauge pars plana vitrectomy (PPV) assisted by tissue plasminogen activator (t-PA) The first case refers to a 59 year-old woman, with high myopia who...

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Myopic Foveoschisis & ERM – A Surgical Challenge

Purpose: To report a case of myopic foveoschisis treated with 23 g pars plana vitrectomy (PPV) assisted with a lutein-based dye. Methods: We report a case of a fourty-five years old female patient who presented with decreased visual acuity and complaints of metamorphopsia on her right eye with 6 months duration. Ophthalmologic examination revealed an epiretinal membrane and foveoschisis of the right eye. She has high myopia (-20,00...

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Retinal Detachment: When You Can’t Find the Tear

Purpose: The purpose of this work is to report the injection of subretinal trypan blue to identify occult retinal breaks during vitrectomy for rhegmatogenous retinal detachment (RRD) repair. Methods: Case report of a patient with RRD in whom the causative retinal break could not be found during surgery, even after scleral indentation. Trypan blue 0.15% was injected into the peripheral subretinal space using a 39 g cannula after injection...

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Pick-assisted Diabetic Fibrovascular Membrane Delamination Rediscovered

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To delaminate posterior pole and macular fibrovascular proliferations in eyes with severe proliferative diabetic retinopathy using a 20G modified blunt curved edged pick. Methods: The use of a 20G blunt edged pick which allows safe delamination of macular fibrovascular membranes, when a bimanual approach is not possible. In...

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Multiple Evanescent White Dot Syndrome

SCIENTIFIC POSTER_Tania Rocha_1 Purpose: Multiple evanescent white dot syndrome (MEWDS) is a rare, acute, multifocal, retinitis located at the posterior pole that occurs predominantly in young to middle-aged females. Patients may report photopsia, central scotoma or decreased vision. The cause is generally unknown and the condition is self-limiting with a favorable prognosis for visual recovery within several weeks. Setting: Department of...

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Easy Tool to Dissect Severe Posterior Pole Proliferation

Advantages: Peeling of severe fibrovascular proliferation of the posterior pole using a 25-gauge Atkinson retrobulbar needle with a bent tip and ILM forceps. This technique allows the surgeon to find a cleavage plane with an inexpensive and ‘easy to build’ tool in the absence of more sophisticated tools. Methods: The authors report the case of a 13-year-old boy with a chronic intermediate uveitis in his left eye, which underwent a...

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A Coral in the Retina

RETINA PHOTO_Cristina Fonseca Clinical Case: 56-year-old woman evaluated in routine ophthalmology consult for progressive right eye visual deterioration. Best-corrected visual acuity was 20/30 in the right eye and 20/20 in the left eye. Biomicroscopy revealed bilateral mild nuclear sclerosis. Right eye fundoscopy showed the presence of an exophytic, multilobulated whitish rounded neoformation, 2 disc diameters in size, located...

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