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25 Gauge Diabetic Vitrectomy: Precise Membranectomy Without Scissors

ABSTRACT Well known are “cosmetic” advantages of small gauge surgery, namely 25ga (shorter procedure, patients´ comfort, less inflammation, no astigmatism), however, more important are the “surgical” advantages (smaller required flow, smaller risk of retina or vitreous incarceration, better surgical accuracy, almost no retinal tears, a single instrument for various manipulations: base dissection, delamination, segmentation...

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Pneumatic Displacement of Submacular Hemorrhage

Pneumatic Displacement of Submacular Hemorrhage ABSTRACT Advantage: Pneumatic displacement of large submacular hemorrhage in hemorrhagic AMD (and similar conditions) using intraocular injection of C3F8 leads to a fast relief, enables blood reabsorption and opens the way to the continuation of AMD treatment. We do not use any additional medicaments as TPA but continue with anti-VEGF therapy in most cases. Method: The pneumatic...

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Vitreous Floaters Not Only in Young Anxious Engineers

Advantages: 1. Vitrectomy helps in all kinds of vitreous opacities. 2. We broke the concept that the typical patient with vitreous floaters is a young anxious engineer. Methods: We analyzed 83 eyes of 63 patients who underwent vitrectomy for vitreous floaters (asteroid hyalosis, PVD, and floaters only) between 2010 and 2015. 47 were male, 36 female eyes. Their mean age was 60 years, ranging from 22 to 82; the median was 61. The mean...

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Stimulation Laser in CSCR

Purpose: We use an individualized treatment for CSC based both on traditional procedures and on experimental ones. Laser stimulation therapy can be beneficial even in cases without the typical focus of leakage. In difficult cases without any defined or even anticipated leakage we use experimental therapy with anti-VEGF injections. Even intensive topical steroid therapy, usually strictly rejected, proved to be useful in rare cases. Methods:...

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Individualized Treatment in Macular Edema: Focal vs Diffuse

What I am going to show is that while in focal ME (in CSCh or in NPDR or in TAE etc.), the primary laser treatment is very efficient and almost harmless, thus I recommend laser primarily in these cases. In diffuse edema (as in BRVO, CRVO, DR, Irvine-Gass, uveitis et al), laser coagulation is controversial (often inefficient and even harmful). I will express my embarrassment about the proper choice of the best method of treatment and rather...

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