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“Il faut souffrir pour être belle”

SCIENTIFIC POSTER “Il faut souffrir pour être belle” by Filipe Henriques, Joana Providência, Rufino Silva, Portugal ABSTRACT Purpose: Light-based hair removal devices, including laser and intense pulsed light devices, are becoming increasingly popular for aesthetical treatments, being used by non-healthcare professionals. We present the case of a macular burn resulting from a laser-assisted hair removal device. Methods: A...

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A Sneaky IOL

ABSTRACT Advantages: We describe a unique case of IOL luxation through a small fragile zonule zone without compromising capsular stability. Our surgical technique allowed the explantation of the luxated posterior-chamber phakic IOL throught a limbal incision, maintaining a good capsular support for the secondary implantation of a new IOL. Methods: A 31-years-old man was referred to our emergency department with a subluxated Phakic...

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A Sneaky IOL

EDITED FILM ABSTRACT Advantages: We describe a unique case of IOL luxation through a small fragile zonule zone without compromising capsular stability. Our surgical technique allowed the explantation of the luxated posterior-chamber phakic IOL throught a limbal incision, maintaining a good capsular support for the secondary implantation of a new IOL. Methods: A 31-years-old man was referred to our emergency department with a subluxated...

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Air Bubble Floating on PFCL

RETINA PHOTO ABSTRACT Special effect caught during pars plana vitrectomy for giant retinal tear. CONTACT DETAILS Filipe HENRIQUES, Joana PROVIDENCIA Centro Hospitalar e Universitário de Coimbra Coimbra, Portugal Email: filh1967@gmail.com Cell Phone: +351918362497 Work Phone:...

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Optic Pit: How to Deal with a Stubborn ILM Flap?

Optic Pit: How to Deal with a Stubborn ILM Flap? EDITED FILM ABSTRACT Introduction: Optic pits (OP) are congenital defects in the development of the primitive papilla, that course with macular edema in 25-75% of cases. This results from liquid evading the vitreous or subarachnoid space, through the pit and into the macula. Vitreous traction also plays a major role in the pathogenesis of OP-related maculopathy. Vitrectomy with posterior...

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A Useful Intralenticular Foreign Body

A Useful Intralenticular Foreign Body EDITED FILM ABSTRACT Purpose: To report the case of a fifty-one-year-old man with right cystoid macular edema (CME), following a superior branch retinal vein occlusion a month before, that presented to our institution with a dexamethasone intravitreal implant lodged in the lens. Methods: Case report fully documented through clinical records, anterior and posterior segment digital photography,...

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A Useful Intralenticular Foreign Body

A Useful Intralenticular Foreign Body RETINA PHOTO SUMMARY Fifty-one-year-old man with right cystoid macular edema (CME), following a superior branch retinal vein occlusion a month before, that presented to our institution with a dexamethasone intravitreal implant lodged in the lens. The patient was submitted to cataract surgery and 23G pars plana vitrectomy with endophotocoagulation of the ischemic retinal quadrant, after which...

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27 G Microincision Vitrectomy Surgery

Introduction: In the last years vitreoretinal surgery underwent major technical advances, especially with the most recent high frequency vitrectors and microincision systems with progressively smaller caliber, such as the 27-gauge vitrectomy system. This video aims to illustrate our pars plana vitrectomy experience with this small-gauge vitrectomy system. Material and Methods: Retrospectively we selected and analyzed all patients that...

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Thank God, I’m a Retinal Surgeon

Introduction: The anterior and posterior segments are well-demarcated territories of the eye, with surgical specificities of their own. Sub-specialization in Ophthalmology led to the differentiation of surgeons who operate exclusively in the anterior segment, as well as others who dedicate themselves to the posterior segment. Not infrequently, the anterior segment surgeon comes across circumstances in which the ability to work in the...

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Artisan Forceps: Surgeon’s Best Friend?

Background: The Artisan® forceps (DO2-70, Ophtec BV, Groningen, Holland) is a tool that, due to its versatility, has become one of our secret weapons in several procedures in the operating room. This titanium instrument has an opening range of 6 mm, 10 mm length, a flat surface and a bent tip with striations and wings, to enhance and secure the grasp. It was designed to aid in the implantation of iris-claw anterior chamber intraocular...

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Lenses with Personality

Introduction: Older age and blunt trauma account for most cases of crystalline or intraocular lens (IOL) subluxation or dislocation. Not uncommonly, the retinal surgeon comes across cases in which the lens explant does not seem as easy as expected. Purpose: We report our experience with crystalline and intraocular lens implant removal. Material & Method: This is a retrospective assessment of the surgical records from five patients...

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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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Iatrogenic Retinal Break During PPV for ERM

Objective: To report on a case of iatrogenic retinal break (IRB) during a 25-gauge pars plana vitrectomy (PPV) surgery for the treatment of epiretinal membrane. Design: Case Report Methods: Edited video submission displaying the diagnosis and treatment of an unexpected complication during pars plana vitrectomy. Results: A 63 year old male was sent to our clinic following complaints of long-standing, progressive diminished visual acuity on...

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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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Ocular Toxocariasis : A Case Report

SCIENTIFIC POSTER_Tania Rocha_2 Purpose: Toxocariasis is an infection caused by an intestinal nematode found in dogs and cats (Toxocara canis and Toxocara cati). It typically affects children below 10 years of age, when they ingest contaminated soil or food. The larvae migrate through the vessels of the optic nerve to the vitreous cavity and induce an intense inflammatory reaction. Chronic endophthalmitis (25%), posterior granulomas...

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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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ERM with Unusual Foveolar Adhesion

Purpose: Epiretinal membranes (ERM) are collections of collagenous cells that occur on the inner surface of the central retina and can lead to visual changes because of their effect on the underlying retina. This ocular pathology was first described by Iwanoff in 1865, and it has been shown to be a relatively common entity, occurring in about 7% of the population. ERM occur more frequently in the older population and both sexes appear to...

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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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My Approach to Metallic IOFB

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Introduction: Ocular trauma associated with intraocular foreign bodies (IOFBs) is one of the major causes of visual impairment in young individuals. Various reports indicate that 18-41% of all open globe injuries involve at least one IOFB. IOFBs may become embedded in the retina posing a challenging situation for vitreoretinal...

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