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Ocular Trauma Caused by Flashball in Yellow Vest French Crisis: Case Report

Scientific Poster Ocular Trauma Caused by Flashball in Yellow Vest French Crisis Case Report by Frédéric Hamon, France Alexis Pinel, Frédéric Hamon, France Contact Details:   Frédéric Hamon Centre Helios Ophthalmologie St Jean de Luz France Cell Phone: +33662046330 Work Phone: +33559518660 Email :...

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Laser Vitreolysis for Floaters with the Ultra Q Reflex System (Ellex Medical Lasers Ltd, Adelaide, Australia): Why Not Consider a Single Laser Session for Majority of Patients ?

Frédéric Hamon, Rita Soyeur, Alexis Pinel, France Purpose: A discussion about principles of Laser vitreolysis and strategic arguments for using a single session rather than several successive procedure Discussion:  The Ultra Q Reflex system really improved possibilities of such treatments. « It vaporizes floaters at low energy levels and with fewer shots than standard YAG laser systems7. Unlike standard YAG lasers, the Ultra Q RS is...

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Macular Edema Management with «Almost Nothing». Some Interesting Cases Report and Some Questions

Alexis Pinel, Frédéric Hamon, Rita Soyeur, France Purpose: A discussion about some surprising good results in patients with ME. Discussion: Nowadays, all kind of ME are treated by IVTs. Starting IVTs very quickly after ME beginning is usual. However 3 other treatments are available options. First option, in some cases, non steroidal anti-inflammatory eye drops are able to decrease ME, improve visual acuity and sometimes fully stop ME...

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Blockchain in Retina Practice: A Big Bang!

ABSTRACT Purpose: Explain how Blockchain protocol technology should quickly transform our retinal practice. Discussion:   Bitcoin and blockchain protocol technology are already changing the world, and Health care won’t derogate in it. We all know that patient’s health data are recorded and digitized. Most people fear the use of these data in financial interests or nefarious oversight. Blockchain protocols are using...

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10 Years Retrospective Study for Management of Macular Edema Treatments in Retinal Vein Occlusion: Some First Line Treatments Seem Worse Than Others!

ABSTRACT Purpose: Review of patients with bad results after ME treatments in RVO and try to understand if some first line treatment are better -or worse. Material & Methods: Both BRVO and CRVO were included in this retrospective study. (2007-2017). 345 patients included (179 BRVO and 166 CRVO). All patients had complete check-up with VA, Fundus, TO, OCT and Fluorescein angiography (before and after treatment(s)). First line treatment...

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First Results with Noctura 400 Sleep Mask for Chronic Macular Edema Treatment

ABSTRACT Purpose: To evaluate potential efficacy of a Class IIa 12 week medical device with CE certification and ISO13485 in treatment of chronic ME reluctant to pall previous other treatment. Material & Methods: 10 patients included in this study (5 RVO, 1 DR, 1 post RD, 3 post ERM). All patients had multiple previous treatments for chronic ME, included ILM peeling, multiple anti-VEGF IVT, Corticosteroids IVT or subtenon, eyedrops,...

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Macular Edema Management with Multiple IVTs Required: There is No Reason Why ILM Peeling Should Not Be Considered at One Time

Macular Edema Management with Multiple IVTs Required: There is No Reason Why ILM Peeling Should Not Be Considered at One Time ABSTRACT Purpose: A discussion why ILM peeling should be proposed to every patient with a recurrent or chronic Macula Edema. Discussion: All kinds of RVO, BRVO, or DR could be associated to a recurrent or chronic ME. EVRS ME study teached us possibility of very good results with ILM peeling, and efficiency...

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Combined Intravitreal Anti-VEGF & Subtenon Corticosteroids in AMD to Reduce ME Recurrence and Increase Delay Between IVTs: An Update and Some Lessons

Combined Intravitreal Anti-VEGF & Subtenon Corticosteroids in AMD to Reduce ME Recurrence and Increase Delay Between IVTs: An Update and Some Lessons ABSTRACT Purpose: To evaluate with time efficiency of combined treatment using Anti-VEGF & subtenon (or subconjonctival) corticosteroids in ME recurrence in AMD Material & Methods: All kinds of CNV in AMD were included in this retrospective study (classic, minimally classic,...

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Micropulse Laser 577 nm: A Perfect « Second Line » Treatment for ME ?

Purpose: The authors report several tips and tricks increasing efficiency of 577 nm Micropulse Laser (MIP) in treatment of macular oedema recurrence in eyes with previous ILM peeling surgery. Methods: The study is a retrospective clinical study of sub threshold laser treatment as a tissue-sparing laser photocoagulation for ME. Eyes included underwent treatment for ME due different pathologies (Diabetic Retinopathy, branch or central...

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Combined Intravitreal Anti-VEGF & Subtenon Corticosteroids in AMD Reduces ME Recurrence and Increases Delay Between IVTs

Purpose:  To evaluate, with time, efficiency of combined treatment using Anti-VEGF & subtenon corticosteroids in ME recurrence in AMD Material and methods: All kinds of CNV in AMD were included in this retrospective study (classic, minimally classic, occult, PEDs…). Both Ranibizumab and Aflibercept were used and associated with subtenon corticosteroids. Corticosteroid was mostly bethamethasone acetate vs triamcinolone...

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New Sharing-economy in Ophthalmology : The Trojan Horse of Multiple IVTs with Easy Protocols Guidelines

Purpose: Report of some common attitudes in medical retinal practice with multiple IVTs, issues pertaining to high risk of over-standardization, lower necessity of an expert medical advice and short-time possibilities of low-cost evolution excluding ophthalmologists Methods: Protocols with IVTs required for AMD or ME treatments are analysed and we have pointed out several medical contestations of these protocols. Results: Nowadays...

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ME Recurrence After ILM Peeling

Contact Details: Email: hamonpro@gmail.com Cell Phone: /+33607486707

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AMD with Ranibizumab Tachyphylaxis

Contact Details: Email: hamonpro@gmail.com Cell Phone: +33607486707

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AMD with Aflibercept Resistance

Contact Details: Email: hamonpro@gmail.com Cell Phone: +33607486707

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A «Certain Philosophy» Against too much IVTs …

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Why we need to learn about the past to understand using only IVTs  for ME is a non sense Why we need to look at the future to keep our mind opened A panorama of reflections and facts to make you think and not act as sheeps do…

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Supra Scan 577 nm Micropulse Laser Course – Time for an Alternative Treatment for Macular Edemas and Other Retinopathies

In the anti-VEGF era, laser still plays a key role in the treatment of retinal diseases. The questions are: What type of laser? Which laser settings? Which pathologies? During the last decades, it has to be reminded that a significant number of technological innovations have strongly modified and improved the retina laser treatments. As opposed to the commonly quoted traditional scattering treatment settings, latest generation lasers allow...

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Micropulse Laser for ME: Principles, New Parameters and Results with 577 nm

Poster Frederic Hamon Purpose: The authors report their experience using 577 nm Micropulse Laser (MIP) in treatment of macular edema due to different pathologies. Methods: The study is a retrospective clinical trial evaluation of sub threshold laser treatment as a tissue-sparing laser photocoagulation for ME. 100 eyes underwent treatment for ME due to Diabetic Retinopathy, branch or central retinal vein occlusion, or other causes including...

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Combined Intravitreal Anti-VEGF & Subtenon Corticosteroids in AMD to Reduce ME Recurrence

Purpose:  To evaluate combined treatment of Anti-VEGF & subtenon corticosteroids for recurrent macular edema (ME) associated to choroidal neovascularization (CNV) due to age related macular degeneration (AMD). Material & Methods: Cases of CNV in AMD were included in this retrospective study. All types of CNV could be included (classic, minimally classic, occult, PEDs) Results: This combined therapy seemed to decrease ME...

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New 27 Gauge Microforceps: Efficiency Depends of the Distal Design

The authors present an improvement to the distal design of a 27 gauge microforceps. This leads to better efficiency for macular surgery, even with a very small 27 gauge instrument. It seems to be one of the first steps to create a real possibility of 27 gauge vitreoretinal surgery.

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Hybrid 27 / 25 Gauge Vitrectomy for Macular Surgery with Flow Control

The authors present  an update of hybrid vitrectomy 27/25 gauge, compared to their previous 25/23 gauge surgery for vitreomacular diseases. It compares parameters with flow control, trying to evaluate maximum possibilities of such a 27/25 gauge system. Flow control appears to be a”must have” for developing such...

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Infrared Micropulse Photocoagulation (MIP) in diabetic macular edema (DME)

Paola Salvetti, MD, Frederic Pottier, MD, Christian Vannimenus, MD, Jean Gustin, MD, Patrick Goeminne, MD, Frederic Hamon, MD Purpose: To demonstrate the possibilities of suvisible endpoint therapy using 810 nm MIP in treatment of DME. To present this new tool which minimize neural retinal damage in the treatment of ME. Methods: MIP is used in our clinic to treat DME in patients for a significant decrease in visual acuity. Examination SLO...

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Macular Edema (ME) Visualisation, Detection and Estimation in Diabetic Retinopathy (DR)

Paola Salvetti, MD, Frederic Pottier, MD, Christian Vannimenus, MD, Jean Gustin, MD, Patrick Goeminne, MD, Frederic Hamon, MD Purpose: To demonstrate the possibilities and complementarity of HRA SLO Heidelberg and OCT in detection and follow-up of ME in DR. Methods: HRA is routinely used in our clinic to document and evaluate fundus status in patients referred to us for a drop in visual acuity associated with DR. Examination SLO protocol...

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Transconjonctival Wide-Field (WF) 25 Gauge Vitrectomy in Diabetic Retinopathy (DR)

Frederic Hamon, MD, Patrick Goeminne, MD, Paola Salvetti, MD, Line Cardoen, MD Purpose: To demonstrate the possibilities and particularities of TSV 25 G in DR surgery if a widefield view is required. Methods: We present surgical technic with TSV 25 G for ME in DR with Both Bausch and Lomb and Dorc System. Data from 14 eyes with vitreous hemorrhages or proliferative DR were analyzed. A three-ports 25 G vitrectomy (using 25 G...

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