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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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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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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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Case Reports in CNV (Different from AMD): Sixth Case

Angioid streaks are breaks in the Bruch membrane of the choroid, which can be idiopathic or associated with systemic conditions; the strongest association is with pseudoxantoma elasticum but also appear in hemoglobinopathies or Paget disease. The development of choroidal neovascularization (CNV) is a source of considerable morbidity and decrease of visual acuity. Several therapies have been used to treat CNV, with current consensus being...

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