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Rhegmatogenous Retinal Detachment with Macular Hole. What Should We Expect?

ABSTRACT The presence of a macular hole associated with a retinal detachment is an uncommon situation. This association can be found in two completely different scenarios. The first one, in highly myopic patients, usually with posterior staphiloma in which the macular hole is the primary cause of the detachment. These detachments are sometimes only confined to the posterior pole and they usually have a slow progression over time and no...

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27 Gauge Needle Sutureless Intra Scleral IOL Fixation

ABSTRACT Multiple techniques have been shown useful for fixating luxated or subluxated IOls without capsular support. Among them, scleral fixation of the IOL by means of a 27Gauge needle used to externalize the haptics without the necessity of creating a conjunctival opening nor a scleral tunnel, seem to be extremely useful if the patient has a three piece IOL with prolene haptics. Nevertheless the fact of leaving the haptic stucked in the...

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Scleral Buckling for Severe Posttraumatic Hypotony: New Therapeutic Approach for Traumatic Ciliochoroidal Detachment Consequences

ABSTRACT Purpose: Traumatic 360° or anular ciliochoroidal detachment (ACCD) asociated with cyclodialysis cleft (CC) produces ocular hypotony (OH). OH below 10 mmHg, reduces visual acuity due to hypotonic maculopathy (HM). Severe ocular hypotony (SH), below 5 mmHg, can progress to phthisis bulbis due to diffuse choroidal detachment. Treatments for ACCD asociated with CC have shown discouraging results on the literature opposite to when...

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Primary Vitrectomy Without Buckling for Rhegmatogenous Retinal Detachment: Failure Analysis and Its Causes Over 195 Consecutive Cases

Primary Vitrectomy Without Buckling for Rhegmatogenous Retinal Detachment: Failure Analysis and Its Causes Over 195 Consecutive Cases ABSTRACT Over the last ten years there has been a trend towards the treatment of Reghmatogenous Retinal Detachments (RRDs) with vitrectomy without buckling, as the primary procedure. Supported by numerous publications the addition of an encircling buckle at the initial surgery seems not to be useful....

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My Experience with PTFE Explants in the Last 15 Years (189 cases)

Expanded PTFE (e-PTFE) is a material derived from goretex, that has been used since the seventies for vascular surgery. Afterwards its utility was expanded to reconstructive and plastic surgery, and in the ophthalmological field  to oculoplastics, corneal surgery and scleral buckling. It is a smooth surfaced, resistant, permeable and highly biocompatible material that can be used as buckling element. In addition it is non elastic and...

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Slit Lamp Surgery for Uncomplicated RD

Despite the great evolution of pars plana vitrectomy for the treatment of retinal detachment in the last decade, accomplished by the development of better vitrectomy machines, smaller size of the instruments and better illumination options, there are still some cases in which external surgery is strongly advised and may have better results and lower complications rates than vitrectomy. In this sense, the possibility of examining the...

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