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3 Cases of MH that Lately Closed when the Patient Respected his Positioning

Macular hole are frequently operated using gas tamponnade, requiring a face-down positioning. However, some suggest that this positioning is not so important whereas others consider that tamponnading is not necessary. In the EVRS MH study, we showed that 85% of macular holes would close; ranging from 95% in small holes to 40% in complex situations. However, patients are frequently complaining about the face-down positioning,...

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Atypical Case of Persistant Subretinal Fluid, Mimicking Acute Exudative Polymorphous Vitelliform Maculopathy or CSC

SCIENTIFIC POSTER 2016_Atypical Case of Persistant Subretinal Fluid, Mimicking Acute Exudative Polymorphous Vitelliform Maculopathy or CSC Philippe Koch Introduction: To describe the case of an atypical persistent subretinal fluid presentation following a macula on retinal detachment (R.D). Results: A 64 y.o woman developed a macula on RD extending from 5 to 11 o’clock, a retinal break at 10 o’clock with the RD threatening the macular...

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The MST IOL Cutter: My Revolution?

For many years, cataract surgery is performed earlier with the associated risks of zonular trauma during surgery or of an aging/glistening of these implants. Moreover, with the recent tendency to put some multifocal intra-ocular lenses that are not always easily tolerated by the patients, we are frequently asked to replace an IOL. However, since IOL cutters are made of one unique piece of scissor that causes a partial shift of the IOL,...

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Are MT4 Anterior Chamber Implants from Alcon an Acceptable Option to Correct Vision Following Loss of Zonular Support?

In complicated cataract surgery, loosing zonular support, makes it difficult to implant an intraocular lens. In this instance, an intraocular lens needs to be inserted in the anterior chamber or fixated to the iris or the sclera. Unlike scleral fixation, which is a complex procedure and is difficult to reproduce, iris-claw implants and anterior chamber implants are both easier to perform and tend to have a more reproducible final...

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An Atypical Case of Persistant Subretinal Fluid, Mimicking a Unilateral Acute Exudative Polymorphous Vitelliform Maculopathy or a CSC

                  Introduction: To describe the case of an atypical Persistent Subretinal Fluid presentation following a macula ON R.D. Results: A 64 y.o woman developed a Macula ON retinal detachment extending from 5 to 11 o’clock, with a unique retinal break at 10 o’clock but threatening the Macular area. For such reason, a vitrectomy was realised to drain the subretinal fluid...

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Choosing Between a Venturi and a Peristaltic Vitrectomy Machine is Like Choosing a Rear- or a Front-wheel Drive Car

Fluidistic in phacophagy have long been a question for anterior-segment surgeons to obtain the more stable machine to operate. Nowadays, cataract surgery is becoming a standardised surgery with excellent statistical results due, among others, to an excellent stability of the anterior chamber depth and an excellent control of the machines. However, choosing the right machine continues to be questionable during vitrectomies, partially because...

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Inadvertent Intrachoroïdal Silicone Oil Injection: A 5 year Follow-up

Philippe Koch_SCIENTIFIC POSTER 2015 Introduction: To present the case of a 55 y.o. patient who developed an inadvertent silicone oil injection into the choroidal space during a vitrectomy for RRD and the resultant 5 y.o. follow-up. Case Presentation: A patient presented in 2010 with a LE rhegmatogenous retinal detachment extending from 9 to 7 o’clock, macula OFF. The causative break was a huge superior break extending from 10 to 3...

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Using Vitreous as an Intraocular Tamponade for RRD

Philippe Koch_SCIENTIFIC POSTER 2015_2 Introduction: To present the case of a patient who developed a RRD recurrence after a pneumo-retinopexy (cryogas) that has been treated with Argon laser and a simple positioning. Case Report: A 59 y.o. woman presented for a RE Macula ON Rhegmatogenous Retinal Detachment with a limited detachment extending from 9 to 11 o’clock and a single retinal tear at 10 o’clock. She was thus treated with a...

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The Importance of Gas Injection in Idiopathic ERM Peeling Recovery

Advantages: Inner limiting membrane (ILM) removal has become a standard procedure in idiopathic epiretinal membrane (iERM) peeling over the last 15 years but some entities still respond poorly to surgery, like pseudo-lamellar holes, either in their final visual acuity or metamorphopsia reports. Herein, we propose to investigate the importance of gas injection as a tamponade in every instance of iERM peeling and examine the effect on...

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