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Wound Healing Concept in Surgery of High Stage Full Thickness Macular Holes: Early Functional and Anatomical Results of Intraoperative Use of Autologous Platelet Concentrate

Wound Healing Concept in Surgery of High Stage Full Thickness Macular Holes: Early Functional and Anatomical Results of Intraoperative Use of Autologous Platelet Concentrate ABSTRACT Purpose: The primary aim was to evaluate the early functional outcome and photoreceptor recovery using autologous platelet concentrate (APC) consequently as a wound healing concept in MH surgery. Secondly, the anatomical results were evaluated. Setting/Venue...

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A Modified Perfluoro-n-octane Assisted Autologous Internal Limiting Membrane Transplant for Failed Macular Hole Reintervention: A Case Series

A Modified Perfluoro-n-octane Assisted Autologous Internal Limiting Membrane Transplant for Failed Macular Hole Reintervention: A Case Series ABSTRACT We describe a modified perfluoro-n-octane (PFO) assisted autologous internal limiting membrane (ILM) transplantation technique for macular hole (MH) reintervention and present our results from a series of 11 patients. We harvest a free ILM flap and transplant it into the MH under a PFO...

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Anatomical and Functional Results from the New ILM Peelings

Anatomical and Functional Results from the New ILM Peelings ABSTRACT Recently, new ways to perform the ILM peeling has been presented in the treatment of macular holes. The study correlated anatomical (OCT) and functional results (BCVA and microperimetry) of eyes operated for macular holes with different types of ILM peeling (complete ILM peeling, ILM flap 360°, ILM temporal flap). CONTACT DETAILS Gianluca Besozzi Brescia, Italy Email :...

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Efficiency of the Retinal Displacement Technique in the Treatment of Traumatic Full Thickness Macular Holes

Efficiency of the Retinal Displacement Technique in the Treatment of Traumatic Full Thickness Macular Holes ABSTRACT Purpose: To present the anatomical and functional results of vitrectomy with the hydraulic centripetal retinal displacement technique in the treatment of traumatic full thickness macular holes. Methods: This study is a retrospective consecutive case series of 7 patients who underwent a 25G PPV with the displacement of...

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Autologous Internal Limiting Membrane Plug Technique for Treatment Naive Large Macular Holes

Autologous Internal Limiting Membrane Plug Technique for Treatment Naive Large Macular Holes ABSTRACT Aim: The aim of our study was to examine the anatomical and functional outcome of autologous internal limiting membrane (ILM) plug technique for large macular holes. Methods: This study was a prospective, interventional case study of patients with macular hole having maximum basal diameter of more than 400 microns. We included 8 treatment...

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Autologus Retinal Graft For A Large Traumatic Macular Hole: Initial Experience

Autologus Retinal Graft For A Large Traumatic Macular Hole: Initial Experience ABSTRACT To describe initial experience with the Autologus Retinal Graft technique for closure of a large traumatic macular hole. One case, with history of trauma of few Months, preoperative BCVA 1/60, large macular Hole with a base diameter of over 4000 microns. Postoperative BCVA improved to 20/100, with good integration of the graft with the surrounding...

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Outer Retina Reconstruction Following Inverted Internal Limiting Membrane Flap for Large Stage 4 Macular Holes

Outer Retina Reconstruction Following Inverted Internal Limiting Membrane Flap for Large Stage 4 Macular Holes ABSTRACT Rationale: Inverted internal limiting membrane (ILM) flaps have shown good anatomical closure rates and often improved visual outcome when used for the treatment of large macular holes, whose results have been erstwhile unsatisfactory with conventional ILM peel techniques. How ever, in several cases of successful closure...

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Foveal Lucency with Different Gas Tamponades in Surgically Closed Macular Holes

Foveal Lucency with Different Gas Tamponades in Surgically Closed Macular Holes ABSTRACT The presence of foveal lucency (FL), a hyporeflective space underlying the fovea with continuity of the inner retinal layers after surgery – and/or disruption of outer retinal layers such as the ellipsoid layer or the external limiting membrane have been described in the course of the macular hole closure. Given the descriptive nature of...

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Macular Holes in Diabetic Patients Treated with Inverted ILM Flap

Macular Holes in Diabetic Patients Treated with Inverted ILM Flap ABSTRACT Purpose: To present different characteristics of macular holes in diabetic patients with and without retinopathy. Additionally, to examine the results of vitrectomy with the inverted ILM flap technique. Material and Methods: Retrospective, observational study. We reviewed our database in order to select patients with diabetes and macular holes treated with the...

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Long-term Results Surgical Treatment Stage 1 Macular Hole Without Vitrectomy Under IOCT Control

Long-term Results Surgical Treatment Stage 1 Macular Hole Without Vitrectomy Under IOCT Control ABSTRACT To estimate efficiency of IOCT-control in surgical removal of an epiretinalny membrane without vitrectomy. Purpose: Evaluate the effectiveness of long-term results (up to 2 years) use of a method of mechanical separation from posterior hyaloid from foveola in stage I macular hole without stain agent and without vitrectomy under...

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Reversal of Vision Loss Following Pars Plana Vitrectomy for Vitreopapillary Traction

Reversal of Vision Loss Following Pars Plana Vitrectomy for Vitreopapillary Traction ABSTRACT Background: Vitreopapillary traction (VPT) results from abnormally adherent vitreous traction at the optic nerve head or peripapillary area. Although its pathophysiology and effects are not fully understood, it likely manifests during the development of a posterior vitreous detachment. Some hypothesize that VPT can cause a non-arteritic ischemic...

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Ocriplasmin for Treatment of Vitreomacular Traction: Our Real-world Experience

Ocriplasmin for Treatment of Vitreomacular Traction: Our Real-world Experience ABSTRACT Introduction: Pharmacologic vitreolysis with ocriplasmin is an effective nonsurgical treatment option for vitreomacular traction (VMT). Ocriplasmin is a truncated plasmin derivative approved as an intravitreal drug for release of focal vitreomacular tractions (<1500 μm), when accompanied by visual symptoms, and closure of macular holes (MH)...

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Central Serous Retinopathy: Photodynamic Therapy Real-life Results

Central Serous Retinopathy: Photodynamic Therapy Real-life Results ABSTRACT Introduction: Central Serous Retinopathy (CSC) is a multifactorial pathology with a complex and non-totally clear pathogenesis. Most of them are auto limited with spontaneous resolution and a favourable prognosis. In some cases, serous macular detachment can remain or recur with progressive visual acuity loss. Photodynamic Therapy (PDT) based on half-dose or...

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Vitrectomy for Macular Pucker with Prophylactic Peripheral Endolaser: Results of Our Experience

Vitrectomy for Macular Pucker with Prophylactic Peripheral Endolaser: Results of Our Experience ABSTRACT Aim: Retinal detachment following macular surgery is an unfortunately well known and severe post-operative complication. The purpose of this presentation is to show our experience in the surgical technique with vitrectomy and prophylactic peripheral endolaser, in the treatment of idiopathic macular pucker. The aim of the study was to...

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ERM and ILM Removal in Only One Step: 2 Years Follow-up on Anatomical and Functional Results

ERM and ILM Removal in Only One Step: 2 Years Follow-up on Anatomical and Functional Results ABSTRACT Introduction: Epiretinal membranes (ERM) are fibrocellular proliferations on the surface of the retina, with contractile properties, that cause metamorphopsia and visual loss. ERM surgery is a demanding state-of-the-art procedure, consisting of ERM, and usually internal limiting membrane (ILM) removal. The use of multiple dyes, or the...

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Autologous Transplantation of Choroid and Retina: Reality or Fiction?

Autologous Transplantation of Choroid and Retina: Reality or Fiction? ABSTRACT The autologous transplantation of retina has been reported to treat chronic macular holes. The retina seems to integrate and regain function. Atrophic maculopathies still remain untreatable diseases. An attempt to treat macular atrophic changes with autologous choroidal and retina transplant has been made in 5 patients followed with collection of functional...

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Post Vitrectomy Macular Folds. The Final Outcome

Post Vitrectomy Macular Folds. The Final Outcome ABSTRACT Aim: To present the characteristics of 3 eyes complicated by macular folds following parsplana vitrectomy for retinal detachment. Patients: All three patients presented with upper bullous retinal detachments to which pars plana vitrectomy with gas injection was performed. Perfluorocarbon heavy liquid (PFCL) was used to flatten the retina and PFCL/air exchange was performed at the...

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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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Inverted Internal Limiting Membrane Flap Technique

Inverted Internal Limiting Membrane Flap Technique ABSTRACT Objectives: To describe inverted ILM flap technique, a modification of the standard macular hole surgery technique and to investigate the impact of different parameters such as presenting vision, stage/size of the hole and duration of symptoms in the success of the surgery. Methods: A standard 3-port, 23-gauge transconjunctival pars plana vitrectomy was performed under local...

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A Novel Approach for the Management of Macular Detachment Associated with Optic Disc Pit: Temporal Inverted Internal Limiting Membrane Flap Technique and a New Heavy Silicone Oil (Densiron Xtra)

A Novel Approach for the Management of Macular Detachment Associated with Optic Disc Pit: Temporal Inverted Internal Limiting Membrane Flap Technique and a New Heavy Silicone Oil (Densiron Xtra) ABSTRACT Purpose: To evaluate the anatomic and functional results of the treatment of macular detachment associated with optic disc pit(ODP), with temporal inverted internal limiting membrane (ILM) flap combined with a new heavy silicone oil...

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Inverted ILM Flap in Congenital Optic Pit Maculopathy: Technique & Results

Inverted ILM Flap in Congenital Optic Pit Maculopathy: Technique & Results ABSTRACT 5 eyes with congenital optic pit maculopathy underwent inverted ILM flap technique. Visco was used to keep the flap in place under air. Progressive macular flattening & finally reattachment occurred over a period ranging from 6-8 months with improvement in visual acuity in all eyes. CONTACT DETAILS Hassan Mortada Cairo, Egypt Email :...

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Managing Optic Pit. The Right Stuff !

Managing Optic Pit. The Right Stuff ! ABSTRACT Purpose: To present a new surgical technique, stuffing the inverted ILM flap into the optic disc pit, as a successful treatment of maculopathy caused by the optic disc pit. Methods: This case series discusses 6 eyes in 6 patients with optic disc pit associated maculopathy. Four eyes had previous vitrectomy, including three optic pit cases and one morning glory with optic pit. In optic pit...

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Surgical Treatment of Optic Pit Retinal Detachment with an Inverted Flap of Intern Limitant Membrane

Surgical Treatment of Optic Pit Retinal Detachment with an Inverted Flap of Intern Limitant Membrane ABSTRACT Optic pit is a rare ocular malformation that can lead to retinal detachment. Several treatments have been proposed including gas tamponade, laser and vitrectomy. We propose an another approach to other forms of treatments. A flap of intern limiting membrane is added in order to isolate the optic pit from the vitreous cavity. The...

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