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Compliance of Systematic Reviews in Ophthalmology with the PRISMA Statement

Compliance of Systematic Reviews in Ophthalmology with the PRISMA Statement ABSTRACT Background / Aims: Systematic reviews and meta-analysis are becoming increasingly important way of summarizing research evidence. Researches in ophthalmology may represent further challenges, due to their potential complexity in study design. The aim of our study was to determine the reporting quality of systematic reviews and meta-analysis in...

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CPAP and Vitreoretinal Surgery – Be Aware

CPAP and Vitreoretinal Surgery – Be Aware ABSTRACT Introduction: Obstructive sleep apnea (OSA) is a common chronic disorder that often requires lifelong care. Continuous positive airway pressure (CPAP) and weight loss are the cornerstones of therapy. The use of CPAP therapy has been associated with ocular complications such as dryness and irritation resulting from the air leak from the mask, a higher rate of bacterial conjunctivitis...

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A Novel Surgical Method to Treat Hypotony

A Novel Surgical Method to Treat Hypotony ABSTRACT Introduction: The treatment of ocular hypotonia depends on the underlying problem. No clinically useful medications are available that raise intraocular pressure (IOP).The anterior chamber may be filled with viscoelastic or a pars plana injection of viscoelastic, gas or silicone oil as a temporary solution. In cases of chronic ocular hypotony , an effective and permanent treatment method...

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Vitrectomy Under Air: Technique, Advantages & Disadvantages

Vitrectomy Under Air: Technique, Advantages & Disadvantages ABSTRACT Purpose: To describe and evaluate vitrectomy under air for a variety of vitreoretinal surgical indications in a non-randomized prospective interventional case series. Methods: After initial posterior vitreous detachment, (PVD) core vitrectomy, and early air-fluid exchange, the rest of the vitrectomy was performed under air. Visibility of the vitreous gel, field of...

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Vitrectomy for Simple Vitreous Bleeding – And What to Do Now ?

Vitrectomy for Simple Vitreous Bleeding – And What to Do Now ? ABSTRACT Bleeding in the vitreous cavity is a relatively common cause for reduction of visual acuity. There are several reasons for vitreous bleeding and most of them at the end require more or less complex surgical approach to restore the vision. I would like to present a case of seemingly uncomplicated vitreous bleeding which should have required a simple strait...

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First Surgical Option for Increased Scleral Thickness

First Surgical Option for Increased Scleral Thickness ABSTRACT Two patients with increased scleral thickness were successfully treated for their retinal detachment with external scleral flap windows technique. No posterior vitrectomy approach was needed. Uveal effusion and benign lymphoid hyperplasia were settled down by pathological anatomy. Scleral flap is an easy technique and well controlled surgical procedure. It should be considered...

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Late Cicatricial ROP: Should we Operate ?

Late Cicatricial ROP: Should we Operate ? ABSTRACT Purpose: To report our anatomical and functional results of vitreoretinal surgery in cicatricial retinopathy of prematurity (ROP) patients. Methods: This is a retrospective, consecutive case series. 10 eyes of 9 patients presented with late sequel of cicatricial ROP, who had vitreoretinal surgery, were retrospectively reviewed. Anatomical and functional outcomes were...

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How to Treat Persistent Macular Edema After Successful Vitrectomy ?

How to Treat Persistent Macular Edema After Successful Vitrectomy ? ABSTRACT Before OCT era low vision after RD surgery was explained as a result of retinal damage. Now we can observe with ocular tomography that the main causes of the low vision due to retinal detachment are macular edema, retinal disorganization and atrophy. We analyze changes in 8 attached retinas. In all cases macular edema showed up during 6 month after surgery. We...

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Temperature Effect of Silicone Oil on the Anterior Segment in Vitrectomized Eyes

Temperature Effect of Silicone Oil on the Anterior Segment in Vitrectomized Eyes ABSTRACT Background: To evaluate the effect of silicone oil tamponade on the central corneal temperature using noncontact infrared thermometer (NCIT) in vitrectomized eyes. Methods: Sixty eyes of 60 patients who underwent pars plana vitrectomy and intraocular silicone oil tamponade were enrolled in this prospective study. Central corneal temperatures were...

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Expulsive Hemorrhage During Penetrating Keratoplasty: A Strategy for Management. Video Presentation

Expulsive Hemorrhage During Penetrating Keratoplasty: A Strategy for Management. Video Presentation ABSTRACT We present a case of loss of the anterior chamber, forward projection of intraocular contents during placing the second suture of a corneal graft. Immediate management including forced placement of the second suture, an immediate pars plana stab with core vitrectomy, further deepening of the anterior chamber and placement of...

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Double Rectangular Scleral Mesh for Dislocated IOLs: A Closed Vitrectomy Approach

Double Rectangular Scleral Mesh for Dislocated IOLs: A Closed Vitrectomy Approach ABSTRACT Introduction: Dislocated IOLs months to years following IOL implantation represent a challenging entity. We present a new technique of ab interno approach to replace the IOLs in the sulcus following PPV. Materials & Methods: 5 cases of dislocated IOLs are presented. Age range from 8-50 years. All cases were myope with no capsular support....

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Transconjunctival Intrasceral IOL Fixation with a Modified Double-needle Technique Using a Posterior Segment Approach

Transconjunctival Intrasceral IOL Fixation with a Modified Double-needle Technique Using a Posterior Segment Approach ABSTRACT Purpose: To improve our technique of scleral fixating intraocular lenses by describing a modification of Shin Yamane’s double needle iol fixation technique that can be applied to posterior dislocated three piece lenses. Methods:   A complete ppv is perform. The three piece intraocular lens is then mobilized...

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Sutureless Scleral Fixation of Dislocated Rayner Type C-flex Broad Haptic Intra-Ocular Lenses Using Fibrin Glue-Possibility & Limitations

Sutureless Scleral Fixation of Dislocated Rayner Type C-flex Broad Haptic Intra-Ocular Lenses Using Fibrin Glue-Possibility & Limitations ABSTRACT Advantages: Rayner type C-flex broad haptic Intra-Ocular Lens is a commonly used lens in cataract surgery. Posterior dislocation of this Intra Ocular lens is an uncommon but serious complication of cataract surgery. This may occur intra-operatively or postoperatively due to large posterior...

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Intravitreal Decorin as an Adjuvant Therapy to Prevent Proliferative Vitreoretinopathy in Perforating Injuries: A Pilot Study

Intravitreal Decorin as an Adjuvant Therapy to Prevent Proliferative Vitreoretinopathy in Perforating Injuries: A Pilot Study ABSTRACT Purpose: To determine the safety, tolerability, and efficacy of human recombinant decorin protein, a transforming growth factor ß (TGFß) inhibitor in preventing proliferative vitreoretinopathy (PVR) in patients with perforating globe injuries. Methods: This is a prospective, single-center,...

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Treatment of Post-traumatic Hypotony Related to Cyclodialysis Cleft: Our Experience in Two Cases

Treatment of Post-traumatic Hypotony Related to Cyclodialysis Cleft: Our Experience in Two Cases ABSTRACT The Authors present two different surgical approaches in the treatment of hypotony following post-traumatic cyclodyalisis clefts. Cyclodialysis cleft is a rare post-traumatic complication, often difficult to treat, in spite of multiple surgeries. Case reports: A 29 YO male patient developed cyclodialysis cleft after a penetrating...

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Vitrectomy Combined with Continuous Intraocular Injection of Silicone Oil in the Treatment of Early Atrophy of Eyeball

Vitrectomy Combined with Continuous Intraocular Injection of Silicone Oil in the Treatment of Early Atrophy of Eyeball ABSTRACT Objective: To observe and evaluate continuous intraocular injection of silicone oil in treating early atrophy of eyeball. Methods: Compared the pre- and postoperative changes of 5 atrophy eyeball eyes in intraocular pressure,visual activity,axial length and CT scan. All the 5 eyes (5...

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Increase Intraocular Pressure with Trabecular Meshwork Photocoagulation: To Treat or Prevent Hypotony

Increase Intraocular Pressure with Trabecular Meshwork Photocoagulation: To Treat or Prevent Hypotony ABSTRACT Purpose: To evaluate the effect of trabecular meshwork photocoagulation (TMP) in elevation of intraocular pressure to treat or prevent hypotony. Methods: The IOP change of fourteen hypotonic eyes (or about to be hypotonic after silicon oil removal) in fourteen cases was retrospectively analyzed after TMP. Thirteen eyes of them...

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Intraocular Foreign Body Related Endophthalmitis: The Second-look Vitrectomy

Intraocular Foreign Body Related Endophthalmitis: The Second-look Vitrectomy ABSTRACT The management of endophthalmitis associated with retained IOFB is always challenging. With the improvement in surgical techniques, even more eyes are being saved. Visual prognosis is affected by the complexity of confluent factors such as inflammation and features of the foreign body. Furthermore, it also depends on the surgery approach, often difficult...

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Extraction of Intraocular Cilia During Endoscope-Assisted Vitrectomy in 13 Eyes

Extraction of Intraocular Cilia During Endoscope-Assisted Vitrectomy in 13 Eyes ABSTRACT Purpose: To analysis the value of ocular endoscopy in detecting and extracting of intraocular cilia during vitrectomy. Methods: Retrospectively analyze the location and extraction of 31 intraocular cilia in 14 ruptured/penetrated eyes during endoscope assisted vitrectomy, which were undetectable by CT or B-ultrasound before the operation. The corneas...

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Phacoemulsification, Pars Plana Vitrectomy and Metallic Intraocular Foreign Body Removal Through Sclerocorneal Tunnel, Using a Novel Magnet Handshake Technique

Phacoemulsification, Pars Plana Vitrectomy and Metallic Intraocular Foreign Body Removal Through Sclerocorneal Tunnel, Using a Novel Magnet Handshake Technique ABSTRACT Introduction: Intraocular foreign bodies are significantly associated with penetrating injury in 14% to 45% and are important cause for visual loss in young males. Lens injury is not uncommon in these patients. These selected cases have been managed by combined...

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The Claw – A Novel Intraocular Foreign Body Removal Forceps

The Claw – A Novel Intraocular Foreign Body Removal Forceps ABSTRACT Intraocular foreign bodies (IOFBs) have been reported in upto 40% cases of penetrating globe injuries. Removal of large irregular or spherical shaped & non-metallic or non-magnetic IOFBs is challenging in many cases. We introduce a forceps with retractable claw shaped prongs that can be used in such challenging case scenarios. The intrument consists of handle...

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Severe Eye Injuries: The Trouble with Being Late

Severe Eye Injuries: The Trouble with Being Late ABSTRACT The “when” is just as an important question in the surgical intervention for eyes with posterior segment injury as is the “what”. Identifying the ideal timing (staging) of vitreoretinal surgery is thus crucial as the most optimal management strategy is selected. Delaying posterior segment surgery beyond two weeks, which is unfortunately too often seen in the...

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Complete Visual Recovery After Erythropoietin (EPO) IVT Realized 48 Hours Post Central Ischemic Retinal Venous Occlusion: A Full Documented Case Report

Complete Visual Recovery After Erythropoietin (EPO) IVT Realized 48 Hours Post Central Ischemic Retinal  Venous Occlusion: A Full Documented Case Report ABSTRACT We report here the case of a 59-year-old male patient with a stabilized hemochromatosis, victim of Ischemic Central Retinal Venous Occlusion (ICRVO) involvement of the right eye. The ischemic nature and absence of stasis have challenged the anti-VEGF treatment. A treatment...

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Modified Photodynamic Therapy for Management of Juxta-Papillary Capillary Hemangioma

Modified Photodynamic Therapy for Management of Juxta-Papillary Capillary Hemangioma ABSTRACT Juxta-Papillary Capillary Hemangiomas are angiomatous hamartoma occurring sporadically or in association with Von-Hippel Lindau Disease. Progressive visual loss is seen in 65% of eyes with Juxta-Papillary Capillary Hemangioma. Treatment is indicated when Juxta-Papillary Capillary Hemangioma is associated with macular edema, tractional retinal...

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