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Dealing with Corneal Opacity in Severe Endophthalmitis

Dealing with Corneal Opacity in Severe Endophthalmitis ABSTRACT Severe endophthalmitis with corneal opacity that was treated by combined penetrating keratoplasty using temporary keratoprosthesis and pars plana vitrectomy (PPV). The QPT, implemented after trepanation of the opaque cornea, vitreoretinal surgery allows a correct visualization of intraocular structures. Once the vitreo-retinal surgery has been completed, the keratoprosthesis...

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Silicone Oil in the Surgical Management of Endophthalmitis

Silicone Oil in the Surgical Management of Endophthalmitis ABSTRACT Purpose: A randomized prospective study was designed to determine the role of silicone oil in the surgical management of endophthalmitis. Methods: The study subjects were 42 patients in whom clinical signs of endophthalmitis developed within 6 weeks of cataract surgery (phacoemulsification) or secondary lens implantation. All patients had advanced, severe endophthalmitis....

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Vitrectomy for Endophthalmitis in 119 Eyes at Ophthalmic Hospital of Rome (Italy) from 2011 to 2016

Vitrectomy for Endophthalmitis in 119 Eyes at Ophthalmic Hospital of Rome (Italy) from 2011 to 2016 ABSTRACT Purpose: This is a prospective study to evaluate the causes and the outcomes of endophthalmitis arrived at the First Aid of the Ophthalmic Hospital of Rome between January 2011 and December 2016. We search the germs involved, we analysed the time between the diagnosis and the surgical treatment and we have evaluated the final...

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Prompt Pars Plana Vitrectomy for Exogenous Endophthalmitis May Bring Back Useful Function in More Than 60% of Cases

Prompt Pars Plana Vitrectomy for Exogenous Endophthalmitis May Bring Back Useful Function in More Than 60% of Cases ABSTRACT Between January1, 2012 ans December 31. 2016, we treated 16 cases of exogenous endophthalmitis with prompt pars plana vitrectomy and intraocular antibiotics. 10 cases occurred after intravitreal injection of anti-VEGF, 5 after cataract surgery and 1 after traumatic rupture of a PKP. 14 of the postoperative cases...

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Primary Vitrectomy (MIVS) for Resistant-pseudomonas Cluster Endophthalmitis: Consecutive Nine Surgeries on a Single Day

Primary Vitrectomy (MIVS) for Resistant-pseudomonas Cluster Endophthalmitis: Consecutive Nine Surgeries on a Single Day ABSTRACT Purpose: To demonstrate the surgical techniques and describe outcomes of 23-G vitrectomy in acute cluster endophthalmitis. Methods: Nine eyes with acute post-cataract endophthalmitis (1 days) underwent primary 23-G vitrectomy with meticulous anterior chamber (AC) cleaning and intravitreal antibiotics on the same...

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Vitrectomy for Postoperative Endophthalmitis: Surgical Pearls

Vitrectomy for Postoperative Endophthalmitis: Surgical Pearls ABSTRACT Endophthalmitis is the most devastating postoperative complication following intraocular surgery. Its incidence is low, but it is not zero, even if the most efficient prophylactic measures are employed. The Endophthalmitis Vitrectomy Study (EVS) recommended that surgery be done only in exceptional cases (visual acuity of light perception), but this conclusion can be...

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What Has Changed Since EVS ? “UK Experience”

What Has Changed Since EVS ? “UK Experience” ABSTRACT The Endophthalmitis Vitrectomy Study (EVS) has strongly influenced the management of acute postoperative endophthalmitis since the release of its findings in 1995. In this presentation, we aim to discuss the evidence-based update in Endophthalmitis Management & what has changed since EVS. Endophthalmitis eyes are usually hot inflamed with poor visualisation of the...

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Intracameral Cefuroxime in Combined Pars Plana Vitrectomy and Phacoemulsification

Intracameral Cefuroxime in Combined Pars Plana Vitrectomy and Phacoemulsification ABSTRACT Background: Post-operative endophthalmitis is a severe complication after intraocular surgery. Aim of this pilot study is to investigate the safety and efficacy of intracameral cefuroxime in combined vitrectomy and phacoemulsification for cataract and various vitreoretinal diseas. Methods: Seventy-six charts of 76 patients who underwent combined...

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Influence of Topical Ofloxacin Following Intravitreal Anti-VEGF Injections on Endophthalmitis Rates

Influence of Topical Ofloxacin Following Intravitreal Anti-VEGF Injections on Endophthalmitis Rates ABSTRACT Introduction: The West of England Eye Unit was the first unit in the United Kingdom to introduce nurse practitioners performing intravitreal anti-VEGF injections. The initial protocol was for patients to have Ofloxacin drops prescribed 4 times a day for 5 days following the injection. The evidence base for this practice is limited...

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Endogenous Endophthalmitis in the American and Korean Population: An 8-year Retrospective Study

Endogenous Endophthalmitis in the American and Korean Population: An 8-year Retrospective Study ABSTRACT Purpose: To study the clinical features of endogenous endophthalmitis (EE) in sample patient populations from the USA and South Korea over an 8-year period. Methods: We reviewed data from 128 eyes of 60 American and 48 Korean patients diagnosed with EE and compared their clinical characteristics. Results: Fungemia and liver abscess...

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An Outbreak of Postsurgical Endophthalmitis Due to Contaminated Carbachol Solution

An Outbreak of Postsurgical Endophthalmitis Due to Contaminated Carbachol Solution ABSTRACT In a period of 4 months our institution experienced an outbreak of 8 cases of post surgical endophthalmitis after uncomplicated cataract surgery by four different surgeons. Six cases were after phacoemulsification and two cases after extracapsular cataract extraction. Prophylactive intracameral antibiotic had been used in all cases. One case was in...

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Acute Endophthalmitis After Cataract Surgery from 2007 to 2015; Causative Organisms, Antibiotic Sensitivity and Visual Outcome

Acute Endophthalmitis After Cataract Surgery from 2007 to 2015; Causative Organisms, Antibiotic Sensitivity and Visual Outcome ABSTRACT Purpose: To evaluate the clinical characteristics, culture results, antibiograms and visual acuity outcomes of eyes with acute endophthalmitis after cataract surgery. Design: Retrospective consecutive case series. Subjects: 126 eyes of 126 patients who presented to a tertiary referral centre in the...

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Culture Positive Infectious Endophthalmitis Associated with Intravitreal Injection Treated at the Bascom Palmer Eye Institute: A 9-year Study

Culture Positive Infectious Endophthalmitis Associated with Intravitreal Injection Treated at the Bascom Palmer Eye Institute: A 9-year Study ABSTRACT Purpose: To report the clinical features, medications utilized, causative organisms, and visual acuity (VA) outcomes in patients with intravitreal injection associated endophthalmitis over the past decade. Design: Retrospective case series. Methods: Clinical and microbiology records were...

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Management of Needling Endoephthalmitis in Children Visual Outcome and Prognosis

Management of Needling Endophthalmitis in Children Visual Outcome and Prognosis ABSTRACT Material & Methods: Twenty five cases of needling endophthalmitis, patient ages (2-6 years) were analysed to determine visual outcome after management. Pars plana vitreoctomy and lensectomy were performed in all cases. Results: Visual acuity of 20-200 or better in 8 cases, 7 cases had vision cf 2m or less, 10 cases developed phthisis...

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An Outbreak of Post-cataract Surgery Cluster Endophthalmitis Due to Pseudomonas Aeruginosa

An Outbreak of Post-cataract Surgery Cluster Endophthalmitis Due to Pseudomonas Aeruginosa ABSTRACT Endophthalmitis, defined as inflammation of one or more coats of the eye and adjacent cavities, is an uncommon potentially sight-threatening condition that varies geographically in incidence and in cause. Postoperative endophthalmitis after cataract surgery is damaging, because it can lead to permanent vision loss. Cluster endophthalmitis...

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A Retrospective Study of Serial Endophthalmitis in Ukraine

A Retrospective Study of Serial Endophthalmitis in Ukraine ABSTRACT Purpose: To analyze rate, causes, therapeutic approaches and complications of serial endophthalmitis in Ukraine. Methods: A retrospective study of 4 episodes of serial endophthalmitis from 4 different clinics in the period of time from 1996 till 2016 was performed. The series consisted of 12, 22, 3 and 24 cases of postoperative endophthalmitis. Case series were studied...

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Endophthalmitis Management: A Uveitis/ Retina Specialist Perspective

Endophthalmitis Management: A Uveitis/ Retina Specialist Perspective ABSTRACT The Endophthalmitis Vitrectomy Study (EVS) has recommended that intravitreal antibiotics should be the standard of care for acute endophthalmitis occurring after cataract surgery and that benefit of early vitrectomy surgery this context is limited. However, with the recent advances in vitrectomy surgery techniques, there has been an increased interest in...

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Intravitreal Caspofungin in the Treatment of Fungal Endophthalmitis

Intravitreal Caspofungin in the Treatment of Fungal Endophthalmitis ABSTRACT Capsofungin is a recently introduced, synthetic antimycotic drug with excellent efficiency against candida and aspergillus species. For intravenous use less side effects were reported compared to Amphotericin B. In retinal cell cultures and in animal eyes, Capsofungin showed relatively low toxicity. In this case series we used intravitreal Capsofungin to treat...

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Standard IVI Technique as a Risk Factors for Postoperative Endophthalmitis: Vitreous Contamination Due to Injection of Cellular Content of Ocular Tissues Cut by the Needle Tip

Standard IVI Technique as a Risk Factors for Postoperative Endophthalmitis: Vitreous Contamination Due to Injection of Cellular Content of Ocular Tissues Cut by the Needle Tip ABSTRACT Purpose: Intravitreal injections (IVI) have associated risk of intraocular inflammation, and considered to be the main cause of intraocular septic and aseptic reaction. The mechanism of vitreous contamination is not studied well. Our purpose was to discover...

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A Great Mimicker: Endophthalmitis or TASS Syndrome ?

A Great Mimicker: Endophthalmitis or TASS Syndrome ? ABSTRACT Toxic Anterior Syndrome (TASS) is a rare sequela of uncomplicated anterior segment surgery. TASS is an acute sterile anterior chamber inflammatory reaction which develops 12-48 hours after intra-ocular surgery and corresponds to the activation of the inflammatory cascade in response to foreign substances introduced into the eye during surgery, such as bacterial endotoxins or...

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An Unusual Cluster of Toxic Anterior Segment Syndrome

An Unusual Cluster of Toxic Anterior Segment Syndrome ABSTRACT Background: Toxic anterior segment syndrome (TASS) is a sterile inflammation of the anterior chamber of the eye. An outbreak of TASS was recognized at an outpatient surgical center and its affiliated hospitals after uncomplicated phacoemulsification cataract surgery or combined phaco-vitrectomy surgery between July 2016 and November 2016. Objectives: To present clinical...

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TASS and Endophthalmitis

TASS and Endophthalmitis ABSTRACT CONTACT DETAILS   Ron Adelman New Haven, CT, USA Email:...

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Last Chance for Treatment of Hypotony: Anterior Encircling Scleral Band

Last Chance for Treatment of Hypotony: Anterior Encircling Scleral Band ABSTRACT Hypotony is usually a consequence of ciliary body trauma, ciliary detachment, ciliary membranes secondary to PVR or endophthalmitis or multible VRS. Here we present 2 cases of hypotonia secondary to endopthalmitis related thick ciliary membranes. They have been operated multible times with the attempts for ciliary membrane peeling without any success. Finally...

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Ocular and Neurologic Manifestations of Takayasu Arteritis

Ocular and Neurologic Manifestations of Takayasu Arteritis ABSTRACT Takayasu arteritis is a rare chronic inflammatory arteritis asssociated with ocular and neurologic manifestations. 2 case reports of patients with angiographic diagnosis of Takayasu’s arteritis are presented. Case 1: Miss ZS is a 21 year old black female who presented with headaches, syncope and aphasia. She showed signs of bilateral ocular ischaemic syndrome,...

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Management of Suprachoroidal Hemorrhage with Concurrent Rhegmatogenous Retinal Detachment

Management of Suprachoroidal Hemorrhage with Concurrent Rhegmatogenous Retinal Detachment ABSTRACT Diagnosis/Main Symptom: Severe pain and loss of vision in left eye after fall Medical History: 86-year-old monocular female with congenital syphilis resulting in multiple ophthalmic surgeries and NLP vision in her right eye presented with severe 10/10 pain in her left eye (OS) and loss of vision after a fall. Her ophthalmologic history...

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Eye’s Injury by Paintball

Eye’s Injury by Paintball ABSTRACT Diagnosis: Right eye’s (RE) injury by paintball, during the weekend. The patient arrived at the emergence room with a lot of pain and vision of light perception in RE. He was immediately submitted to surgery and the vision and the pain improved, but not enough. Medical History: F.A.F, male, 21 years old, eight months ago suffered right eye injury by paintball, as soon as he removed his protection...

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Chickenpox Related Bilateral Ischemic Retinal Vasculopathy in an Immunocompetent 17 Year Old Male – A Rare Presentation

Chickenpox Related Bilateral Ischemic Retinal Vasculopathy in an Immunocompetent 17 Year Old Male – A Rare Presentation ABSTRACT Ocular involvement after primary infection with varicella zoster virus is very rare. We report a case of a healthy 17-year-old man who presented with bilateral ischemic retinal vasculitis 15 days after the onset of chickenpox. Medical History: Two weeks after onset of the cutaneous vesicular eruptions, he...

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Prophylactic and Late Chorioretinectomy for Severe Ocular Trauma

Prophylactic and Late Chorioretinectomy for Severe Ocular Trauma ABSTRACT Proliferative vitreoretinopathy (PVR) and the development of full-thickness retinal folds (“PVR stage 0”) are major, sight-threatening complications of severe eye injuries with an incidence that can reach up to 89%. No effective pharmaceutical therapy exists to deal with either complication, and the prognosis of surgery for PVR is usually very poor, both for...

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Am I a Good Surgeon ? Evaluation of the Outcomes of Retinal Detachment Surgery in the North of Sweden

Am I a Good Surgeon ? Evaluation of the Outcomes of Retinal Detachment Surgery in the North of Sweden ABSTRACT Objective: To evaluate the outcomes of rhegmatogenous retinal detachment surgery. Design & Method: Since 2011, all primary rhegmatogenous retinal detachment surgeries performed at the vitreoretinal center in Umea, Sweden are quality controlled. Variables of interest are the experience of the surgeon doing the operation, the...

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Use of Single-piece “ Sutureless Scleral Suspension IOL” in a Post-traumatic Aphakia Case

Use of Single-piece “ Sutureless Scleral Suspension IOL” in a Post-traumatic Aphakia Case ABSTRACT The damage of capsular bag and zonular fibers can be complication of cataract surgery or ocular trauma. There are several options for surgical management of Aphakia conditions when the capsular support is inadequate or absent. This condition can be addressed in the primary or secondary surgery (1).The traditional secondary IOL...

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Vitrectomy for Advanced Proliferative Diabetic Retinopathy – A Practical Approach

Vitrectomy for Advanced Proliferative Diabetic Retinopathy – A Practical Approach ABSTRACT Objectives: To provide young vitreoretinal surgeons with a practical approach to vitrectomy for advanced proliferative diabetic retinopathy. Design and Methods: At Groote Schuur hospital, University of Cape Town, 50% of all vitrectomies performed in the unit are for the complications of diabetes. Present limitations in primary and secondary...

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Myopic Traction Maculopathy: Follow-up and Treatment

Myopic Traction Maculopathy: Follow-up and Treatment ABSTRACT Principles regulating manifestations and progression of MTM will be discussed, together with the personal surgical approach. CONTACT DETAILS Giacomo Panozzo Verona, Italy Email : g.panozzo@iol.it Cell Phone: +393483365239 Work Phone:...

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Myopic Schisis and Vitreomacular Traction

Myopic Schisis and Vitreomacular Traction ABSTRACT Myopic Schisis associated with epirretinal membrane and vitreomacular traction may develop over time. Peeling of ILM may address definitive resolution in this cases. On the other hand accidental macular hole or incomplete resolution of the schisis may occur. My Cases: I aim to present one case of macular schisis associated with epirretinal membrane and a second case of macular schisis...

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ILM Peeling Across Posterior Staphyloma & ILM Inverted Flap in Myopic MHRD: Technique & Results

ILM Peeling Across Posterior Staphyloma & ILM Inverted Flap in Myopic MHRD: Technique & Results ABSTRACT To evaluate the efficacy of ILM inverted flap & ILM peeling to the edge of the posterior staphyloma in treatment of myopic macular hole RD. Prospective & interventional case series. 32 eyes with myopic MHRD, all with posterior staphyloma & axial length ranging between 28.4 – 34.3 mm. underwent 23/25G...

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11:30 – 20:00 Booth Dismantling

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13:30 – 14:00 Discussion EVRS Endophthalmitis Study

Giampaolo Gini Italy / UK Email : giampaolo.gini@gmail.com

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12:30 – 13:30 EVRS Endophthalmitis Study

Giampaolo Gini Italy / UK Email : giampaolo.gini@gmail.com

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11:00 – 11:30 Morning Break

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07:00 Registration Opens

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What Retinal Specialists Should Know About Intracameral Antibiotics During Cataract Surgery

What Retinal Specialists Should Know About Intracameral Antibiotics During Cataract Surgery ABSTRACT CONTACT DETAILS Harry W. Flynn, Jr., M.D. Professor of Ophthalmology The J. Donald M. Gass Distinguished Chair in Ophthalmology Bascom Palmer Eye Institute UHealth – University of Miami Health System Office: +13053266118 Email:...

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