content top

Inflammatory Retinal Detachment

Inflammatory Retinal Detachment EDITED FILM ABSTRACT Episode of uveitis with unknown etiology developed fibrovascular tumor treated with criotherapy. Hemovitreous 2 + developed with self-resolution within the following 30 days. A temporal epiretinal membrane appeared. Observation was decided as many of them release spontaneously with PVD. The membrane developed quick contraction within weeks. Traccional retinal detachment associated with...

Read More

The Size of the IOFB Not Always is Worse

The Size of the IOFB Not Always is Worse EDITED FILM ABSTRACT The management of perforating globe injuries is complex to resolve due to multiple defects of the structures of the eye and because is associated with proliferative vitreoretinopathy. History: A 43-year-old-man was referred for evaluation after ocular trauma in his right eye for being working with a chainsaw cutting wood. Examination: His visual acuities were 20/20 in both...

Read More

The Intraocular Foreign Body – The Steps in Primary Surgery

The Intraocular Foreign Body – The Steps in Primary Surgery EDITED FILM The 25G ppv in 46-year-old type I diabetic patient with vitreal haemorrhage in both eyes The 20G ppv of advanced PVR-retinal detachment 3 weeks after initial ppv with silicon oil endotamponade ABSTRACT The necessity for urgent intraocular foreign body removing is unquestionable. We perform an emergency surgery of subretinal foreign body removal complicated by...

Read More

Treatment of NLP Induced by Explosion on August 12, in Tianjin Harbor

Treatment of NLP Induced by Explosion on August 12, in Tianjin Harbor EDITED FILM ABSTRACT Two eyes of two patients suffered from explosion occurred on August 12, 2015 in Tianjin Harbor. The two injured eyes had vision of no light perception. The ocular wound was sutured tightly and IOP was normal by the injection of Healon into the vitreous cavity in the emergency surgery. The scleral rupture, hyphema, vitreous hemorrhage, retinal and...

Read More

Management of Suprachoroidal Hemorrhage with Concurrent Rhegmatogenous Retinal Detachment

Management of Suprachoroidal Hemorrhage with Concurrent Rhegmatogenous Retinal Detachment EDITED FILM ABSTRACT Presentation: 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...

Read More

ROP Treatment – When Time Matters

ROP Treatment – When Time Matters EDITED FILM ABSTRACT The authors present a movie about the importance of correct screening and timing treatment of ROP. Some clinical cases treated with laser ablation of peripheral retina, intravitreal anti-VEGF and vitrectomy are presented. It is aimed to sensitize ophthalmological community to the impact of good ROP screening and treatment and make an alert to how devastated this disease can...

Read More

IOFB Extraction Use Another One

IOFB Extraction Use Another One EDITED FILM ABSTRACT The goal of our film is to share our experience with IOFB extraction. IOFB extraction is a state of art. The stability and control over IOFB during extraction is a challenge to any surgeon and depends of many factors size, shape, surface and ect. Sometimes we lose it over the retina (macula) creating supplementary trauma. We share our way in such conditions. CONTACT...

Read More

Extreme Surgery in Endophthalmitis Caused by Fusarium

Extreme Surgery in Endophthalmitis Caused by Fusarium EDITED FILM ABSTRACT Purpose: To present the different evolution of two endophthalmitis caused by Fusarium solani, an aggressive filamentous fungus, depending on the medical and surgical treatment performed. Setting: Cornea and Retina Units, Ophthalmology Department, Virgin Macarena University Hospital (Seville, Spain). RETICS OftaRed, Institute of Health Carlos III (Madrid,...

Read More

Macular Detachment – Vitrectomy and Iluvien Fighting – A NGENUITY 3D Capture

Macular Detachment – Vitrectomy and Iluvien Fighting – A NGENUITY 3D Capture EDITED FILM ABSTRACT The authors will present a video of a 23 gauge pars plana vitrectomy (PPV) performed with the NGENUITY 3D Visualization System. The clinical case refers to a type II diabetic patient with a diffuse diabetic macular edema (DME) and a significant submacular detachment/fluid with a concomitant premacular membrane in a background of...

Read More

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) EDITED FILM ABSTRACT A case which had bilateral macular detachment with optic pit was operated with a new technique. 23G PPV, posterior hyaloid removal, Brilliant Blue assited ILM peeling was performed using the Tano diamond dusted scrapper in...

Read More

Inverted Internal Limiting Membrane Technique for Macular Hole Retina Detachment

Inverted Internal Limiting Membrane Technique for Macular Hole Retina Detachment EDITED FILM ABSTRACT Inverted internal limiting membrane (ILM) flap technique has been shown to give superior anatomical closure results when compared to ILM peel techniques in large size macular holes and macular hole retina detachment cases in myopic eyes. In this video case the inverted internal limiting membrane technique is used to seal the macular...

Read More

Uncommon Macular Holes and How to Treat Them

Uncommon Macular Holes and How to Treat Them EDITED FILM ABSTRACT The video presents the inverted ILM flap technique for unusual macular holes: persistent macular holes lasting up to five years after successful vitrectomy for rhegmatogenous retinal detachment, were treated with the inverted ILM flap technique. Nonproliferative and proliferative diabetic retinopathy cases with macular hole are presented. Myopic retinal detachment macular...

Read More

Eye Contusion with Scleral Rupture

Eye Contusion with Scleral Rupture EDITED FILM ABSTRACT Eye contusion with large scleral rupture below lateral rectus muscle. The video shows the globe injury with scleral suture and choroid hernia reparation in a first surgery. Secondly, in a delated surgery, the vitrectomy of a dense vitreous hemorrhage and reattachment of a large retinal detachment with sub retinal hemorrhage. CONTACT DETAILS   Jorge Mataix Valencia,...

Read More

Enzimatic Vitreolysis: Surgical Findings in Unsuccessful Cases

Enzimatic Vitreolysis: Surgical Findings in Unsuccessful Cases EDITED FILM 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/ or closure of macular holes (MH)...

Read More

Anterior Hyaloid or Moon Surface?

Anterior Hyaloid or Moon Surface? EDITED FILM ABSTRACT The authors present the case of a 45 years old female that presented to our emergency room with left eye acute painless vision loss for two days. The ophthalmological examination revealed a visual acuity of 2/10 and an intraocular pressure of 10 mmHg. The anterior chamber, the iris and the pupil didn’t present any abnormalities. The observation of the retina after dilation of...

Read More

Slurry Kenalog: How to Concentrate Triamcinolone Acetonide for Intraocular Injection, a Lower Cost, Quick and Easy Alternative for Long-term Intraocular Steroid Delivery

Slurry Kenalog: How to Concentrate Triamcinolone Acetonide for Intraocular Injection, a Lower Cost, Quick and Easy Alternative for Long-term Intraocular Steroid Delivery EDITED FILM ABSTRACT Slurry Kenalog (centrifuge concentrated triamcinolone acetonide 40mg/0.1ml) is an easily reproducible, safe and cost effective alternative to long term intraocular steroid delivery. This video demonstrates how to concentrate triamcinolone acetonide...

Read More

Pearl From Treasure of Retina

Pearl From Treasure of Retina EDITED FILM ABSTRACT 19 year old female,third trimester,only eye ,vision PL+,Megalo cornea,non dilating pupil,aphakic eye,dislocated cataractous lens,retinal dialysis,giant retinal tear. 360 encircling buckle ,iris hooks placed,23 gauge PPV ,PVR peel done,vitreous base shaved,AFO exchange done with 5000cs silicone oil. .Post operative first follow up, retina flat ,vision improved from PL+ to 6/24. CONTACT...

Read More

A Case of Endophthalmitis When Vitrectomy is Required

A Case of Endophthalmitis When Vitrectomy is Required EDITED FILM ABSTRACT 87 old lady presented to the eye causality with painful red eye with loss of vision in her only eye. She had a past history of penetrating keratoplasty in that eye & previous history of angle closure glaucoma. She was treated at the beginning as graft rejection. Then she developed Corneal ulcer for which she had corneal scrape which confirmed later she had...

Read More

Treatment of Choroidal Disinsertion

Treatment of Choroidal Disinsertion ABSTRACT The video shows a possible treatment when the choroid is not only detached but disinserted from the pars plana. CONTACT DETAILS   Barbara Parolini Verona, Italy Email : parolinibarbara@gmail.com Cell Phone: +393477431940 Work Phone:...

Read More

Eye Reconstruction: No Limit

Eye Reconstruction: No Limit EDITED FILM ABSTRACT The video shows the reconstruction of an eye that seemed completely lost after trauma with corneal transplant explosion. CONTACT DETAILS   Barbara Parolini Verona, Italy Email : parolinibarbara@gmail.com Cell Phone: +393477431940 Work Phone:...

Read More

Free ILM Flap Technique Under PFCL for Recurrent and Difficult Macular Holes

Free ILM Flap Technique Under PFCL for Recurrent and Difficult Macular Holes EDITED FILM ABSTRACT This video describes a perfluoro-n-octane (PFO) assisted autologous internal limiting membrane (ILM) transplantation technique for difficult macular hole (MH) cases. We harvest a free ILM flap and transplant it into the MH under a PFO bubble. The time, at which PFO is injected, the extent of coverage of PFO and the sequence of fluid air...

Read More

Do Not Underestimate PFV

Do Not Underestimate PFV EDITED FILM ABSTRACT This video demonstrates an unnoticed problem in anterior PFV cases: elongation of the peripheral retina across pars plicata till the equator of the lens. This elongated retina is sometimes continuous with the fibrovascular membrane at the back of the lens. This anatomical variation may cause some retinal complications like RRD during surgery. When you excise the fibrovascular membrane...

Read More

To Present How a Soemmerring Ring Was Removed from the Vitreous Cavity When the Cutter and Forceps Failed to Do So

To Present How a Soemmerring Ring Was Removed from the Vitreous Cavity When the Cutter and Forceps Failed to Do So EDITED FILM ABSTRACT Purpose: To present how a Soemmerring ring was removed from the vitreous cavity when the cutter and forceps failed to do so. Setting / Venue: Department of Ophthalmology, Musgrove Park Hospital, Taunton, UK Methods: In a previously vitrectomised pseudophakic eye, the intraocular lens (IOL) was found to...

Read More

Dual Accommodating Lens Goes South and Retina Goes North

Dual Accommodating Lens Goes South and Retina Goes North EDITED FILM ABSTRACT Purpose: To present for the first time a case of dual accommodating IOL dislocation and retinal detachment following Yag laser capsulotomy and its vitreo-retinal surgical repair. Setting / Venue: West of England Eye Unit, Royal Devon and Exeter Hospital, UK Methods: This patient had a Yag capsulotomy that resulted in the lens partially subluxing into the...

Read More

Optic Pit: How to Deal with a Stubborn ILM Flap?

Optic Pit: How to Deal with a Stubborn ILM Flap? EDITED FILM ABSTRACT Introduction: Optic pits (OP) are congenital defects in the development of the primitive papilla, that course with macular edema in 25-75% of cases. This results from liquid evading the vitreous or subarachnoid space, through the pit and into the macula. Vitreous traction also plays a major role in the pathogenesis of OP-related maculopathy. Vitrectomy with posterior...

Read More

A Useful Intralenticular Foreign Body

A Useful Intralenticular Foreign Body EDITED FILM ABSTRACT Purpose: To report the case of a fifty-one-year-old man with right cystoid macular edema (CME), following a superior branch retinal vein occlusion a month before, that presented to our institution with a dexamethasone intravitreal implant lodged in the lens. Methods: Case report fully documented through clinical records, anterior and posterior segment digital photography,...

Read More

What Lies Beneath ??

What Lies Beneath ?? EDITED FILM ABSTRACT This video presents a case of Perforating eye injury presenting with vitreous haemorrhage and an intraocular foreign bod following a blast injury. The video shows the localisation of a very large sub retinal wire is identified superiorly with intact retinal on top. The extent and size of the IOFB is only revealed after performing a large superior retinectomy. Bimanual extraction of the huge wire...

Read More

Surprise, Surprise. It is Sub ILM

Surprise, Surprise. It is Sub ILM EDITED FILM ABSTRACT 16 Year old boy presented with sudden loss vision in the right eye one month earlier. He denied any history of trauma. The vision was perception of light. The anterior segment was quiet. The vitreous was turbid with yellowish discolouration. An initial diagnosis of posterior uveitis with severe retinitis. Pars plana vitrectomy was performed and after removal of the turbid vitreous a...

Read More

Subretinal tPA+ Subretinal Pneumatic Displacement of Large Submacular Hematomas

Subretinal tPA+ Subretinal Pneumatic Displacement of Large Submacular Hematomas EDITED FILM ABSTRACT Large submacular haemorrhage poses a serious threat to vision. The aetiology of sub macular haemorrhage is diverse. The presentation reports on five cases with large sub macular haematomas seriously affecting vision. Two eyes were post traumatic, one idiopathic and two secondary to AMD. Parsplana vitrectomy was performed followed by sub...

Read More

Bilateral Simultaneous Retinal Detachment following Bilateral Simultaneous Phakic IOL Implants

Bilateral Simultaneous Retinal Detachment following Bilateral Simultaneous Phakic IOL Implants EDITED FILM ABSTRACT Aim: To report on a peculiar incident of bilateral simultaneous retinal detachments with giant retinal tears two weeks following bilateral simultaneous ICL implantation. Patients: A female patient aged 18 years presented with loss of vision one day apart two weeks following bilateral phakic IOl implantation to correct high...

Read More

Subfoveal PFCL Bubbles in Myopic Eye with Posterior Staphyloma

Subfoveal PFCL Bubbles in Myopic Eye with Posterior Staphyloma EDITED FILM ABSTRACT This a case of subfoveal PFCL bubbles complicating 1ry vitrectomy in a myopic eye with posterior staphyloma. Using 41G hydrodissection cannula, BSS was slowly infused into the sub retinal space detaching the retina at the around the fovea. The retina was struck with a soft tip over the PFCL bubble to dislodge them. The sub retinal fluid was aspirated...

Read More

Rhegmatogenous RD Complicating Boston Keratoprosthesis, Type 1, Aphakic Module

Rhegmatogenous RD Complicating Boston Keratoprosthesis, Type 1, Aphakic Module EDITED FILM ABSTRACT The videos is demonstrating difficulties encountered in doing vitrectomy for RRD + PVR occurring in an eye with Boston keratoprosthesis. This is the only eye of 60 year old lady with severe dry eye. She underwent previous reconstruction of the fornices and implantation of Boston keratoprosthesis type 1, aphasic module with postoperative...

Read More

Hinged ILM Flap Technique for Repair of Failed Macular Hole Surgery

Hinged ILM Flap Technique for Repair of Failed Macular Hole Surgery EDITED FILM ABSTRACT This a case of failed macular hole surgery complicated with retinal detachment. Following BB staining, the ILM was found peeled around the hole. The technique involved peeling 2 strips for ILM, from above & below the hole, injection of PFCL bubble to guide the ILM flaps over the hole, detaching the flaps from their bases and brought over the...

Read More

Extensive Subretinal Proliferation Complicating Traumatic RRD

Extensive Subretinal Proliferation Complicating Traumatic RRD EDITED FILM ABSTRACT This a case of perforating trauma complicated with RRD & extensive sub retinal proliferation. Following 23G vitrectomy, posterior hyaloid and ILM peeling, peripheral 360 degrees retinotomy was performed. The retina was inverted and using 2 forceps, the extensive subretinal strand and sheets were dissected. The retinal was attached with PFCL, 360...

Read More

Pediatric Ocular Penetrating Trauma: A Multi-step Approach

Pediatric Ocular Penetrating Trauma: A Multi-step Approach EDITED FILM ABSTRACT Ocular trauma still represent an important problem wiht high social impact due to its incidence and possible consequences, predominantly affecting young people in the prime of social, recreational and professional life. Any visual, functional and aesthetical impairment lead to a socio-economic damage and psychological impact with quality of life reduction....

Read More

Don’t Underestimate Ultrasonography

Don’t Underestimate Ultrasonography EDITED FILM ABSTRACT CONTACT DETAILS   Piotr Fryczkowski Warsaw, Poland Email : p.fryczkowski@retina.pl Cell Phone: +48509691497 Work Phone:...

Read More

Il Gattopardo 2 (The Leopard’s Second Eye)

Il Gattopardo 2 (The Leopard’s Second Eye) EDITED FILM ABSTRACT I’m presenting the story of a patient that was injuried during hunting. He had very high myopia, already pseudophakic with a -1.0 D IOL, wearing glasses during hunting, when was hitten in the right eye by several birdshots, resulting in severe penetrating open-globe trauma with large corneal wound, iris laceration, vitreous haemorrage with retinal detachment and...

Read More

Spider IOL

Spider IOL EDITED FILM ABSTRACT The authors aim to describe a surgical technique for management of eyes without adequate capsular support, by implantation of a four-haptic hydrophilic acrylic foldable intraocular lens (IOL), Bausch & Lomb AKREOS Adapt AO® with a transscleral knotless zigzag suture. Surgical technique consists in small gauge pars plana vitrectomy, small corneal incision (between 2,0 mm and 2,4 mm) for iOL...

Read More

Choroidal Haemangioma. Vitrectomy Approach when PDT Fails

Choroidal Haemangioma. Vitrectomy Approach when PDT Fails EDITED FILM ABSTRACT Choroidal haemangioma is a very rare condition, the first line treatment in this condition is PDT (in one or several sessions) but when it fails the treatment there are several alternatives like radiotherapy, TTT, protonbeam therapy or laser,but they have no very good results. We propose new surgical approach making vitrectomy with intraocular diathermy into...

Read More

Severe PVR Repair in a Globe Rupture Case

Severe PVR Repair in a Globe Rupture Case EDITED FILM ABSTRACT Severe eye injuries are potentially devastating for vision, but vitreoretinal surgery can improve anatomical and functional outcomes. In this video, a globe rupture related severe proliferative vitreoretinopathy (PVR) is repaired by 23 gauge pars plana vitrectomy, subretinal and preretinal membrane removal, relaxing peripheral retinotomy, and silicone oil...

Read More

PPV in a Case with Endophthalmitis Complicated with Retinal and Choroidal Detachment

PPV in a Case with Endophthalmitis Complicated with Retinal and Choroidal Detachment EDITED FILM ABSTRACT Acute endophthalmitis following intravitreal injections of anti-VEGF agents is an uncommon but potentially devastating complication. Twenty-three gauge PPV was performed in a case with endophthalmitis after intravitreal anti-VEGF injection complicated with nucleus drop, retinal and hemorrhagic choroidal detachment. Optic atrophy,...

Read More

Intraocular Foreign Bodies: Challenging Cases

Intraocular Foreign Bodies: Challenging Cases EDITED FILM ABSTRACT Advances in vitreoretinal surgery have allowed more successful treatment of ocular injuries with retained intraocular foreign bodies (IOFBs). Timely and appropriate management often leads to favorable anatomic outcomes with restoration of good visual function in the majority of cases. In this presentation, a variety of surgical approaches in different types, location and...

Read More

Fibrin-glue Assisted Scleral IOL Fixation in a Traumatic Crystalline Lens Drop Case

Fibrin-glue Assisted Scleral IOL Fixation in a Traumatic Crystalline Lens Drop Case EDITED FILM ABSTRACT In this video , 23 gauge transconjunctival pars plana vitrectomy followed by fibrin glue assisted intrascleral sutureless implantation of a three piece foldable acrylic IOL is presented in a patient with traumatic posterior dislocation of the crystalline lens. CONTACT DETAILS Tansu Erakgun Izmir, Turkey Email :...

Read More

Inner Limitant Autotransplant for a Persistant Big Macular Hole

Inner Limitant Autotransplant for a Persistant Big Macular Hole EDITED FILM ABSTRACT A big and chronic macular hole is difficult to get close after a vitrectomy (ppv), but the percentage of closure decreases enormously if it has been operated before. This is a 68 years old woman that was referred from her hospital with a big macular hole after two previous vitrectomies, last one six months ago. We performed a 23G new ppv. As we were not...

Read More

Anterior Segment Complications – Multiple Solutions

Anterior Segment Complications – Multiple Solutions EDITED FILM ABSTRACT The authors present the posterior segment approach for solving anterior segment complications in cataract surgery. From retro-pupillary iris-claw IOLs, to modified glued IOL technique or improvised scleral suspension with normal “in-the-bag” IOLs. The authors show their tricks and also the pros and cons for each technique. CONTACT...

Read More

Extraocular Needle Guided Haptic Insertion Technique of Scleral Fixation Intraocular Lens Surgeries (X-NIT)

Extraocular Needle Guided Haptic Insertion Technique of Scleral Fixation Intraocular Lens Surgeries (X-NIT) ABSTRACT Purpose: Various techniques in SFIOL surgeries have been described for fixation of haptics once exteriorized but the major challenge lies in safe complication free exteriorization of haptics in the first place. In this video, we demonstrate a new technique (XNIT) where the exchange of haptics from one instrument to another...

Read More

Late Blebitis and Early Endophthalmitis Post Cataract Surgery: Report of a Case

Late Blebitis and Early Endophthalmitis Post Cataract Surgery: Report of a Case EDITED FILM ABSTRACT Purpose: To describe a case with late Blebitis and acute Endophthalmitis after cataract surgery. Methods: Female 70 years old, left eye loss 2 years ago due to glaucoma after cataract surgery. One year ago trabeculectomy is done on the right eye. Decreased visual acuity after surgery VA 20/60. Cataract Surgery March 2017 by...

Read More

Novel Technique for Subretinal Fluid Drainage with Chandelier Assisted Scleral Buckle Surgery: Cannula Controlled Drainage

Novel Technique for Subretinal Fluid Drainage with Chandelier Assisted Scleral Buckle Surgery: Cannula Controlled Drainage EDITED FILM ABSTRACT Purpose: To report a novel technique for subretinal fluid drainage in scleral buckle surgery using 3D viewing system. Methods: A 26-gauge intravenous (IV) cannula with its needle was used to puncture the sclera then the needle (metallic part) was withdrawn to further introduce the cannula into...

Read More

Pars Plana Vitrectomy With ILM Peeling for the Management of Retinal Detachment With Proliferative Vitreoretinopathy

Pars Plana Vitrectomy With ILM Peeling for the Management of Retinal Detachment With Proliferative Vitreoretinopathy EDITED FILM ABSTRACT A proper surgical technique with complete vitrectomy and releasing all tractions is mandatory for the surgical management of PVR. In this video surgical maneouvers like ILM peeling under HPFCL, subretinal membrane extraction, relaxing retinotomy are demonstrated in detached eyes with PVR. CONTACT...

Read More

Argus II Epiretinal Prosthesis System Implantation in an End-stage Retinitis Pigmentosa with Adherent Posterior Hyaloid – First Experience in Turkey

Argus II Epiretinal Prosthesis System Implantation in an End-stage Retinitis Pigmentosa with Adherent Posterior Hyaloid – First Experience in Turkey EDITED FILM ABSTRACT Argus II Epiretinal prosthesis implant surgery is indicated in patients with end-stage retinitis pigmentosa with bilateral vision of hand motion, or light perception only. In this video, the very first implantation surgery in a 46-yr-old woman is demonstrated. In...

Read More
content top