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Vicious Vitreous

ABSTRACT The vitreous body, the volume of which is between 4 and 5 ml, consists mainly of water and collagen fibers connected with protein bonds. One of the goals of vitreoretinal surgery is the removal of the vitreous. In the case of a healthy vitreoretinal junction, this process usually proceeds without any problems. In some cases when the vitreoretinal junction is pathologically changed for example in the case of diabetic retinopathy,...

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Iatrogenic Retinal Tears During Membrane Peeling Inside the Vascular Arcade

ABSTRACT Introduction: Causing iatrogenic retinal tears during membrane peeling inside the vascular arcade during epiretinal membrane (ERM) or internal limiting membrane (ILM) peeling is a common complication, especially of young VR-surgeons. Method: Retrospective review of all cases with iatrogenic retinal tears during membrane peeling inside the vascular performed by one surgeon (OF) Results: During the membrane peeling in three macular...

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“You’ll Really Need to Concentrate…”

ABSTRACT Three common methods for attempting to attain a specified concentration of intraocular gas will be discussed. The focus will be on the possible basis in physical science or mathematical models for each method to attempt to show the most reliable way of reaching a specified endpoint of intraocular gas concentration. CONTACT DETAILS   Gerhard KOK, Kobus KOK Netcare Montana Private Hospital Pretoria, City of Tshwane...

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Challenges in Management of PVR

ABSTRACT 1-Is scleral buckle is necessary ? 2-Dealing with posterior PVR; ERM peeling, ILM peeling, use of PFCL 3-Dealing with anterior PVR: excision of basal vitreous gel, unimanual & bimanual dissection of peripheral membranes 4-Indications; Timing & technique of retinotomy/retinectomy 5-Dealing with subretinal proliferation 6-Dealing with recurrence through videos, this presentations will try to address challenges facing the...

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Subretinal Triamcinolone : A Case with Changing Fortunes

ABSTRACT A 56 years lady presented with complaint of blurring of vision in her left eye (LE) over 6 months. Her right eye had complicated cataract with glaucomatous optic atrophy. Past history was suggestive of LE recurrent uveitis for which she was on topical prednisolone acetate. On examination of LE, her vision was 6/9 with persistent vitritis and cystoid macular edema. She was subjected to posterior subtenon (PST) injection of 20 mg...

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A Sneaky IOL

ABSTRACT Advantages: We describe a unique case of IOL luxation through a small fragile zonule zone without compromising capsular stability. Our surgical technique allowed the explantation of the luxated posterior-chamber phakic IOL throught a limbal incision, maintaining a good capsular support for the secondary implantation of a new IOL. Methods: A 31-years-old man was referred to our emergency department with a subluxated Phakic...

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