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2018 Wetlab Courses organised with the company mts

GENERAL INFORMATION There will be 12 wet lab stations. A variety of V/R machines will be available. Specifically: 12 working stations incl. microscopes 12 biom systems all necessary disposables products 12 instrument sets technical assistance during the wetlab (4 days, 4 staff members) 2 shipments of fresh pigs eyes artificial eyes  Both pigs’ eyes as well as artificial eyes will be used. Each session will last 150 minutes and will have...

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25 Gauge Vitrectomy with Expansive Gas Tamponade for Rhegmatogenous Retinal Detachment/ Experienced Versus Beginner Surgeo

ABSTRACT Purpose: To compare the anatomical and functional results and complication rate of 25 gauge pars plana vitrectomy (25g PPV) with expansive gas tamponade for rhegmatogenous retinal detachment (RRD) between experienced and beginner surgeon. Setting: Department of Ophthalmology, University Hospital Kralovske Vinohrady, Prague, Czech Republic. Methods: Retrospective, comparative, single centre consecutive case series study. Patients...

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Anterior Chamber Depth Changes at Different Stages of Treatment of Eyes with Rhegmatogenous Retinal Detachment Complicated by Ciliochoroidal Detachment

ABSTRACT Purpose: To reveal the possibility of a connection between the anterior chamber depth of eyes of with rhegmatogenous retinal detachment (RRD) complicated by ciliochoroidal detachment (CCD), the clinical characteristics of the disease and the nature of its changes at different stages of treatment. Setting: Rhegmatogenous retinal detachment (RRD) in 0.5 – 4.5% of cases is complicated by ciliochoroidal detachment (CCD),...

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Neurotrophic Keratopathy Following Retinal Detachment Surgery Combined with Endolaser Photocoagulation

ABSTRACT We report a series of 3 cases with neurotrophic keratopathy after pars plana vitrectomy combined with endolaser photocoagulation. Three patients who had pars plana vitrectomy with different indications were identified. On follow up, all patients were diagnosed with neurotrophic keratopathy. Two of the patients underwent amniotic membrane transplantation for the treatment of resistant neurotrophic corneal ulcers. Neurotrophic...

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Changes of Physico-chemical Properties of Silicone Oil Associated with a Retinal Detachment

ABSTRACT The source material for our study was 23 samples of silicone oil, aspirated from the vitreous cavities of the eyes of patients after a tamponade about the rheumatogenic and traction retinal detachment. The average life of silicone oil in the eye was 3.5 months. In all cases, a 1300 cSt – viscosity Oxane silicone oil, Baush + Lomb, the UK, was used for tamponade. All samples were stabilized, resulting in colloidal systems...

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Analysis of Amount and Density of Residual Silicone Oil Fragments in Vitreous Cavity After Retinal Detachment Surgery

ABSTRACT Purpose: To analyze the amount of residual silicon oil (SO) fragments in vitreous cavity after retinal detachment surgery. Methods: Twenty-six patients (26 eyes) (mean age 47. years) underwent ultrasound examination after SO removal (Oxane SO 1300, Bousch&Lomb). The amount of hyperechogenic silicone oil fragments in vitreous cavity was analyzed in four quadrants of multiple scans using method of neural circuits. Results: In all...

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Outcomes of Retinal Detachment Surgery with SF6 Only, Regardless of Detachment Configuration and Break Location

ABSTRACT Introduction: The choice of gas tamponade and posturing regimes in retinal detachment (RD) repair vary amongst surgeons. Break location, configuration of the detachment and grade of proliferative vitreoretinopathy (PVR) are the main variables influencing a surgeon’s choice. Purpose: To evaluate the success rate of primary retinal detachment repair using only SF6 tamponade with 2 days of post-operative posturing, regardless of...

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Outcomes of Endoillumination Assisted Scleral Buckle Surgery in Rhegmatogenous Retinal Detachmeant in a Tertiary Eye Care Centre in Bangladesh

ABSTRACT Aim: To study the outcomes of patients with rhegmatogenous retinal detachment treated with endoillumination assisted scleral buckle procedure in our hospital. Methodology: This retrospective case series reviewed the records of 15 patients with rhegmatogenous retinal detachment who underwent Endoillumination assisted scleral buckle surgery. Results: The mean age of the patients was 22.0 (SD 11.14) years. Primary retinal reattachment...

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Unique Bimanual Techniques to Tackle Extreme PVR

ABSTRACT   CONTACT DETAILS   Jayant S. GUHA Sai Retina Foundation Delhi India Email : dr_jayantg@hotmail.com / dr_jayantg@sairetina.com Work Phone:...

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Multimodal Imaging of Silicone Oil-related Visual Loss

ABSTRACT Silicone Oil-related visual loss can be defined as a visual decrease of at least 2 Snellen lines (SL) following Silicone oil removal, caused by the acute development of an irreversible, central scotoma. In two recently published, large case series the incidence of this phenomenon varies from 3,3% to 5,9%. While extensive ERG abnormalities have been frequently described in this affection, FA and OCT-abnormalities have not yet been...

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Foveal Avascular Zone Area and Macular Vascular Density Changes After Successful Rhegmatogenous Retinal Detachment Repair: An OCT Angiography Study

ABSTRACT Purpose: To investigate foveal avascular zone (FAZ) area and foveal vascular density after surgery in patients with rhegmatogenous retinal detachment (RRD) using optical coherence tomography angiography (OCTA). Materials & Methods: This retrospective case-control study included 37 eyes (37 patients) with recent onset RRD that were successfully repaired with a single, uncomplicated surgical procedure (pars plana vitrectomy with...

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Photocoagulation of Retinal Pigment Epithelium During Vitrectomy in the Treatment of Rhegmatogenous Retinal Detachment

ABSTRACT Objective: To explore the effects of photocoagulation of retinal pigment epithelium (RPE) during vitrectomy on sealing of the retinal tears or holes in rhegmatogenous retinal deattachment eyes. Method: In 19 eyes with retinal detachment, photocoagulation on RPE around the margin and 3-4 dots outside of the margin of the retinal hole or tear instead of retinal photocoagulation to seal part of or whole the hole or tear,...

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Vitrectomy for Retinal Detachment: Technical Tricks to Increase Your Success Rate

ABSTRACT Retina (rhegma): a retinogenic pathogenesis. However, close, unbiased examination of the evidence reveals that something is wrong with this concept: retinas do not necessarily detach even in the presence of a retinal break, and, conversely, retinas do detach despite the lack of a retinal break (tractional RD etc.). The rhegma is not the primary cause of the RD but an intermediate one. The break forms because vitreoretinal traction...

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Redundant Retina During Vitrectomy for Rhegmatogenous Retinal Detachment

ABSTRACT Redundant Retina during vitrectomy for Rhegmatogenous Retinal Detachment Redundant Retina refers to a persistently detached peripheral retina despite an almost complete fill of the vitreous cavity with perfluorocarbon liquid (PFC). Perfluorocarbon liquid (PFC) fill is sometimes associated with a peripheral cuff of subretinal fluid (SRF) in presence of peripheral retinal breaks (RBs) and in absence of PVR C. Fluid- air exchange...

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ILM Peeling in Macula Off RD

ABSTRACT Purpose: To discuss different techniques of ILM peeling in macula off RD and evaluate difficulties and safety of each one. Materials & Methods: ILM peeling was performed routinely during vitrectomy in all cases of rhegmatogeneous retinal detachment since 2015 including fresh RD, RD with PVR or even recurrent cases of RD Starting with initiation of the edge of the ILM after vitrectomy and posterior hyaloid peeling, whether done...

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The Management of Retinal Detachment Associated with Giant Tear

ABSTRACT The management of retinal detachment associated with giant tear presents a unique and formidable challenge, even for experienced vitreoretinal surgeons, beyond a common rhegmatogenous detachment. Giant retinal tears are associated with hereditary conditions, like Stickler´s, Marfan´s, axial myopia, extensive lattice degeneration, multiples holes and trauma.My Surgery:Lensectomy for optimal removal of the basal...

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Outcomes of Giant Retinal Tear (GRT) Detachment Surgery

ABSTRACT Purpose: To evaluate surgical outcomes of giant retinal tear involving more than 180 degree of retina. Material & Methods: A total of 76 eyes of 76 patients suffering from giant retinal tear more than 180 degree were included in the study. All the patients underwent 23 gauge pars plana Vitrectomy (PPV) combined with 360 degree encircling buckle, laser retinopexy and 5000cs silicone oil tamponade. All patients were followed for...

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Rhegmatogenous Retinal Detachment with Macular Hole. What Should We Expect?

ABSTRACT The presence of a macular hole associated with a retinal detachment is an uncommon situation. This association can be found in two completely different scenarios. The first one, in highly myopic patients, usually with posterior staphiloma in which the macular hole is the primary cause of the detachment. These detachments are sometimes only confined to the posterior pole and they usually have a slow progression over time and no...

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The New Approach to Subretinal Surgery

ABSTRACT The management of subretinal fluid and subretinal strands, through the use of posteriorly placed trocars and cannulas, will be shown. Pros and cons of the technique will be discussed. CONTACT DETAILS   Barbara PAROLINI Istituto Clinico S.Anna Brescia, Italy Email : parolinibarbara@gmail.com Cell Phone: +393477431940 Work Phone:...

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10 Years Experience with Macular Buckle for Staphyloma Related Complications

ABSTRACT   CONTACT DETAILS   Barbara PAROLINI Istituto Clinico S.Anna Brescia, Italy Email : parolinibarbara@gmail.com Cell Phone: +393477431940 Work Phone:...

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Choroidal Thickening and Hyperpermeability Related to Choroidal Ischemia

ABSTRACT Purpose: Choroidal hyperpermeability was first described as a characteristic indocyanine green angiography (ICGA) finding seen in eyes with central serous chorioretinopathy and has been regarded as closely related to the pathophysiology of this entity. In the present study, the role of choroidal ischemia in producing ICGA choroidal hyperpermeability has been investigated in patients with hypertensive choroidopathy related to...

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Intraoperative OCT in Retinal Surgery – Toy or Tool!

ABSTRACT Using surgical videos, the authors will reflect on their experiences discussing the feasibility, limitations and advanatages of the use of intraoperative technology in macular surgery, trauma and other complex retinal surgery. CONTACT DETAILS Ahmed SALLAM*, Sami UWAYDAT University of Arkansas for Medical Sciences Little Rock United States Email : ahmedsallam11@yahoo.com Cell Phone: +15013982074 Work Phone:...

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Spectral Domain Optical Coherence Tomography Findings in Patients with Macropsia

ABSTRACT Purpose: To evaluate the retinal morphologic characteristics of patients with macropsia caused by epiretinal membrane (ERM) based on spectral-domain optical coherence tomography (SD-OCT). Methods: A cross-sectional non-interventional study was performed to compare the characteristics of retinal structures in eyes with ERM according to the presence or absence of macropsia. Twenty-six patients with ERM and macropsia were defined as...

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Multi Modal Imaging and Choroiditis

ABSTRACT Multi modal imaging techniques involving FA, SD-oct & EDI and ICG angiography accurately delineate the area of choroid/RPE involvement OCT Angiography also an imaging which helps to identify the choroidal hypo or non perfusion compared to retinal layers. AF is a non-invasive technique which helps us to monitor about the early recurrences and the dosing of corticosteroids and immunomodulators The multimodal approach also helps...

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Reproducibility of Fixed-luminance and Multi-luminance Flicker Electroretinography in Patients with Diabetic Retinopathy Using an Office-based Paradigm

ABSTRACT Objective: Full-field electroretinography (ERG)is the only available technology to provide objective, quantifiable and global assessment of retinal function. Laboratory-based Flicker ERG has previously been described as a reliable tool in quantifying retinal dysfunction in diabetic retinopathy (DR). We evaluated the inter-session reproducibility of the office-based Diopsys NOVA Flicker ERG in patients with mild-to-moderate NPDR. We...

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The Effects of Hydroxychloroquine Therapy on the Flow Area of Choriocapillaris Layer. An Optical Coherence Tomography Angiography Study

ABSTRACT Purpose: The aim of this study was to quantitatively compare the flow area of choriocapillaris layer in patients receiving from hydroxychloroquine (HCQ) therapy for more than 5 years with age and sex matched controls. Design: A prospective cross-sectional study. Methods: The patients taking HCQ who were screened for toxic effects were evaluated. All patients received a complete ophthalmic examination, including measurement of best...

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A New Method: Transpalpebral Illumination for Wide Angle Fundus Imaging in Retinopathy of Prematurity Without Pupil Dilatation

ABSTRACT Background: Fundus imaging is very important for screening of retinopathy of prematurity (ROP). Available methods need pupil dilatation. Drugs used for pupil dilatation have many side effect from necrotizing enterocolitis to myoclonic seizures. Therefore there is a need for wide angle fundus imaging without pupil dilatation in premature babies. Purpose: To describe new wide angle fundus imaging method by using transpalpebral...

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Choriocapillaris Flow Impairment in Pachychoroid Pigment Epitheliopathy

ABSTRACT Purpose: To analyze features of the choriocapillaris (CC) in eyes with pachychoroid pigment epitheliopathy (PPE), using optical coherence tomographic angiography (OCTA). Method: A prospective cross-sectional study. Forty-six eyes of 31 patients with PPE, 32 age-matched normal pachychoroid eyes, and 30 age-matched normal controls were included. Macular 3x3mm angiographic images were obtained with swept-source OCTA. Vascular density...

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Retinal and Choroidal Microvascular Changes in Patients with Diabetes

ABSTRACT Objective: The purpose of our study was to quantitatively assess retinal and choroidal microvascular changes according to diabetic retinopathy (DR) stage using optical coherence tomography (OCT)-derived parameters. Furthermore, we aimed to evaluate diagnostic ability of OCT-derived vascular parameters for determining DR progression. Design: Retrospective cohort study. Participants: One-hundred-thirty-two eyes of 81 patients with...

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Angio OCT with Manual Layer Segmentation to Analyze the Intraretinal Vascular Distortion in Eyes with Symptomatic Epiretinal Membranes

ABSTRACT Purpose: To analyze the changes of the vascular network of the superficial and deep vascular plexus in eyes with symptomatic epiretinal membranes (ERM) and distortion of the parafoveolar retina using the Angiography Module of the Spectralis OCT (Heidelberg Engineering). Methods: The data of the Angio-OCT scans (3 to 3 mm) of four eyes with symptomatic ERM and the four contralateral control eyes were manually segmented as automated...

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Evaluation of Image Artifacts and Their Frequency and Clinical Significance Obtained with Cirrus HD Spectral Domain Optical Coherence Tomography

ABSTRACT Purpose: To demonstrate the image artifacts types, frequency and clinical importance in the macula and optic disc maps obtained with Cirrus HD optical coherence tomography (OCT). Materials & Methods: Macular maps of 189 and optic disc maps of 68 individuals were evaluated. Artifacts detected in macular measurements associated with age-related macular degeneration (AMD), diabetic macular edema (DME) and other macula pathologies...

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Assessment of Foveal Avascular Zone Using Optical Coherence Tomography Angiography in Zone-I ROP

ABSTRACT Purpose: To observe the foveal avascular zone FAZ) in Zone-I retinopathy of prematurity (ROP), in children born preterm without ROP history and in healty subjects using optical coherence tomography angiography (OCTA) and to analyse the influence of FAZ on visual acuity (VA). Methods: Seventeen Zone-I ROP patients after laserphotocoagulation (group-1; n=19 eyes), 18 children born preterm without ROP history (group-2; n=18 eyes) and...

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Value of En-face OCT in Interpretation of OCT Angiography for Macular Diseases

ABSTRACT Purpose: To evaluate the role of correlating en-face OCT findings with OCT angiography (OCTA) of the macula in improving the diagnosis of macular diseases. Methods: 20 cases presenting with different macular diseases as chronic CSR, wet AMD, Geographic atrophy, cellophane maculopathy, drusenoid PED using Optovue OCT and analysis of the photos were done correlating the findings in the en-face OCT and OCTA to evaluate the added role...

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10 Years of RPE-choroid and 2 Years of RPE-choroid-retina Autologous Transplant for Exudative and Atrophic Maculopathies

ABSTRACT   CONTACT DETAILS   Barbara PAROLINI Istituto Clinico S.Anna Brescia, Italy Email : parolinibarbara@gmail.com Cell Phone: +393477431940 Work Phone:...

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Pneumatic Displacement of Submacular Hemorrhage: Long-term Results

ABSTRACT Introduction: The occurrence of a subretinal hemorrhage in age-related macular degeneration (AMD) is a serious complication that can impact the visual prognosis with a poor functional recovery. We report the results of sixteen patients treated with a protocol combining: vitrectomy, subretinal injection of r-TPA 0.025mg/0.3ml, subretinal injection of air, intravitreal injection of 0.05ml of bevacizumab and retinal tamponade with 20%...

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Subretinal tPA and Pneumatic Displacement for Large Submacular Hematomas

ABSTRACT This is a series of 5 case with presenting with sudden drop in vision due to a large submacular blood collection. One eye was idiopathic, two due to blunt trauma and two related to age-related macular degeneration. Parsplana vitrectomy with posterior hyaloid was performed. This was followed by sub retinal injection of 75ug of tPA under the macula. Followed by sub retinal injection of few air bubbles. The eye was then filled with...

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Cystoid Macular Edema and Visual Outcome After Pars Plana vitrectomy with Simultaneous Versus Sequential Phacoemulsification Cataract Surgery for Epiretinal Membrane

ABSTRACT Purpose: To audit the frequency of cystoid macular edema (CME) and the level of vision after pars plana vitrectomy (PPV), for idiopathic epiretinal membrane (ERM), and phacoemulsification surgery performed simultaneously or sequentially. Methods: Retrospective extraction and analysis of nationally standardized cataract surgery pathway dataset extracted from 8 hospitals in the UK that used the same electronic medical record (EMR)...

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Relationship of Pre-operative Optical Coherence Tomography with Intra-operative Characteristics in Epiretinal Membranes

ABSTRACT Purpose: With the advent of modern spectral domain optical coherence tomography (SD-OCT) instruments, anatomical changes that occur in the macular architecture both before and after ERM surgery can now be readily identified. However, the SD- OCT’s predictive value for surgical planning and for predicting ease or difficulty of surgical removal remains unclear. This study therefore aims to evaluate if specific characteristics...

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Double-staining for Epimacular Membranes. Is It Mandatory?

ABSTRACT Identification of Epimacular membranes (EMM): BBG stains ILM not EMM. Identification and complete peeling of the EMM is essential. Moreover; complete peeling of the underlying (surrounding) ILM is no less essential, to reduce possibility of recurrence of EMM. Technique: BBG is injected. The surgeon identifies the EMM as the unstained area that is surrounded by a stained area. In case of a visible EMM edge; the surgeon grasps and...

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The Combination of Trypan Blue and Brilliant Blue G-Assisted Vitrectomy for Macular Pucker: Histopathological Findings

ABSTRACT Purpose: To report on the combined use of trypan blue (TB) and brilliant blue G (BBG) for staining the epiretinal membrane (ERM) and internal limiting membrane (ILM) during vitrectomy and to describe the histopathological findings. Methods: 10 surgical specimens were removed from 10 eyes with macular pucker during vitrectomy using a commercially available combination of TB and BBG for ERM and ILM staining and peeling. Specimens...

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Internal Limiting Membrane Peeling in Macular Disorders

ABSTRACT The internal limiting membrane (ILM) is a thin, transparent, acellular membrane that forms the innermost boundary of the retina. ILM is the basal lamina of the inner retina, it is formed by the footplates of Müller cells and is composed of collagen fibers, glycosaminoglycans, laminin, and fibronectin. It has an important role in the early stages of retinal and optic nerve development, as a critical component of retinal...

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OCT-guided Induction of Posterior Vitreous Detachment for Firmly Adherent Posterior Hyaloid in Macular Surgery

ABSTRACT Purpose: Surgical Induction of posterior vitreous detachment (PVD) is an important step in vitreoretinal surgery. In some cases, it can be traumatic due to firm attachment of the posterior hyaloid to the disc, particularly when vitrectomy is performed in a young patient with adherent hyaloid or with small gauge cutters, which often require high suction levels to induce PVD. This can be complicated by retinal nerve fiber layer...

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Functional and Anatomical Outcomes of Superior Inverted Internal Limiting Membrane Flap in Macular Hole Surgery

ABSTRACT Introduction: In 2010, Michalewska et al. described the inverted ILM flap technique for large macular hole (minimum diameter 400 micras).  This technique was reported to increase the anatomical closure rates and functional results of large macular holes and myopic macular holes. Various modifications have been described since it was introduced but more studies are required to establish which technique of ILM flap achieves better...

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Inverted ILM Flap Technique for the Treatment of Chronic and Large Idiopathic MH with the Use as a Vital Dye Suspension “Vitreocontrast”

ABSTRACT Recently, inverted internal limiting membrane (ILM) flap technique has been reported to increase the anatomical closure rates of large and chronic macular holes(MH). But the technique is limited by difficulty in visualizing the flap using traditional vital dyes, its possible cytotoxic effects and relative mobility of the flap, complicating maintaining the inverted ILM flap inside the hole during fluid-air exchange with high rate of...

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Complex Macular Holes: Does Simple Vitrectomy and ILM Peeling also Work?

ABSTRACT MHS (macular hole surgery) with dye-assisted ILM-peeling is a standard procedure to treat idiopathic MHs leading to high anatomic success rates and good functional outcomes. Prognosis in case of MHs with preexisting pathologies that affect the retina or RPE, however, is uncertain. The current paper demonstrates a consecutive clinical series of atypical or secondary macular holes with coexisting retinal pathologies, such as MacTel...

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ARC Course at EVRS directed by Dr. Tamer H. Mahmoud, USA

ABSTRACT The ARC surgical panel will be discussing challenging and interesting surgical cases with videos and include great surgeons from around the world: Sherif Embabi, Egypt; Shunji Kusaka, Japan; Wai-Ching Lam, Hong Kong; Andre Maia, Brazil; Zofia Michalewska, Poland; Athanasios Nikolakopoulos, Greece; Lisa Faia, Jeremy Wolfe, and Tamer Mahmoud from ARC, USA CONTACT DETAILS Tamer H. Mahmoud, MD, PhD Professor of Ophthalmology Oakland...

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ILM Envelope Technique: A Novel Procedure for Myopic Macular Hole Retinal Detachment

ABSTRACT The ILM envelope technique is a novel procedure for management of myopic macular hole retinal detachment. It entails peeling the ILM from 4 directions: the upper & lower temporal arcades, nasal edge of the optic disc and 2 disc diameters temporal to the macula. The peel stops well away from the edge of the macular hole. Under air or PFCL, the ILM flaps are folded over the hole, like folding an envelop. Further ILM peeling is...

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Vitrectomy with ILM Peel or Invert for Myopic Macular Hole Retinal Detachment Associated with Posterior Staphyloma

ABSTRACT Purpose: To compare macular hole closure outcomes in myopic macular hole retinal detachment associated with posterior staphyloma using 2 techniques of ILM peeling. Patients & Methods: Retrospective study that included 46 eyes of 43 patients that underwent either a complete ILM peel and removal (group 1) in 28 eyes or inverted ILM flap (group 2) in 17 eyes. All eyes were pseudophakic or underwent simultaneous phacoemulsification...

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Myopic Macular Retinoschisis: Different ILM Management Approaches, Different Results

ABSTRACT Purpose: To report anatomical, functional results and complications of vitrectomy for myopic macular retinoschisis cases with different approaches to ILM management, including no ILM peeling, complete peeling and foveal sparing ILM peeling. Methods: Case series of myopic macular retinoschisis in whom vitrectomy is indicated for progression of the schisis, or other associated indications like retinal detachment, and excluding cases...

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Surgery for Myopic Traction Maculopathy: Tamponade is Unnecessary

ABSTRACT Myopic Traction Maculopathy is a tractional disease, and the only purpose of vitrectomy is to release traction. This traction is most often hidden under vitreoretinal adhesions, or almost invisible due to the sub atrophic aspect of RPE. After traction release, there’s no need for tamponade, that may also result dangerous for the retina. Slowly the retina will reassume the normal aspect and also visual acuity can be partially...

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Intravitreal Ranibizumab Monotherapy in Naive Eyes with Myopic Choroidal Neovascularisation

ABSTRACT Purpose: To report the results anatomical and visual outcomes of intravitreal ranibizumab (IVR) monotherapy in naive eyes with myopic choroidal neovascularization (mCNV). Material & Methods: Retrospective analysis of naive CNV secondary to myopia that underwent antivascular endothelial growth factor monotherapy was performed. Collected data included demographic details, clinical examination details including visual acuity at...

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Myopic Macular Degeneration: Current Understanding, Approach and Management

ABSTRACT Myopia is a common problem worldwide, affecting 25-40% of adults aged >40 years. Myopic macular degeneration (MMD), sometimes known as pathologic myopia (PM), myopic maculopathy or degenerative myopia, is a possible consequence of myopia, particularly high myopia. MMD is characterized by progressive elongation of the globe with additional degenerative changes seen in the retina and estimated to affect up to 3% of the global...

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Treatment of Intractable Hypotony and Atrophic Eyes

ABSTRACT Objective: To explore the effects of various procedures in the treatment of intractable hypotony and atrophic eyes. Methods: According to the cause and the signs (esp. the IOP and the axial length) of the eyes, the following procedures were performed (alone or combined): injection of large amount of viscoelastics, trabecular meshwork photocoagulation (TMP), vitrectomy combined with photocoagulation of exposed retinal pigment...

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Surgical Endoresection with Adjuvant Ruthenium 106-plaque Radiotherapy for Large Choroidal Melanoma

ABSTRACT Purpose: To report the outcomes of surgical endoresection with adjuvant radiotherapy as the primary treatment for large choroidal melanoma. Materials & Methods: Retrospective review of patients treated with 23g Pars plana vitrectomy, surgical endoresection, silicone oil tamponade, and adjuvant Ruthenium106-plaque radiotherapy. Patients a with a minimum 6-month follow-up were included into the analysis. Results: Between May 2014...

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25 Gauge Transretinal Biopsy of Choroidal Melanoma Without Vitrectomy and Tamponade

ABSTRACT Purpose: To report the outcomes of transretinal choroidal biopsy in choroidal melanoma without vitrectomy and tamponade. Material & Methods: Retrospective review of patients with choroidal melanoma treated with primary proton beam radiotherapy between 2011 and 2016 and who underwent a prognostic 25g transretinal biopsy without vitrectomy and tamponade. The main outcomes and measures were number of rhegmatogenous retinal...

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Photodisruption of Retinal Pigment Epithelium on the Long Standing and Large Retinal Pigment Epithelial Detachment

ABSTRACT Purpose: To evaluation of photodisruption of retinal pigment epithelium (RPE) on the long standing retinal pigment epithelial detachment(PED). Materials & Methods: Seven eyes with PED persisted or enlarged more than 4 months were treated RPE photodisruption. The laser treatment were performed one time with between 19 spots and 55 spots of short duration and small spot size to induce mechanical break of the RPE. Five male and...

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First Results with Noctura 400 Sleep Mask for Chronic Macular Edema Treatment

ABSTRACT Purpose: To evaluate potential efficacy of a Class IIa 12 week medical device with CE certification and ISO13485 in treatment of chronic ME reluctant to pall previous other treatment. Material & Methods: 10 patients included in this study (5 RVO, 1 DR, 1 post RD, 3 post ERM). All patients had multiple previous treatments for chronic ME, included ILM peeling, multiple anti-VEGF IVT, Corticosteroids IVT or subtenon, eyedrops,...

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Do We Need a Level-1 Evidence-based Study to Make Clinical Decisions?

ABSTRACT Medicine in general and ophthalmology in particular are transiting from doctors making individualized decisions based on personal experience and expertise to decisions made based on “the study”. These studies are based on a highly scientific approach, the elements of which include randomization, large patient populations, multiple treating facilities and physicians, prospective planning, and objective analysis of the...

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