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Easy Tool to Dissect Severe Posterior Pole Proliferation

Advantages: Peeling of severe fibrovascular proliferation of the posterior pole using a 25-gauge Atkinson retrobulbar needle with a bent tip and ILM forceps. This technique allows the surgeon to find a cleavage plane with an inexpensive and ‘easy to build’ tool in the absence of more sophisticated tools. Methods: The authors report the case of a 13-year-old boy with a chronic intermediate uveitis in his left eye, which underwent a...

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Small Can Be Beautiful: Upgrading the Inverted ILM Flap Technique

The Inverted ILM Flap Technique is a method that I developed for the treatment of macular holes. Postoperative spectral OCT images show that the inverted ILM flap serves as a scaffold for tissue migration or proliferation towards the centre of the macular hole to close the macular hole. The method continues to prove successful in large macular holes, holes of long duration and in myopic macular holes. Initially, when developing the...

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Diving Deeper into the Eye with Swept Source OCT

Swept Source OCT, due to a longer wavelength than conventional Spectral Domain OCT, enables simultaneous visualization of the vitreous, retina and choroid. Moreover, Swept Source OCT enables choroidal imaging and improves retina imaging in eyes with media opacities. First, we introduce a challenging way of interpreting choroidal imaging. Unlike retinal thickness, choroidal thickness varies depending not only on the age and axial length,...

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My Different Ways of the Artificial Iris

The artificial iris represents an important innovation in the treatment of posttraumatic iris damage. We present a case series where different surgical techniques have been used both for coloboma and aniridia with artificial iris with meshwork and without. Opensky insertions during reconstructive “pole to pole” surgery are shown, and close eye insertions. In all the aphakic patients, we fixed IOL on the iris to treat aphakia. We...

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Vitreous Opacities & Retinal Amyloid Microangiopathy in Familial Amyloidotic Polyneuropathy

Familial amyloid polyneuropathy (FAP) is an inherited disorder with autosomal dominant transmission, characterized by systemic extracellular accumulation of amyloid fibrils. The peripheral nervous system and the heart are the main target organs, but the eye may also be involved. The most common type of FAP is related to transthyretin (TTR) and Portugal is an endemic country for FAP TTR Val30Met.TTR is mainly produced by the liver, but a...

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CNV in AMD

Autologous RPE and choroid transplantation for the treatment of CNV in AMD will be presented in details.

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