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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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How to Treat an Endophtalmitis Secondary to a Blebitis?

Advantages: To treat an endophthalmis due to a blebitis and to restore the filtration function. Methods: Our surgical technique consists in: 180º superior conjunctival peritomy avoiding the conjunctiva around the scleral lamella, conjunctival dissection through the superior portion until the eye equator, vitrectomy, limbar superior corneal keratectomy, conjunctival dissection on the filtration lamellar sclera, conjuctival fixation at the...

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PPV with Choroid-RPE Patch Graft for Massive Hemorrhage Due to Neovascular ARMD

This is a video of a patient with age related macular degeneration who had a macular scar in his right eye and a new subretinal massive hemorrhage causing hemorrhagic retinal detachment in his left eye which used to be his better eye. A cataract surgery combined with pars plana vitrectomy with 360 retinotomy, removal of subretinal hemorrhage, clots and choroidal neovascular membrane, and choroid-retina pigment epithelial patch graft was...

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A New and Different Idiopathic ERM Peeling Technique

Surgery is the common therapy for  idiopathic epiretinal membranes when the visual acuity is changed and the macular thickness is increasing disturbing the vision quality. The procedure usually follows some steps: (23 gauge; 25 gauge; 27 gauge) Pars Plana Vitrectomy, posterior hyaloid detachment, ERM peeling and ILM peeling with the use of different dyes. Many Surgeons use triamcinolone for the vitrectomy and for the posterior hyaloid...

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Atraumatic ILM Peeling Without Forceps

Advantages:  An atraumatic ILM peeling is performed using the vacuum of the vitreous cutter, without a forceps, thus it is not traumatizing the retinal nerve fiber layer. Methods: This technique can be used both in 20 gauge and in 23 gauge, or 25 gauge surgery, in three different modes: either, the ERM is peeled using a traditional forceps; the ILM is usually partly removed, too; after another staining, the ILM is peeled using the vacuum...

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Homemade Chandelier Technique

Advantages: This personal technique allows peripheric vitrectomy with wide field viewing. Methods: With a quick modification of endoillumination probe. Effectiveness / Safety: This very simple and costless surgery gives very good access to the periphery during all surgery using 23 or...

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23-gauge Pars Plana Vitrectomy with Massive Circular Uveal Effusion: A Small Cut with Large Impact

Introduction: While peeling an idopathic epiretinal membrane with a standard 23-gauge vitrectomy the Infusion port dislocated inadvertently and caused a massive uveal effusion. Methods: By using an additional 20-gauge sclerotomy, it is possible to continue the vitrectomy, peeling the macular pucker and the inner limiting membrane in order to successfully complete the surgery. In this case, the 20-gauge sclerotomy serves as a drainage...

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Post-traumatic Aniridia Open Sky Artificial Iris and Secondary IOL Implantation: One Step Technique

Advantages: Nearby cosmetic IOL and pupillary reconstruction, the artificial iris is a better solution. We show our strategy to suture a foldable IOL on the back surface of the artificial iris to achieve a cosmetic and refractive result on posttraumatic aniridia. Methods: We reviewed 2 eyes with combined anterior and posterior segment injuries. Open-sky surgery technique and mini-invasive 25/23G system was used to repair ocular injuries,...

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Scleral Buckling for RD

Scleral Buckling for RD

Didier Ducournau Prelude     Rationale, Mechanics and Indications Dehiscence sealing   Relaxation of vitreous tractions    Vitreous base relaxation   Epiretinal membranes traction forces reversal   Associated to scleral shortening http://www.evrs.eu/medias/AwardedVideos/ScleralBucklingforRD_5.flv   Surgical...

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Juxtapapillary Cyst-Like Lesions

Juxtapapillary Cyst-Like Lesions

Didier Ducournau

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Bimanual PVR Surgery with the Help of 25 G Torpedos Lights

Bimanual PVR Surgery with the Help of 25 G Torpedos Lights

Thanasis Nikolakopoulos http://www.evrs.eu/medias/AwardedVideos/Bimanual-PVR-Surgery-with-the-Help-of-25-G-Torpedos-Lights.flv

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The Distal Haptic Technique

The Distal Haptic Technique

Didier Ducournau http://www.evrs.eu/medias/AwardedVideos/The-Distal-Haptic-Technique.flv

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3 Ways to Reache the Right Place

3 Ways to Reache the Right Place

Guy L’Helgoual’Ch   http://www.evrs.eu/medias/AwardedVideos/3-Ways-to-Reache-the-Right-Place.flv

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“Pole to Pole” Surgery in Trauma Case

“Pole to Pole” Surgery in Trauma Case

Cesare Forlini http://www.evrs.eu/medias/AwardedVideos/Pole-to-Pole-Surgery-in-Trauma-Case.flv

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Vitrectomy Indication

Vitrectomy Indication

Didier Ducournau   Introduction   Indication Independent of PVR Stage http://www.evrs.eu/medias/AwardedVideos/VitrectomyIndication-IndicationIndependent.flv   Indication in Stage 0 http://www.evrs.eu/medias/AwardedVideos/VitrectomyIndication-IndicationinStage0.flv   Indication in Stage A http://youtu.be/szd7qTcCoEA [br] ...

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Safety Exit for the Removal of Giant IOFB

Safety Exit for the Removal of Giant IOFB

Cesare Forlini   http://www.evrs.eu/medias/AwardedVideos/Safety-Exit-for-the-Removal-of-Giant-IOFB.flv

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Raise your Glass!

Raise your Glass!

Didier Ducournau http://www.evrs.eu/medias/AwardedVideos/Raise-your-Glass.flv

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Sclera from Inside

Sclera from Inside

Claude Boscher http://www.evrs.eu/medias/AwardedVideos/Sclera-from-Inside.flv

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Peeling Technique for P.D.R

Peeling Technique for P.D.R

Didier Ducournau                  

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Vitrectomy Machine Choice

Vitrectomy Machine Choice

Didier Ducournau Introduction http://www.evrs.eu/medias/AwardedVideos/VitrectomyMachineChoice-Introduction.flv   Infusion Flow http://www.evrs.eu/medias/AwardedVideos/VitrectomyMachineChoice-InfusionFlow.flv   Aspiration Flow http://www.evrs.eu/medias/AwardedVideos/VitrectomyMachineChoice-AspirationFlow.flv   Cutting ...

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Triamcinolone Assisted Vitreous Base Shaving in Macular Translocation Surgery

Triamcinolone Assisted Vitreous Base Shaving in Macular Translocation Surgery

Somdutt Prasad http://www.evrs.eu/medias/AwardedVideos/Triamcinolone-Assisted-Vitreous-Base-Shaving-in-Macular-Translocation-Surgery.flv

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20 G vs 25 G, The Race

20 G vs 25 G, The Race

Didier Ducournau http://www.evrs.eu/medias/AwardedVideos/20-G-vs-25-G,-The-Race.flv

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Extending the Role of 25 Gauge Transconjuctival Sutureless Vitrectomy

Extending the Role of 25 Gauge Transconjuctival Sutureless Vitrectomy

Somdutt Prasad http://youtu.be/Y2R2Sx–T-4 http://www.evrs.eu/medias/AwardedVideos/Extending-the-Role-of-25-Gauge-Transconjuctival-Sutureless-Vitrectomy.flv

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Use of New Heavy Silicone (Densiron, Oxane) in Complex Cases of Vitreoretinal Surgery

Use of New Heavy Silicone (Densiron, Oxane) in Complex Cases of Vitreoretinal Surgery

Cesare Forlini, Paolo Rossini http://www.evrs.eu/medias/AwardedVideos/Use-of-New-Heavy-Silicone-Densiron,-Oxane)-in-Complex-Cases-of-Vitreoretinal-Surgery.flv

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Painless, Comfortable and Successful – 27 G Sutureles Vitrectomy and Topic Anesthesia in Tractional Retinal Detachment

Painless, Comfortable and Successful – 27 G Sutureles Vitrectomy and Topic Anesthesia in Tractional Retinal Detachment

Jolanta Oficjalska, Joanna Adamiec-Mroczek, Bożena Gołębiowska (Wroclaw, Poland) Tractional retinal detachment is a common cause of blindness in the working-aged population. Therefore it is important to develop new effective surgical procedures, which would enable a quick return to professional work. We present 53-year-old female with decreased visual acuity from tractional retinal detachment. The patient underwent 27-gauge sutureless...

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Non-Full Thickness Macular Holes. A Closer Look!

Non-Full Thickness Macular Holes. A Closer Look!

Zofia Michalewska, Janusz Michalewski, Zofia Nawrocka, Jerzy Nawrocki (Lodz, Poland) Video documents a new theory of idiopathic non-full thickness macular holes based on spectral domain OCT (SD-OCT) observations and clinical appearance before and during surgery. It seems very probable that all these entities are caused by vitreoretinal traction, which produces local internal limiting membrane (ILM) defect in the fovea. These leads to...

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Treatment of Retinal Detachment in Osteo-odonto Keratoprosthesis (OOKP)

Treatment of Retinal Detachment in Osteo-odonto Keratoprosthesis (OOKP)

Cesare Forlini, Adriana Bratu, Matteo Forlini, Paolo Rossini, (Ravenna, Italy) The patient of this video was a 21 years old male with an uncertain clinical history of bilateral congenital cataract extraction and multiple surgeries for retinal detachment. One eye was enucleated for bulbar phtisis. His only eye underwent an OOKP implant according to Falcinelli for a corneal decompensation and was not amenable for an ulterior PK. The patient...

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Para-Optic SPCA, an Anatomic and Functional Entity; Already 30 Years Ago!

Para-Optic SPCA, an Anatomic and Functional Entity; Already 30 Years Ago!

Didier Ducournau (Nantes, France) More than thirty years ago a young (and sexy) fellow built a movie on the systematization of the short posterior ciliary arteries (SPCA); by using selective injections of different colors, he succeeded to show that the para-optic SPCA and the distal SPCA are not only a true anatomical entity but also irrigate two different areas. This discovery allows to understand some choroidal disorders. We were pleased...

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New Extraocular Illumination Allows Specifically to Better Peel ILM’s

New Extraocular Illumination Allows Specifically to Better Peel ILM’s

Frank Koch, Pankaj Singh, Michael Koss, Rachid Benjilali (Frankfurt am Main, Germany) Advantages: To peel the ILM under superb resolution and illumination circumstances. Methods: Using high power (HP) diaphanoscopic extraocular illumination. Effectiveness / Safety: The HP diaphanoscope can be powered with just a 150 W halogen light bulb and is characterized by a unique aperture, filtered light with cut offs at the short as well as the long...

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Acute Suprachroroidal Hemorrhage During Open Sky Vitrectomy: … Is Really Everything Lost?

Acute Suprachroroidal Hemorrhage During Open Sky Vitrectomy: … Is Really Everything Lost?

Cesare Forlini (Ravenna, Italy), Adriana Bratu (Ravenna, Italy), Marco De Luca (Napoli, Italy), Matteo Forlini (Modena,Italy), Paolo Rossini (Ravenna, Italy), Monika Weglarz (Krakow, Poland)  Advantages:Suprachoroidal hemorrhage is a rare but dangerous complication of intraocular surgery. This video shows a management of expulsive haemorrhage with the extrusion of intraocular contents during a open sky surgery in an elderly...

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27 Gauge Twinlight Chandelier as an All-Purpose Light Source in VR Surgery

27 Gauge Twinlight Chandelier as an All-Purpose Light Source in VR Surgery

Enrico Bertelli, Bolzano, Italy Advantages: 27G Eckardt twinlight chandelier (DORC, Zuidland, Holland) is a light probe that has been made available on the market since mid-2008, with the purpose of facilitating bimanual vitreoretinal surgery. The instrument consists of 2 separate optic fibers, that can be independently inserted through the sclera. Methods: In 15 consecutive eyes 27G twinlight chandelier was used as exclusive light source...

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Vitrectomy in Two Steps

Vitrectomy in Two Steps

Fernando Faus, Jose Mª Olivan, MªTeresa Ballarin, Enrique Albalad, Zaragoza, Spain Advantages: One problem in performing vitrectomy is the occurrence of retinal tears in the area of sclerotomies secondary to vitreous traction generated during repeated maneuvers of entry and exit during surgery. We present a new technique that allows the introduction of vital dyes and co-adjuvant substances during surgery without having to leave the...

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The Inverted ILM Flap Technique for Large Macular Holes

The Inverted ILM Flap Technique for Large Macular Holes

Jerzy Nawrocki, Zofia Michalewska, Zofia Nawrocka, Janusz Michalewski, Lodz, Poland Advantages: To present a new idea of macular hole closure with the use of inverted ILM flap as a base membrane to improve the results in large, long-lasting macular hole. To evaluate postoperative results after vitrectomy in lamellar macular hole. Additionally to determine factors influencing postoperative outcome after vitrectomy for lamellar macular...

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The EVRS Way from Venice to Prague

The EVRS Way from Venice to Prague

Cesare Forlini http://www.evrs.eu/medias/AwardedVideos/The-EVRS-Way-from-Venice-to-Prague.flv

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Perseverare Doabolicum

Perseverare Doabolicum

Cesare Forlini http://www.evrs.eu/medias/AwardedVideos/Perseverare-Doabolicum.flv

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What a Wonderful Job

What a Wonderful Job

Didier Ducournau http://www.evrs.eu/medias/AwardedVideos/What-a-Wonderful-Job.flv

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Terson Syndrome

Terson Syndrome

Jerzy Nawrocki http://www.evrs.eu/medias/AwardedVideos/Terson-Syndrome.flv

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New Implications of Spectral OCT on Retinology

New Implications of Spectral OCT on Retinology

Jerzy Nawrocki http://www.evrs.eu/medias/AwardedVideos/New-Implications-of-Spectral-OCT-on-Retinology.flv

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Vitreo Retinal Pathologies

Vitreo Retinal Pathologies

Didier Ducournau http://www.evrs.eu/medias/AwardedVideos/VitreoRetinal-Pathologies.flv

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The Use of New Surgical Strategies in Dealing with Ocular Trauma

The Use of New Surgical Strategies in Dealing with Ocular Trauma

Giampaolo Gini, MD (Prato, Italy), Vincent S. Reppucci, MD (New York, NY) SYNOPSIS New techniques and devices are helping us deal successfully with complex trauma cases. Drainage implants have proved reliable where no other option for controlling IOP is available. Posterior hyaloid identification with Triamcinolone and its consequent removal accounts for fewer mid- and long-term retinal complications. Finally, the laser-assisted corneal...

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Cataract Surgery from the Viewpoint of a Vitreoretinal Surgeon

Cataract Surgery from the Viewpoint of a Vitreoretinal Surgeon

Klaus Lucke, MB ChB (Bremen, Germany) SYNOPSIS The film describes the considerations a vitreo-retinal surgeon would entertain in the choice of IOL and cataract surgical technique if he were to give advice to a cataract surgeon. Aspects under review are the significance of capsular opacification, IOL material and design of optic and haptics and their effect on subsequent vitreoretinal surgery. ...

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Managing Dry Macular Folds after Vitreoretinal Surgery (Best of Show)

Managing Dry Macular Folds after Vitreoretinal Surgery (Best of Show)

Carlos Mateo, MD (Barcelona, Spain), Borja Corcostegui, MD (Barcelona, Spain) SYNOPSIS Dry macular folds are a rare complication after vitreoretinal surgery. Most reported associated conditions are: superior bullous retinal detachment repair, giant breaks retinal detachment repair and recently limited macular translocation. When affecting the fovea dry macular folds cause a dense linear scotoma with metamorphosia with a very unpleasant...

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Condiments in Vitreoretinal Surgery: a Bad Day in the Kitchen!

Condiments in Vitreoretinal Surgery: a Bad Day in the Kitchen!

J. Fernando Arevalo, MD, FACS (Caracas, Venezuela), Reinaldo A. Garcia, MD (Caracas, Venezuela) SYNOPSIS We report a case of macular hole surgery complicated by accidental massive subretinal indocyanine green (ICG), and retinal tear through the papillomacular bundle. Our anatomic and functional results were poor with retinal and RPE atrophy, and a VA of 20/150. Unnecessary persistent subretinal ICG should be avoided, and precautions should...

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Primary PVR in Buphthalmos

Primary PVR in Buphthalmos

Gaetano R. Barile, MD (New York, NY), Avi Grinblat (New York, NY), Michael Turano (New York, NY) SYNOPSIS Repair of retinal detachment with PVR in buphthalmic eye also requiring corneal transplant for corneal decompensation. Sequential maneuvers to manage PVR and reattach retina utilizing perfluorcarbon liquid and panoramic viewing are demonstrated.     VIDEO not communicated Sorry for the...

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Heavy Silicones in Severe Vitreoretinal Diseases

Heavy Silicones in Severe Vitreoretinal Diseases

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy) SYNOPSIS To describe the usefulness of new heavy silicone oils in the management of complex cases of vitreoretinal surgery: a severe penetrating trauma, a macular trans-location for large paramacular hole in previous vitrectomy for CNV removal, and a closed trauma in previous PK patient with iris and lens expulsion.   VIDEO not communicated Sorry for the...

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Origin of Subretinal Fluid in Optic Disc Pit Maculopathy: Beta-2 Transferrin Analysis

Origin of Subretinal Fluid in Optic Disc Pit Maculopathy: Beta-2 Transferrin Analysis

Ronald C. Gentile, MD (New York, NY), Alfonso Ponce, MD (New York, NY) SYNOPSIS A case of an optic disc pit associated maculopathy. 25-gauge vitrectomy with ICG assisted ILM peeling and SRF drainage was performed. ILM adjacent to the pit was removed and the SRF was analyzed. ß-2 trans-ferrin levels where not detected and does not support the CSF theory of SRF origin.   ...

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Vitrectomy for Dummies

Vitrectomy for Dummies

Virgilio Morales-Canton, MD (Mexico City, Mexico) SYNOPSIS Vitrectomy techniques have evolved greatly during the last decade thanks to improvements in technology. Wide-angle visualization, and better instrumentation offers better surgical outcomes. This video describes important considerations during surgery that facilitates the maneuvers giving better results, and that’s why can be considered “a reference for the rest of...

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The Use of Different Illumination / Observation Systems for Peripheral Vitrectomy

The Use of Different Illumination / Observation Systems for Peripheral Vitrectomy

Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland), Zofia Michalewska, (Lodz, Poland) SYNOPSIS This video presents BIOM, OFFISS and horizontal slit illumination used for peripheral vitrectomy. The use of three different systems of illumination and observation during vitrectomy, allows to achieve more adequate viewing. This may improve completeness of peripheral vitrectomy. New...

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A New Microscope with Wide Angle Viewing System without Endoillumination

A New Microscope with Wide Angle Viewing System without Endoillumination

Murat Oncel, MD (Istanbul, Turkey) SYNOPSIS This film demonstrates the technique of using a new microscope observation system for vitrectomy procedures that does not require the use of fiber optic illumination. Without fiber optic illumination, the surgeon is able to perform bimanuel surgery. A 40D non-contact lens provides a wide-angle viewing. ...

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Modified Technique for Improving Trypan Blue Staining of Epiretinal Membranes

Modified Technique for Improving Trypan Blue Staining of Epiretinal Membranes

Stanislao Rizzo, MD (Lucca, Italy), Michele Palla, MD (Pisa, Italy), Federica Genovesi-Ebert, MD, PhD (Pisa, Italy) SYNOPSIS In the air-filled vitreous cavity we have instilled first TB and subsequently liquid perfluorocarbon, that due to its high specific gravity pushes down the coloring agent, thus making it spread better on the retinal surface, allowing a more effective and complete ERM staining and removal.   VIDEO not...

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Mission Possible: Iridocyclectomy for Ciliary Body Leiomyoma

Michael A. Samuel, MD (Los Angeles, CA), Jennifer I. Lim, MD (Los Angeles, CA) SYNOPSIS 63-year old healthy man presents with a visual field defect and a ciliary body mass eroding through the iris. Ultrasonography showed a low reflective solid dome-shaped lesion suspicious for a melanoma. A diagnostic and therapeutic iridocyclectomy was performed. Histopathology revealed the lesion to be a leiomyoma. ...

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Pars Plana Vitrectomy Alone for the Management of Rhegmatogenous RD: The Importance of Using a Chandelier Illumination

Pars Plana Vitrectomy Alone for the Management of Rhegmatogenous RD: The Importance of Using a Chandelier Illumination

Vicente Martinez-Castillo, MD (Barcelona, Spain), Anna Boixadera, MD (Barcelona, Spain), Miguel A. Zapata, MD (Barcelona, Spain), José García-Arumí, MD (Barcelona, Spain) SYNOPSIS This video describes the main advantages of using a 25-gauge sutureless xenon chandelier light during Pars Plana Vitrectomy for the surgical repair of rhegma-togenous retinal detachment: Peripheral scleral depression by the surgeon, improved fundus view during...

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Beveled Cannula Placement for 23 and 25 Gauge Vitrectomy

Beveled Cannula Placement for 23 and 25 Gauge Vitrectomy

Robert L. Avery, MD (Santa Barbara, CA) SYNOPSIS Beveled entry with 23 and 25 gauge trocar/cannula systems for vitrectomy are demonstrated. The entry is rapid and does not require specialized instru-ments. This simple modification of the introduction of the cannula allows for a self-sealing wound – thereby poten-tially lowering the risk of hypotony, wound leak, and endophthalmitis. ...

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Bimanual Surgery as the Golden Standard in PDR

Bimanual Surgery as the Golden Standard in PDR

Giampaolo Gini, MD (Prato, Italy) SYNOPSIS Proliferative diabetic retinopathy continues to be a major cause of blindness throughout the world. Removal of fibrovascular tractions on the retina while avoiding the possibile iatrogenic damage deriving from such manouvers, requires both a good understanding of the anatomical variations involved in each specific case as well as the possibilty of using a bimanual technique. Aim of the video is to...

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Iris Reconstruction Combined with VitreoRetinal Surgery

Iris Reconstruction Combined with VitreoRetinal Surgery

Jerzy Nawrocki, MD (Lodz, Poland), Zofia Nawrocka, MD (Lodz, Poland), Zofia Michalewska,MD (Lodz, Poland), Janusz Michalewski, MD (Lodz, Poland) SYNOPSIS Video presents different cases of iris recon-struction combined with vitreoretinal surgery. In case of present iris structure own iris was used for reconstruction. In other cases coloured iris prosthesis lens was used in primary and secondary procedure. Good cosmetic and functional results...

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No Light Perception Vision After Injury: Don’t Give Up!

No Light Perception Vision After Injury: Don’t Give Up!

Ferenc Kuhn, MD, PhD (Birmingham, AL) SYNOPSIS Over 90% of NLP eyes are enucleated, although vision often could be improved with timely reconstruction. This film is on an 80-year-old lady with an occult rupture after falling. Vision was NLP (confirmed at the slit lamp); the lens was under the conjunctiva and she had a retinal detachment. Comprehensive reconstruction (wound closure, removal of extruded tissues, vitrectomy, silicone oil...

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Advantages and Inconveniences of the Cryo-Gas Vitrectomy in the Treatment of Pseudophakic Retinal Detachment

Advantages and Inconveniences of the Cryo-Gas Vitrectomy in the Treatment of Pseudophakic Retinal Detachment

Jean-Paul Amar, MD (Cannes, France) SYNOPSIS The use of cryo-gas vitrectomy with two open doors helped by the per-op slit lamp allows the overall treatment of retinal detachment while lowering the usual complications of vitrectomy. ...

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Pole to Pole Sugery in Trauma Case: The Dancer

Pole to Pole Sugery in Trauma Case: The Dancer

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy), Stefano Dolce, MD (Ravenna, Italy), Antonio Aversano, MD (Ravenna, Italy), William Gualtieri, MD (Ravenna, Italy) SYNOPSIS Complex cases of ocular traumatology, which involve different sectors of the eyeball. A “pole to pole” surgical strategy has been chosen, developing a global surgical strategy, putting aside the traditional distinctions between anterior and...

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Peeping GRIN

Peeping GRIN

Frank H.J. Koch, MD (Frankfurt am Main, Germany), Pankaj Singh, MD (Frankfurt am Main, Germany) SYNOPSIS Once upon a time all retina specialists had agreed in a 19/20 gauge PPV standard. One day, techno-logical progress had driven some of the experts to declare a smaller gauge (25/23) PPV to be a new standard. Smaller was considered to be faster, safer, less traumatic and certainly better looking – from outside. No opening of the...

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Lost in Vitrectomy: South of the Border Approach

Lost in Vitrectomy: South of the Border Approach

Virgilio Morales-Canton, MD (Mexico City, Mexico) SYNOPSIS This video shows different techniques that can be used on some surgical steps of the vitrectomy proce-dure. What to do with small pupils when you don’t have iris hooks? How to survive and have a successful case when the instrumentation is not the best? ...

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Acquired Retinal Astrocytoma Managed with Endoresection

Acquired Retinal Astrocytoma Managed with Endoresection

Daniel Vilaplana, MD (Sabadell, Spain), Vladimir Poposki, MD (Barcelona, Spain), Miguel Castilla Cespedes, MD (Barcelona, Spain), Francesc Alameda, MD (Barcelona, Spain), Carol L. Shields, MD (Philadelphia, PA) SYNOPSIS A 49 year old male noted decreased visual acuity in the left eye for 5 months. The visual acuity was 20/200. Endoresection was performed and a low grade astrocytoma was confirmed. Two years later the visual acuity is...

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Multi-Gauge Evolution

Multi-Gauge Evolution

Zoran Tomic, MD (Uppsala, Sweden) SYNOPSIS The film is going to present in a funny way difficulties that VR-surgeon meets using 20-and 25-gauge vitrectomy techniques. It is going to explain several reasons why to choose the 23-gauge as a standard operating technique. ...

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25-Gauge Vitrectomy for Vitreoretinal Diseases

25-Gauge Vitrectomy for Vitreoretinal Diseases

Fabio Patelli, MD (Rome, Italy), Paolo Radice, MD (Rome, Italy), Giulio Zumbo, MD (Rome, Italy), Giuseppe Fasolino, MD (Rome, Italy) SYNOPSIS This video will evaluate the usefulness and safety of 25-gauge transconjunctival vitrectomy for different vitreoretinal diseases. ...

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Sparkling Technique

Sparkling Technique

Didier Ducournau http://www.evrs.eu/medias/AwardedVideos/Sparkling-Technique.flv

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Vitreous Surgery Without Endoillumination for Proliferative Diabetic Retinopathy

Vitreous Surgery Without Endoillumination for Proliferative Diabetic Retinopathy

Nawrocki Jerzy, Michalewska Zofia, Michalewski Janusz Background: This video presents both slit lamp and wide field vitreous surgery without endoillumination. Material and method: Images achieved during surgery without endoillumination are compared with standard vitrectomy technique. Results: Vitreous surgery without endoillumination using slit lamp or wide field observation system showed some advantages. Bimanual technique of membranes...

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What, Why, When PVR

What, Why, When PVR

Carlos Mateo, MD Spain Proliferative Vitreoretinopathy is a devastating complication that happens in some cases after a regmatogenous retinal detachment. The handling of complex PVR cases involve many controversial principles. The management of the buckle, the need of lens removal, and the timing of membranes removal will be discussed in the video...

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Endoscopic Anatomy and Pathoanatomy of the Anterior Vitreous Base

Endoscopic Anatomy and Pathoanatomy of the Anterior Vitreous Base

Claude Boscher, Raphael Amar, Dan A.Lebuisson  

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Double Tamponade in Macular translocation with Circular Retinotomy

Double Tamponade in Macular translocation with Circular Retinotomy

Cesare Forlini Ravenna, Italy Form March 2001 to May 2001 we performed 3 cases of retinal translocation and double tamponade in bilateral classic subfoveal CNV occurred less than 6 months before. Eckardt’s technique was used: limbal phacoemulsification with acrylic  IOL implantation in the bag, pars plana vitrectomy, posterior hyaloid detachment, base vitrectomy, production of retinal detachment with BSS infusion under the retina,...

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