European VitreoRetinal Society a certain philosophy

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...

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...

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,...

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...

Didier Ducournau

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

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

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

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

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://www.evrs.eu/medias/AwardedVideos/VitrectomyIndication-IndicationinStageA.flv   Indication in Stage B ...

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

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

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

Didier Ducournau                  

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 ...

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

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

Somdutt Prasad http://www.evrs.eu/medias/AwardedVideos/Extending-the-Role-of-25-Gauge-Transconjuctival-Sutureless-Vitrectomy.flv

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

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...

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...

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...

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...

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...

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...

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...

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...

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...

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

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

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

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

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

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

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...

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. ...

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...

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...

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...

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...

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.   ...

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...

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...

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. ...

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...

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. ...

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...

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. ...

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...

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...

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...

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. ...

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...

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...

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? ...

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...

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. ...

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. ...

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

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...

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...

Claude Boscher, Raphael Amar, Dan A.Lebuisson  

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,...