European VitreoRetinal Society a certain philosophy

http://www.dailymotion.com/video/xudz1u

http://www.dailymotion.com/video/xudv5d Since 1994, the Freiburg Visual Acuity Test allows a standardized visual acuity test with Landolt rings under well-defined conditions for illumination and contrast. Similarly, the web-based test of the Aachen Centrum for Technology transfer in Ophthalmology (ACTO), allows a standardized follow up for macular disorders and other eye diseases. Since smartphones are equipped with a retina display, they...

Advantages: To reveal post-operative specific changes of macular layers using OCT in patients with rhegmatogenous retinal detachment (RD) with macula-off and macula-on pre-op; to provide correlation between OCT changes and post-operative best corrected visual acuity (BCVA). Methods: In 42 patients with rhegmatogenous RD in 1 month after pars-plana vitrectomy OCT analysis (HD-OCT, Cirrus, Carl Zeiss, Meditec) was performed to detect...

Advantages: Contribution and increase treatment of mental disorder, and level of individual capability in children and illiterate people, and early diagnosis of mental retardation, Down syndrome, Turner syndrome, Klinefelters syndrome. Methods: 70 normal subjects (male and female school and university students of different ages) were studied, (3 Groups), the measurement of interpupillary distance (IPD), in normal individuals, with no...

Advantages: To compare the visual field and retinal nerve fibre layer of scleral buckling (SB) and primary pars plana vitrectomy (PPV) for treatment of simple rhegmatogenous retinal detachment (RRD). Methods: We studied twenty eyes with RRD that underwent successful surgical reattachment. Visual field test and retinal nerve fibre layer (RNFL) thickness measurement were performed in patients and outcomes were compared not only between...

http://www.dailymotion.com/video/xtvocz

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Maria Chiara Freno*, Maurizio Mete, Grazia Pertile (Negrar, Italy) Background: Small bleb-like subretinal lesions (bleb-like syndrome) have been shown to be a relatively common finding after scleral buckling (SB) for retinal detachment (RD), while it is very uncommon after pars plana vitrectomy (PPV). Although bleb-like lesions were previously reported as small...

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Frank Becquet, Jean-François Le Rouic, Didier Ducournau (Nantes, France) Purpose: To evaluate the use, tolerance and complications of episcleral implants in retinal detachment surgery. Methods: A review was carried out on the medical reports of 2155 patients with a single surgical procedure (cryotherapy and scleral buckling) for rhegmatogenous retinal...

http://www.dailymotion.com/video/xn4oml Zora Ignjatovic, Katarina Misailovic, Andjela Tolic (Belgrade, Serbia) Advantages: If you deal with patients from far away and have to relinquish follow up to your colleagues who are not vitreoretinal surgeons, it can be helpful if you have some guidelines. Methods: During following up 3320 vitreoretinal cases we had to connect with ophthalmologists from far away hospitals and offices, not experienced...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 A. Sergienko, L. Lytvynchuk, I. Kozlovska, Galina Y. Lavrenchuk, O. Fylypchuk, V. Siriachenko (Kyiv, Ukraine) Advantages: To evaluate the incidence of secondary glaucoma after pars plana vitrectomy due to silicon oil emulsification in different terms of endotamponade and to study the efficacy of trabeculectomy in refractory cases to medical...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Hassan Mortada (Cairo, Egypt) Advantages: Recurrent RD in silicone oil filled eyes may occur early due to persistent retinal traction not adequately relieved or missed breaks, or late due to reproliferation. The aim of the present study is to describe the pathogenesis and management of recurrent Rd, following vitrectomy and silicone oil tamponade in eyes with...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Silvia Bopp (Bremen, Germany) Advantages: To address the problem of retinal redetachments after silicone oil removal in eyes that had undergone vitreous surgery with silicone oil tamponade for complicated rhegmatogenous retinal detachment (RRD) and proliferative vitreoretinopathy (PVR). Methods: Retrospective chart review of 73 patients who had vitrectomy /...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Stratos Gotzaridis, Elias Georgalas (Athens, Greece) Advantages: The use of perflurocarbons liquids leads to unpleasant complications such as subretinal bubbles. The problem is getting more serious when the bubble is located in the area of foveola, which results in severe reduction of the vision. We present a case of removal of a subretinal foveolar...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Zoran Tomic (Uppsala, Sweden) Advantages: Unfolding the macular fold that may occur as a seldom seen but unpleasant complication after primary vitrectomy for rhegmatogenous retinal detachment (RRD), can recover patient’s poor visual acuity in otherwise successfully reattached retina. Methods: Anatomical and functional results of treatment of total five cases...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Daniel Vilaplana, Vladimir Poposki, Isaac Alarcon, Saideh Khaouly-Alonso (Barcelona, Spain) Advantages: Post vitrectomy macular complications are very serious. The prognosis is very poor and in some cases it might be irreversible. Few publications refer to this problem. Methods: Cases with secondary macular pathology such as: epiretinal macular membranes,...

http://www.dailymotion.com/video/xn3ti0

Vitrectomy In Diabetic Retinopathy Hospital Geral de Santo António. Porto, Portugal Vitrectomy In Diabetic Retinopathy Ferreira N, Pessoa B, Macedo M, Queirós P, Meireles A Hospital Geral de Santo António. Porto, Portugal Background Diabetic retinopathy is a vascular retinal disease. Prolonged hyperglycaemia in diabetes can result in increased permeability and progressive occlusion of retinal vessels. These alterations may lead...

Barbara Parolini, Grazia Pertile Advantages: Perfluorocarbon liquid (PFCL) may slip under the retina in complex cases of PFCL/silicone oil exchange with large retinotomies.  External scleral massage with a scleral depressor may help in extruding PFCL residues from the subretinal space. Methods: External scleral massage with scleral depressor in order to move the PFCL residues in the direction of the retinotomy and extrude the residues...

http://www.evrs.eu/medias/2008/congress/Interactive-Computer-Programs-Improve-Vision-Testing-for-Ocular-Screening,-Treatment-Evaluation-and-Post-Treatment-Surveillance.flv Stephen H. Sinclair, Yaprak Banu Unver, Gulderen Aktan Yavuz Advantages: Ophthalmologists overall have limited themselves in understanding and treatment of ocular disease because of the limited methods of traditional vision measurement that are physician dependent....

Miguel Angel Quiroz-Reyes, MD (Mexico City, Mexico), Carmen Lizana, MD (Mexico, City, Mexico) PURPOSE: Is the limitorrhrexis an efective and secure technique to improve the anatomic and functional outcomes in idiopathic macular hole patients? METHODS: Retrospective study of patients with stage 2 to 4 idiopathic macular hole who underwent vitrectomy with and without dye-assited limitorhexis between the year 2000 to 2005. RESULTS: Fifty nine...

http://www.evrs.eu/medias/2006/congress/Multiple-Macular-Retinal-Detachments-after-Successful-Buckle-Surgery:-Infrared,-Autofluorescence,-OCT-and-Microperimetric-Features.swf Francesco Faraldi, MD (Torino, Italy), Chiara M. Eandi, MD (Torino, Italy), Maria Maddalena Rabbione, MD (Torino, Italy), Manuela Fornara, MD (Torino, Italy), Paola Vaona, (Torino, Italy) PURPOSE: Purpose:To investigate the infrared, autofluorescence, optical coherence...

http://www.evrs.eu/medias/2006/congress/Comparison-of-Visual-Recovery-Time-in-Patients-Undergoing-20g and-25-gauge-Vitreous-Surgery.swf Suber S. Huang, MD, MBA (Cleveland, OH),* Mike Ward, MD (Cleveland, Ohio), Mohamed Shaker Alomram, MD (Manama, Bahrain), Llew Rao, MD (Cleveland, OH), Firas Seffo, MD (Cleveland, OH), Karim Jamal, MD (Cleveland, OH) PURPOSE: This study compares the rate of visual recovery in a consecutive case series of...

Stephen H. Sinclair, MD (Media, PA),* Weiye Li, MD (Media, PA), Peter Presti, (Media, PA)* PURPOSE: Vision outcomes for treatment of AMD CNVM have been previously evaluated using visual acuity with severe limitations. Central visual field testing with discriminated targets appears to offer significant advantages. METHODS: In this cohort, 31 eyes of 29 patients undergoing PDT with intravitreal triamcinolone for AMD CNVM underwent IVFA, BCVA...

Carl D. Regillo, MD, FACS (Philadelphia, PA),* Neil M. Bressler, MD (Baltimore, MD),* Jennifer T. Fine, PhD (South San Francisco, CA),* Chantal M. Dolan, PhD (South San Francisco, CA),* Claudine Marceau, PhD (Basel, Switzerland),* Tom S. Chang, MD (Pasadena, CA)* PURPOSE: To examine the effects of less frequent dosing of ranibizumab (LucentisTM) on patientreported visionspecific QoL through 12 months using the NEI-VFQ 25 in PIER, a phase...

Juan B. Yepez, MD (Maracaibo, Venezuela) SYNOPSIS To evaluate step by step the safety and efficacy of a modified 20 gauge vitrectomy to repair successfully more complex vitreoretinal pathology.

Bohdana Kalvodova, MD (Prague, Czech Republic), Jaroslava Duskova, MD, PhD (Prague, Czech Republic), Tarek Aboutable, MD, PhD (Prague, Czech Republic), Martin Janek, MD (Prague, Czech Republic), Evantia Omoscharkas, MD (Prague, Czech Republic) PURPOSE: Removal of the posterior hyaloid and ILM during microsurgery appears to have a positive influence on the resolution of diabetic macular edema (DME) and idiopathic macular hole (IMH)....

Manjula Patel, MD (New York, NY),* Jordi Mones, MD (Barcelona, Spain), Anita Leys, PhD, MD (Leuven, Belgium), Gergana Zlateva, PhD (New York, NY),* Sonali N. Shah, BS Pharm, MPH (New York, NY)* PURPOSE: Patients with AMD are more likely to need help with daily activities, experience more emotional distress, and report a reduced quality of life than those without AMD. Pegaptanib sodium is the first pharmacological treatment for subfoveal...

http://www.evrs.eu/medias/2006/congress/Reoperation-after-Diabetic-Vitrectomy:-Rate,-Indications,-Visual-Outcomes,-and-Complications-in-an-Urban-Academic-Medical-Center.swf Julie L. Gasperini, MD (Detroit, MI), Dean Eliott, MD (Los Angeles, CA) PURPOSE: To identify the rate, indications, visual outcomes, and complications in patients requiring reoperation(s) for the sequelae of proliferative diabetic retinopathy. METHODS: Retrospective...

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...

Lucian V. Del Priore, MD, PhD (New York, NY), Ankoor R. Shah, BS (New York, NY) PURPOSE: Multiple pharmacological treatments (photodynamic therapy [PDT], Macugen, Lucentis, and Anecortave Acetate [AA]) exist for exudative AMD; typically these treatments are compared to controls in clinical trials but not to one another. We have shown the rate of visual loss in untreated eyes is linear on a double reciprocal Lineweaver-Burke (LB) plot with...

Rishi P. Singh, MD (Shaker Heights, OH), Oswaldo FM Brasil, MD (Cleveland, OH), Anat Galor, MD (Cleveland, Ohio), Scott D Smith, MD, MPH (Cleveland, OH), Careen Y. Lowder, MD (Cleveland, OH), Jonathan E. Sears, MD (Cleveland, OH), Peter K. Kaiser, MD (Cleveland, OH) PURPOSE: To evaluate the predictive factors for visual outcome after intravitreal triamcinolone acetonide injection in the treatment of diabetic macular...

http://www.evrs.eu/medias/2006/congress/Effect-of-Initial-Visual-Acuity-on-Visual-Loss-in-Untreated-AMD-Eyes-with-Subfoveal-Neovascularization.swf Lucian V. Del Priore, MD, PhD (New York, NY), Ankoor R. Shah, BS (New York, NY) PURPOSE: Previous clinical trials in exudative AMD demonstrate large differences in the behavior of untreated control eyes. Herein we test the hypothesis that the behavior of the control eyes is essentially the same...

http://www.evrs.eu/medias/2006/congress/Diurnal-Variation-in-Retinal-Thickening-Measured-By-OCT.swf Michel J. Shami, MD (Lubbock, TX), Ronald P. Danis, MD (Madison, WI), Diabetic Retinopathy Clinical Research Network PURPOSE: To evaluate diurnal variation in Optical Coherence Tomography (OCT) measured retinal thickness in patients with center-involved diabetic macular edema (DME). METHODS: Ninety-six subjects with DME were recruited at 25...

Matthew S. Benz, MD (Houston, TX),* David M. Brown, MD (Houston, TX),* Richard H. Fish, MD (Houston, TX),* Rosa Y. Kim, MD (Houston, TX),* Andrew Strickler, MS (Houston, TX), Tien P. Wong, MD (Houston, TX)* PURPOSE: Patients with ischemic central retinal vein occlusion have a high rate of developing anterior segment neovascularization and neovascular glaucoma and often have a dismal visual outcome. The RAVE (Rubeosis Anti-VEGF) study is an...

http://www.evrs.eu/medias/2006/videos/BEST-OF-SHOW-Managing-Dry-Macular-Folds-after-Vitreoretinal-Surgery.flv 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...

Jose A. Roca, MD (Lima, Peru), Lihteh Wu, MD (San Jose, Costa Rica), Fernando Arevalo, MD (Caracas, Venezuela), Mauricio Maia, MD (São Paulo, Brazil), Maria H. Berrocal, MD (Santurce, PR), Francisco J. Rodriguez, MD (Bogota, Colombia), Michel Eid Farah, MD, PhD (São Paulo, Brazil), Fabio Bom Aggio, MD (São Paulo, Brazil) PURPOSE: To describe the visual and anatomic outcomes of an intravitreal injection of 1.25 mg or 2.5 mg of bevacizumab...

Ron A. Adelman, MD, MPH (New Haven, CT), Adarsh Arya, MD (New Haven, CT), John Emerson, PhD (New Haven, CT) PURPOSE: To study predictive factors that determine visual improvement following intravitreal triamcinolone acetonide for macular edema in diabetes and retinal vein occlusions. METHODS: A meta-analysis was performed on the articles reporting functional outcome following intravitreal triamcinolone in macular edema associated with...

http://www.evrs.eu/medias/2006/videos/Pitfalls-in-the-Management-of-Ocular-Trauma.flv Hazem El Sabagh, MD (Damman, Saudi Arabia) SYNOPSIS The film present three ocular trauma cases in which improper management and / or improper timing of intervention has affected the anatomical and visual outcomes of surgery.

http://www.evrs.eu/medias/2005/congress/New-Approaches-to-Severe-Incyclotorsion-Induced-by-Macular-Translocation-Surgery.swf Jonathan M. Holmes, Colin A. McCannel – Department of Ophthalmology, Mayo Clinic, Rochester MN USA Purpose: Macular translocation with a 360 degree retinectomy (MT360) is a surgical treatment for exudative age related macular degeneration. Visual rehabilitation following such surgery involves addressing tilting of...

Zoran Tomic Purpose: To report on our results with full macular translocation (FMT) in the treatment of ARMD. Methods: Retrospective study on 15 consecutive eyes that underwent FMT for the treatment of subfoveal CNV in ARMD. Results: Visual acuity improved by ≥ 2 lines Snellen in 6 operated eyes (40%), remained unchanged in 3 eyes (20%) and worsened in 6 (40%). Reading vision recovered in 5 eyes (33%) and maintained in 2 (13%)....

L. O. Hattenbach, P. N. Jentzmik, J. Puchta, Y. Sinangin, F. Koch – Klinik für Augenheilkunde, Netzhaut- und Glaskörperchirurgie, Klinikum der Johann Wolfgang Goethe Universität, Frankfurt am Main, Germany Purpose: To investigate visual recovery and clinical outcome after pars plana vitrectomy with or without internal limiting membrane (ILM) peeling in patients with macular edema associated with proliferative diabetic vitreoretinopathy...

Yusuf Akar, Cemil Apaydin, Meryem Altin, Asli Oner Purpose: To assess the effects of intravitreal triamcinolone acetonide injection on optic nerve head topography. Methods: The study population consisted of one eye of 23 patients with type 2 diabetes mellitus with clinically significant macular edema. None of the patients had proliferative diabetic retinopathy or a history of retinal laser photocoagulation. All eyes had received 4 mg of...

http://www.evrs.eu/medias/2005/congress/VEGF-Inhibition-Study-in-Ocular-Neovascularization-(Vision):-Outcomes-from-the-Phase-II-III-Macugen-Pivitol-Trials.swf Thomas R. Friberg and the Macugen Study Group Purpose: To evaluate the safety and effectiveness of Macugen in the treatment of exudative AMD. Methods: Two phase II/III randomized, double masked, multicentered trials were conducted to study the effect of pegatanib sodium (Macugen)...

http://www.evrs.eu/medias/2005/congress/Combined-treatment:-Photodynamic-therapy-with-visudyne-and-intravitreous-injection-of-triamcinolone-(IVT).swf Guy L’Helgoual’ch Purpose: To estimate the interest of intravitreous injection of Triaminolone 24 hours after Photodynamic Therapy with Visudyne used as treatment of néovascular complications of age related macular degeneration. Methods: During a period longer than 2 years, each patient...

Guy L’Helgoual’ch Purpose: To analyse the photodynamic therapy’s complications and try to understand parts of the mecanisms. Methods: Fluorescein and ICG angiograph are done using a Topcon Imagenet system Adobe Photoshop software to analyse the pictures and create traces from the lesion and laser’s spot area Morphing software to compare the angiographs. Results: Using Adobe photoshop software, it is possible to show the...

http://www.evrs.eu/medias/2005/congress/Does-Using-Intravitreal-Triamcinolone-Acetonide-During-ILM-Peeling-Affect-the-Outcome-of-Macular-Hole-Surgery.swf Murat Karacorlu, Hakan Ozdemir, Serra Arf Karacorlu Purpose: To evaluate functional and anatomical outcome of triamcinolone acetonide assisted internal limiting membrane (ILM) peeling in patients with macular hole. Methods: Fifteen eye of 15 consecutive patients were identified with stage...

Malbrel Christian Purpose: Control innocuity of different therapies used in ARMD on color vision and central sensitivity. Methods: PDT-TTT-intravitreous triamcinolone-exerese surgery-radiotherapy were used on several patients with long survey time. Color vision and macular sensitivity data were collected. Results: About 1000 data on several years showing evolution of illness and influence of therapy. Conclusion: PDT is a safeguard for...

Mario Pacini Purpose: To evaluate visual outcome and progression towards full thickness macular hole (MH) on patients presenting impending macular hole and operated by internal limiting membrane (ILM) peeling technique. Methods: A retrospective study of 54 eyes of 52 patients presenting impending macular hole (stage 1). All pre- and post-op visual acuities were informed by referring doctors. A 2-port vitrectomy under slit lamp illuminating...

http://www.evrs.eu/medias/2005/congress/Preferential-hyper-acuity-perimeter:-clinical-and-angiographic-correlations.swf Guy L’Helgoual’ch Purpose: To appreciate the correspondence of P.H.P.’s results with angiograph’s pictures for patients cured for age related macular degeneration, treated or not. Methods: 9 months using P.H.P. during the follow-up of patients for age related macular Degeneration. Some of the patients have got a...

http://www.evrs.eu/medias/2005/congress/Clinical-Course-and-Results-of-Surgical-Treatment-of-Epiretinal- Membranes-(ERM).swf Viktoria Mester, Ferenc Kuhn, Yahya Ali Al Midwahi Purpose: Evaluation of the etiology, incidence, clinical course, and prognosis of surgical cases of epimacular proliferation. Methods: Retrospective review of 52 consecutive patients who underwent pars plana vitrectomy for epimacular proliferation. Results: The common...

Colin A. McCannel, Lisa J. Faia, R. Mark Hatfield, Jose S. Pulido, McKinzie Hatfield, Vicky McNulty Purpose: To describe and quantify the outcomes seen following 25-gauge vitrectomy surgery for several different pre-operative indications, especially concerning rate of cataract formation in the operated eye. Methods: Retrospective review of 25-gauge vitrectomy surgeries performed between January 2002 through August 2004 with a minimum of 3...

F. Boscia, C. Furino, N. Cardascia, L. Sborgia, N. Recchimurzo, C. Sborgia Purpose: To evaluate immediate and short term functional and anatomic changes of using the 25-gauge pars plana vitrectomy (25G-PPV) for epiretinal macular membranes (ERM). Methods: Prospective study of a consecutive interventional case series. Ten eyes of 10 phakic patients with idiopathic ERM and clear media underwent 25G-PPV and ERM removal with indocyanine-green...

A. C. Gribomont, J. Delescaille Purpose: To evaluate the safety and efficacy of the 25G transconjunctival vitrectomy in the treatment of epimacular membranes and vitreo-macular traction syndromes. Methods: In this prospective study dealing with a consecutive series of 38 eyes with an epimacular membrane or a vitreo-macular traction syndrome, either idiopathic or secondary, we recorded the visual acuity and intraocular pressure the day...

Patrik Schatz, MD, Kristina Holm, MD, Sten Andréasson, MD, PhD Purpose: To investigate retinal function, and specifically central, macular function after scleral buckling surgery for recent onset retinal detachment. Methods: 14 Patients with rhegmatogenous retinal detachment of less than seven days´ duration, were operated with scleral buckling surgery. In eight of these, the detachment engaged the fovea, preoperatively. Clinical...