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Unusual Evolution of Idiopathic Macular Holes: A Report of 8 Cases

Objective: Description of 8 idiopathic macular holes that had an unusual evolution. Introduction: Macular hole is the absence of macular retinal layers. Most idiopathic macular holes have a good outcome after surgery, which is vitrectomy, ILM peeling and gas tamponade. However, some unusual cases are still challenging the actual management of this pathology. Cases: (1) Surgical closure of macular hole with macular edema development...

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Strategy Based on Clinical Findings

Didier Ducournau (Nantes, France) Vitrectomy in the surgical treatment of a retinal detachment presents a lot of advantages. However, in this case of retinal detachment the vitrectomy must be as complete as possible and its iatrogenic risk must be considered. This risk cannot be accepted in stage 0 PVR retinal detachments (except in some specific cases) where the risk of failure is almost zero. In some stage A PVR the author considers that...

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Acute Uncomplicated Retinal Detachment in Presbyopic Patients 
– Is Buckling or Vitrectomy the Better Approach These Days?

Stefanie Pape (Bremen, Germany) With advances in vitrectomy techniques in recent years there has been a trend away from buckling and towards primary vitreous surgery with combined lens exchange for primary uncomplicated retinal detachments in presbyopic patients in which the preservation of the natural lens is of secondary importance. A number of reasons seem to be responsible for this development: • learning vitrectomy techniques seems...

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Primary Rhegmatogenous Retinal Detachment in Phakic and Pseudophakic Cases: The Additive Effect of Scleral Buckling to Pars Plana Vitrectomy and Comparison of the Properties of the Vitreous Base and Retinal Tears in Uncomplicated Primary Phakic Rhegmatogenous Retinal Detachment and Pseudophakic Retinal Detachment

Hülya Güngel, Sevil Karaman, Evre Peker (Istanbul, Turkey) Advantages: To evaluate the additional effect of scleral buckling (SB) to pars plana vitrectomy and to compare the properties of the vitreous base and retinal tears in uncomplicated primary phakic rhegmatogenous retinal detachment (prd group) and pseudophakic retinal detachment (psrd group). Methods: This retrospective study statistically compares primary anatomical and...

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Hso as 1st Choice in Complicated Retinal Detachment: Checkmate in Two Moves!

Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objective: Treatment of complex R.D: checkmate in two moves! Purpose: To show our strategy in complicated R.D, with high (risk to develop recurrent RD with PVR. In such cases, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of (the inferior retina), and to “reallocate to the (superior retina)” eventual recurrence to treat...

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Is it Reasonable to Operate Complicated Retinal Detachments: Five Years Observation Following 230 – 360 Degrees Retinotomy

Piotr Fryczkowski (Warsaw, Poland) 38 Patients with complicated retinal detachment (5 traction/rhegmatogenous detachment (13,1%), 31 rhegmatogenous Detachment (81,6%), 2 Secondary detachments, underwent pars plana vitrectomy, 230- 360° retinectomies, 360 degrees intraoperative endolaser and silicone oil tamponade. Changes in visual acuity, tonometry, and morphology of the eyes during observation time between (25-108 month) were recorded....

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