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Retinal Detachment Post-Keratoplasty and an Iris-fixed IOL Implantation

Advantages: To treat an acute retinal detachment secondary to a keratoplasty and an iris-fixated IOL to restore the visual function. Methods: Our  surgical technique consists in: Scleral buckilng, residual cortex opacification extraction, vitrectomy, PFCL injection, drainage retinotomy, subretinal fluid aspiration, endophotocoagulation, PFCL extraction and fluid air exchange. Effectiveness / Safety: Retinal detachment is a bad...

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Expulsive Hemorrhage During Penetrating Keratoplasty

We present a case of loss of the anterior chamber, forward projection of intraocular contents during placing the second suture of a corneal graft. Immediate management including forced placement of the second suture, an immediate pars plana stab with core vitrectomy, further deepening of the anterior chamber and placement of closing sutures. Postoperatively, there was recovering of vision with full function of the graft. Immediate maneuvers...

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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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CCV – Clear Cornea Vitrectomy

http://www.dailymotion.com/video/xnra3f Dalibor Cholevik, Jan Nemcansky (Ostrava, Czech Republic) Advantages: Effective surgical 
treatment 
of 
exudative 
retinal
 detachment 
in 
eye 
with 
nanophthalmus
. Methods: When the sclerotomy is fail in exudative retinal detachment in nonothalmic eye, is PPV needed. The eye is very shot and retinal detachment is total. There is not space for standard PPV. We present...

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Pole to Pole Surgery in Severe Post-traumatic PVR — The Role of Temporary Keratoprosthesis and Open Sky Surgery

http://www.dailymotion.com/video/xo99di http://www.dailymotion.com/video/xo9yye Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Purpose: To show the use of temporary keratoprosthesis (TKP, Landers) and of open sky surgery for the visualization of intraocular structures during pars plana vitrectomy in eyes with corneal and retinal pathologies and make possible to manage both in a single surgical...

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The Effect of Intravitreal Anti-VEGF Agents on Peripheral Wound Healing in a Rabbit Mode

JB Christoforidis, R Ricketts, C Pratt, J Wang, A Jiang, H Herce, K LaPerle (Columbus, OH, USA) Advantages: To investigate the effect of intravitreal pegaptanib, bevacizumab and ranibizumab on blood vessel formation during cutaneous wound healing in a rabbit model and to compare this effect to placebo controls. Methods: Forty New Zealand white rabbits underwent full thickness cutaneous wounds using standard 6mm dermatologic punch biopsies....

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Vitreoretinal Surgery Using Temporary Keratoprosthesis

http://www.dailymotion.com/video/xnl5s8 G. Levitska, S. Yakimenko, S. Rodin, T. Haydamaka (Ukraine) We are presenting four cases of successful vitrectomy using temporary keratoprosthesis. Case 1. Male, 37 years. Cornea opacity in result of chemical burn, RRD, PVR CA 12, subretinal fibrosis. Case 2. Male, 73 years. Epithelial-endothelial dystrophy of cornea, recurrence RD after scleral buckling, pars plana vitrectomy (PPV) with gas...

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Pars Plana Vitrectomy with Temporary Keratoprosthesis and Combined Penetrating Keratoplasty

http://www.dailymotion.com/video/xnbef6 Ziya Kapran, Nur Acar, Yaprak Banu Unver (Istanbul, Turkey) In eyes with severe corneal opacity that precludes pars plana vitrectomy (PPV), temporary keratoprosthesis is a very useful tool in the OR.In this video PPV with using a temporary keratoprosthesis combined with a penetrating keratoplasty is. This technique allows vitrectomy in a closed system. With the help of this technique eyes can be...

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

http://www.dailymotion.com/video/xnl4c0 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...

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Outcome of Vitreoretinal Surgery and Penetrating Keratoplasty Using Temporary Keratoprosthesis

Ziya Kapran*, Yaprak Banu Ünver, Nur Acar, Yapar Küçüksümer (Istanbul, Turkey) Advantages: To evaluate surgical outcomes using a temporary intraoperative keratoprosthesis (KP) in patients undergoing combined pars plana vitrectomy (PPV) and penetrating keratoplasty (PKP). Methods: We retrospectively reviewed chart of patients in whom a temporary keratoprosthesis was used between 2001and 2011. Only patients with more than 6 months...

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Pintucci’s Keratoprosthesis: an Interrupted History, a Completed Path, a Battle that Goes On…

http://www.evrs.eu/medias/2009/videos/CesareForlini_VP6_768K.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy The video shows the case of a 54 y/o monocular female patient, with the only eye already having undergone Pintucci Keratoprosthesis (KP) implantation. The patient previously had multiple surgeries for retinal detachement following an endophthalmitis caused by Candida; the visual acuity on admission was...

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Endoscopic Vitrectomy in Retinal Detachment in Eyes with Keratoprothesis

Anselm Jünemann The management of retinal detachment in eyes with opaque media remains a challenge. In case of cataract, vitrectomy with simultaneous phacoemulsification is recommended. In patients with corneal opacities, keratoprosthesis is an optional procedure. In patients with keratoodontoprothesis, there is no possibility to improve the insight into the eye via the anterior segment. This poster presents the management of retinal...

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Management of Vitreoretinal Pathology in Eyes Undergoing Osteo-Odonto Keratoprosthesis Surgery

http://www.evrs.eu/medias/2008/congress/Management-of-Vitreoretinal-Pathology-in-Eyes-Undergoing- Osteo-Odonto-Keratoprothesis-Surgery.flv Doric Wong, Anton Javellana, Zena Lim, Jet Bautista, Chong-Lye Ang, Donald Tan (Singapore National Eye Centre; Singapore) Background/Problem: The osteo-odonto keratoprosthesis (OOKP) is used to treat end stage anterior segment opacification due to severe ocular surface disease. Assessment of the retina,...

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Avastin – It’s Not Just for Retina Anymore

Michael A. Singer, MD (San Antonio, TX), Rafael Lin Wong, (San Antonio, TX), Catherine Alderete, CMA (San Antonio, TX), Robin Hartman, BBA (San Antonio, TX) PURPOSE: To determine whether combination therapy of Avastin and Kenalog is useful in the treatment of corneal neovascularization. METHODS: A patient presenting with severe corneal neovascularization in both eyes and Hand Motion (HM) vision was given multiple treatments of Avastin, by...

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Vitreo-retinal Surgery in Patients with Osteo-Odonto- Keratoprosthesis (OOKP)

http://www.evrs.eu/medias/2006/videos/Vitreo-retinal-Surgery-in-Patients-with-Osteo-Odonto-Keratoprosthesis-(OOKP).flv Jeroni Nadal, MD (Barcelona, Spain) SYNOPSIS A novel technique using a specially designed lens to perform vitreo-retinal surgery in patients with the Strampelli type of OOKP is described. With this optical system we can perfectly visualize and approach the different vitreo-retinal pathologies of the posterior pole,and of...

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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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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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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.

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Pole to Pole Surgery in Trauma Case: “The Dancer”

http://www.evrs.eu/medias/2006/videos/Pole-to-Pole-Surgery-in-Trauma-Case:-The-Dancer.flv 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...

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