European VitreoRetinal Society a certain philosophy

http://www.dailymotion.com/video/xueopo Purpose: To investigate micropulse contiguous grid laser (MCGL) for DDME involving the fovea, and to correlate OCT findings with resolution target visual fields (RTVF) scotomas and global macular acuity (GMA). Methods: One year retrospective review of sequentially treated eyes including, OCT, FA, RTVF and NEI-VFQ 25. Results: In 56 eyes GMA improved 0.2 logMAR in 34%, with none worsening >0.3...

http://www.dailymotion.com/video/xueopo Advantages: Combined treatment of diffuse diabetic macular edema using intravitreal injection of bethamethasone and laser coagulation is effective in improving visual acuity and restoration of the morphofunctional state of the retina. Methods: Intravitreal injection 4 mg (0.1 ml) of bethamethasone combined with laser coagulation was conducted in 33 patients (33 eyes) with diffused diabetic macular...

http://www.dailymotion.com/video/xueopo Advantages: Intravitreal bevacizumab followed by laser micropulse in CSME offers a clear advantage of non-inducing a visible retinal burn and having a potential efficiency in reducing foveal thickness and visual acuity Methods: Prospective case series. One hundred and twenty cases of non-ischemic non-tractional CSME with macular thickness more than 400 microns as defined by OCT were managed by...

http://www.dailymotion.com/video/xueopo Advantages: Laser stimulation seems to be effective, safer, non-tissue harmful and cost effective to treat diabetic macular edema. Methods: Eighty-eight eyes of 78 diabetic patients with DME were treated with yellow diode laser (577 nm) suited for micropulse treatment in macular area. ETDRS best corrected visual acuity, High definition optical coherence tomography to determine central macular...

Purpose: To know the clinical outcomes of intravitreal bevacizumab with laser photocoagulation as primary treatment in the diabetic macular edema. Methods: Patients who diagnosed with DME without vitreomacular traction and not underwent any other treatment were choosen to receive an intravitreal bevacizumab injection alone in 30 eyes and an intravitreal bevacizumab injection with laser photocoagulation in 31 eyes. We compared both groups....

Advantages: Selective laser coagulation of pigment epithelium (SLCPE) is effective laser procedure for treatment diffuse and focal diabetic macular edema with minimal damage of retina, but cystoid macular edema (CDME) is very torpid to different treatment modalities, and the majority of authors prefer grid laser for its treatment. We suggested that previous intravitreal ranibizumab (0.5 mg) will create conditions for effective SLCPE in...

Advantages: The effect of laser and intravitreal injection on the persistence of serous macular detachment and its effect on functional and anatomical results. Methods: Thirty-one diabetic patients who had diabetic retinopathy and clinically significant macular edema with serous macular detachment were included. Data were reviewed for laser treatment (panretinal-grid-focal photocoagulation) and intravitreal injection (triamcinolone...

Purpose: To report the efficacy of a single intravitreal bevacizumab injection alone or in combination with intravitreal triamcinolone acetonide versus macular laser photocoagulation as primary treatment of diabetic macular edema. Methods:   72 eyes of 40 patients with clinically significant DME and no previous treatment were enrolled. The eyes were randomly assigned to one of three study arms: the intravitreal bevacizumab (IVB) group,...

Alireza Ramezani, Morteza Entezari, Mohammad Mehdi Shahbazi, Yosef Semnani, Zhaleh Rajavi, Hossein Mohammad Rabie, Mehdi Yaseri (Tehran, Iran) Advantages: To evaluate the analgesic effect of topical sodium diclofenac 0.1% during retinal laser photocoagulation for diabetic retinopathy. Methods: In a randomized placebo-controlled intraindividual two-period crossover clinical trial, patients with diabetic retinopathy candidate for peripheral...

Edin Catovic, Edina Barakovic-Catovic, Stefan Malm (Sweden) Advantages: Conventional argon laser treatment can be a useful and powerful tool to treat the different clinical forms of Central Serous Chorioretinopathy (CSC). Methods: Acute CSC: Case 1: acute CSC treated with conventional argon laser: complete resolution of serous retinal detachment (SRD) on OCT and complete restoration of visual acuity (AC).Case 2: recurrent CSC-patient...

SH Sinclair (Drexel Univ School Med), B Parvus (Pennsylvania College of Osteopathic Medicine), L Lofdahl (Salus University), P Presti (Georgia Institute of Technology, Atlanta) Objective: To investigate micropulse contiguous grid laser in the treatment of eyes with diffuse diabetic macular edema (DDME) involving the fovea, resistant to prior treatment and second, to correlate OCT findings with central discriminant visual fields...

http://www.evrs.eu/medias/2010/congress/Non-Proliferative-Diabetic-Maculopathies.flv Gungor Sobaci, Cuneyt Erdurman, A. Hakan Durukan (Ankara, Turkey) Purpose: Controversy exists in the literature regarding the most appropriate method of treatment in diabetic macular edema. We aimed to find out the current best care for selected group of patients who had untreated, acute, and diffuse diabetic macular edema. Methods: Patients with acute DDME...

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Artery-Occlusion-Central-Retinal-Artery Occlusion.flv Horia T. Stanca, Agrippa Lonescu (Bucharest, Romania)
 Advantages:  Translumenal YAG laser embolysis (TYE) is an easy to perform and quick method to recannulate a branch of CRA occluded by an embolus visible on the optic disc surface.  The embolus is broken into small parts inside the vessel.  This is a non-invasive technique...

http://www.evrs.eu/medias/2010/congress/Non-Proliferative-Diabetic-Maculopathies.flv Evangelia Papavasileiou, S. Sivaprasad, S. Liazos, R. Mathew, I. Bisbas (London, UK) Advantages: The advantages of this study were to evaluate and compare fundus autofluorescence (FAF) after subthreshold micropulse diode laser versus modified Early Treatment Diabetic Retinopathy Study photocoagulation for clinically significant diabetic macular...

http://www.evrs.eu/medias/2010/congress/Non-Proliferative-Diabetic-Maculopathies.flv Marcus Kernt, Armin Wolf, Efstathios Vounotrypidis, Michael W. Ulbig, Anselm Kampik, Aljoscha S. Neubauer (Munich, Germany) Purpose: To investigate the applied accuracy of a navigating laser photo-coagulator when treating clinically significant macular edema. The NAVILAS® is featured with retinal movement tracking and a precise visualization of targeted...

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Catherine Favard (Paris, France) Advantages: The Pattern Scanning Laser (Pascal) is a semi-automatic photocoagulator using short pulses of 10 to 20 milliseconds applied in square (2X2 to 5X5 impacts) or grid (14 to 56 impacts) patterns. Methods: Between March 2008 and May 2010, 27 eyes: 15 Ischemic diabetic retinopathies (DR) and 12...

Ester Nuñez, Beatriz Jimenez, Francisco J. Ascaso, Francisco Iturbe (Zaragoza, Spain) Advantages: Retinal telangiectasis are rare vascular anomalies of unknown origin characterized by weakness of the wall of the retinal blood vessels associated with increased permeability of capillary endothelium. Idiopathic juxtafoveal retinal telangiectasia (IJRT) is an entity that can give rise to different clinical manifestations. Although initially...

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Theodoros Potamitis, Yianna Antoniou (Limassol, Cyprus) Advantages: The use of Avastin has revolutionized the management of many retinal vasculopathies over the past few years and when its use leads to the avoidance of surgery the advantages to the patient are obvious. Methods: Patients over a five-year period with CRVO treated by both...

Michele Fortunato (Rome, Italy), Rossana Di Pietro (Pinerolo (TO) Italy) Advantages: Photodynamic therapy represents a safe and efficient procedure for the treatment of retinal angiomas in children, by the selective occlusion of vascular lesions, without damaging adjacent retinal structures. Methods: The authors describe their experience in the treatment of five cases of von Hippel Lindau disease; patients present the age between 5 and 9...

http://www.evrs.eu/medias/2010/congress/Central-Serous-Chorioretinopathy.flv Ivan Fiser (Prague, Czech Republic) Advantages: We use an individualized treatment for CSC based both on traditional procedures and on experimental ones. Laser stimulation therapy can be beneficial even in cases without the typical focus of leakage. Intensive topical steroid therapy, commonly strictly rejected, proved to be useful in some cases. Methods:...

Osman Çekiç, M. Selim Kocabora, Nilay Kandemir (Istanbul, Turkey) Advantages: To assess the effectiveness of intravitreal triamcinolone and combined triamcinolone-bevacizumab injection as adjunctive treatment to grid laser for diffuse diabetic macular edema. Methods: Sixty-nine eyes of 69 patients (29 male, 40 female) with diffuse diabetic macular edema were intravitreally injected either with 4mg/0.1ml triamcinolone (n = 29) or...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Ivan Fiser (Prague, Czech Republic) Advantages: We should never stop warning against too extensive and destructive laser treatment in PDR. Modern lasers enable an effective coagulation of the RPE, still favoring the neuroretina. We have a suspicion that too extensive treatment with heavy burns can even cause an inflammation that stimulates the VEGF and the...

http://www.evrs.eu/medias/2010/congress/Vascular-Pathologies-in-Young-Patients.flv Ahmed El Khashab (Cairo, Egypt) Purpose: To report a retrospective, consecutive, non-comparative case series of progressive threshold stage 3 retinopathy of prematurity (ROP) treated by the conventional peripheral laser therapy together with intravitreal injection of bevacizumab (Avastin). Methods: The study included 25 eyes of 13 patients with progressive...

http://www.evrs.eu/medias/2010/congress/Vascular-Pathologies-in-Young-Patients.flv Martin Flores-Aguilar, Alicia Flores, Marco Hernandez (Celaya, Mexico) Advantages: Use of transscleral diode laser for ROP present some advantages over transpupillar photocoagulation: bigger spot size (the more retina treated, the less time of treatment). If tunica vasculosa lentis is still present we don’t need to have a very dilated pupil, the probe...

http://www.evrs.eu/medias/2009/congress/Which-Laser.flv Author: Ihab Saad Othman, Giza, Egypt Advantages: Laser micropulse in CSME offers the clear advantage of not inducing a visible retinal burn and having a potential efficacy in reducing foveal thickness. Methods: Prospective case series. Two hundred and twenty cases of non-ischemic CSME with macular thickness less than 400 microns as defined by OCT were managed primarily and...

http://www.evrs.eu/medias/2009/congress/Which-Laser.flv Authors: Jiri Rehak, Barbora Babkova, Zuzana Pracharova, Martin Sin, Matus Rehak,  Olomouc, Czech Republic Advantages: Determination of prognostically unfavourable branch retinal vein occlusion (BRVO) using initial visual acuity (VA) is a very simple and valuable procedure, which can be done by the general practitioner. The laser arteriolar constriction technique could be successfully...

http://www.evrs.eu/medias/2009/congress/Which-Laser.flv Authors: Vincenzo Ferrara, G.F. Pacelli, Vito Belloli, Arona, Italy Advantages: Pascal® is a short-pulsed patterned scanning laser photocoagulation system which offers the main advantages of applying multiple spots almost simultaneously in different patterns chosen on the basis of different available models. The operator can select arcs, circular grid or sections of grids or use a...

http://www.evrs.eu/medias/2009/congress/Which-Laser.flv Author: Catherine Favard, Paris, France Advantages: The Pattern Scanning Laser (Pascal) is a new semi-automatic photocoagulator using short pulses of 10 to 20 milliseconds applied in square (2X2 to 5X5 impacts) or grid (14 to 56 impacts) patterns. Methods: We evaluated Pascal laser efficacy and safety for the treatment of macular edema (ME) in 15 eyes and ischemic retinopathy in...

http://www.evrs.eu/medias/2009/videos/KyoungSubLee_VP6_768K.flv Author : Kyoung Sub Lee, South Korea Advantages: Retinal detachment is one of the most serious secondary complications after vitrectomy. Previous study reported 1%~6% of incidence in postoperative retinal detachments after epiretinal membrane surgery.  We performed septate 360° barrier laser photocoagulation for prevention of postoperative retinal detachment in epiretinal...

Authors: Miroslav Vukosavljevic, Dragan Vicic, Nenad Petrovic, Vesna Cerovic, Belgrade, Serbia Advantages: A case report of a laser eye injury sustained during a light show at a concert. Methods: Male, laser eye injury of the right eye. Vitreous hemorrhage with severe visual loss. Effectiveness / Safety: Visual recovery within three months from the injury. No surgical intervention was...

Osman Cekic, Mehmet Cakir, Omer F. Yilmaz Advantages: To report the result of photodynamic therapy (PDT) for an iatrogenic choroidal neovascularization (CNV) complicating focal argon laser coagulation in a case with central serous chorioretinopathy. Methods: A 45-year-old woman that developed CNV upon focal argon laser photocoagulation for chronic central serous chorioretinopathy was treated with ocular PDT with verteporfin. Effectiveness...

http://www.evrs.eu/medias/2008/congress/Pattern-Scan-Laser-System-(PaScaL)-vs-Conventional-Photocoagulation- System.-Evolving-our-way-to-do-photocoagulation.flv Maria Ana Martinez-Castellanos, Virgilio Morales-Canton, Lourdes Lopez-Ramos, Sandra Vera-Rodriguez, Raul Velez-Montoya, Octavio Burgos-Vejar, Oscar Alvarez-Verduzco, Adai Perez-Montesinos, Jans Fromow-Guerra, Jessica Lopez-Miranda, Hugo Quiroz-Mercado Advantages: Pattern scan laser...

http://www.evrs.eu/medias/2007/videos/medicalandsurgicalstrategy.flv

Ravikiran Gandhewar, MD (Swansea, UK), Rizwan Cheema, MD, FRCOphth (Cardiff, UK) PURPOSE: Is barrier laser photocoagulation a safe, effective, adequate non-surgical intervention in the management of the complex problem of recurrent inferior retinal detachment? METHODS: Four consecutive patients who developed recurrent retinal detachment were prospectively considered candidates for barrier laser photocoagulation if recurrent retinal...

Leila El Matri, MD (Tunis, Tunisia), Fatma Mghaieth, MD (Tunis, Tunisia), Nibrass Chaker, MD (Tunis, Tunisia), Rym Bouraoui, MD (Tunis, Tunisia), Karim Baklouti, MD (Nabeul, Tunisia), Mourad Ben Khalifa, MD (Tunis, Tunisia) PURPOSE: To determine the effectiveness of vitrectomy and encircling endolaser photocoagulation in the management of complex retinal detachments. METHODS: Our study included 69 patients (71 eyes), aged between 8 and 79...

Mahmoud Soliman, (Cairo, Egypt) PURPOSE: Evaluation of the Nerve Fiber Layer (NFL) thickness lose following full scatter laser photocoagulation in diabetic patients using Optical Coherence Tomography (OCT) with its correlation to the number of laser shots. METHODS: Twenty eyes of 14 patients legible for full scatter laser photocoagulation were included in this study with an average age of 53 years (range 31-65). Male to female ratio was...

Gÿng.sr Sobaci, MD (Ankara, Turkey), Melih Osman Çeylan, MD (Ankara, Turkey), Sayih Altun, MD (Ankara, Turkey), Seçkin Aykas, MD (Anakar, Turkey), Mehmmet Zeki Bayraktar, MD (Ankara, Turkey) PURPOSE: We previously showed that hypericin, the most powerful natural photoactive pigment can induce development of photothrombosis in the choriocapillaries when activated with argongreen laser at light fluences causing subthreshold burn Efficacy...

Ruth Axer Siegel (Petah Tikva, Israel), Idit Maharshak, MD (Petah Tikva, Israel), Rita Ehrlich, MD (Petah Tikva, Israel), Ronit Friling, MD (Petah Tikva, Israel), Dov Weinberger, MD (Petach Tikva, Israel), Lea Sirota, MD (Petah Tikva, Israel), Benjamin Shalev, MD (Petah Tikva, Israel), Ilana Sherf, Bsc (Petah Tikva, Israel), Moshe Snir, MD (Petah Tikva, Israel) PURPOSE: To report the anatomical and refractive outcomes of infrared diode...

Jeffrey K. Luttrull, MD (Ventura, CA), David C. Musch, PhD (Ann Arbor, MI),* Charles A. Spink, CRA (Ventura, CA) PURPOSE: To report the visual and clinical outcomes of a pilot study of subthreshold diode micropulse (SDM) panretinal photocoagulation (PRP) for treatment of diabetic retinopathy. METHODS: A retrospective chart review of all patients undergoing PRP for complications of diabetic retinopathy between April 2000 and February 2003...

Edwin H. Ryan, MD (Minneapolis, MN), Lejla Mutapcic, BS (Rochester, MN), Jose S. Pulido, MD (Chicago, IL) PURPOSE: To determine via a retrospective review of treated patients whether thermal laser photocoagulation combined with intravitreal triamcinolone (IVTA) can safely and effectively reduce the risk of neovascular membrane recurrence and vision loss in patients with choroidal neovascularization (CNV). METHODS: We conducted a...

Masood Naseripour, MD (Tehran, Iran), Kamran Manshaee, MD (Tehran, Iran), Pejman Bakhtiari, MD (Tehran, Iran), Shabnam Salimi, MD (Tehran, Iran) PURPOSE: To evaluate the role of hyperthermia in control of sufoveal CNV. METHODS: Method: the 93 eyes of 85 consecutive patients with angiographically proved CNV underwent TTT with diode laser emission at 810nm. Mean patients age was 74.0 ± 7.1 years (range: 55-88 years). 59 patients (69.4%)...

Abdhish R. Bhavsar, MD (Minneapolis, MN),* Maurice B. Landers, MD, FACS (Chapel Hill, NC),* Ronald K. Pearson, PhD (Harrisburg, PA),* Alan M. Hochberg, BSE (Harrisburg, PA),* Timothy R. McNamara, Pharm D (Irvine, CA),* James A. Gow, MD (Irvine, CA),* Lisa R. Grillone, PhD (Irvine, CA)* PURPOSE: To develop and validate a method of predicting by one month post-intravitreous injection whether subjects receiving Vitrase® (lyophilized, ovine...

Julia A. Haller, MD (Baltimore, MD),* PASCAL Study Group PURPOSE: To describe the inital clinical experience of a group of surgeons using a novel patterned scanning laser (PASCAL) for the treatment of retinal diseases. METHODS: A 514 nm argon laser with millisecond pulse capability was coupled to a standard slit lamp with a two axis galvanometic scanner used to control positioning and pattern applied to the retina. The system permitted...

Giovanni Staurenghi, MD (Milan, Italy), Chiara Veronese, MD (Mississauga, Canada),* Garzia Levi, MD (Milan, Italy), Paolo Danzi, MD (Brescia, Italy), Robert Flower, MD (Baltimore, MD), Robert G. Devenyi, MD (Toronto, Canada) PURPOSE: To compare near-IR laser-only FVT with ICG dye-enhanced photocoagulation (DEP) using a device that enables visualization of the FV during treatment in a clinical trial. METHODS: 40 subjects randomized to FVT or...

http://www.evrs.eu/medias/2006/congress/Treatment of Retinal Angiomatous Proliferation Lesions Associated-with-Pigment-Epithelial-Detachment-with-Focal-Pulsed-Laser.swf Robert P. Murphy, MD (Fairfax, VA), Marissa Albano, MD (Washington, DC), William L. Gilmer, MD (Washington, DC), Lisa Ahramjian, BS (Washington, DC) PURPOSE: To demonstrate that retinal angiomatous proliferation (RAP) lesions associated with pigment epithelial detachments...

http://www.evrs.eu/medias/2006/congress/Subthreshold-Micropulse-Diode-Laser-Photocoagulation-in-the-Treatment-of-Diabetic-Clinically-Significant-Macular-Edema.swf Neelakshi Bhagat, MD (Newark, NJ), Ruben Grigorian, MD (Newark, NJ), Nilang Patel, MD (Newark, NJ), Marco A. Zarbin, MD, PhD (Newark, NJ), Monique Roy, MD (Newark, NJ), Arthur Tutela, MD (Newark, NJ) PURPOSE: To evaluate the efficacy of Subthreshold Micropulse Diode Laser...

Fareed Ali, MD, FRCS(C) (Toronto, Canada), Narendra Armogan, MD, FRCS(C) (Mississauga, Canada), Vivian Yin, BA (Toronto, Canada), Tammy Hummel, CCRC (Mississauga, Canada) PURPOSE: To evaluate the efficacy of microperimetry analysis, which provides correlation of sensitivity data points with specific points on the retina, in detecting areas of the retina that may need to be avoided during laser treatment of diabetic clinically significant...

Indu Singh, MS Purpose: To compare the results of Vitrectomy with vein decompression (for BRVO) and neurotomy (for CRVO) and conservative management of these diseases with photocoagulation and intraocular injection of Triamcinolone. Methods: 52 eyes with Macular edema and visual acuity worse than 6/24 secondary to BRVO and CRVO were taken up for this study. Four groups were formed wherein the patients underwent either medical or surgical...

http://www.evrs.eu/medias/2005/congress/Macular-Edema-in-Branch-Retinal-Vein-Occlusion-(BRVO)-Early-Treatment-with-Laser-Arteriolar-Constriction-Technique.-New-Approach.swf Jiri Rehak, Barbora Babkova, Zuzana Pracharova, Evzen Fric Department of Ophthalmology, Palacky University, Olomouc, Czech Republic Purpose: To evaluate the effects of laser arteriolar constriction technique in combination with medicamentous therapy on visual acuity (VA)...

Ferenc Kuhn, Robert Morris, Viktoria Mester, Gyongyi Kiss, Zsuzsanna Szijarto, Balint Kovacs, Beatrix Cser Purpose: To evaluate the results and complications of internal limiting membrane (ILM) removal in the treatment of macular edema. Methods: Retrospective and prospective studies on eyes undergoing vitrectomy with ILM removal for eyes with clinically significant macular edema. Results: Of the 68 eyes, follow-up (average: 9 months) was...

Català Mora – Jaume, Jurgens Mestre – Ignasi Purpose: To evaluate the anatomic and functional results of three different approaches to juxtapapilar choroidal neovascular (CNV) lesions. Methods: Retrospective review of 10 consecutive eyes with juxtapapilar CNV treated with laser photocoagulation (3 cases), surgical extraction (3 cases) or observation (4 cases). Results: The average follow-up time was 12 months (6-24). Vision improved or...

Elisabet Agardh – Ophthalmology, Malmö University Hospital, Sweden Purpose: Macular edema is a major sight-threatening manifestation of retinal vascular disease. Vascular lesions resulting in non-perfusion and hypoxia and subsequent autoregulation of the blood flow, lead to dilation of the arterioles and an increased hydrostatic pressure in the capillaries and venules. The pressure lays an extra burden on the already weakened vessel...

http://www.evrs.eu/medias/2005/congress/Intravitreal-Triamcinolone-Acetonide-(IVTA)-for-Diabetic-Macular-Edema-(DME):-Primary-vs-Secondary.swf B. V. Kumar, L. Dhir, C. Murphy, S. Prasad Purpose: To compare benefit of IVTA in patients with DME as a Primary treatment option or as Secondary option after laser treatment. Methods: Non-randomised retrospective case review was done of 8 patients with DME who had undergone treatment with...

Ferenc Kuhn, Robert Morris, Viktoria Mester Purpose: To present an effective intraocular approach for the treatment of eyes with optic pitrelated retinal detachment. Methods: Retrospective case series. Results: Twenty-one eyes underwent pre- or intraoperative laser (L) at the disc margin, complete vitrectomy (V), including separation and removal of the posterior hyaloid face, and gas tamponade (G) with postoperative positioning “LVG...