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You Have Got Endophthalmitis! What Next…???

The purpose of this presentation is to highlight significant worldwide issues in relation to Endophthalmitis management. It explores a detailed answer to this question – “What has changed since EVS?”; and highlights profound limitations of EVS, New evidences since EVS and Current Global Retina-Practice-Trends. The author unreservedly defends the role of early or primary vitrectomy in the management of most cases of Endophthalmitis;...

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Tomographic and Angiographic Changes in Egyptian Patients with Behcet Posterior Uveitis

SCIENTIFIC POSTER 2016_Tomographic and Angiographic Changes in Egyptian Patients with Behcet Posterior Uveitis Maha Shahin Purpose: To evaluate different tomographic and angiographic changes occurring in Egyptian Behcet’s disease patients diagnosed with posterior uveitis using optical coherence tomography (OCT) and fundus fluorescein angiography. Patients and Methods: The study included 20 Egyptian Behcet’s patients with clinical...

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A Case of Ocular Toxoplasmosis Presenting as Unilateral Papillitis and Juxtapapillary Retinitis

SCIENTIFIC POSTER 2016_A Case of Ocular Toxoplasmosis Presenting as Unilateral Papillitis and Juxtapapillary Retinitis Kuihyung Mun Purpose: Toxoplasmic retinochoroiditis is the most common form of posterior uveitis in otherwise healthy individuals. Papillitis and complicating acute juxtapapillary retinitis, are unusual and atypical features of ocular toxoplasmosis. This report presents an atypical case of ocular toxoplasmosis presenting as...

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Idiopathic Neuro-retinitis with Retinal Vasculitis

SCIENTIFIC POSTER 2016_Idiopathic Neuro-retinitis with Retinal Vasculitis Maha M. Elshafei Twenty-eight-year old lady presented with chronic headache and decreased vision on the right eye. No history of systemic illnesses; she was only taking oral contraceptive for six months. Examination showed bilateral papilledema with right macular edema. Systemic work-up was normal. She was diagnosed a case of benign intracranial hypertension. Later on...

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A Retinal Detachment with Panuveitis and MH

Introduction: Any surgical pathology presenting with concomitant inflammation presents a dilemma to the eye surgeon, due to the increased risk of post-op complications. On the other hand, a retinal detachment presents an additional challenge to the vitreoretinal specialist in this situation. The authors present a clinical case with both these simultaneous conditions. Case Report: We present the case of a male 75 year-old patient, with a...

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When a Funny Hyalitis is Hiding an Unusual Cause

Purpose: Endogenous endophthalmitis due to parasites is quite rare. We herein report an unusual case of degenerated intravitreal cysticercus cyst masquerading as a funny panuveitis with a good outcome after appropriate management. Methods: A retrospective interventional case report of an 38-year-old man who presented a loss of vision in the left eye. Visual acuity in the left eye at time of presentation was counting fingers near face....

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Ocular Histoplasmosis, Retcam

              Contact Details: Email: ihabsaad@hotmail.com Cell Phone:...

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Endophthalmitis After Intravitreal Drug Injection – A Transatlantic Controversy Regarding Prophylaxis and Treatment

Intravitreal drug application (IVI) has become the most frequent invasive intraocular procedure. Endophthalmitis – although rare with an incidence of 0,04% per injection – is the most devastated complication. Looking back to the initial era of IVI, infectious rates were as high as after cataract surgery. In face of a significant increased individual cumulative risk, antiseptic measures have been introduced and resulted in a marked...

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Ten Consecutive Cases of Endophthalmitis After IVT of Bevacizumab

Purpose: The purpose of this study is to report 10 consecutive cases of endophthalmitis after intravitreal injection of bevacizumab (avastin; roche) obtained from a single batch. Methods: One vial of bevacizumab (100mg/4ml) was used to take 10 sterile injections and aplied in the same moment that was taken from the batch. Bevacizumab (1.25mg/0.05ml) was injected intravitreally into 10 eyes of ten patiens to treat diabetic macular edema,...

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Intravitreal Levoxacin as Initial Treatment of Acute Exogenous Endophthalmitis Before PPV

The authors declare no conflict of interest. Purpose: To report the efficacy of intravitreal levofloxacin as an initial treatment of acute exogenous endophthalmitis on the stage of transportation of the patients to the vitreoretinal department and before early pars plana vitrectomy (PPV). Methods: Thirty patients (34 eyes) with exogenous endophthalmitis were included to this prospective non-randomized study. Fourteen patients (41.2%) had...

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Endoscopy-guided 20G PPV in Severe Endophthalmitis: Literature Review & Report of 18 Cases

Objective: We aim to report the anatomical and functional outcomes after endoscopy-guided vitrectomy, in a series of severe endophthalmitis. We also aim to identify two different clinical presentation modes and to compare the outcomes. Patients & Methods: Retrospective case study, single center, all patients who underwent endoscopic vitrectomy 20ga (Endo optiks E4 system) for severe endophthalmitis were included. For each case, data...

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Endophthalmitis – Immediate Intravitreal Antibiotic Therapy Only is What We Should Do

The Endophthalmitis Vitrectomy Study (EVS) has recommended that intravitreal antibiotics should be the ‘‘standard of care’’ for acute endophthalmitis occurring after cataract surgery and that the benefit of early vitrectomy surgery is limited. However, with recent advances in vitrectomy surgery techniques, there has been an increased interest in performing early vitrectomy surgery to treat endophthalmitis in...

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Uveitis and immune activation in the convalescent phase of Ebola Virus Disease

Olga Ceron_SCIENTIFIC POSTER 2015 We report a case of probable Zaire ebolavirus (EBOV) related ophthalmologic complications in the first American physician who contracted Ebola Virus Disease (EVD) and developed uveitis, immune activation, and non-specific increase in antibody titers during convalescence. This case highlights immune phenomena that could complicate management of EVD related uveitis during convalescence. Contact...

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Foveal Retinitis Reactivation, Secondary to Ocular Toxoplasmosis

The case is a second reactivation of foveal retinitis, seconadry to ocular toxoplasmosis. It resolved with oral treatment living an epiretinal membrane with minimun increase in central foveal thickness (319 um). Nobody in my society would decide to operate her. The uveitis specialist Dr Budmann suggest to do it anyway. After convencional surgery for ILM peeling she improve for 0,1 to 0,4 of vision. Our impression is that the scar decrease...

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Bilateral Simultaneous Branch Retinal Artery Occlusion by Septic Emboli in Klebsiella Pneumoniae Endogenous Endophthalmitis: A First Case Report

Ah Ran Cho_SCIENTIFIC POSTER 2015 A branch retinal artery occlusion (BRAO) by a septic embolus in bacterial endogenous endophthalmitis has not been previously reported. The authors present the first case of a patient with bilateral simultaneous BRAO by evident septic emboli as a complication of nephrogenic Klebsiella endophthalmitis. A 50 year-old Asian female with a history of type 2 diabetes mellitus transferred to a tertiary care...

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Atypical Presentation of Sympathetic Ophthalmia?

Diana Dmuchowska_SCIENTIFIC POSTER 2015 Objective: Sympathetic ophthalmia is a diffuse, granulomatous panuveitis that may develop after surgical trauma to the exciting eye, followed by the appearance of uveitis in the sympathizing eye. We present the course of sympathetic ophthalmia with atypical onset. Method: Interventional single case report. Results: In March 2014, a 59-year-old female with a history of cataract operation with IOL...

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Efficacy & Effectiveness of Repeat Intravitreal Antibiotics & Dexamethasone Injections on Postcataract Endophthalmitis

Jung Ho Lee_SCIENTIFIC POSTER 2015 Purpose: To evaluate the efficacy and effectiveness of repeated intravitreal antibiotics and dexamethasone injection in postoperative cataract endophthalmitis. Design: Retrospective, intervention case series. Methods: Health records were retrospectively reviewed for twenty-four patients with postcataract endophthalmitis who performed pars plana vitrectomy and were able to follow-up more than 6 months from...

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Prevention of Endophthalmitis Following Intravitreal Anti-VEGF Injection

Vladimir Poposki_SCIENTIFIC POSTER 2015 Introduction: The endophthalmitis is a devastating complication of intravitreal injection (IVI) procedure. Topical antibiotics are used by consensus and protocol, because of supposed advantage of its use in the reduction of conjunctival bacterial growth. However, this benefit is controversial. Many studies concluded that they do not alter the incidence nor reduce the risk of endophthalmitis. Even...

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CMV Retinitis in Inmunosuppressed Patient 20 Years After Liver Transplant

Setting: Medical Retina service, Moorfields Eye Hospital NHS Foundation Trust. London, UK. Purpose: To describe a CMV retinitis in a patient with long standing inmunosuppresive treatment after liver transplant, and the therapeutic challenges of this case. We report a 74 year old man with previous liver transplant 20 years ago due to a Autoinmune Hepatitis who attended eye casualty complaining of floaters and blurred vision in his left eye....

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Keratoprosthesis & Vitrectomy in Endophthalmitis Involving Cornea

Endophthalmitis with Corneal Involvement is a very grave situation. The prospect of saving the eye is low. The effective Vitrectomy may not be possible due to poor visualization. Also the corneal involvement always make the perforation and auto-evisceration of the eye as a real possibility. The use of keratoprosthesis is a wonderful way to overcome all these obstacles. In this video, we showed how effective this instruments can be. The...

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Extreme Maneuvers in Endophthalmitis

In those patients requiring vitreoretinal surgery and presenting opacity or corneal irregularity that prevents proper display, the use of a temporary keratoprostheses (QPT) is currently the best option. The QPT, implemented after trepanation of the opaque cornea, vitreoretinal surgery allows a correct visualization of intraocular structures. Once the vitreo-retinal surgery has been completed, the keratoprosthesis is removed and placed...

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Repeated Vitrectomy for Pseudomonas Aeruginosa Endophthalmitis After Cataract Surgery

A seventy-two-year-old woman was referred for treatment of endophthalmitis after cataract surgery. She underwent vitrectomy and vitreous culture, thus indicating Psuedomonas aeruginosa infection. Inflammatory material couldn’t be fully removed due to hazy operative field because of severe corneal edema. Waiting for corneal clearance, second vitrectomy was performed to remove preretinal and subretinal membrane. The repeated...

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Asymptomatic Bilateral Chorioretinal Lesions in Chronic Hepatitis C: Case Report

Background: Hepatitis C is an infection caused by Hepatitis C virus (HCV) with both hepatic and extrahepatic manifestations and involving 3% of world population. Chronic infection develops in 70- 80% of the patients. Current recommended treatment is in a combination of ribavirin and peginterferon alfa (PEG-IFN) which is effective in less than 50% of HCV genotype 1 infection. Novel therapy with protease inhibitors such as Telaprevir has...

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Impact of Anti-inflammatory Treatment on the Dynamics of Eye Remodeling in Ischemic Inflammation Model

Purpose: The main goal of this study is to test the dynamics of ischemic damage after bilateral internal carotid artery occlusion and to examine the impact of Triamcinolone (Glucocorticoid) and Lornoxicam (NSAID) on the general condition of the eye and retina. Ischemic component is present in almost any vitreoretinal disease and can be called forth as an eye circulatory deficiency. As a result of hypoxia signaling pathways are activated and...

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Ocular Toxocariasis : A Case Report

SCIENTIFIC POSTER_Tania Rocha_2 Purpose: Toxocariasis is an infection caused by an intestinal nematode found in dogs and cats (Toxocara canis and Toxocara cati). It typically affects children below 10 years of age, when they ingest contaminated soil or food. The larvae migrate through the vessels of the optic nerve to the vitreous cavity and induce an intense inflammatory reaction. Chronic endophthalmitis (25%), posterior granulomas...

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Voriconazole, but not Amphothericin B for Primary Treatment of Fungal Endophthalmitis

SCIENTIFIC POSTER_Martin Kopietz Advantages: Fungal endophthalmitis is a rarer and sight-threateining condition, which is difficult to treat. Standard medication for an acute mycotic infection is amphothericin B, which can be given topically, intravitreally and systemically. This drug carries serious side effects, especially due to its local and systemic toxicity. Voriconazole, a second-generation synthetic fluconazole-derivate (triazole)...

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Clinical Features of Acute Retinal Pigment Epithelitis

SCIENTIFIC POSTER_Jaehyung Han Purpose: To describe characteristics of acute retinal pigment epitheliitis by analyzing 16 cases. Methods: Retrospective chart review of patients diagnosed with acute retinal pigment epitheliitis was performed. Medical records, fundus photos, optical coherence tomographic (OCT) and fluorescein angiography findings (FAG) findings were reviewed. Results: The average age at diagnosis was 39.6 years with a male to...

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PPV as Anti-inflammatory Therapy for Bilateral Intermediate Uveitis Refractory to Systemic Therapy

Purpose: Intermediate uveitis occurs in about 8-39% of uveitis cases in patients at the age of 30 and younger. The purpose of this study was to evaluate the efficacy of pars plana vitrectomy (PPV) in controlling the inflammation in eyes with recurrent intermediate uveitis. Methods: We evaluated retrospectively the results of PPV for intermediate uveitis in young patients (6 children, 1 young adult) who had a minimum follow-up of 3 years...

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Immune Recovery Uveitis in Cytomegalovirus Retinitis in Non-Hodgkin Lymphoma

Poster Anisha Seth CMV retinitis generally occurs as an opportunistic infection in HIV patients but rarely occurs in other immune-compromised conditions. We describe a patient with NHL with bilateral CMV retinitis, who was treated with intravenous ganciclovir and eventually developed cystoid macular edema (CME) due to IRU. A 52-year-old woman presented with decrease in vision in both eyes for 3 days. Patient was a known case of NHL with...

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Vogt Koyanagi Harada. Total Resolution After Corticosteroid Treatment

Poster 2 Ana Isabel Pastor Vivas We report a 46-year-old Pakistani woman who came to the emergency for a large decrease in visual acuity in her right eye, a few days earlier. She also had feeling of malaise, and headache with right predominance. The patient reported a similar episode in her left eye for years, with good resolution after treatment. She did not provide any reports of this. Visual acuity was counting fingers in the right eye...

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Surgical Treatment of Endophthalmitis Following Intraocular Surgery and Eye Trauma

Advantages: To report the results of 23G pars plana vitrectomy (PPV) with vancomycin in tapping in endophthalmitis following intraocular surgery and eye trauma. Methods: 31 patients were treated with 23G PPV (19 due to postoperative endophthalmitis and 12 due to posttraumatic endophthalmitis) with vancomycin in tapping. All patients received topical and intravenous broad-spectrum antibiotics. Silicone oil tamponade was used in 17 cases,...

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Candida Albicans Endophthalmitis After PPV in Hemovitreous Secondary to Retinal Macroaneurysm

Poster 1 Israel Gomez Sanchez Methods: We report the case of a 78 y.o. woman with arterial hypertension who developed a vitreous hemorrhage from a retinal broken macroaneurysm, that was treated with PPV. Results: After vitrectomy the Best Corrected Visual Acuity was 0.9 (Snellen Test). The patient discontinued treatment with postoperative topical antibiotics, without consulting. Two weeks later a corneal oedema and descemitis came up,...

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Retinal Occlusive Vasculitis and Panuveitis with Secondary Neovascular Glaucoma After Heart Transplant

Poster 2 Miriam Garcia-Fernandez Advantages: To report a case of unilateral retinal occlusive vasculitis and panuveitis with secondary neovascular glaucoma in a patient with heart transplant. Methods: A 58-year-old man with a history of previous cardiac transplantation five months ago, under treatment with immunosuppressive agents, presented with blurred vision in his right eye (RE) for seven days. A complete ocular examination, including...

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Surgical Treatment of Macular Hole Complicating Behçet’s Uveitis

Poster 3 Salim Ben Yahia Advantages: To report 2 cases of macular hole in patients with Behçet’s uveitis, and the results of surgical treatment. Methods: We report 2 young patients, diagnosed with Behçet’s uveitis, who developed a macular hole. Review of 2 patients’ charts, fluorescein angiography, optical coherence tomography, and results of surgical treatment. Effectiveness / Safety: The two patients were treated by...

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Development of Full Thickness Macular Hole After Pars Plana Vitrectomy and Peeling of Epiretinal Membrane and Internal Limiting Membrane for Treatment of Idiopathic Lamellar Macular Hole

Advantages: To exhibit the characteristics of the idiopathic lamellar macular hole (ILMH) that evolves into full thickness macular hole (FTMH) after pars plana vitrectomy (PPV) and peeling of epiretinal membrane (ERM) and internal limiting membrane (ILM) and to discuss the indication and the timing of the surgical treatment. Methods: We report two cases of ILMH. Eyes underwent 23 gauge PPV and peeling of ERM and ILM with SF6 tamponade....

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SD-OCT Findings in Acute Syphilitic Posterior Placoid Chorioretinopathy

Purpose:  To describe the appearance of Acute Syphilitic Posterior Placoid Chorioretinitis (ASPPC), a rare ocular manifestation of syphilis, on Spectral Domain-Optical Coherence Tomography (SD-OCT) both before and after treatment. Methods:  Ophthalmic examination, imaging studies, and SD-OCT scans of 30 eyes of 19 confirmed ASPPC cases were analyzed both at the time of presentation and at each follow-up visit. Standard treatment for...

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How to Treat an Endophtalmitis Secondary to a Blebitis?

Advantages: To treat an endophthalmis due to a blebitis and to restore the filtration function. Methods: Our surgical technique consists in: 180º superior conjunctival peritomy avoiding the conjunctiva around the scleral lamella, conjunctival dissection through the superior portion until the eye equator, vitrectomy, limbar superior corneal keratectomy, conjunctival dissection on the filtration lamellar sclera, conjuctival fixation at the...

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ME Secondary to Choroidal Neovascularization Associated with Choroiditis and Congenital Toxoplasmosis Chorioretinal Scars

Advantages: A successful corticosteroids treatment in a case of macular edema  (ME) secondary to choroidal neovascularization (CNV) associated with choroiditis and congenital toxoplasmosis chorioretinal scars. Methods: A 38-years-old myopic patient, affected to Beta Thalassemia Minor (HbA2 5.5%) presented sudden onset of photopsia, blurred vision in left eye (LE). The best visual acuity correct (BVCA) was 0.3. Clinical examination...

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Serous Retinal Detachment Secondary to Vogt-Koyanagi-Harada (VKH) Disease

Salim Ben Yahia*, Rim Kahloun, Bechir Jelliti, Sonia Attia, Riadh Messaoud, Moncef Khairallah (Monastir, Tunisia) Advantages: To report the clinical characteristics and management of serous retinal detachment secondary to acute Vogt-Koyanagi-Harada (VKH) disease. Methods: Retrospective chart review of 74 patients (148 eyes) diagnosed with acute VKH disease. Effectiveness / Safety: Serous retinal detachment was bilateral in all cases....

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Retinal Detachments in Posterior Uveitis Associated with Infection: Role of Immunomodulatory Therapy over Two Years

Shree K Kurup (Winston Salem, NC, USA) Advantages: Posterior uveitis patients with retinal detachments may benefit from judicious anti-inflammatory therapy even in the presence of silicon oil. Methods: Retrospective review of prospectively collected data in five patients with infection associated uveitis with retinal detachments that needed immunosuppressive therapy. Effectiveness / Safety: No significant adverse adverse events were...

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Posterior Ophthalmomyiasys Interna: Intraocular Hunting

N.N. Umanets (Ukraine) We present the case of successful surgical treatment of posterior intraocular ophthalmomyiasys in girl 7 years old. After a 20-gauge vitrectomy fly larva was fixed by aspiration cannula tightened to the sclerotomy and removed from the eye by micro forceps without breaking the outer shell. The result of treatment was relief of the inflammatory process, restoring of the transparency of vitreous and improving of vision....

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Outcomes of Eyes with Post-traumatic Endophthalmitis in Open Globe Injuries

Yaprak Banu Ünver*, Ziya Kapran, Nur Acar, Yapar Kucuksumer (Istanbul, Turkey) Advantages: To analyze the microbiological characteristics, anatomical and visual outcomes of eyes with post-traumatic endophthalmitis Methods: Medical records were reviewed of 47 patients with post-traumatic endophthalmitis at a single institution between 2001 and 2011. Pars plana vitrectomy was performed in 34 (72,3%) cases as a first treatment. All eyes were...

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A Case of Frosted Branch Angiitis with Aseptic Meningitis in an Old Woman

Hyun-Wook Ryu, Young-Gun Park, Young-Jung Roh (Seoul, South Korea) Purpose: We report a patient who developed frosted branch angiitis associated with aseptic meningitis in old age. Methods: A 63-year-old woman was admitted to the department of neurosurgery after 3 days of headache and fever (38.7 C). She was diagnosed with aseptic meningitis and conservative care was started. Six days after admission, she noted blurred vision in both eyes....

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Congress – An unusual large tractional macular break

SYMPOSIUM:MACULA POT POURRI Moderator: Khaled El-Rakhawy Sunday, June 19, 2005 An unusual large tractional macular break Author: S. Ben Yahia, S. Jenzeri, B. Jelliti, S. Aouafi, M. Oueld El Hassen, R. Messaoud, A. Ladjimi, M. Khairallah Abstract : Purpose: To describe an unusual case of a large tractional macular break. Methods: Case report. Results: A 38-year-old healthy man presented with a sudden decrease of vision in his left...

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Use of Rapamycine in the Treatment of Acute, Bilateral Vasculitis Non Responsive to Systemic Steroids – Case Report

Agnieszka Nowosielska, Legionowo Mediq, Joanna Godowska-Brydak (Warszawa, Poland) Advantages:   Recently Rapamycin (Syrolimus) has been shown to have not only immunosuppressive effect but also to be a very potent anti-angiogenetic drug, for example in cardiology. In 2001 we tried systemic Rapamycine to stop vascular proliferation due to sever bilateral uveitis. Methods: To report the use of Rapamycin, a new immunosuppressive drug, in the...

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Intravitreal Injection of Bevacizumab for the Treatment of Inflammatory Choroidal Neovascularization

Salim Ben Yahia, Bechir Jelliti, Rim Kahloun, Rim Ghrissi, Salah Jenzeri, Moncef Khairallah (Monastir, Tunisia) Advantages: To manage inflammatory choroidal neovascularization (CNV) with intravitreal injection of bevacizumab, since conventional therapeutic options, including laser photocoagulation, surgery, corticosteroids, and verteporfin therapy, have potential limitations and are associated with a high rate of recurrences. Methods:...

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Three-Year Visual Results of Intravitreal Bevacizumab in Refractory Inflammatory Ocular Neovascularization in 81 patients

http://www.evrs.eu/medias/2010/congress/Non-Age-Related-Macular-Degeneration-Nor-Diabetes-Neovascularization.flv Shree Kurup (Winston Salem, NC, USA), Ahmad Mansour (Lebanon), J. Arevalo (Venezuela) Advantages: Inflammatory choroidal neovascularization (CNV) is a potentially blinding complication in uveitis. In patients already on immunosuppressive, intraocular medications are reasonable options without increasing systemic...

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Presumed Ocular Angiostrongyloidosis: Controversy: “Surgical Removal versus Thermal Laser Photocoagulation”

http://www.evrs.eu/medias/2009/videos/VasanthaThangasamy_VP6_768K.flv Authors: Vasantha Kumar Thangasamy, Wan Norliza, Wan Muda, Rosiah Muda, Aidila Jesmin Jabbar, Pakeer Oothooman, Rohani Hasan, Kuantan, Malaysia Advantages: This presentation illustrates the subsequent encounters stimulating the worm (Presumed Ocular Angiostrongyloidosis) with fundal fluorescein angiography culminating in the need to destroy the invader with thermal laser...

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Endophthalmitis Rate after Intravitreal Injections with or without Drape

Authors: Vasliki Kounali, Kyriaki Raptaki, Theoni Panagiotoglou,  Paraskevi Dakou, George Pappas,  Heraklion, Greece Advantages: To evaluate the necessity of using a drape during intravitreal injections. Methods: This was a prospective randomized controlled clinical trial. 1000 patients were randomly assigned in two groups. Group 1 with and group 2 without drape. The rest of the procedure followed the American Academy of Ophthalmology...

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An Outbreak of Fusarium Endophthalmitis after Consecutive Cataract Surgery

Authors: Hülya Güngel, Mumin Hakan Eren, Eylem Yaman Pinarci, Necip Kara, Tanil Gürsel, Istanbul, Turkey Advantages: To report an outbreak of fusarium endophthalmitis after uneventful cataract surgery performed on the same day. Methods: A retrospective consecutive case series. Nine patients who had consecutive surgery on the same day and developed acute postoperative fungal endophthalmitis were reviewed. Phacoemulsification procedures,...

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Bilateral Cystoid Macular Oedema – Clindamycin is the Best Choice

Polanská V., Vysloužilová D., Koláø P. Methods: Authors report a case of 58 year-old patient with bilateral cystoid oedema. We did not see any signs of uveitis or any choroidal neovascular membranes on fluorescein angiography. We found positive toxoplasmosis test (only Ig G). We began with treatment with antibiotics per os – clindamycin 300 mg was given every 8 hours for 14 days. During the next examination the patient had found...

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Intravitreal bevacizumab (Avastin) as Treatment for Choroidal Neovascularization Secondary to Ocular Toxoplasmosis

Ben Yahia S, Herbort CP, Zaouali S, Ammari W, Jelliti B, Messaoud R, Khairallah M Background: Treatment modalities for choroidal neovascularization due to ocular toxoplasmosis include laser photocoagulation, surgery, corticosteroids, and verteporfin therapy. Intravitreal injection of bevacizumab in the treatment of choroidal neovascularization due to other conditions appears to be an effective and safe therapeutic option. Case Reports: We...

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Late-Onset Endophthalmitis after Cataract Extraction: Differential Diagnosis

Ruiz-Bilbao SM, Vázquez-Dorrego XM, Anglada-Escalona JR, Broc Iturralde L, Domingo Viñals M. Advantages: Late-onset postsurgical endophthalmitis are not always bacterial. Methods: Late-onset endophthalmitis is a rare complication of cataract surgery. Many times, they are initially treated as bacterial, and etiological diagnosis is only made after vitrectomy with intraocular lens extraction. We present two patients who underwent...

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Posterior Subtenon Triamcinolone Acetonid Injection Efficiency in Uveitis Treatment

Zeliha Yazar, Nil Ýrem Uçgun, Dilay Ozek Purpose: To find out the efficiency of posterior subtenon triamcinolone acetonid (PSTA) injections and possible complications. Materials and Methods: 40 eyes of 22 patients (22 male, 14 female, with an average age of 36.8 (15-55) years) were studied in our clinic. Visual acuity changes, vitritis, retinal vasculitis or/and cystoid macular oedema (CME), the increase in intraocular pressure (IOP) and...

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Vitreous Detection of Microfilaria in Loa Loa Infection

Broc Iturralde L, Ruiz-Bilbao SM, Vázquez-Dorrego XM, Anglada-Escalona JR. Advantages: Filariasis due to the nematode Loa loa is an endemic parasitic infection in Africa. The increasing incidence in Europe is associated with recreational tourism and African immigration. To our knowledge, intravitreous isolation of Loa Loa microfilaria has not been previously documented. Methods: We present the case of an Equatorial Guinean patient with...

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Sutureless Combined 25 Gauge Vitrectomy, Phacoemulsifcation, Posterior Chamber Intraocualr Lens Implantation for Management of Uveitic Cataract Associated with Posterior Segment Pathology

http://www.evrs.eu/medias/2008/congress/Sutureless-Combined-25-Gauge-Vitrectomy,-Phacoemulsifcation,-%20Posterior-Chamber-Intraocualr-Lens-Implantation%20for-%20Management-of-Uveitic-Cataract-Associated-with-Posterior-Segment-Pathology.flv Masoud Soheilian, Seyed Ali Mirdehghan Advantages: Sutureless combined 25-gauge total vitrectomy, phacoemulsification and PC-IOL implantation may be a well tolerated surgical technique with an acceptable...

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Uveitis – An indication for Vitrectomy?

http://www.evrs.eu/medias/2008/congress/Uveitis-An-indication-for-Vitrectomy.flv Ferenc Kuhn, Adrien Solt Advantages: Timely vitrectomy prevents uveitis-related complications such as retinal detachment; it prevents or treats macular edema; it removes the media opacity; and it dramatically reduces the rate of recurrence and thus the need for systemic uveitis therapy. Methods: Pars plana vitrectomy with or without internal limiting membrane...

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Miscellaneous Medical Session

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

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A Case of Leber’s Neuroretinitis Appeared as Secondary to Idiopathic Retroperitoneal Fibrosis

Batoul Salama, (Le Mans, France), Vincent Paire, MD (Le Mans, France), Alain Banchereau, MD (Le Mans, France), Martine Banchereau, MD (Le Mans, France) PURPOSE: To report a rare case of Leber’s neuroretinitis apeared as secondary to an idiopathic retroperitoneal fibrosis (IRPF). METHODS: A 54-year-old male presented with a central, subacute visual decline OS. He had a history of chronic left renal failure associated with left oedema foot,...

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Post Cataract Endophthalmitis Caused By Pseudomonas Aeruginosa

Naveenam S. Muralidhar, MD (Bangalore, India), Paul E. Tornambe, MD (Poway, CA), Hemanth Murthy, MD (Bangalore, India), Veena Hemanth, MD (Mysore, India) PURPOSE: Endophthalmitis due to Pseudomonas has been reported to have poor outcome. We present our results of managing this condition with good outcome. METHODS: A retrospective analysis of records of 16 eyes of 16 patients with acute post operative endophthalmitis following cataract...

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Perfluorodissection in Vitreoretinal Surgery: A Novel Technique

http://www.evrs.eu/medias/2006/videos/Perfluorodissection-in-Vitreoretinal-Surgery:-A-Novel-Technique.flv J. Fernando Arevalo, MD, FACS (Caracas, Venezuela), Juan G. Sanchez, MD (Caracas, Venezuela) SYNOPSIS Improvement in surgical techniques has led to improved anatomic and functional success rates following surgery for severe complications of proliferative diabetic retinopathy (PDR) and uveitic vitreo-retinal complications. We found that...

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Outcome of Earlier Vitrectomy for Acute Post-operative Endophthamitis

Leah A Wittenberg, MD (Vancouver, Canada), I-Van Ho, Franzco, MBBS, Grad Dip (Clin (Vancouver, Canada), Mohammed K. Adenwalla, MD (Vancouver, Canada), Patrick E. Ma, OD, MD, FRCS(C) (Vancouver, Canada) PURPOSE: To determine the outcome of early vitrectomy for acute post-operative endophthalmitis. The primary outcome is Snellen visual acuity. Secondary outcomes include complications requiring secondary surgery. METHODS: Retrospective...

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Acute Onset Endophthalmitis: The Degree of Anterior and Posterior Segment Involvement, Their Relationship and the Significance for the Treatment

Spyridon Mourtzoukos, MD (Athens, Greece), Elias Feretis, MD PhD (Athens, Greece), Stamatina Kabanarou, MD, PhD (Athens, Greece), Tassos Anastasakis, MD (Athens, Greece), Georgios Morfis, MD (Athens, Greece), Christine Kourenti, MD (Athens, Greece), Stamatina Xrou, MD (Athens, Greece), Georgios Magouritsas, MD (Athens, Greece) PURPOSE: To evaluate in acute onset endophthalmitis a) if it is possible to classify the degree of the involvement...

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The Effect of HAART Treatment on AIDS Retinopathy in Malaysia

Mun Seng Lee, MD (Kota Kinabalu, Malaysia), Mun Toong Lee, MOphth (Kuantan, Malaysia) PURPOSE: To evaluate the fundus manifestation among Human Immunodeficiency Virus (HIV) seropositive patients with and without HAART treatment associated with their total CD4 lymphocyte count. METHODS: Two hundred and two patients (404 eyes) were recruited in this cross-sectional study. They consisted of consecutive confirmed HIV sero-positive patients with...

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Long Term Results of Uveal Lymphoid Infiltration Treated with Radiation

Lindsey D. Harris, MD (Atlanta, GA), Daniel F. Martin, MD (Atlanta, GA), Thomas M. Aaberg, MD (Atlanta, GA), G. Baker Hubbard, MD (Atlanta, GA), Ian Crocker, MD (Atlanta, GA) PURPOSE: To report long term results of seven eyes of six patients with uveal lymphoid infiltration refractory to medical therapy that were treated with radiation at the Emory Eye Center from 1995 to 2005. METHODS: A retrospective case series of seven eyes of six...

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Posterior Segment Manifestations of Human Immunodeficiency Virus Infection/ Acquired Immunodeficiency Syndrome

Mallika Goyal, MD (Hyderabad, India), B. Balaraju, MD (Hyderabad, India), K. V. Emmanuel, MD (Hyderabad, India), Geeta V. Narayanan, MD (Hyderabad, India) PURPOSE: According to estimates from the UNAIDS/ WHO, 38 million adults and 2.3 million children were living with HIV/AIDS at the end of 2005. Aggressive management and multidisciplinary approach has prolonged the survival of patients with HIV/AIDS. Understanding the clinical spectrum of...

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Microbiological Aspects of Acute Bacterial Endophthalmitis after Cataract Surgery

Valéria Gaál, MD (Pécs, Hungary), Zsuzsanna Szijarto (Pecs, Hungary), Ferenc Kilar, MD, PhD (Pécs, Hungary), Bela Kocsis, MD, PhD (Pécs, Hungary), Ildiko Kustos, MD, PhD (Pécs, Hungary) PURPOSE: Our purpose was to overview cases with postoperative endophthalmitis (POE) and to investigate the adhesive ability of bacteria, isolated from eyes. METHODS: We reviewed the medical records of all patients with acute bacterial POE following...

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Endophthalmitis Following Cataract Surgery (2000-2006) in a Teaching Hospital

Harry W. Flynn, Jr., MD (Miami, FL), John J. Miller, MD (Miami, FL), William E. Smiddy, MD (Miami, FL), Darlene Miller, MPH (Miami, FL) PURPOSE: To report the incidence, clinical settings and visual acuity outcomes of acute-onset endophthalmitis following cataract surgery. METHODS: In this retrospective, observational case series, annual cataract surgery statistics were determined by review of electronic surgical records. The clinical and...

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Surgical Management in Acute Endophthalmitis

Fréderic Rouberol, MD (Lyon, France), Christophe Chiquet, MD (Grenoble, France) SYNOPSIS Treatment of acute endophthalmitis includes intravitreal injection of antibiotics, and pars plana vitrectomy. The surgery is looked at from several angles: removal of inflammatory debris or membranes in the anterior segment, obtaining intraocular specimens sampling, different modes of visualization of the fundus during surgery. After presenting the...

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Current Antibiotic Resistance Profiles for Vitreous Isolates in Bacterial Endophthalmitis

Eric W. Fitz, MD (New York, NY), Shaw Mahendra, BS (New York, NY), Richard B. Rosen, MD (New York, NY), Ronald C. Gentile, MD (New York, NY) PURPOSE: Endophthalmitis remains one of the most devastating complications of ophthalmic surgery. Timely treatment with appropriate antibiotics is necessary to prevent severe loss of vision. This study reviews microbial antibiotic resistance profiles of culture positive isolates in...

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Atypical Onset of Birdshot Retinochoroidopathy

Diana Iturralde Errea, MD (Bilbao, Spain), Enrique Diaz de Durana, MD (Bilbao, Spain), Jose Luis Salazar, MD (Bilbao, Spain), Maria Luisa Fernandez Ares, MD (Bilbao, Spain) PURPOSE: This case suggest that the presence of a bilateral serous macular detachment in the absence of other typical signs already described might be one of the earliest signs of the disease. METHODS: Fundus examination OD revealed a serous macular detachment as an...

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Bacterial Identification Using PCR in a Large Series of Acute Postcataract Endophthalmitis

Christophe Chiquet, (Grenoble, France), Pierre-Olivier Lafontaine, MD (Dijon, France), Pierre-Loic Cornut, MD (Lyon, France), Yvonne Benito, (Lyon, France), Karine Palombi, MD (Grenoble, France), Gilles Thuret, MD, PhD (Saint-etienne, France), Fréderic Rouberol (Lyon, France), Catherine Creuzot, MD (Dijon, France), Jean-Paul Romanet (Grenoble, France), Francois Vandenesch, MD, PhD (Lyon, France) PURPOSE: To improve identification and...

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Klebsiella Endogenous Endophthalmitis – An Asian Perspective

Bob Ching-Li Cheng, MD (Singapore, Singapore), Soon-Phaik Chee, FRCOphth (Singapore, Singapore), Kah Guan Au Eong, MBBS, FRCS (Singapore, Singapore) PURPOSE: To analyse the risk factors, clinical presentation and prognosis of Klebsiella Endogenous Endophthalmitis (KEE) in Singapore. METHODS: Retrospective, non-comparative case series looking at culture proven (KEE) cases seen in the Singapore National Eye Centre from 1986-2003. RESULTS: A...

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Evaluation of Dengue Maculopathy with Optical Coherence Tomography (OCT)

Caroline K. Chee, MBBS, FRCSEd, FRCOphth (Singapore, Singapore), Stephen Teoh, MBBS, MMedOphth, FRCSEd(Ophth) (Singapore, Singapore) PURPOSE: (1) To study and characterisethe optical coherence tomography (OCT) findings in dengue maculopathy. (2) To correlate the findings with visual function and eventual visual outcome. METHODS: 35 consecutive patients with dengue fever were referred for visual symptoms. They were found to have reduced...

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Results of Vitreoretinal Surgery for Ocular Complications of Behçet’s Disease

Figen Batioglu, MD (Ankara, Turkey), Emin Özmert, Prof (Ankara, Turkey), Neslihan Astam, MD (Ankara, Turkey) PURPOSE: Recurrent uveitis attacks despite corticosteroid, immunosuppressive and immunomodulating treatments may cause anterior and posterior segment complications in Behçet’s disease. Vitreoretinal surgery may have beneficial effect on anatomic, visual prognosis, and the course of the disease in patients with severe ocular...

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Early Vitrectomy for Acute Endophthalmitis Following Intravitreal Triamcinolone Acetonide Injection

Adiel Barak, MD (Tel Aviv, Israel), Anat Loewenstein, MD (Tel Aviv, Israel) PURPOSE: Infectious endophthalmitis following intravitreal triamcinolone injections (IVTA) can result in severe loss of vision when treated in a fashion similar to the endophthalmitis vitrectomy Study recommendations. We want to report outcomes of six eyes who developed acute postoperative endophthalmitis following IVTA and were treated with early vitrectomy and...

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Delayed Onset Outbreak of Toxic Anterior Segment Syndrome

Adiel Barak, MD (Tel Aviv, Israel), Anat Loewenstein, MD (Tel Aviv, Israel) PURPOSE: To report an episode of toxic anterior chamber syndrome that occured 8 days after uneventful cataract extraction and IOL implantation. METHODS: Retrospective study evaluated an episode of 7 cases of postoperative inflammation that occurred 8 days after cataract extraction with placement of the posterior chamber IOL. RESULTS: Eight patients (out of 13...

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Ocular Involvement in Systemic Sarcoidosis

Leyla S. Atmaca, MD (Ankara, Turkey), Elif Akmese, MD (Ankara, Turkey), Özlem Ö. Kumbasar, MD (Ankara, Turkey), Gökhan Çelik, MD (Ankara, Turkey) PURPOSE: To evaluate the incidence of ocular involvement in patients with systemic sarcoidosis. METHODS: Patients with sarcoidosis who were referred to our clinic from the Pulmonary Disease Department of Ankara University Faculty of Medicine for examination, to determine the presence of...

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Retrospective Analysis of All Cases of Endophthalmitis at a Tertiary Referral Center

Rajendra S. Apte, MD, PhD (St. Louis, MO), Humeyra Karacal, MD (St. Louis, MO) PURPOSE: To determine the incidence, etiology and visual outcomes of endophthalmitis in a large Universitybased retina practice. METHODS: 40,371 patients were seen at Barnes Retina Institute between 2000 and 2005, and 1,872 patients had intravitreal injections during same time period. 68 cases of endophthalmitis were identified and reviewed retrospectively for...

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Posttraumatic Endophthalmitis: Microbiology and Visual Outcomes

Emad B. Abboud, MD (Riyadh, Saudi Arabia), Abdulrahman. M Alomran, MD (Riyadh, Saudi Arabia), Ahmed Mokhtar Abuelasrar, MD, PhD (Riyadh, Saudi Arabia) PURPOSE: To identify the microbiological spectrum and establish the visual prognosis of posttraumatic endophthalmitis. METHODS: This is a retrospective, consecutive, interventional case series. The medical records were reviewed of all 67 consecutive patients with positive intraocular culture...

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Intravitreal Bevacizumab for the Treatment of Choroidal Neovascularization Secondary to Ocular Histoplasmosis and Multifocal Choroiditis

http://www.evrs.eu/medias/2006/congress/Intravitreal-Bevacizumab-for-the-Treatment-of-Choroidal-Neovascularization-Secondary-to-Ocular-Histoplasmosis-and-Multifocal-Choroiditis.swf Sundeep Dev, MD (Minneapolis, MN) PURPOSE: To evaluate the visual outcomes and complications of intravitreal bevacizumab for the management of choroidal neovascularization (CNV) secondary to ocular histoplasmosis (OHS) and multifocal choroiditis (MFC). METHODS: A...

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Three-year Results of a Multi-center Clinical Trial of Fluocinolone Acetonide Intravitreal Implants to Treat Posterior Uveitis

http://www.evrs.eu/medias/2006/congress/Three-year-Results-of-a-Multi-center-Clinical-Trial-of-Fluocinolone-Acetonide-Intravitreal-Implants-to-Treat-Posterior-Uveitis.swf Daniel F. Martin, MD (Atlanta, GA),* David G. Callanan, MD (Arlington, TX),* Glenn J. Jaffe, MD (Durham, NC),* Brian Levy, OD, MS (Rochester, NY),* Timothy Comstock, OD, MS (Rochester, NY)* PURPOSE: A 3-year prospective, multi-center, dose-masked randomized clinical trial...

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In-office and Bedside Sutureless Vitrectomy for the Diagnosis of Uveitis

http://www.evrs.eu/medias/2006/congress/In-office-and-Bedside-Sutureless-Vitrectomy-for-the-Diagnosis-of-Uveitis.swf Robert G. Josephberg, MD (Yonkers, NY),* Frank HJ Koch, MD (Frankfurt, Germany),* Steven Bodine, MD (Bronxville, NY) PURPOSE: Diagnostic vitrectomy for uveitis may be easily done both at the bedside or in the office with sutureless vitrectomy. The purpose was to show that the results were similar or better then diagnostic...

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Complete and Early Vitrectomy for Eyes with Postoperative Endophthalmitis

Ferenc Kuhn, MD, PhD (Birmingham, AL), Giampaolo Gini, MD (Prato, Italy) PURPOSE: Following recommendations in the Endophthalmitis Vitrectomy Study (EVS), vitrectomy for postoperative endophthalmitis is performed today only if visual acuity drops to light perception. The authors evaluated their results achieved by performing complete and early vitrectomy for these eyes. METHODS: The authors treat their patients with postoperative...

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25-gauge Vitrectomy Management of Severe Post-cataract Surgery Endophthalmitis

Flavio A. Rezende, MD, PhD (Rio de Janeiro, Brazil), Simone Alcântara, MD (Rio de Janeiro, Brazil), Luiz Gustavo T. Regis, MD (Rio de Janeiro, Brazil), Mônica Kickinger, MD (Rio de Janeiro, Brazil) PURPOSE: To report the preliminary results of 25-gauge transconjunctival sutureless vitrectomy (TSV-25) for the management of sereve post-cataract surgery endophthalmitis. METHODS: We conducted a prospective consecutive noncomparative study of...

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Early Onset Endophthalmitis Caused By Aspergillus Species Following Cataract Surgery

http://www.evrs.eu/medias/2006/congress/Early-Onset-Endophthalmitis-Caused-By-Aspergillus-Species-Following-Cataract-Surgery.swf Harry W. Flynn, Jr., MD (Miami, FL), David Callanan, MD (Arlington, TX), Ingrid U. Scott, MD, MPH (Hershey, PA), Timothy G. Murray, MD (Miami, FL), Karen W. Oxford, MD (San Francisco, CA), Bradley Bowman, MD (Dallas, TX) PURPOSE: To report a series of patients who developed early onset endophthalmitis caused by...

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Acute-onset Endophthalmitis Following Clear Corneal Cataract Surgery (1996–2005): Clinical Features, Microbiology and Visual Outcomes

http://www.evrs.eu/medias/2006/congress/Acute-onset-Endophthalmitis-Following-Clear-Corneal-Cataract-Surgery-(1996-2005):-Clinical-Features,-Microbiology-and-Visual-Outcomes.swf Geeta A. Lalwani, MD (Miami, FL), Harry W. Flynn, MD (Miami, FL), Carolyn D. Quinn, MD (Miami, FL), Janet L. Davis, MD (Miami, FL), Timothy G. Murray, MD (Miami, FL), William E. Smiddy, MD (Miami, FL), Philip J. Rosenfeld, MD, PhD (Miami, FL) PURPOSE: To report the...

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Endophthalmitis in the Newborn

http://www.evrs.eu/medias/2006/congress/Endophthalmitis-in-the-Newborn.swf Kristen L. Hartley (Miami, FL), Audina M. Berrocal, MD, FAC, (Miami, FL), Amy C. Schefler, MD (Miami, FL), Magaly Diaz- Barbosa, MD (Miami, FL), Nader Moinfar, MD (Orlando, FL) PURPOSE: To determine the incidence, etiology, and associated risk factors for the development of endophthalmitis in the newborn over a 4-year period in a neonatal intensive care...

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Prophylaxis of Acute Post-traumatic Bacterial Endophthalmitis with and without Intraocular Antibiotic Injection

Masoud Soheilian, MD (Tehran, Iran), Nasrin Rafati, MD (Tehran, Iran), Shahin Yazdani, MD (Tehran, Iran), Houshang Faghihi  Habibabadi, MD (Tehran, Iran), Mostafa Feghhi, MD (Tehran, Iran), Hossein A Shahriari, MD (Tehran, Iran), Mohammad Reza Mohebi, MD (Tehran, Iran), Niloufar Piri, MD (Tehran, Iran), Gholam A. Peyman, MD (New Orleans, LA) PURPOSE: To evaluate the efficacy of combined intraocular injection of gentamicin and clindamycin...

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Microbial Isolates and Sensitivities in Posterior-segment Intraocular Foreign Body (IOFB) Injuries: A 10-year Review

http://www.evrs.eu/medias/2006/congress/Microbial-Isolates-and-Sensitivities-in-Posterior-segment-Intraocular-Foreign-Body-(IOFB)-Injuries:-A-10-year-Review.swf Samuel B Barone, MD (New York, NY), Sean C. Lalin, MD (New York, NY), Mahendra Shah, MS (New York, NY), Steven A. McCormick, MD (New York, NY), Richard B. Rosen, MD (New York, NY), Ronald C. Gentile, MD (New York, NY) PURPOSE: Evaluate the incidence of endophthalmitis and/or...

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2 Cases of Live Intraocular Nematodes Removed Live by Vitrectomy

Guruprasad S. Ayachit, MS (Hubli, Karnataka, India), Paul E. Tornambe, MD (Poway, CA) SYNOPSIS An interesting case of a live intravitreal nema-tode in a 14 year boy who presented with diminution of vision in the Lt eye of 2 months duration. The video shows the nematode live preoperatively and the surgical procedure of its removal live. Another interesting case of a live subretinal nematode causing blurred vision in a 16 year old boy. The...

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An Unusual Large Tractional Macular Break

http://www.evrs.eu/medias/2005/congress/An-unusual-large-tractional-macular-break.swf S. Ben Yahia, S. Jenzeri, B. Jelliti, S. Aouafi, M. Oueld El Hassen, R. Messaoud, A. Ladjimi, M. Khairallah Purpose: To describe an unusual case of a large tractional macular break. Methods: Case report. Results: A 38-year-old healthy man presented with a sudden decrease of vision in his left eye. He had no history of ocular trauma. Visual acuity was 20/20...

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