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Air Endotamponade Application in Patients with Rhegmatogenous RD

SCIENTIFIC POSTER 2016_Air Endotamponade Application in Patients with Rhegmatogenous RD Katarzyna Michalska-Malecka Introduction: The aim of this research was to evaluate the results of retinal detachment treatment with pars plana vitrectomy using air endotamponade. Methods: The research was conducted among 23 patients aged from 43 to 74 years old, 9 women (39.1%) and 14 man (60.9%). All patients underwent the treatment using pars plana...

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Measurement of Retinal Layer Thickness Using Spectral Domain OCT After Macula off RD Surgery

SCIENTIFIC POSTER 2016_Measurement of Retinal Layer Thickness Using Spectral Domain OCT After Macula off RD Surgery Younghoon Lee Purpose: To investigate visual prognosis and the thicknesses of various retinal layers using spectral domain-optical coherence tomography (SD-OCT) following successful macula-off retinal detachment surgery. Methods: A retrospective study of 25 eyes of 25 patients who successfully reattached macula-off retinal...

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Surgical Management of Multiple Anterior Segment Malformations with RD in a 3 Year Old Boy

SCIENTIFIC POSTER 2016_Surgical Management of Multiple Anterior Segment Malformations with RD in a 3 Year Old Boy Patrycja Krzyzanowska-Berkowska Objective: To present major challenges of complicated congenital bilateral cataract surgery and pediatric pars plana vitrectomy in eyes with anterior proliferative vitreo-retinopathy (PVR). Case Report: We present a 3-year-old boy with bilateral congenital cataract, subluxated lens, iris coloboma...

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Three Monthly Ranibizumab for ME Secondary to BRVO: 12-month Outcomes

Purpose: To assess 12-month efficacy of the three monthly intravitreal injections of ranibizumab for the treatment of macular oedema (MO) secondary to branch retinal vein occlusion (BRVO) in comparison with combined treatment (a single intravitreal injection of ranibizumab followed by grid laser treatment). Methods: Subjects were 19 patients (19 eyes) with unilateral vision loss attributable to macular oedema following BRVO. Duration of the...

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Residual Vitreous Cortex at the Fovea During Vitrectomy for Primary Rhegmatogenous RD Repair

SCIENTIFIC POSTER 2016_Residual Vitreous Cortex at the Fovea During Vitrectomy for Primary Rhegmatogenous RD Repair Eun Hyung Cho Purpose: We investigated the effectiveness of the removal of the residual vitreous cortex in the fovea during vitrectomy for primary rhegmatogenous retinal detachment repair. Method: We retrospectively reviewed the chart and the operation video of the 50 patients (50 eyes) who underwent vitrectomy for retinal...

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Giant Tears with Vitrectomy Technique

The management of retinal detachment associated with giant tear present a unique and formidable challenge, even for experienced vitreoretinal surgeons, beyond a common rhegmatogenous detachment. Giant retinal tears are associated with hereditary conditions,like Stickler´s, Marfan´s, axial myopia, extensive lattice degeneration, multiples holes and trauma. My Sugery: Lensectomy for optimal removal of the basal vitreous. Conventional 3-...

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Tractional RD of the Posterior Pole Related to a Multi Injected ERM

In a case of macular edema, is it reasonable to treat it with multiple injections without paying attention to the etiology? It is in this case an epiretinal membrane, which obviously should have been treated by surgery. Contact Details: Email: jeanpaul.amar@gmail.com Cell Phone:...

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Incidence and Risk Factors of Cystoid Macular Edema After Retinal Detachment Surgery

Purpose : To evaluate the incidence rate of cystoid macular edema (CME) after uncomplicated primary operation on retinal detachment (RD) and to identify risk factors associated with postoperative CME. Methods : Retrospective interventional case series of consecutive patients that underwent one RD repair either by primary vitrectomy or external procedure during a 3 years period starting on January 2012. Postoperative CME was defined as...

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Validity of Aqueous Flare Measurement in Predicting Proliferative Vitreoretinopathy in Patients with Rhegmatogenous Retinal Detachment

Purpose: To investigate aqueous flare as a preoperative predictor for later proliferative vitreoretinopathy (PVR) development in patients with rhegmatogenous retinal detachment (RD) and to determine the validity of this measurement in patients at low clinical risk for postoperative PVR. Methods: This study included 100 eyes of 100 patients who underwent surgery for primary RD. Aqueous flare was determined preoperatively with a laser...

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Advanced PVR in Single Eye with RD; Surgical Methods Maneuvers & Outcome

We are going to send video about two cases of surgical management with advanced PVR retinal detachment at the single eyes. The first clinical case is the patient 43 years old with posttraumatic anterior PVR and narrow funnel retinal detachment in subatrophy eye. The patient does have not any previously surgical treatment as long as three month after his injury. The retina was attached completely in during surgical maneuvers and 360-degree...

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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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Managing Optic Pit – The Right Stuff !

A video showing how the authors have used various techniques to manage optic pit with vitrectomy over the past 15 years. Surgical modifications to standard vitrectomy are shown and the authors comment on the various techniques used and the results obtained. They also refer to the literature, which prompted them to develop a new approach to treat the condition. The latest modification involves “stuffing” the optic pit – with...

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A Macula-on RD with Multiple Giant Tears

Introduction: Retinal detachments with giant retinal tears pose a significant challenge, even to the most experienced vitreoretinal specialists. The extent of the primary lesion complicates management and tamponade choices, carrying the risk of the flap folding over post-operatively and re-detaching the retina. The authors present one case of a macula-on retinal detachment with multiple giant tears. Case report: The authors present the...

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Vitrectomy for Rhegmatogenous Retinal Detachment Associated with Degenerative Retinoschisis

I will be presenting the technique of vitrectomy in a patient with rhegmatogenous retinal detachment associated with vitreous haemorrhage and degenerative retinoschisis. The technique involved 3-port pars plana vitrectomy, completion of posterior vitreous detachment, deroofing of the retinechisis area, fluid air exchange and cryotehrapy and laser retinopexy. Gas tamponade (C2F6) was used. The retina was successfully reattached and visual...

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An Unlikely Surgery in a Case of Macular Subretinal Hematoma

After several IVTs on a macular hemorrhage, after 2 months, a huge and calcified hematoma with a complete loss of vision was successfully operated with a trans-retinal extraction of the hematoma. The removal of the hematoma in the vitreous cavity was possible thanks to the use of an aspiration-flow control pump. The main secret of this surgery is to remove by aspiration all the blood above and under the retina. The surgery was ended by a...

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Vitrectomy Under Air in Rhegmatogenous RD Surgery

After perfoming central vitrectomy, I inject perfluro-carbon liquid (PFCL) into the vitreous cavity, to re-attach retina, up to the level of the retinal breaks. If there are no detectable breaks, I inject the PFCL as peripheral as possible up to the level of the posterior border of the vitreous base. Subsequently, air is infused, to fill the anterior part of the vitreous cavity. At the air level: I perform meticulous shaving of the...

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Rhegmatogenous Retinal Detachment: Basic Concepts and Surgical Strategy for Primary Vitrectomy

Contrary to popular dogma, the most important element in the pathogenesis of a rhegmatogenous retinal detachment (RRD) is not the break but the vitreoretinal traction that causes the break (i.e., the RRD is a vitreogenic pathology). In the presence of vitreous degeneration (syneresis) such dynamic traction is inevitable if the eyeball and/or the head moves: this hypothesis is supported by the clinical observation that a RRD spontaneously...

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Management of Rhegmatogenous RD Associated with Giant Tear

Purpose: To investigate the anatomic and visual outcomes of pars plana vitrectomy in patients with rhegmatogenous retinal detachment (RRD) associated with giant tear. Associated procedures to vitrectomy were evaluated. Background: The incidence of retinal giant tear in RRD is very low. It represents 0.5% of all retinal detachments. The recurrence of RRD with gian tears is essentially due to the difficulties in re-attaching the posterior...

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Surgical PVD Induction Using Combined Sharp Pick and Active Aspiration

Some cases of retinal detachment particualry in young phakic patients, may not have posterior vitreous detachment (PVD). If operated by PPV, induction of PVD in these cases is mandatory. However, PVD induction by active aspiration of the vitreous cortex over the optic disc margin as usually employed in PPV surgery can be challenging in these eyes because of firmly adherent posterior hyaloid and the absence of counter traction from the...

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My Experience with PTFE Explants in the Last 15 Years (189 cases)

Expanded PTFE (e-PTFE) is a material derived from goretex, that has been used since the seventies for vascular surgery. Afterwards its utility was expanded to reconstructive and plastic surgery, and in the ophthalmological field  to oculoplastics, corneal surgery and scleral buckling. It is a smooth surfaced, resistant, permeable and highly biocompatible material that can be used as buckling element. In addition it is non elastic and...

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Slit Lamp Surgery for Uncomplicated RD

Despite the great evolution of pars plana vitrectomy for the treatment of retinal detachment in the last decade, accomplished by the development of better vitrectomy machines, smaller size of the instruments and better illumination options, there are still some cases in which external surgery is strongly advised and may have better results and lower complications rates than vitrectomy. In this sense, the possibility of examining the...

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External Surgery: A Simple Solution for First Hand Procedures Failures

Since the development of Ab interno surgery in the 2000s, surgeons have more surgical options for the treatment of retinal detachment (RD). While being currently set aside, ab externo scleral buckle (SB) surgery, still has a place for certain cases of RD. With or without pars plana vitrectomy (PPV), SB is also a useful option for surgical failures after PPV. Using surgical videos, I will illustrate SB surgery for RD with the objective of...

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Retinal Detachment: Try a Scleral Buckling First!

In this presentation, we will reflect on our experience in using scleral buckling procedure as the initial treatment modality for retinal detachment. Contact Details: Email: martiano.d@gmail.com Cell Phone: +33624122418  

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Scleral Buckling, PPV & Pneumatic Retinopexy: An Individualised Approach

The surgical approach to repairing retinal detachment (RD) has been a success story since Jules Gonin identified the retinal breaks to be the cause of retinal detachment. The techniques however have evolved over the years. Three techniques in particular, namely scleral buckling (SB), pars plana vitrectomy (PPV) and pneumatic retinopexy (PR), have been proved to be most successful and are therefore used around the world by almost all...

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Retinoschisis and Detachment in High Myopia

              Retinoschisis and detachment in high myopia: long scan with Optovue OCT. Contact Details: Email: parolinibarbara@gmail.com Cell Phone:...

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Macular Hole in RD PDR

          Giant macular hole in a 13 yo girl after surgery for retinal detachment. Subretinal strands are also visible. Tamponade is silicone oil. Contact Details: Email: parolinibarbara@gmail.com Cell Phone:...

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Scleral Buckling, Vitrectomy and Pneumatic Retinopexy: An Individualised Approach by Indication and Based on Evidence

The surgical approach to repairing retinal detachment (RD) has been a success story since Jules Gonin identified the retinal breaks to be the cause of retinal detachment. The techniques however have evolved over the years. Three techniques in particular, namely scleral buckling (SB), pars plana vitrectomy (PPV) and pneumatic retinopexy (PR), have been proved to be most successful and are therefore used around the world by almost all...

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Retinal Detachment Surgery Needs to Be Individualized – Vitrectomy Surgery Is Not the “One Size Fits All™” Treatment

Rhegmatogenous retinal detachment (RD) surgery is the most common indication for vitreoretinal surgery. Pars plana vitrectomy (PPV) and scleral buckle (SB) are the most commonly used techniques, with the proportion of patients undergoing SB significantly decreased over the last decade in the US and worldwide. There is agreement that PPV is the surgery of choice for complex RD and in pseudopakic eyes. However, SB remains a valid option for...

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Customized Approach in RD in High Myopia

Retinal detachment in high myopia is due to a combination of anteroposterior traction (due to the elongation of the sclera unmatched to the elongation of the retina) and of tangential tractions (due to the formation of epiretinal contraction. I will discuss why it is not possible to propose vitrectomy as the only choice, since vitrectomy is related to a high rate of retinal detachment relapse and since, in case of an associated macular...

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Rhegmatogenous Retinal Detachment: Basic Concepts and Surgical Strategy for Primary Vitrectomy

Contrary to popular dogma, the most important element in the pathogenesis of a rhegmatogenous retinal detachment (RRD) is not the break but the vitreoretinal traction that causes the break (i.e., the RRD is a vitreogenic pathology). In the presence of vitreous degeneration (syneresis) such dynamic traction is inevitable if the eyeball and/or the head moves: this hypothesis is supported by the clinical observation that a RRD spontaneously...

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What Happens to Eyes Which Fail Pneumatic Retinopexy

Purpose: To review consecutive retinal detachments repaired with PR over a recent three year period and compare the outcome of failed cases regarding final anatomic success, final visual acuity and overall cost versus eyes successfully repaired with one operation. Regarding retinal detachment repair, CMS has determined single operation success (SOS), not visual recovery, will be used as the primary parameter to measure quality of care and...

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Complication of Pneumoretinopexy

Contact Details: Email: parolinibarbara@gmail.com Cell Phone: /+393477431940

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No PVD, No Hope

This 6-year-old boy suffered a rupture due to a fall. He underwent vitrectomy only a few weeks after the trauma because he was not referred on time. Even then, the posterior vitreous could not be detached, and PVR duly developed. During the reoperation a 360º retinectomy was performed, but the PVD could still not be accomplished. The retina redetached under silicone oil, with some proliferation centrally. This time the proliferative...

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Retinoschisis RD Without PVD

Contact Details: Email: parolinibarbara@gmail.com Cell Phone: /+393477431940

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Underestimation of Subretinal Bands in PVR Surgery

My mistake: I ignored the subretinal band because the surgery went on smoothly with proper retinal reattachment under heavy liquid. after performing a heavy liquid/ air exchange I observed a pocket of posterior subretinal fluid in the nasal part of the retina at the subretinal band area. I ignored this observation and injected silicone oil with the rationale that this is an isolated pocket of fluid that will be spontaneously absorbed by...

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Rhegmatogenous Retinal Detachment: When You Can’t Find the Tear

Purpose: The purpose of this work is to report the injection of subretinal trypan blue to identify occult retinal breaks during vitrectomy for rhegmatogenous retinal detachment (RRD) repair. Methods: Case report of a patient with RRD in whom the causative retinal break could not be found during surgery, even after scleral indentation. Trypan blue 0.15% was injected into the peripheral subretinal space using a 39 g cannula after injection...

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Retinal Detachment Associated with Uveal Coloboma

Contact Details: Email: parolinibarbara@gmail.com Cell Phone: /+393477431940

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Parapapillary Break

Contact Details: Email: ddd@club-internet.fr Cell Phone: /+33685555202

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Iatrogenic Breaks in ROP Stage 4, 5

Contact Details: Email: ihabsaad@hotmail.com Cell Phone: /+201001768768

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Bleeding During Retinectomy in PVR

Bleeding during Retinectomy in PVR bleeding during Retinectomy maybe due to: insufficient diathermy for the retinectomy area especially if it is done posteriorly OR rarely a direct choroidal injury at areas of retinochoroidal adhesion e.g scar bleeding is avoided by proper meticulous diathermy of the intended area, especially at terminal branches of retinal vessels. To do the retinectomy as peripheral as possible. Cautious management of...

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Posterior Insertion of the Vitreous Base. What to Do? What Not to Do?

Contact Details: Email: waelewais74@gmail.com Cell Phone: /+201223638643

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Recurence After Giant Tear RD

Contact Details: Email: jp.berrod@gmail.com Cell Phone:...

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Sub-retinal Gas Bubble After RD Surgery

Contact Details: Email: frankbecquet@yahoo.fr Cell Phone: /+33662085506

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Vitreo Retinal Incarceration

Contact Details: Email: frankbecquet@yahoo.fr Cell Phone: /+33662085506

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When Endoscopy Gives Back Some Hope

Contact Details: Email: loicbazin69@gmail.com Cell Phone:...

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Iatrogenic Tear During Vitrectomy for RD in Diabetes

Contact Details: Email: jp.berrod@gmail.com Cell Phone:...

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Retinal Folds After Vitrectomy for RD: Pitfalls During Revision Surgery

Problem: Intraoperatively, an unintended shift of subretinal fluid remnants (SRF) towards the posterior pole during fluid-gas exchange may result in a retinal fold. It occurs at the border between previously detached and attached retina. If the border goes through the macula, a macular fold occurs and patients suffer from visual deterioration and severe metamorphosia. If the border is inferior to the macula, the macula may be flat, but is...

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Retinal Folds

Contact Details: Email: jp.berrod@gmail.com Cell Phone:...

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Wet AMD After Vitrectomy for RD

Presentation shows two cases of choroidal neovascularisation after vitrectomy. Both cases undergo two surgical procedures. In first case the second procedure was performed to remove epiretinal membrane which causes macular edema. Second case was PVR detachment surgery treated in two operations. In first procedure we attached retina with silicone oil tamponade and 180 degrees retinectomy, and in second one we peel membranes and remove...

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Spontaneous Regression of Optic Disc Pit Related Maculopathy by the Time

Mehmet Demir_SCIENTIFIC POSTER 2015_2 Aim: To report spontaneous regression of optic disc pit related maculopathy associated with low vision and retinal tissue defect in a middle age woman. Methods: A 38-year-old female was admitted with low vision in the left eye. She had no significant refractive error in both eyes. Best corrected visual acuity (BCVA), intraocular pressure (IOP), anterior and posterior segments were evaluated. Optical...

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Algorithm of Surgical Treatment & Rehabilitation of Patients with Tractional RD and ME in Diabetes Type I

Actuality: Proliferative diabetic retinopathy (PDR) is one of the most common complications of diabetes type I. Proliferative retinal changes lead to a sharp vision reduction and, consequently, loss of life quality in young able-bodied patients. Modern technology of vitreoretinal surgery can be successfully used to eliminate the effects of the proliferative process in an eye and improve vision up to its full recovery. However, in most...

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Retinal Detachment: When You Can’t Find the Tear

Purpose: The purpose of this work is to report the injection of subretinal trypan blue to identify occult retinal breaks during vitrectomy for rhegmatogenous retinal detachment (RRD) repair. Methods: Case report of a patient with RRD in whom the causative retinal break could not be found during surgery, even after scleral indentation. Trypan blue 0.15% was injected into the peripheral subretinal space using a 39 g cannula after injection...

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Vitreous Hemorrhage & Recurrent RD Previously Operated with a Segmental Buckle

Purpose: This video shows surgical techniques and precautions for the patient with recurrent of rhegmatogenous retinal detachment and vitreous hemorrhage, who previously had a segmental scleral buckling. Method: For the patient with previous experience of segmental scleral buckling on the downside 14-21mm position with a retinal detachment relapse, along with increase of vitreous hemorrhage, and a possibility of traction on the posterior...

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Giant Retinal Tear with Total RD & Advanced PVR

Advantages: A 40-year-old man suffers difficult light perception in the right eye for six months. A giant retinal tear with total retinal detachment and advanced vitreous retinal proliferation was observed. With the operation we try to restore the visual function as much as possible. Methods: Our surgical technique consists of the following: scleral buckle, accessory endoilumination, 23G vitrectomy, epiretinal proliferation extraction,...

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Optic Pit Surgical Successful Management: Follow-up of 5 Years

SCIENTIFIC POSTER_Pedro Neves Introduction: Optic pits are congenital anomalies of the optic disc of unknown pathophysiology. About 45% are associated with either macular retinoschisis or serous retinal detachments. Peripapillary vitreous traction has been proposed to be involved and vitrectomy is reported as an effective therapy, with induction of posterior vitreous detachment even without gas tamponade or laser photocoagulation. Case...

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Management of Maculopathy Associated with Optic Pit and Coloboma of teh Optic Disc

SCIENTIFIC POSTER_Carlos Menezes Purpose: To report our outcomes in the management of optic pit disc and optic nerve coloboma associated maculopathy. Methods: We report 3 cases of optic disc pits and a rare case of temporal optic disc coloboma followed in consult in our hospital. Three of them developed macular detachment and of these, two were proposed to pars plana vitrectomy with internal limiting membrane peeling, peripapillary laser...

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SD OCT Findings and Visual Outcome of Macula-off RRD Surgery

Purpose: To identify the prognostic factors for visual outcome after surgical reattachment in patients with macula-off rhegmatogenous retinal detachment (RRD). Methods: The medical records of 28 patients (28 eyes) with macula-off RRD were retrospectively reviewed. In addition to baseline characteristics, preoperative and postoperative spectral domain optical coherence tomography images were investigated. Results: Age at the onset of RRD was...

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Transconjunctival Active Silicone Oil Removal with a Simple Method Surgical Technique

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: Silicone oil removal is a necessary step after pars plana vitrectomy with silicone oil endotamponade. The advantages of transconjunctival surgery have already been described including fast postoperative rehabilitation, less discomfort, and the benefits of avoiding conjunctival dissection, diathermy and probably suturation. The...

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My Way in Achieving a Near-100% Silicone Oil Fill

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Background & Purpose: Achieving a near-100% fill of silicone oil is desirable for PVR surgery in order to: 1.Better support retinal breaks, especially inferiorly; 2. Provide a more complete tamponade to holes; 3. Maximize oil conformation to irregularities in eyewall contour; 4. Minimize emulsification due to oil bubble motion...

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Swinging Removal of Subretinal Bands in PVR Surgery

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Idea: No need for huge retinectomy for removal of Subretinal proliferations except if extensive. Swinging Removal: I do it via a small retinotomy overlying the midpoint of the course of the Subretinal band, or the most accessible point for my instruments. I grasp the band via the retinotomy and pull it up to form a loop, then pull one...

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Giant Retinal Tear: My Way

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Methods: Routine lens removal in phakic eyes Meticulous revision of the posterior hyaloid with triamcinolone Acetonide Routine ILM Peeling using chandelier, aspheric macular contact lens, and membrane blue dual stain, under heavy liquid and attached retina. 360 laser First heavy liquid air exchange then silicone oil injection under air...

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Routine ILM Peeling for Macula-on & Macular-off RRD: New Data on Functional Outcomes

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To analyze functional limits und subjective disturbances despite of anatomically successful surgery for rhegmatogenous retinal detachment (RRD). Methods: 138 eyes with rhegmatogenous retinal detachment (RRD) were studied. Among others, analysis included VA measurement, recording of subjective VA disturbances, binocularity...

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Routine ILM Peeling During Vitrectomy for Rhegmatogenous RD

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Methods: I use membrane blue dual stain, chandelier illumination, and aspheric macular contact lens. I inject the stain on detached retina, then inject heavy liquid (PFCL) for reattachment. The initial ILM incision is done either: Needle Strokes: Unbent 23G needle with bevel down unidirectional strokes OR Forceps strokes: The closed...

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The Occam´s Razor for RD Surgery

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: Heavy perfluorocarbon liquids (PFCL) were first used regularly by Chang since 1987 and represents in complex rhegmatogenous retinal detachment (RRD) surgery a unique tool. Because of it´s tamponade pressure, 12 to 14 times more than silicon oil (SO), this liquid is able to express subretinal fluid posteriorly in many...

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Success and Drawbacks in the Treatment of Bilateral Optic Pits

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   A then 6 yr old girl presented with a bilateral optic pit and a severe retinal detachment with PVR in her left eye. Pars plana vitrectomy with silicone oil could only temporarily restore anatomical attachment. 10 years later visual acuity deteriorated also in the right eye from 0.6 to 0.2 due to a central serous detachment and an...

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Optic Pit in Pediatric Age Group

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To demonstrate two cases of optic nerve pit in paediatric age group. Methods and results: A one-year old female with skin and mucous membrane manifestations of tuberous sclerosis was found to have an optic nerve pit with subretinal fluid OS and astrocytic hamartomas OD. Over a follow up period of 3 years, the patient had stable...

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Spontaneous Resolution of Optic Pit Detachment in a Child: Case Report

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   The Optic Disc Pit (ODP) is a rare congenital defect of the optic nerve disc which involves the macular region in 75-93% of the affected adults, and more rarely in children. In our case report we studied the morphological variations in a 6 year old child with ODP associated with serous detachment of the neuroepithelium, intraretinal...

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My Way in Recurrent Optic Pit Maculopathy

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   My standard approach to macular detachment associated to optic pit is vitrectomy with posterior hyaloid removal, ILM peeling with or without laser temporal to optic nerve head and gas as a first line treatment. In case of recurrence of macular detachment, I usually use ILM flaps around the optic nerve head to use as a seal over the pit...

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Surgery for Optic Pit with Macular Schisis/Detachment

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To demonstrate an effective technique towards successful optic pit surgery. Methods: 17 eyes were operated on between 1999-2013 17 eyes with vitrectomy, PVD, ILM-peeling, laser around the pit and gas tamponade. Follow-up was 42-3610 days (median 762). OCT-imaging was available for 11 cases (2003 and later). Two examples...

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Optic Pit Maculopathy. Is There a Role for Autologous Plasmin?

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Case report: To report an unexpected resolution of the optic pit maculopathy in a young adult after intravitreal injection of autologous plasmin. Pharmacological vitreolysis, also known as enzymatic vitrectomy utilizing autologous plasmin or microplasmin has been utilized in vitreomacular traction syndromes alone or as a coadjutant...

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Strategy for the Management of Optic Pit Maculopathy

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To report the effectiveness of vitrectomy and adjunct procedures in the resolution of the serous retinal detachment secondary to optic pit. Methods: Eleven patients with macular detachment underwent three ports standard vitrectomy with induction of posterior vitreous detachment, ILM peeling, laser photocoagulation at the...

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Clinical Outcomes After PPV Without ILM Peeling and Laser Photocoagulation in Optic Pit RD

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To evaluate visual and anatomical outcomes after surgical treatment of serous macular detachment associated with optic disc pit without using laser photocoagulation or internal limiting membrane peeling. Methods: 5 eyes of 5 patients with serous macular detachment associated with congenital optic disc pit have been...

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Vitrectomy / ILM Peel / Gas / No Laser for Optic Disc Pit Associated Macular Hole

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To evaluate the efficacy of vitrectomy, ILM peel and gas tamponade without laser photocoagulation in a case of macular hole associated with optic disc pit. Case description: A 51 year old female presented with blurring of central vision in left eye for the last six months. BCVA RE 6/6, LE 6/60 and IOP was 16 mm Hg in either...

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My Management of Optic Pit Retinal Detachment

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   The management of retinal detachment secondary to optic pit is still debated. My management consist of gas injection of 0.4 cc of pure SF6, face down positioning for 3-4 days, laser one week after gas injection. This strategy may solve or improve the retinal detachment. I counsel vitrectomy with ILM peeling and laser only when the first...

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My Way for Optic Pit RD

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   My concept of mini-invasive surgery leads me to propose the following strategy: during the evening before the operation, I perform 2 raws of photocoagulation with red laser along the temporal size of the optic pit, in the detached retina; during the following morning I make an anterior chamber drainage followed by a 0.4 ml of C3F8...

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Pneumatic Retinopexy in Optic Pit Macular Detachment

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To show the efficacy and safety of miniinvasive method of pneumatic retinopexy in cases of optic pit macular detachment. Setting venue: The prospective study. Materials and methods: 15 patients (15 eyes) with optic pit macular detachment aged 11-32 years with VA less than 0.1 underwent the pneumatic retinopexy by intravitreal...

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Characteristics and Surgical Outcome of MH Developed After RRD Repair

SCIENTIFIC POSTER_Joo Yeon Kim Purpose: To report the characteristics and surgical outcomes of macular holes (MHs) that develop after rhegmatogenous retinal detachment (RD) repair. Methods: A retrospective chart review was performed in patients who developed a full-thickness macular hole after RD repair between May 2010 to July 2013. The eyes underwent MH repair with pars plana vitrectomy, internal limiting membrane peeling and gas...

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Intravitreal Dexamethasone Implant for Exudative RD Secondary to Primary Breast Cancer

Purpose: To report the effectiveness of intravitreal dexamethasone implant (Ozurdex) in treating exudative retinal detachement secondary to primary breast cancer. Method: A women with 45 years old with serous retinal detachment and a current history of metastasis in lungs and due to breast cancer was treated with two dexamethasone implants. Best corrected visual acuity, ophthalmoscopy and OCT were performed before and after...

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Optic Pit Maculopathy First Treated with Laser and Finally Resolved with Vitrectomy. Long-term Evaluation

SCIENTIFIC POSTER_Miriam Garcia Fernandez_5 Advantages: To describe a case of an optic disk pit treated with vitrectomy, and to report the long-term results. Methods: A 16-year-old female patient complained of progressive diminution of vision in the left eye (LE) for one month due to an optic disc pit with macular edema. Three years before laser photocoagulation had been performed and resulted in incomplete resolution of macular edema and...

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Laser Photocoagulation for Optic Pit Macular Detachment: Report of Two Cases

SCIENTIFIC POSTER_Miriam Garcia Fernandez_4 Advantages: To describe two cases with optic pit maculopathy treated by laser photocoagulation and report the final outcomes. Methods: A 48-year-old male patient presented with visual loss for 6 months in his left eye (LE) (CASE 1), and a 27-year-old female patient with complaint of progressive visual acuity diminution for 3 months in her right eye (RE) (CASE 2). A complete ocular examination...

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Anatomical and Functional Evolution After Surgery in Chronic RD. The Value of the OCT

SCIENTIFIC POSTER_Miriam Garcia Fernandez_2 Advantages: To report the anatomical and functional evolution in a case of persistent subretinal fluid after vitrectomy and scleral buckling for longstanding retinal detachment. We emphasize the value of the OCT to monitor the resolution of subretinal fluid. Methods: A 37-year-old male presented with visual loss in the left eye (LE) of more than four months duration. A complete ocular examination...

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Intravitreal Gas + Laser with Topical Ketorolac Tromethamine and Brinzolamide Therapy for Optic Pit Maculopathy

Purpose: To report the result of treatment with intravitreal gas injection plus laser photocoagulation and topical brinzolamide and ketorolac in a young woman with optic pit-associated maculopathy. Methods: A 21 year-old myopic female was referred with blurred vision in the left eye. Best-corrected visual acuity was 0.05 on the left and 1.0 on the right eye (Snellen chart). Intraocular pressure was 17/15 mm Hg in the right and left eye,...

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Bilateral Macular Serous RD After Systemic Treatment with Pimasertib

SCIENTIFIC POSTER_Monica Asencio Duran_1 Purpose: To report a case of bilateral macular serous retinal detachment after treatment with Pimasertib, a MEK inhibitor. Patients and Methods: A 76 y.o patient with N-ras mutated metastatic skin melanoma developed visual impairment and bilateral macular serous detachment on OCT and angiography 2 weeks after initiation of oral pimasertib. Pimasertib is a MEK-inhibitor (mitogen-activated...

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Enhanced Depth Imaging OCT in Optic Pit Maculopathy Supports the Theory of Cerebrospinal Fluid

Advantages: The source of the subretinal fluid under the macula in patients with optic disc pit (ODP) has remained a controversial subject. Various theories exist about the onset of maculopathy: fluid entry either from the vitreous cavity or from leakage of cerebrospinal fluid through the peripapillary subarachnoid space. To date, OCT studies had not revealed any communication between the subretinal fluid and the peripapillary subaracnoid...

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Scleral Buckling Without SRF Drainage nor Cryopexy for RD

SCIENTIFIC POSTER_Luis Arrevola Velasco We present our results during this past fourteen years in 117 patients with an uncomplicated retinal detachment (RD), who underwent a scleral buckling without subretinal fluid drainage and no cryopexy. We achieved reattachment of the retina in 91% of cases, similar to what is described with other techniques of scleral buckling surgery. However, our rate of complications intraoperatively as well as...

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MY HSO Way as 1st Choice in Complicated RD: Checkmate in Two Moves!

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: The dead space below tamponade, permits concentration of cells of the surgery. So that after a light tamponade is always obtain some small liquid are below the tamponade bubble that facilitates the concentration of inflammatory cells and therefore, the stimulus to proliferate. As a matter of fact is that most proliferative...

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Buckle in RD Surgery: My Way

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   How to perform buckle surgery with a scrubbed nurse only ? As our policy is to perform retinal detachment surgery as soon as there is a capacity in the OR, I do not always have a hold on a resident or fellow, who could assist me. An experienced nurse can equally perform the instrumentation and assist me simultaneously. She already has...

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Intravitreal Gas Injection: My Way

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   I use sulfur hexafluoride SF6 20%. We need to have a non expansile gas without hypotony. My way: I do a complete fluid air exchange to have an air filled globe. Then I remove all trocars from air filled globe except the infusion cannula. I fill a 5cc syringe with 2cc SF6 and 3cc air (SF6 40%). I fit a 28 G needle to the gas syring. I...

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Advantages of Using Chandelier Endoilluminator During Episcleral Approach for RD Repairment

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: To evaluate the advantages and safety of the use of chandelier endoilluminator during episcleral surgery for the treatment of retinal detachment. Effectiveness: The use of chandelier endoilluminator allows the surgeon to observe the fundus to locate the retinal breaks and retinal regmatogenous areas faster and with better...

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Vitrectomy Instruments for Buckling Surgery

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Scleral buckling surgery for retinal detachment is a skill mastered by performing many cases. It is becoming increasingly difficult for a new generation of “vitrectomy surgeons” to achieve sufficient experience to become comfortable with the techniques involved. This is firstly because of expanding vitrectomy indications and...

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Why I Still Perform Buckling in Selected Cases

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Principles of rhegmatogenous retinal detachment (RRD) surgical management remains the same than 40 years ago: finding all retinal breaks, sealing the retinal breaks by creating a chorioretinal scar around the breaks («retinopexy»), drainage of subretinal fluid in some cases, and relief of vitreoretinal traction. To achieve these...

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Routine ILM Peeling for Macula off Retinal Detachment

To compare anatomical outcomes, visual acuity results and secondary epirretinal membrane formation rates in patients with macula-off retinal detachment with or without peeling of the internal limiting membrane (ILM). Retrospective study including all patients who underwent vitrectomy for macula-off retinal detachment during the year 2012 in our department. Patients were divided in 2 groups according to whether the ILM was peeled or not. ILM...

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Different Surgical Solutions for Optic Pit Maculopathy

In this video step-by-step surgical solutions to optic pit related macular detachment are presented. We show vitrectomy with posterior hyaloid removal, ILM peeling, laser PK temporal to optic nerve head and gas as a first line treatment. ILM flaps around the optic nerve head to use as a seal over the pit as a second line treatment and using autologous fibrin to seal the pit as a third line treatment in recurrent macular detachments. We...

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Inverted ILM Flap for the Treatment of Myopic MH

Purpose: To describe the functional and anatomical results of pars plana vitrectomy (PPV) with inverted internal limiting membrane (ILM) flap for the treatment of macular holes with or without retinal detachment (RD) in highly myopic eyes. Methods: Twenty-nine eyes affected by macular hole, associated (n=6) or not (n=23) with retinal detachment in high myopia (average axial length 26.80 mm) underwent PPV with inverted ILM...

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Could the Volume of Retinoschisis Near Optic Pit Be an Early Indicator for Intravitreal Gas Re-injection?

RETINA PHOTO_Yong Seop Han Purpose: To report the clinical outcome after C3F8 gas tamponade without vitrectomy for retinal detachment associated with an optic disk pit using sequential optical coherence tomography. Furthermore, to discuss whether the volume of retinoschisis near optic disk pit could be an early indicator for intravitreal gas re-injection in patient with optic pit maculopathy. Methods: Intravitreal gas injection was...

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Retinal Detachment Discussion

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Combined Tractional and Rhegmatogenous RD in Diabetic Patients

Poster Zbiba Walid Goals: The aim of our study was to evaluate the clinical characteristics, the results of surgery and the functional prognosis factors of combined tractional and rhegmatogenous retinal detachment in diabetic patients. Methods: Retrospective study of 32 eyes of 32 diabetic patients who underwent vitrectomy for combined tractional retinal detachment. Extension of fibro vascular proliferation was classified according to its...

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Primary Repair of Rhegmatogenous RD Using 25 Gauge Transconjuctival Sutureless Vitrectomy

Poster Younghoon Lee Purpose: To evaluate 25-gauge transconjunctival sutureless vitrectomy for primary repair of rhegmatogenous retinal detachment. Methods: A retrospective, non-comparative interventional case series including 37 consecutive eyes of 37 patients who underwent 25-gauge transconjunctival sutureless vitrectomy to repair primary rhegmatogenous retinal detachment was performed. Variables collected for the study were patient...

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23 Gauge Pars Plana Vitrectomy in Patients with Rhegmatogenous Retinal Detachment and Choroidal Detachment

Purpose: To share the problems of 23g PPV for patients with retinal detachment and choroidal detachment. Material & Methods: Seven patients with retina and choroidal detachment were included in this study. Preoperative and other routine eye examination [BCVA, biomicroscopy, intraocular pressure, fundoscopy, A-B scan ultrasonography if needed] were recorded. The surgical findings and complications were recorded [infusion cannula...

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Retinal Detachment After Dexamethasone Intravitreal Implant

Poster 2 Israel Gomez Sanchez Advantages: To evaluate the clinical findings and treatment outcomes in a patient with Branch retinal vein occlusion. Methods: To report a case of BRVO in a 60 years old patient, hypertensive who was treated, two days from diagnosis, with PPV and liberation of adventitia, with success. Two weeks afterwards developed a macular oedema, which was treated with a Dexamethasone intravitreal implant (Ozurdex ®)....

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