European VitreoRetinal Society a certain philosophy

http://www.dailymotion.com/video/xuct5f http://www.dailymotion.com/video/xudmjn http://www.dailymotion.com/video/xufmom Optic Pits are congenital excavations of optic nerve “head” that may be associated with other optic nerve and peripapillary retina anomalies. They occur in 1/10.000 people, both male and female. More than two thirds of patients develop serous macular detachment with loss of vision. There is controversy about...

http://www.dailymotion.com/video/xuct5f http://www.dailymotion.com/video/xudmjn http://www.dailymotion.com/video/xufmom Advantages: To present the results of vitrectomy, laser and arcuate ILM peeling at the temporal margin of the optic nerve and air tamponade. Methods: 9 patients with symptopatic maculopathy associated with optic disc pit were treated between 2008 and 2011. Surgical technique consisted of central vitrectomy, posterior...

http://www.dailymotion.com/video/xuct5f http://www.dailymotion.com/video/xudmjn http://www.dailymotion.com/video/xufmom Advantages: Our purpose was to study the clinical course of optic pit maculopathy using spectral optical coherence tomography (OCT) images, and to discuss possible ways of fluid entrance into the subretinal space. Methods: 11 eyes with a macular detachment in combination with an optic pit were examined using spectral...

http://www.dailymotion.com/video/xuct5f http://www.dailymotion.com/video/xudmjn http://www.dailymotion.com/video/xufmom Background: Effects of systemic citicoline treatment were estimated by measuring the thickness of the various retinal layers in rats with retinal damage induced by kainic acid. Citicoline may provide neuroprotective action against neuronal cell damage. Advantages: Studying efficacy of cytidine-5′-diphosphocholine...

Retinal dialyses cause slowly progressive retinal detachments occurring in young, emmetropic males with no history of preceding trauma. They originate at the ora errate and are asymptomatic until macular involvement occurs and are not associated with posterior vitreous detachment (PVD).  These retinal detachments can be successfully managed in the majority of cases with an external surgical approach in the form of cryotherapy and buckling...

Advantages: To reveal post-operative specific changes of macular layers using OCT in patients with rhegmatogenous retinal detachment (RD) with macula-off and macula-on pre-op; to provide correlation between OCT changes and post-operative best corrected visual acuity (BCVA). Methods: In 42 patients with rhegmatogenous RD in 1 month after pars-plana vitrectomy OCT analysis (HD-OCT, Cirrus, Carl Zeiss, Meditec) was performed to detect...

To avoid a post operation complication and improve reattachment retina for vessels pathology, with Nano biomaterial lent complex Mehran 3, after scleral buckling.

Advantages:   To treatment and to prevent postoperative complications with implantation intraocular bio lens balloon after vitrectomy for aphakic eyes with macula edamas in retinal detachment. Methods: After vitrectomy the special syringe filled by gas or BSS. (Fig 1A) with a fixed bio lens balloon on it (v.4-6 mm) (fig 2A) Injected through ora errate into vitreous cavity (fig 3A) Then we filled the bio lens bubble with gas or BSS...

Advantages: To report a clinical case of long-standing post-operative high best corrected visual acuity (BCVA) after scleral buckling procedure due to rhegmatogenous retinal detachment (RD) with incomplete macular reattachment. Methods: A sixty-four-year-old female was admitted to Kyiv Eye Microsurgery Center in September 2011 with diagnosis of rhegmatogenous RD (extension from 5 to 11 o’clock) on her right eye temporal side with...

Advantages: To determine the long-term outcome associated with anatomical success in the treatment of retinal detachment (RD) due to myopic macular hole by pars plana vitrectomy (PPV) and perfluoropropane (C3F8) gas tamponade. Methods: In this retrospective survey we evaluated the preoperative and postoperative data of 23 eyes that underwent PPV for myopic macular hole RD. Effectiveness / Safety: The mean postoperative follow-up was...

Advantages: Analysis of the efficacy of ILM peeling at the macula in patients with recurrent RRD or PVR grade C. Methods: 18 patients aged 21 to 66 years with RRD after vitrectomy with perfluoropropane (14 cases) and Oxane HD (4 cases) tamponade. Including 8 people with recurrent retinal detachment (3 patients after scleral buckling and 5 patients after primary vitrectomy) and 10 people with RRD and PVR stage C-1 and higher. In all cases...

Advantages: To compare the visual field and retinal nerve fibre layer of scleral buckling (SB) and primary pars plana vitrectomy (PPV) for treatment of simple rhegmatogenous retinal detachment (RRD). Methods: We studied twenty eyes with RRD that underwent successful surgical reattachment. Visual field test and retinal nerve fibre layer (RNFL) thickness measurement were performed in patients and outcomes were compared not only between...

  Advantages: To show our strategy in complicated R.D, with high risk to develop recurrent RD with PVR. If the recurrence depends on the “dead space” where the concentration of fibroblastic cells is elevated, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of the inferior retina, and to “reallocate to the superior retina” eventual recurrence to treat in a second time with light...

Advantages: Efficiency of surgical treatment of a macular detachment associated with an optic disc pit makes 63-100 %. However, possible recurrence of the disease and long (till 12 months) period of resorption of subretinal liquid after vitrectomy are, probably, responsible for the low functional results of operations. Methods: The purpose of our research was studying of efficiency of intravitreal injections in treatment for residual...

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

Claude Boscher (Paris, France) Background: There is some in vitro evidence that the adult ciliary body (CB) might harbor an inactive population of stem/Retinal Progenitor Cells (RPC), or that ciliary epithelial (CE) cells might have the capacity to trans-differentiate, which may result in a balance between neural and epithelial properties. We have reported alterations in the CB and adjacent vitreous in vivo by endoscopic evaluation of...

Yvette Ducournau (Nantes, France) Presentation will be made of the progressive alterations observed at the level of the photoreceptor and external limiting membrane that appear to be related to the retinal detachment age. These data appear to reinforce observations made on OCT imaging. Immuno-histo chemistry highlights the level of the retinal damage. Examples of persisting alterations after re-attachment by silicone oil will be...

Didier Ducournau (Nantes, France) 1,000 retinal detachments were studied with the laser cell flare meter (Kowa machine); 40 measurements of inflammatory cells in the anterior chamber and of flare were performed (5 measurements at D-1, D+1, D+2, D+3, D+4, D+5, D+6, D+21) Results: • The levels of cells and flare are elevated the day before surgery with further increases noted after surgery (peak at 3 days) with a slow regression towards...

Salim Ben Yahia*, Rim Kahloun, Sonia Attia, Sana Khochtali, Sonia Zaouali, Moncef Khairallah (Monastir, Tunisia) Advantages: To monitor retinal detachment surgery by anterior chamber inflammatory activity. Methods: Twenty-seven consecutive patients were examined before, 1 day, 1 week, 2 weeks and 4 weeks after surgery for retinal detachment. The anterior chamber inflammatory activity was evaluated using the laser flare...

http://www.dailymotion.com/video/xn3tuu Diana Chichur, Andriy Sergienko (Kyiv, Ukraine) Advantages: This study reports different clinical types of rhegmatogenous retinal detachment (RRD) that require different surgical methods of repair. Methods: Retrospective review of 80 patients presenting with bilateral RRD. Effectiveness / Safety: Two types of bilateral RRD clinical course were distinguished from clinical assessment: type I with a more...

http://www.dailymotion.com/video/xn3tk0 Silvia Bopp (Bremen, Germany) Advantages: To evaluate the etiologies, treatment and surgical outcomes of rhegmatogenous retinal detachment (RRD) in children and adolescents (up to 18 years) and to highlight the specific features that are different from adult RRD. Methods: Retrospective chart review of 55 eyes (50 patients) with RRD between 2000 and 2010. Only 10 eyes showed RRD without any...

http://www.dailymotion.com/video/xns59p Didier Ducournau (Nantes, France) If the goal of a vitrectomy is to remove the vitreous as much as we can, we must use machines which allow us to remove the anterior hyaloid and the posterior hyaloid. High-speed cutters and shaving techniques have been invented to decrease the iatrogenic retinal tears risk. In fact, low cutting frequency is dangerous if the operator is not controlling the aspiration...

http://www.dailymotion.com/video/xns59p Jean-Paul Berrod, I. Hubert, J. Selton (Nancy, France) Advantages: Low vacuum setting might reduce the rate of retinal tears and/or retinal detachment after macular surgery. Traction on the peripheral retina during vitrectomy increases with the maximum vacuum set up. The aim of our study was to precise the incidence of retinal tears and retinal detachment after macular surgery depending on the maximum...

http://www.dailymotion.com/video/xns59p Jean-Paul Amar (Cannes, France) Whatever the technique used during vitrectomy, physical law will determine the quality and the safety of the PPV. In fact, to perform a complete vitrectomy, some principles are mandatory: • We have to control the flow rate of the cutting system. • In order to decrease the gradient of pressure and this way the dangerous movements of the retina, the occlusion during...

http://www.dailymotion.com/video/xns59p Peter Stalmans (Leuven, Belgium) Purpose: During surgery, several complications can occur: posterior lens capsule aspiration, aspiration of retinal tissue into the cutter during vitreous base shaving and pressure alterations leading to hypotony (inducing collaps and even subchoroidal haemmorrhage) or hypertony (compromising the retinal perfusion). Methods: Several soft and hardware features were...

http://www.dailymotion.com/video/xns59p Claude Boscher (Paris, France) Flow control is especially crucial during vitrectomy for retinal detachment because of the risk of iatrogenic retinal tears, due to traction at distance or to direct retinal browsing. Balance between risk and efficiency must be continuously monitored. Endoscopy assisted vitrectomy allows high magnification observation of the vitreous/retinal motion and cutter action....

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Advantages: The study of E.LA.D.A.LA.R (Exoplant, laser-assisted Drainage, Air, laser Retinopexy) technique for the treatment of rhegmatogenous retinal detachment. Methods: From 1996 to 2007, 300 patients were examined with rhegmatogenous retinal detachment with only one retinal break....

http://www.dailymotion.com/video/xn4j0c Didier Ducournau (Nantes, France) The two major complications of external drainage of subretinal fluid are the hemorrhagic risk (increased by hypotonia) and the retinal incarceration risk. Since 1984, the author has been using a very simple transcleral drainage (made by a suture needle 8/0) described by David McLeod in 1992 as the DDD technique. The secrets of this technique are: • To achieve the...

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Alireza Ramezani, Morteza Enrezari, Parisa Ashtar-Nakhaie, Arman Moolazade, Mehdi Yaseri (Tehran, Iran) Advantages: Compared to the classic method of scleral buckling surgery with retinopexy (using intraoperative cryotherapy, indirect laser or diathermy, and postoperative laser photocoagulation), the method without retinopexy provides faster and easier surgery,...

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Zofia Michalewska*, Janusz Michalewski, Dominik Odrobina, Slawomir Cisiecki, Maciej Bednarski, Jerzy Nawrocki (Lodz, Poland) Advantages: Spectral Domain Optical Coherence Tomography presents retinal architecture after scleral buckling and explains why visual acuity does not always fully recover after surgery. Methods: This is a single centre, prospective...

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Salim Ben Yahia*, Rim Kahloun, Salma Gargouri, Salah Jenzeri, Riadh Messaoud, Moncef Khairallah (Monastir, Tunisia) Advantages: To repair rhegmatogenous retinal detachment with minimal segmental scleral buckling using a slit lamp and three-mirror lens. Methods: Patients with primary rhegmatogenous retinal detachment were treated with a segmental buckle (silicone...

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Maria Chiara Freno*, Maurizio Mete, Grazia Pertile (Negrar, Italy) Background: Small bleb-like subretinal lesions (bleb-like syndrome) have been shown to be a relatively common finding after scleral buckling (SB) for retinal detachment (RD), while it is very uncommon after pars plana vitrectomy (PPV). Although bleb-like lesions were previously reported as small...

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Frank Becquet, Jean-François Le Rouic, Didier Ducournau (Nantes, France) Purpose: To evaluate the use, tolerance and complications of episcleral implants in retinal detachment surgery. Methods: A review was carried out on the medical reports of 2155 patients with a single surgical procedure (cryotherapy and scleral buckling) for rhegmatogenous retinal...

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Mehran Masoudnaseri (Odessa, Ukraine) Purpose: To demonstrate the inherent and utilitarian advantages of a new biomaterial in scleral buckling (SB) applications Methods: Scleral buckle by Mehran. Bio-lent is a biomaterial (trimethyl carbonate) with apparent similar mechanical properties as silicon material that can be used instead of silicon material. The...

http://www.dailymotion.com/video/xnmnzo http://www.dailymotion.com/video/xnngor Dominik Odrobina, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: Should the training of young vitreoretinal surgeons begin with learning scleral buckling? Methods: Analysis of the difficulties in the various stages of the operation and evaluation of results in the second year of scleral buckling surgery. Effectiveness /...

http://www.dailymotion.com/video/xn4oo0 Diana Chichur, Andrej Sergienko (Kyiv, Ukraine) Advantages: The thesis is devoted to improving efficacy of treatment of rhegmatogenous retinal detachment (RRD) patients, aimed to prevent the disease relapse and its development in the fellow eye by using a modified immunosuppressive therapy method, by studying autoimmune process activity in patients with different disease course. Methods: 80 patients...

http://www.dailymotion.com/video/xn4oo0 Didier Ducournau (Nantes, France) Vitrectomy in the surgical treatment of a retinal detachment presents a lot of advantages. However, in this case of retinal detachment the vitrectomy must be as complete as possible and its iatrogenic risk must be considered. This risk cannot be accepted in stage 0 PVR retinal detachments (except in some specific cases) where the risk of failure is almost zero. In...

http://www.dailymotion.com/video/xn4oo0 Ron A Adelman, Adarsh V Arya, Curtis L Hagedorn (New Haven, CT, USA) Purpose: To study the success rate of pars plana vitrectomy (PPV) versus scleral buckle (SB) in the management of pseudophakic retinal detachments (RDs). Design: Meta-analysis of published studies from 1966 to 2004 regarding surgical treatment of pseudophakic RDs. Two thousand two hundred thirty eyes: 1579 operated by SB, 457 by PPV,...

http://www.dailymotion.com/video/xn4oo0 Siamak Moradian, Hamid Ahmadieh, Hooshang Faghihi, Alireza Ramezani, Morteza Entezari, Tooka Banaei, Ebadollah Heidari, Hasan Behboodi, Amir Hossein Mahmoodi, Mehdi Yasseri (Tehran, Iran) Advantages: To compare the visual and anatomical outcomes and complications of 4 surgical techniques in the management of pseudopkakic and aphakic retinal detachment (PARD). Methods: In a multicenter clinical trial,...

http://www.dailymotion.com/video/xn4oo0 Stefanie Pape (Bremen, Germany) With advances in vitrectomy techniques in recent years there has been a trend away from buckling and towards primary vitreous surgery with combined lens exchange for primary uncomplicated retinal detachments in presbyopic patients in which the preservation of the natural lens is of secondary importance. A number of reasons seem to be responsible for this...

http://www.dailymotion.com/video/xn4oo0 Hülya Güngel, Sevil Karaman, Evre Peker (Istanbul, Turkey) Advantages: To evaluate the additional effect of scleral buckling (SB) to pars plana vitrectomy and to compare the properties of the vitreous base and retinal tears in uncomplicated primary phakic rhegmatogenous retinal detachment (prd group) and pseudophakic retinal detachment (psrd group). Methods: This retrospective study statistically...

http://www.dailymotion.com/video/xn4oo0 Ivan Fiser, Petr Bedrich, Frantisek Benda, Martina Rubesova (Prague, Czech Republic) Advantages: We do not have a universal preference in treating RD. We treat each patient individually, according to the finding, to his/her wishes, preferences and abilities, such as the ability of facedown positioning. Methods: We prefer scleral buckling in younger phakic patients while in pseudophakic detachment we...

http://www.dailymotion.com/video/xn4oml Frank Koch, S. Deuchler, H. Krueger, Michael Koss, P. Singh (Frankfurt am Main, Germany) Advantages: To improve the quality of a vitreoretinal service by introducing strategies to counteract potential complications such as retinal redetachments after silicone oil removal. Methods: We evaluated retrospectively retinal detachments which had been tamponaded with silicone oil and in which the oil was...

http://www.dailymotion.com/video/xn4oml Zora Ignjatovic, Katarina Misailovic, Andjela Tolic (Belgrade, Serbia) Advantages: If you deal with patients from far away and have to relinquish follow up to your colleagues who are not vitreoretinal surgeons, it can be helpful if you have some guidelines. Methods: During following up 3320 vitreoretinal cases we had to connect with ophthalmologists from far away hospitals and offices, not experienced...

http://www.dailymotion.com/video/xn4oml Zoran Tomic, Ulrich Spandau, Nikolaos Merkoudis (Uppsala, Sweden) Advantages: The first three days after the initial examination represent a relatively safe period during which surgery for the macula-on rhegmatogenous retinal detachment (RRD) may be postponed without compromising patient’s visual prognosis, according to recent studies (Wykoff CC, Am J Ophthalmol, 2010). That may decrease the risk of...

http://www.dailymotion.com/video/xnrh6r Naresh Babu (Madurai, India) Advantages: Intrascleral sutureless technique combined with 20 and 23 Gauge vitrectomy for managing RD and to reinstall a dislocated posterior chamber IOL with the CTR complex in a single sitting, can lead to early rehabilitation. No special haptic architecture or preparation was required. Methods: Surgical treatment of a dislocated IOL-Capsular Tension Ring complex and RD...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Alireza Ramezani, Mohammad H Dehghan, Ahmad Rostami, Hamid Ahmadieh, Morteza Entezari, Masoud Soheilian, Mohsen Azarmina, Siamak Moradian, Mehdi Yaseri (Tehran, Iran) Advantages: In the management of rhegmatogeneous retinal detachment (RD) accompanying chorioretinal coloboma, difficulty in locating the retinal breaks, their posterior location, and inability to...

http://www.dailymotion.com/video/xnbeee Nur Acar, Ziya Kapran, Yaprak Banu Unver (Istanbul, Turkey) ILM peeling in retinal detachment with a macuar hole in a highly myopic eye is sometimes difficult. In this video ILM peeling with Brilliant Blue in retinal detachment with a macuar hole under heavy perflourocarbon fluid in a highly myopic eye is demonstrated. In highly myopic young eyes ILM may be very tightly adherent, and sometimes...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Mehran Masoudnaseri (Odessa, Ukraine) Advantages: To treat and prevent postoperative complications with implantation of intraocular bio balloon after vitrectomy in aphakic and pseudophakic eyes with macular hole in retinal detachment. Methods: After vitrectomy the spatial syringe with gas or BSS (Fig 1A) with fixed bio balloon on it (v.4-6 mm) (fig 2A) injected...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Barbara Parolini, Grazia Pertile* (Verona, Italy) Advantages: Macular detachment in high myopia is a challenge for the surgeon. Various surgical approaches have been tried in the past years with frequent disappointment either for the rare success or for the difficult surgical strategy. Macular buckle, combined with the relieve of vitreoretinal traction through...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Hassan Mortada (Cairo, Egypt) Advantages: Peeling of adherent cortical vitreous during primary vitrectomy in eyes with rhegmatogenous RD is crucial in achieving complete mobilization of the retina, to remove the scaffold for further proliferation and to achieve long-term retinal stability. The posterior hyaloid may be...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Robert Rejdak, Malgorzata Pietras-Trzpiel, Katarzyna Nowomiejska, Agnieszka Kalinowska, Tomasz Zarnowski, Cesare Forlini, Anselm Junemann (Lublin, Poland) Advantages: The aim of the study was to evaluate visual function of the macula and changes in retinal layers in patients with retinal detachment following TPPV with...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Slawomir Cisiecki (Lodz, Poland) Advantages: Peeling of the ILM is an extremely effective prophylaxis for postoperative epiretinal membrane formation and is also a well-known part of primary vitrectomy in more advanced stages (beyond Stage B) PVR retinal detachments. However, some surgeons recommend ILM peeling in general...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Hassan Mortada (Cairo, Egypt) Advantages: Factors acting in the production of macular hole RD in highly myopic eyes may include traction exerted by partially detached posterior hyaloid, altered ILM, potent retinal arterioles and progression of posterior staphyloma. Vitrectomy techniques with peeling of posterior hyaloid and ILM and internal tamponade with long...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Kh.P. Takhchidi, S.S. Tillyakhodzhaev, A.A. Gorin (Moscow, Russia) Abstract: Modern technologies of vitreoretinal surgery ensure the high anatomical and functional results in the treatment of retinal detachment (RD). The key point investigations in this field are concentrated on the searching of liquids, which can provide...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Ozen Osmanbasoglu, Hülya Güngel, Sevil Karaman, Isýl Pasaoglu, Dilek Alp, Hakan Eren (Istanbul, Turkey) Advantages: To assess anatomic and functional outcomes of pars plana vitrectomy (PPV) for rhegmatogeneous retinal detachment (RD) in highly myopic patients. Methods: 21 patients’ data with high myopia that underwent PPV (twelve with 23 G, nine with 20 G)...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Theodoros Potamitis (Limassol, Cyprus) Advantages: The use of heavy liquid to flatten bullous retinal detachments, although very simple has several major disadvantages. Adding heavy liquid adds two steps to the process of vitrectomy, injection and removal of the PFCL. If heavy liquid enters the sub-retinal space it turns a...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Andriy Sergienko, Lyubomyr Lytvynchuk (Kyiv, Ukraine) Advantages: To achieve retinal reattachment in RD cases with contraction and shrinking of the retina. Methods: Five cases ware include into the study. The steps of surgical technique were following: 1. Lensectomy and bimanual removal of the anterior proliferative loop. 2. Stretching of retinal edges and...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Stratos Gotzaridis, Elias Georgalas (Athens, Greece) Advantages: To evaluate the efficacy of incompletely draining subretinal fluid at the end of the vitrectomy for treating retinal detachment cases. Methods: Sixty-seven eyes of 67 patients underwent PP vitrectomy for retinal detachment. Forty of them were macula on and 27...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Vito Primavera, Isabella Turco, N. Delle Noci (Foggia, Italy) Advantages: To compare the anatomical outcome following small gauge vitrectomy for rhegmatogenous retinal detachment (RRD) between triamcinolone acetonide assistance and chandelier illumination system. Methods: Retinal detachment repair was performed by the same...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Hassan Mortada (Cairo, Egypt) Advantages: Giant retinal tear retinal detachment entails many controversial issues including: whether or not to use scleral buckle, management of the crystalline lens, choice of internal tamponade and methods to prevent posterior slippage of posterior retinal flap. The technique used in this study includes: no scleral buckle,...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Sevil Karaman, Hülya Güngel, Isil Pasaoglu (Osmaniye, Turkey) Advantages: After pars plana vitrectomy cataract development is seen often. Phacoemulsification in vitrectomized eyes is challenging. Combined surgery has advantages preoperatively and postoperatively. Methods: 46 patients underwent pars plana vitrectomy...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Sengul Ozdek (Ankara, Turkey) Advantages: PPV with ILM peeling +/- laser for the treatment of optic pit related macular serous detachment. Effectiveness / Safety: Case 1 is a 68y old female with optic pit related macular detachment. Ophthalmic examination revealed a visual acuity (VA) of CF at 3m. Following PPV with ILM peeling and SF6 (20%) gas tamponade,...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Woohyok Chang, Byoung Young Gu, Min Sagong (Daegu, South Korea) Purpose: To compare the outcomes of phaco-vitrectomy and vitrectomy for treatment of primary rhegmatogenous retinal detachment. Methods: Retrospective comparison of the anatomical success, functional success and complications between patients in Group I, who...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Ehab El Rayes (Cairo, Egypt) Advantages: Vitrectomy with intra as well as submacular fluid aspiration leads to more favorable outcome and the nature of the fluid has C.S.F. content. Methods: We report 6 eyes of 4 patients with macular detachment due to optic nerve pits. 2 eyes were managed with vitrectomy, laser and air. The other 4 eyes were treated with...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Elisa Carreras*, Jeroni Nadal, Paola Sauvageot, Marta López-Fortuny, Maria Isabel Canut (Barcelona, Spain) Advantages: Autologous platelet concentrates injection as treatment of retinal hole in optic nerve coloboma. Methods: We report the case of a 20-year old patient with recurrent retinal detachment (RD) secondary to optic nerve coloboma, previously treated...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Sevil Karaman, Hülya Güngel, Isil Pasaoglu, Ozen Osmanbasoglu, Ece Uzun, Dilek Alp (Osmaniye, Turkey) Advantages: To compare prognosis after 20-gauge (G) and 23-G pars plana vitrectomy (PPV) combined with phacoemulsification for repair of primary phakic rhegmatogenous retinal detachment. Methods: 56 phakic patients who...

http://www.dailymotion.com/video/xn78tq http://www.dailymotion.com/video/xn78u6 Veronika Aslanova *, Nikolai Umanets, Olena Ivanitskaya (Odessa, Ukraine) Advantages: Pneumatic retinopexy in cases of optic nerve pit associated with serous macular detachment is the most minimally invasive surgery that can be successfully performed in this pathology. Methods: The results of pneumatic retinopexy in 6 patients (6 eyes) with congenital optic...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Nur Acar*, Yaprak Banu Unver, Leyla Hazar, Nihat Sayýn, Yasar Kucuksumer, Ziya Kapran (Istanbul, Turkey) Advantages: Being less invasive, 23-gauge, and 25-gauge transconjunctival pars plana vitrectomy (PPV) techniques may cause less postoperative inflammation and patient discomfort. In this prospective study the aim was...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Nur Acar*, Ziya Kapran, Yaprak Banu Unver, Yasar Kucuksumer, Turgay Satýcý (Istanbul, Turkey) Advantages: Primary vitrectomy allows visualization of all retinal breaks and performing effective retinopexy while enabling removal of all vitro tractions and membranes. Less invasive PPV techniques like 25-gauge and 23-gauge...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Ferenc Kuhn (Hungary / USA), Zora Ignjatovic (Belgrade, Serbia) Advantages: Even though the retinal break is thought to be the cause of the retinal detachment, the break is secondary to – typically dynamic – vitreoretinal traction. Vitrectomy is the rational approach to treatment by addressing the source,...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Etienne H. Bovey, Jean-Antoine Pournaras (Lausanne, Switzerland) Purpose: To describe a new technique of surgery for pseudophakic retinal detachment, using 23G vitrectomy, slit-lamp and non-contact 90D lens. Methods: 42 pseudophakic eyes with retinal detachment were analyzed retrospectively. They were operated on by 23G...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Jean-Paul Berrod, I. Hubert, R. Ouled-Moussa, M. Casillas (Nancy, France) Advantages: Primary pars plana vitrectomy (P.P.V) is nowadays a common practice to repair retinal detachments in pseudophakic or phakic patients. It reduces periocular and muscle disorders, facilitates visualization of the breaks, and shortens...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Hassan Mortada (Cairo, Egypt) Advantages: The advantages of primary vitrectomy include direct relieve of vitreoretinal traction, removal of inflammatory mediators & cells, intraoperative complete retinal reattachment, choice of the appropriate tamponade and avoiding the complications associated with scleral buckling....

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Chi Wai Tsang (Hong Kong, China) Advantages: The technique can avoid the complications related to gas or oil tamponade in selected cases of rhegmatogenous retinal detachment. Methods: The operation was performed using wide-angle viewing system (BIOM). The 27G twinlight chandelier system was used to facilitate peripheral...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Sengul Ozdek, Fulya Yaylacioglu (Ankara, Turkey) Advantages: Passive removal of 1000cs silicone oil with 23-G transconjunctival system is an easy and cheap method, which also allows additional vitreoretinal, maneuvers after removal. Methods: 91 eyes of 91 patients, enrolled in our clinic between January 2008 and April 2011, were studied retrospectively. After...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objective: Treatment of complex R.D: checkmate in two moves! Purpose: To show our strategy in complicated R.D, with high (risk to develop recurrent RD with PVR. In such cases, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of (the inferior retina),...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Piotr Fryczkowski (Warsaw, Poland) 38 Patients with complicated retinal detachment (5 traction/rhegmatogenous detachment (13,1%), 31 rhegmatogenous Detachment (81,6%), 2 Secondary detachments, underwent pars plana vitrectomy, 230- 360° retinectomies, 360 degrees intraoperative endolaser and silicone oil tamponade. Changes in visual acuity, tonometry, and...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Jean-François Le Rouic (Nantes, France) Purpose: The treatment of complex retinal detachments requires a meticulous dissection of both the posterior and the peripheral fundus. Despite intraoperative scleral depression, the access of the peripheral fundus is sometimes hindered by poor dilatation and anterior segment media opacification. The visualization of the...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Stratos Gotzaridis, Elias Georg Alas, Thanasios Nikolakopoulos (Athens, Greece) Advantages: Cataract is always a factor that complicates the cases with PVR either during or after the vitrectomy. Removing the cataract and putting an IOL may lead to unstable AC that will allow oil to move into it. Methods: Eleven patients with total retinal detachment and stage IV...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Klaus Lucke (Bremen, Germany) The use of silicone oil for complex retinal detachments was developed primarily in Europe in the 70’s and 80’s. While there is widespread agreement on its advantages, to this day the mechanisms of action are not entirely understood and remain in part hypothetical. Recent developments such as the use of heavy oils, however, have...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Hassan Mortada (Cairo, Egypt) Advantages: To evaluate the efficacy of using only 23g transconjuntival sutureless vitrectomy in management of complicated retinal detachment over the past 3 years. The preservation of the integrity of the conjunctiva and sclera in these cases is of crucial importance, as these cases frequently need more than one operation, at least...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objective: To investigate the importance of the dyes for the prevention and treatment of PVR Methods: Patient charts were reviewed retrospectively for 25 eyes of 25 patients (15 male, 10 females) with mean age of 60 years consecutively recruited patients who underwent primary or...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objectives: To investigate the clinical benefit of internal limiting membrane (ILM) peeling at the macula for the prevention and treatment of epiretinal membrane formation in RD cases with PVR. Methods: Patient charts were reviewed retrospectively for 26 eyes of 25 patients (17 male, 9...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Dominik Odrobina, Zofia Michalewska, Janusz Michalewski, Jerzy Nawrocki (Lodz, Poland) Objectives: SOCT allows detailed imaging of retinal microstructure in patients after vitrectomy with ILM peeling and silicone oil tamponade for retinal detachment with PVR. Methods: Nineteen (19) patients after vitrectomy with ILM peeling for PVR retinal detachment were...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Dominik Odrobina, Maciej Bednarski, Slawomir Cisiecki, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: To analyze the effect of internal limiting membrane (ILM) peeling on the anatomical and functional outcomes in patients undergoing retinectomy of 180 degrees to 360 degrees for retinal detachment with Grade D-1 PVR, paying particular role to...

http://www.dailymotion.com/video/xn6rkh Grazia Pertile, Maurizio Mete (Negrar, Italy) Advantages: 2 steps management of massive suprachoroidal haemorrhage permits to reduce the risk of severe PVR. Methods: During the development of a massive suprachoroidal haemorrhage the vitreous is pressed anteriorly and that can cause its incarceration in the surgical incisions, it can remain trapped in the anterior chamber or it may stick on the...

http://www.dailymotion.com/video/xn6rkh Theodoros Potamitis (Limassol, Cyprus) Advantages: Without a large retinotomy massive clots of blood can be removed from the subretinal space in a simple air-fluid exchange. Methods: Tissue plasminogen activator is injected three days prior to surgery to liquify the clotted blood. A standard three-port vitrectomy is then performed and through a 20G retinotomy and using air-fluid exchange the...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Piotr Fryczkowski (Warsaw, Poland) Advantages: In several cases after successful vitrectomy we observe endless fibrin membranes formation on the anterior or posterior surfaces of the artificial lenses with pupillary block and/or iris bombe. Patients’ vision in these cases is very poor because of the obstacle of the light pathway, and the possibility of...

S Dumas, S Guigou, PY Mérité, F Meyer, E Parrat, S Pommier, H Rouhette* (Mougins, France) Persistent submacular fluid is a very common evolution after scleral buckling surgery for macula « off » rhegmatogenous retinal detachment. Total resolution of this fluid can take few months and is responsable of delayed visual recovery. About clinical cases illustrated by OCT and fundus autofluorescence, the authors discuss the different...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Katerina Papastavrou, Yianna Antoniou, Theodoros Potamitis (Limassol, Cyprus) The management of a retinal detachment patient does not stop after the reattachment of the retina. Often the most devastating complications and loss of vision occur long after the vitreo-retinal surgeon has finished his/her work. Thinking about glaucoma before vitreo-retinal surgery,...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 A. Sergienko, L. Lytvynchuk, I. Kozlovska, Galina Y. Lavrenchuk, O. Fylypchuk, V. Siriachenko (Kyiv, Ukraine) Advantages: To evaluate the incidence of secondary glaucoma after pars plana vitrectomy due to silicon oil emulsification in different terms of endotamponade and to study the efficacy of trabeculectomy in refractory cases to medical...

Lidmila Prochazkova, Martina Zavorkova (Usti nad Labem, Czech Republic) Advantages: Cryosurgical approach, relying on cerclage and buckling, still bears considerable benefits. The lens does not blur as an effect of the pars plana vitrectomy (PPV) and at the same time no other surgical intervention (i.e. removal the silicone oil) is necessary. Due to blurring of lens after vitrectomy, this external approach is suitable especially for younger...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Hassan Mortada (Cairo, Egypt) Advantages: Recurrent RD in silicone oil filled eyes may occur early due to persistent retinal traction not adequately relieved or missed breaks, or late due to reproliferation. The aim of the present study is to describe the pathogenesis and management of recurrent Rd, following vitrectomy and silicone oil tamponade in eyes with...

Isil Pasaoglu, Hülya Güngel, Sevil Karaman, Dilek Alp, Ozen Osmanbasoglu, Ece Uzun (Istanbul, Turkey) Advantages: To analyse the factors affecting visual outcomes of 23-gauge transconjunctival sutureless vitrectomy combined with phacoemulsification in phakic rhegmatogenous retinal detachment. Methods: A retrospective case series study was performed in 56 patients with phakic retinal detachment. Patients with a final visual acuity greater...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Silvia Bopp (Bremen, Germany) Advantages: To address the problem of retinal redetachments after silicone oil removal in eyes that had undergone vitreous surgery with silicone oil tamponade for complicated rhegmatogenous retinal detachment (RRD) and proliferative vitreoretinopathy (PVR). Methods: Retrospective chart review of 73 patients who had vitrectomy /...

Hülya Güngel, Isil Pasaoglu, Evre Pekel, Dilek Alp, Ozen Osmanbasoglu, Ece Uzun (Istanbul, Turkey) Methods: Forty-five patients with pseudophakic retinal detachment were analyzed retrospectively. Patients with a final visual acuity greater than 0,1 (snellen equivalent) were defined as having a good visual prognosis. Parameters examined were age, gender, duration of the symptoms, preoperative visual acuity, preoperative intraocular...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Stratos Gotzaridis, Elias Georgalas (Athens, Greece) Advantages: The use of perflurocarbons liquids leads to unpleasant complications such as subretinal bubbles. The problem is getting more serious when the bubble is located in the area of foveola, which results in severe reduction of the vision. We present a case of removal of a subretinal foveolar...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Zoran Tomic (Uppsala, Sweden) Advantages: Unfolding the macular fold that may occur as a seldom seen but unpleasant complication after primary vitrectomy for rhegmatogenous retinal detachment (RRD), can recover patient’s poor visual acuity in otherwise successfully reattached retina. Methods: Anatomical and functional results of treatment of total five cases...

http://www.dailymotion.com/video/xn7l4j http://www.dailymotion.com/video/xn7l58 Daniel Vilaplana, Vladimir Poposki, Isaac Alarcon, Saideh Khaouly-Alonso (Barcelona, Spain) Advantages: Post vitrectomy macular complications are very serious. The prognosis is very poor and in some cases it might be irreversible. Few publications refer to this problem. Methods: Cases with secondary macular pathology such as: epiretinal macular membranes,...