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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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Management of Closed Funnel Retinal Detachment with Giant Tears

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...

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Strategy for Management of Giant Retinal Tears Retinal Detachment, Technique & Results

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,...

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360º Giant Retinal Tear as a Complication of a Cataract Surgery

http://www.dailymotion.com/video/xnl511 Daniel Vilaplana, Vladimir Poposki (Barcelona, Spain) An eighty-year-old woman had been operated on for a cataract in her right eye twenty-four hours previously. During the operation a posterior capsule rupture occurred. The surgeon performed an anterior vitrectomy. The patient was sent to retinal department because she was suffering from a 360º giant retinal tear. The technique we employed was...

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Strategy for Management of Giant Retinal Tear Retinal Detachment

http://www.evrs.eu/medias/2009/congress/Giant-Tear.flv Author: Hassan Mortada, Cairo, Egypt Advantages: My strategy for management of giant retinal tear retinal detachment is lens removal using phacoemulsification and implantation of PCIOL, no encircling scleral buckle, 20 gauge PPV, meticulous excision of basal vitreous gel and excision of anterior flap, mobilization of the retina and posterior flap through dissection of epiretinal...

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Densiron: an Up–Date Tamponade for Giant Retinal Tears Retinal Detachment

http://www.evrs.eu/medias/2009/congress/Giant-Tear.flv Author: Jean–Paul Amar, Cannes, France In contrast to standard retinal detachment procedure, the management of giant retinal tears introduces a mechanical difficulty in managing the slippage of the retina and the exposure of the retinal pigment epithelium. The injection from bottom to top and the density of the densiron will allow a secure and easy surgery by increasing control during...

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Simplified PFCL / Silicone Oil Exchange in Giant Tears

http://www.evrs.eu/medias/2009/congress/Giant-Tear.flv Author: Jean-Paul Berrod, Nancy, France Advantages: Quick and easy way to perform PFCL / silicone oil exchange without slippage or subretinal accumulation of fluid in the treatment of giant tears. Methods: After vitrectomy we injected PFCL with flute needle under panoramic viewing system till the edge of the tear. Then we disconnect the infusion tubing and continue to inject PFCL...

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Bilateral Giant Retinal Tear

http://www.evrs.eu/medias/2009/congress/Giant-Tear.flv Authors: Daniel Vilaplana, Vladimir Poposki, D. Martin, Isaac Alarcon, M. Castilla, Barcelona, Spain Advantages: Bilateral retinal detachment as a consequence of a bilateral giant retinal tear I a very uncommon pathology. We present our surgical technique to obtain a satisfactory result with a prompt recovery of the life style of the patient. Methods: Under general anesthesia we...

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Giant Tears. Surgical Techniques and Outcomes Using Short and Longterm Tamponade Agents

Vicente Martinez-Castillo, MD (Barcelona, Spain), Anna Boixadera, MD (Barcelona, Spain), Miguel A Zapata, MD (Barcelona, Spain), José García-Arumí, MD (Barcelona, Spain) PURPOSE: To report anatomic and visual acuity outcomes after retinal detachment repair due to giant tear. METHODS: A retrospective review of 29 consecutive retinal detachments with giant tears operated by a single surgeon over a 5 year period. Pars Plana Vitrectomy (PPV)...

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