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New Findings in En-face OCT for the Diagnosis of CSCR

SCIENTIFIC POSTER 2016_New Findings in En-face OCT for the Diagnosis of CSCR Patricia Udaondo Purpose: To analyze the advantages and findings of en face OCT in the diagnosis of central serous corioretinopathy (CSC) cases. Methods: Both fluorescein angiography (FA), a gold standard test for diagnosis in CSC and en face/enhanced depth OCT images were obtained in 30 patients with CSC, analysed and compared. Results: In all patients with CSC...

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Atypical Case of Persistant Subretinal Fluid, Mimicking Acute Exudative Polymorphous Vitelliform Maculopathy or CSC

SCIENTIFIC POSTER 2016_Atypical Case of Persistant Subretinal Fluid, Mimicking Acute Exudative Polymorphous Vitelliform Maculopathy or CSC Philippe Koch Introduction: To describe the case of an atypical persistent subretinal fluid presentation following a macula on retinal detachment (R.D). Results: A 64 y.o woman developed a macula on RD extending from 5 to 11 o’clock, a retinal break at 10 o’clock with the RD threatening the macular...

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Early PPV versus Delayed PPV for Spontaneous Fundus Obscuring Vitreous Hemorrhage

SCIENTIFIC POSTER 2016_Early PPV versus Delayed PPV for Spontaneous Fundus Obscuring Vitreous Hemorrhage Joo Yeon Kim Purpose: To compare the visual outcomes of early versus delayed intervention in the setting of fundus-obscuring vitreous hemorrhage (VH) presumed to be due to posterior vitreous detachment. Methods: All eyes that presented with a fundus-obscuring VH defined as vision of 20/400 or worse, and requiring a B-scan at presentation...

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Outer Retinal Layers Alterations in Chronic CSCR: OCT Images and Fundus Autofluorescence Findings

SCIENTIFIC POSTER 2016_Outer Retinal Layers Alterations in Chronic CSCR OCT Images and Fundus Autofluorescence Findings Ji-Hye Jang Purpose: To document the alteration of the outer retinal layers and fundus autofluorescence (FAF) change in eyes with chronic central serous chorioretinopathy (CSCR). Methods: Seventeen eyes of fifteen patients with chronic CSCR from January of 2014 to March of 2015 with at least 6 months of follow-up with...

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Spontaneous Suprachoroidal Hemorrhage

SCIENTIFIC POSTER 2016_Spontaneous Suprachoroidal Hemorrhage Maha M. Elshafei We present a 52-year-old diabetic and hypertensive patient, for the past five years for which is well controlled on oral medications. The patient presented himself to Emergency on 21 June 2015 complaining of sudden loss of vision in the right eye after waking up from sleep. He was found to have vision of light perception in the right eye; IOP 8mmHg, quiet anterior...

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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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Entry-site Hemorrhage: When to Suspect and How to Manage it

Introduction: Vitreoretinal sutureless surgery has evolved in recent years into a safer, more effective group of procedures. It is, therefore, an unexpected sight to have a vitreous hemorrhage at the end of an otherwise uneventful vitrectomy. A possible cause of such a finding is an external hemorrhage that occurs immediatly after the removal of the trocars, that finds its way inside the vitreous cavity through the sclerotomy. Methods: The...

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Insufficient Laser, Preretinal Hemorrhage

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

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An Atypical Case of Persistant Subretinal Fluid, Mimicking a Unilateral Acute Exudative Polymorphous Vitelliform Maculopathy or a CSC

                  Introduction: To describe the case of an atypical Persistent Subretinal Fluid presentation following a macula ON R.D. Results: A 64 y.o woman developed a Macula ON retinal detachment extending from 5 to 11 o’clock, with a unique retinal break at 10 o’clock but threatening the Macular area. For such reason, a vitrectomy was realised to drain the subretinal fluid...

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Management of Thick Submacular Hemorrhage: Do I Need a Forceps or Not ?

Purpose: To evaluate the outcome of pars plana vitrectomy, subretinal tissue plasminogen activator (t-PA) infusion (25 μg) OR subretinal clot evacuation with a forceps. An intraocular gas tamponade with and without postsurgical antivascular endothelial growth factor (VEGF) injection for submacular hemorrage was applied per and post operatively. The procedure was followed by having the patient remain in the prone position during five...

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Choroidal Hemorrhage

Contact Details: Email: jean-paul@amar.com.fr Cell Phone: /+33609540033

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Sub-macular Hemorrhage

Contact Details: Email: idriss.badat@gmail.com Cell Phone: +33618426737

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Management of Submacular Hemorrhage by Combined Subretinal Injections of t-PA and Aflibercept

Background / Aims: Acute and massive hematoma involving the macula is a devastating complication; age-related macular degeneration (ARMD) is the main cause. Undertreating choroidal neovascularization may explain it in some cases but it also may follow intravitreal anti-VEGF injection especially in previously treated eyes. Other underlying causes include retinal arterial macroaneurysms. In both cases, volume and time to evacuation have...

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Hemorrhagic Choroidal Detachment

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

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Choroidal Detachment

Contact Details: Email: jflerouic@gmail.com Cell Phone: /+33660166157

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Expulsive Hemorrhage Treatment

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

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A Patient with 42 Episodes of Vitreous Hemorrhage

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

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Expulsive Hemorrhage During Penetrating Keratoplasty

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

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Intraoperative Suprachoroidal Hemorrhage: Caught on Tape

Introduction: Intraoperative suprachoroidal hemorrhages are a feared complication of ophthalmological surgery. Caused by the rupture of posterior cilliary vessels, its rarity is only matched by its urgent need for immediate action. Although most frequently associated with glaucoma surgery and intra/extracapsular cataract extraction, it may rarely occur in the context of any intraocular procedure. In this paper, the authors present the case...

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Transitional Aspect of Visual Acuity and Macula Using OCT in CSCR

Chang-Uk Choi_SCIENTIFIC POSTER 2015 Purpose: To predict the changes in visual-acuity and macula after treatment by analyzing four bands, external limiting membrane(ELM), inner and outer segments(IS/OS), cone outer segment tips (COST), retinal pigment epithelium (RPE) in central serous chorioretinopathy using optical coherence tomography (OCT) before and after treatment. Method: The retrospective study consisted of 31 eyes of 29 patients...

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Change in Lifestyle and Oral Eplerenone Treatment for CSCR. A Case Report

Miriam Garcia Fernandez_SCIENTIFIC POSTER 2015_1 Advantages: To increase awareness of the importance of change in lifestyle and relaxation and other alternative stress-reduction techniques, for the improvement of patients with central serous corioretinopathy diagnosis. Moreover, this stress reduction, combined with oral eplerenone treatment can contribute to the complete resolution of this pathology. Methods: One 58-year old man complained...

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Complication Secondary to PDT in a Patient with CSCR

Miriam Garcia Fernandez_SCIENTIFIC POSTER 2015_2 Advantages: To report a case of a patient with a history of central serous chorioretinopathy who developed choroidal neovascularization after photodynamic therapy. Methods: A 54-year-old female presented with progressive diminution of visual acuity in her right eye (RE). A complete ocular examination, including determination of Visual Acuity (VA), anterior and posterior biomicroscopy, optical...

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ND:YAG Laser Treatment for Valsalva Premacular Hemorrhage

Miriam Garcia Fernandez_SCIENTIFIC POSTER 2015_4 Advantages: To increase awareness of the possible complication of maculopathy occurring in individuals during the Valsalva manoeuvre, and the efficacy of the laser Nd:YAG laser treatment. Methods: Two men, 26 and a 46 years old ,complained of sudden, painless loss of vision in their left eye. One of them became symptomatic after lifting a suitcase (Case 1), and the other one after vigorous...

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The Efficacy of Intravitreal Bevacizumab Injection in Patients with Acute CSCR

Seungmin Ha_SCIENTIFIC POSTER 2015 Introduction: Acute central serous chorioretinopathy has different pathogenic concepts and it has no gold standard treatment. Treatment includes focal laser photocoagulation, PDT, and intravitreal anti-VEGF injection. Focal laser can seal the leaking vessels but it can cause scotoma and develop CNV. PDT can be also treatment option but it can cause RPE alterations, CNV, and choroidal ischemia. Anti-VEGF...

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Locational Relationship Between Retinal and Choroidal Changes in CSCR

Don Il Ham_SCIENTIFIC POSTER 2015 Purpose: To investigate three-dimensionally the locational relationship between retinal, retinal pigment epithelial (RPE), and choroidal lesions in eyes with central serous chorioretinopathy. Methods: 14 eyes of 13 subjects diagnosed as central serous chorioretinipathy (CSC) underwent fundus color photography, fluorescein angiography (FA), indocyanine green angiography (IA), and en face OCT (Avanti RTVue...

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Changes in Multifocal Electroretinogram After CSCR

Jae Ryong Han_SCIENTIFIC POSTER 2015 Purpose: To evaluate the changes in mutifocal electroretinogram after resolusion of central serous chorioretinopathy. Method: Thirty-six patients with central serous chorioretinopathy were examined mutifocal electroretinogram after resolusion of the acute phase. Results: Even after complete resolusion of central serous chorioretinopathy, visual acuity and multifocal electroretinogram were improved slowly...

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Long-term Clinical Outcomes of CSCR from a Single Tertiary Centre

Purpose: To present long-term clinical outcomes of patients with central serous chorioretinopathy (CSCR) followed in a single tertiary Centre. Patients and Methods: Forty-two patients diagnosed as acute or chronic CSCR and followed regularly were included into the study. The files of the patients with complete follow-up data were reviewed retrospectively and following parameters were recorded: Age, gender, type, symptom durations, episode...

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En-face OCT in Detection of Photoreceptor Damage in CSCR

Jakub Kaluzny_SCIENTIFIC POSTER 2015 Purpose: To evaluate areas of reduced reflectivity of ellipsoid zone of photoreceptors in eyes with central serous chorioretinopathy (CSCR). Material & Methods: En face OCT reflectivity maps on the level of ellipsoid zone were created in 16 eyes with active stage of the disease and after subretinal fluid absorption. Results: The topography of ellipsoid zone reflectivity reduction corresponded to the...

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Effect of Topical Nonsteroidal Anti-inflammatory Eye Drops (0.1% Pranoprofen) for Acute CSCR

Yoon Hyung Kwon_SCIENTIFIC POSTER 2015 Purpose: To investigate the effect of topical pranoprofen 0.1% in the treatment of acute serous chorioretinopathy. Methods: This was a retrospective review of 52 serous chorioretinopathy cases (52 patients). 26 patients were received topical pranoprofen 0.1% (treatment group); and the other 26 patients did not receive any treatment served as the control group. Baseline and follow-up visual acuity...

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Two Cases of Intravitreal Anti-VEGF for CNV Secondary to Chronic CSCR

Joo Yong Lee_SCIENTIFIC POSTER 2015 Purpose: To report two cases of choroidal neovascularization (CNV) secondary to chronic central serous chorioretinopathy (CSC) treated with anti-vascular endothelial growth factor (VEGF). Methods: Two eyes with CNV associated with chronic CSC were treated with intravitreal injection of ranibizumab (0.5 mg/0.05cc) or bevacizumab (1.25mg/0.05cc) and were evaluated for best corrected visual acuity (BCVA),...

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Factors Affecting Functional Outcome of Vitrectomy for PDR

Aim: To determine the factors which influence on the functional outcome of treatment after vitrectomy in patients with proliferative diabetic retinopathy (PDRP). Material & Methods: The study involved 56 patients (56 eyes) with PDRP in time of 2 months after vitrectomy. There were included patients with achieved positive anatomical outcome of treatment, the absence of residual macular edema by optical coherence tomography investigations...

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Neuroretina Degeneration After Vitrectomy for PDR with Vitreous Hemorrhage & Tractional RD

Aim: To compare the degree of neuroretinal degeneration by the complex of electrophysiological methods, pattern visual evoked potentials (PVEP) in patients with proliferative diabetic retinopathy (PDRP) who underwent vitrectomy due to only vitreous hemorrhage and tractional retinal detachment. Material & Methods: We examined 43 patients with PDRP (43 eyes) in terms of 2 months after vitrectomy. The study included patients with positive...

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Photodynamic Therapy and Focal Laser Photocoagulation in CSCR

Youngdo Yeo_SCIENTIFIC POSTER 2015 Purpose: To compare the treatment efficacy of photodynamic therapy (PDT) and focal laser photocoagulation in chronic central serous chorioretinopathy (CSC). Methods: Forty eyes of 40 patients with chronic CSC treated with PDT or focal laser photocoagulation were evaluated retrospectively. Mean change in best corrected visual acuity (BCVA), whether resolution of subretinal fluid (SRF) and pigment epithelium...

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Managing Submacular Hemorrhage – Two Different Surgical Approaches

Purpose: We present two different surgical approaches to address submacular hemorrhage. Setting / Venue: Department of Ophthalmology – Centro Hospitalar e Universitário de Coimbra, Portugal. Methods: We present the cases of two patients with submacular hemorrhage that underwent 23-gauge pars plana vitrectomy (PPV) assisted by tissue plasminogen activator (t-PA) The first case refers to a 59 year-old woman, with high myopia who...

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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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Intraoperative Suprachoroidal Hemorrhage: Caught on Tape

Introduction: Intraoperative suprachoroidal hemorrhages are a feared complication of ophthalmological surgery. Caused by the rupture of posterior cilliary vessels, its rarity is only matched by its urgent need for immediate action. Although most frequently associated with glaucoma surgery and intra/extracapsular cataract extraction, it may rarely occur in the context of any intraocular procedure. In this paper, the authors present the case...

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Expulsive Hemorrhage During Penetrating Keratoplasty

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

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Subhyaloid Hemorrhage

Subhyaloid Hemorrhage Woohyok Chang_RETINA PHOTO 2015 Color fundus photograph of the left eye of a 65-year-old man with organizing subhyaloid hemorrhage secondary to branch retinal vein occlusion. Contact Details: Email: changwh@ynu.ac.kr Cell Phone:...

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Review of Literature and State of Knowledge

Review of Literature and State of Knowledge

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Focal Choroidal Excavation in Eyes with CSCR

Purpose: To study the prevalence and three-dimensional (3-D) tomographic features of focal choroidal excavations in eyes with central serous chorioretinopathy (CSC) using swept-source optical coherence tomography (OCT). Design: Prospective, cross-sectional study. Methods: We examined 116 consecutive eyes with CSC with a prototype 3-D swept-source OCT. 3-D images of the shape of the macular area, covering 6 x 6 mm2, were reconstructed by...

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Long-term Outcomes of CSCR

Settings: Institut Catala de Retina, Barcelona, Spain Purpose: To describe the characteristics of chronic central serous chorioretinopathy (CCSC) with a long duration of follow-up. Methods: Retrospective analysis of patients diagnosed of CCSC between 2011 and 2014 with foveal involvement and follow-up of at least one year. Results: We included 45 patients (48 eyes) of 233 cases of central serous chorioretinopathy (39.5%). Mean follow-up...

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OCT Angiography of Pigment Epithelial Detachment

Purpose: To noninvasively describe the spectrum of pigment epithelial detachments (PEDs) occurring mainly in age-related macular degeneration (AMD) and central serous chorioretinopathy (CSC) and also in other inflammatory, iatrogenic retinal disorders with Optical Coherence Tomography Angiography (OCTA). Methods: Observational, cross-sectional study of 30 patients with drusenoid, serous, vascularized or mixed PEDs. OCTA was performed on...

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OCT Angiography of CSCR in Elderly Patients

Purpose: To noninvasively describe the features of retinal and choroidal vascular changes in elderly patients with central serous chorioretinopathy (CSC) with Optical Coherence Tomography Angiography (OCTA). Methods: Cross-sectional, observational study of 10 patients between 55 and 64 years of age with central serous chorioretinopathy. OCTA was performed on 3×3 and 6×6 mm area centred on the fovea. The 3D angiography was...

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Diagnostic Accuracy & Risk Factors for Metamorphopsia Using M-CHARTS and Preferential Hyperacuity Perimeter in Patients with Resolved CSCR

Purpose: To compare the diagnostic accuracy and risk factors for metamorphopsia between M-CHARTS and preferential hyperacuity perimeter (PHP) in the patients with resolved central serous chorioretinopathy (CSC). Methods: This study included patients with resolved CSC without macular oedema on optical coherence tomography (OCT). We evaluated metamorphopsia using M-CHARTS and PHP. Foveal microstructure was assessed with spectral-domain OCT...

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CSCR or Not CSCR? This is the Question

Purpose: Whilst the diagnosis of central serous chorioretinopathy (CSCR) is usually straightforward to make, diagnostic challenges do exist. In this presentation, I will discuss several cases that either had CSCR with atypical features or another underlying diagnosis masquerading as CSCR. Contact Details: Email: ahmedsallam11@yahoo.com Cell Phone:...

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CSCR Is Not Always the Same

Purpose: Despite numerous studies describing predominantly its clinical course, many aspects of central serous chorioretinopathy (CSCR) remain unclear. Hypotheses on the pathogenesis of CSCR have ranged from a basic alteration in the choroid to an involvement of the retinal pigment epithelium (RPE). Methods: We reviewed the different therapeutic approaches, including adrenergic antagonists, carbonic anhydrase inhibitors, mifepristone,...

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Two Cases of Atypical Bilateral CSCR

Purpose: Case 1: A 39 year old woman presented with a bilateral slowly deteriorating visual acuity, metamophopsia and micropsia. We diagnosed CSCR and treated with acetazolamid and NSAID. Social history revealed a type A personality (ambitious, freelancer), in addition the patient reported sweating sleeping disorders, nycturia, a prolonged menstruation cycle, development of a moustache and increasing weight, so we suggested an...

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CSCR and Vitelliform Dystrophy as Exudative ARMD Masquerading Diseases

Purpose: There are many entities masquerading ARMD, which have been treated with anti-VEGFs many times without getting any response. In this presentation a chronic CSC and a pattern dystrophy misdiagnosed as exudative ARMD and injected anti-VEGF many times without any success will be presented. Contact Details: Email: sozdek@gazi.edu.tr Cell Phone:...

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CSCR Mimicking Choroiditis

Purpose: A 35 year old young male reported with deceased vision in the right eye for 1.5 months. He had difficulty in reading and doing near work. On examination, BCVA was 20/60 and 20/20 in the right and left eye respectively. Fundus examination showed no vitreous cells and yellowish choroiditis-like lesion at the macula. Patient was taking oral steroid for the lesion. OCT examination showed sensory elevation in both eyes with diffuse...

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Efficacy of PDT in Steroid-associated CSCR: A Case-control Study

Purpose: Corticosteroid exposure has previously been suggested as a risk factor for the development of chronic central serous chorioretinopathy (CSC). In this study we assess whether the therapeutic outcome of half-dose photodynamic therapy (PDT) is different in CSC patients with prior exogenous corticosteroid use or endogenous hypercortisolism as compared to patients without any corticosteroid exposure. Methods: We retrospectively...

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Stimulation Laser in CSCR

Purpose: We use an individualized treatment for CSC based both on traditional procedures and on experimental ones. Laser stimulation therapy can be beneficial even in cases without the typical focus of leakage. In difficult cases without any defined or even anticipated leakage we use experimental therapy with anti-VEGF injections. Even intensive topical steroid therapy, usually strictly rejected, proved to be useful in rare cases. Methods:...

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15 Years Follow-up of a Severe Case of CSCR

Purpose: Severe types of central serous chorioretinopathy (CSC) have a chronic and persisting nature. Multimodal imaging presently allows thorough documentation of apparently quiescent phases, as well as acute exudative episodes. Limited information concerning long-term natural history of severe CSC is available in the literature. The purpose of the Authors is to report clinical and multimodal imaging features of a bilateral, severe case...

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PDT for CSCR: What is the Appropriate Dose?

Purpose: Visudyne is FDA-approved for management of exudative AMD but is probably much more commonly used off-label. According to the manufaturer’s label “Visudyne is not approved for use in other indications, in combination with another product, with reduced fluency, or with any other alteration to administration.” Both for exudative AMD and central serous chorioretinopathy photodynamic therapy with Visudyne is often...

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Full PDT for CSCR

Purpose: We present 7 cases with Central Serous Chorioretinipathy with more than 6 months of evolution. Methods: All of them were treated with Photodynamic Therapy at full dose of 50 J/cm2 and 6 mg/m2. All the patients were visited at 1, 3, 6 and 12 months, only 3 of them came to the 24 month visit. Results: In 6 cases the liquid disappeared completely and in 1 case persisted although it decreased and a better vision was registered. No...

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Half-fluence PDT in the Treatment of Chronic CSCR

Purpose: We carried out a retrospective chart review of all patients with chronic CSC involving the fovea treated with HF-PDT and followed-up at least for 6 months. Methods: Recorded parameters included Best-Corrected Visual Acuity (BCVA) in logMAR, Central Subfield Thickness (CST) by Cirrus OCT and any adverse event occurred at baseline and during follow-up visits. 23 eyes of 23 patients were included. Results: Mean follow-up time (SD,...

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PPV with ILM Removal, Silicone Oil Filling & Face-down Positioning for Refractory CSCR

Purpose: To evaluate the effectiveness of pars plana vitrectomy (PPV) with internal limiting membrane (ILM) removal, silicone oil (SO) placement and face-down positioning for treatment of refractory chronic central serous chorioretinopathy (CSCR). Methods: A retrospective study was performed looking at patients diagnosed with CSCR since 2012. Eyes with non-active CSCR and those that responded to treatment were excluded. Eyes with chronic,...

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Mineralocorticoid Receptor Antagonist Eplerenone for Chronic CSCR

Purpose: To evaluate the efficacy of treatment of chronic central serous retinopathy (CSR) with the mineralocorticoid receptor antagonist eplerenone. Methods: IRB approval was obtained through the University of Minnesota. Subjects with CSR based on symptoms, biomicroscopy, fluorescein angiography (FA) and optical coherence tomography (OCT) were enrolled. Subjects must have had symptoms and subretinal fluid on OCT for at least three months...

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Chronicity and Recurrence Impact in CSCR After PDT

Purpose: To analyse the influence of chronicity and recurrence in structural and functional outcomes in central serous chorioretinopathy (CSC) patients who had half-dose photodynamic therapy (PDT), and to determine the characteristics of patients that recurred after treatment. Methods: A retrospective, observational study included treatment-naïve patients with CSC who received half-dose PDT. Measurements of best-corrected visual acuity...

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Short & Long-term Functional & Anatomic Changes After Half-dose PDT for CSCR

Purpose: To evaluate short and long-term functional and structural changes after half-dose photodynamic therapy (PDT) for central serous chorioretinopathy (CSC) and assess the prognostic effect of episode duration and history of previous episodes. Methods: A retrospective study including acute and chronic CSC treatment-naïve patients submitted to half-dose PDT and followed for at least 6 months. Best corrected visual acuity (BCVA), mean...

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Half-fluence PDT for Chronic CSCR

Purpose: To evaluate the prognostic factors and effect of half-fluence photodynamic therapy (PDT) in the treatment of chronic central serous chorioretinopathy (CSC). Methods: We retrospectively reviewed fifty-six eyes of 56 patients with chronic CSC who underwent half-fluence PDT. Postoperative evaluation included improvements in visual acuity, changes in central macular thickness with the optical coherence tomography (OCT), and...

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EVRS CSCR Study Results Barbara Parolini

EVRS CSCR Study Results 

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Methotrexate for the Treatment of Chronic CSCR – Preliminary Results

SCIENTIFIC POSTER_Katarzyna Michalska-Malecka Purpose: The purpose of this study was to evaluate the effectiveness of series of oral low-dose methotrexate for the treatment of chronic central serous chorioretinopathy (CSCR). Methods: This prospective, comparative clinical study included six eyes of 6 patients with symptomatic CSCR who were observed at the Department of Ophthalmology, University Centre of Ophthalmology and Oncology, Medical...

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Development of Angioid Streaks in Association with Pseudoxanthoma Elasticum: Report of 5 Cases

SCIENTIFIC POSTER_Jose Alberto Lemos Purpose: Angioid streaks are visible irregular crack-like dehiscences in an abnormal and calcified Bruch’s membrane that are associated with atrophic degeneration of the overlying retinal pigment epithelium. They appear as dark or reddish streaks originating from the optic disc, almost always bilaterally. Angioid streaks have been commonly associated with systemic conditions such as pseudoxanthoma...

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PDT vs Bevacizumab in Central Serous Chrioretinopathy: Comparison After 12 Months

SCIENTIFIC POSTER_Young Hoon Lee Purpose: In this study we compared the effectiveness between half energy photodynamic therapy (PDT) and intravitreal bevacizumab (IVB) injection for chronic central serous chorioretinopathy (CSC). Methods: Forty-five eyes of 42 patients diagnosed as chronic CSC from March 2008 to April 2011 were treated with half energy PDT or IVB injection. The subjects were chosen for a retrospective study and analysis was...

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Management of Adherent Posterior Hyaloid in PVR

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Posterior Hyaloid is the scaffold for epiretinal proliferations in PVR. Removal of posterior hyaloid is difficult because it is toughly adherent to the retina The traditional way is suction and pull by the vitreous cutter. However, this isn’t always successful. I used a Tano scraper and end gripping forceps to try to grasp and...

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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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Choroidal Neovascularization After PDT in a Patient with Central Serous Chrioretinopathy

SCIENTIFIC POSTER_Miriam Garcia Fernandez_3 Advantages: To report of a case with central serous chorioretinopathy who developed choroidal neovascularization after photodynamic therapy. Methods: A 54-year-old female presented with progressive diminution of visual acuity in her right eye (RE). A complete ocular examination including visual acuity (VA) measurement, anterior and posterior biomicroscopy, optical coherence tomography (OCT) and...

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Macular Macroaneurysm: Case Report

SCIENTIFIC POSTER_Ana Figueiredo Introduction: Retinal macroaneurysms are described as idiopathic, acquired, round dilations of major retina arterioles, usually singular and unilateral. If located at the posterior pole, they may be associated with macular exudation and hemorrhage resulting in decreased visual acuity. Systemic hypertension is the most common associated risk factor. Pathogenesis of retinal arterial macroaneurysms is not fully...

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Two Different Options in the Treatment of Premacular Hemorrhage Secondary to Macroaneurysm

  SCIENTIFIC POSTER_Ines Coutinho Purpose: Premacular hemorrhage is one major cause of sudden visual loss and occurs in a variety of disorders, among others in retinal arterial macroaneurysms (RAM). Possible therapeutic options include observation, vitrectomy, intravitreal rT-PA injection or laser posterior hyaloidotomy. However, the best treatment is still controversial. We report on 2 cases with premacular haemorrhage due to RAM. The...

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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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Massive Suprachoroidal Hemorrhage: Vitreoretinal Surgical Approach and Outcome

Massive suprachoroidal hemorrhage is a devastating complication of intraocular surgery that can result in total loss of vision. The aim of this video is to present the anatomic and functional results of secondary surgical treatment of one patient with massive suprachoroidal hemorrhage. A 70-year-old patient was referred to our department for the secondary management of massive suprachoroidal hemorrhage that occurred during cataract...

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Bevacizumab for Subfoveal Choroidal Neovascularization in a Child

Poster Gavin Tan Introduction: Choroidal neovascularization (CNV) is rare but important cause of visual impairment in children. It is often idiopathic or secondary to inflammation, optic nerve head abnormalities or retinal dystrophies. There is a lack of clinical trials assessing the treatment of CNV in children. Methods: A 11-year-old boy with no past medical or ocular history presented with 3 months duration of reduced vision in his...

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Complementary Angiographic and Autofluorescence Findings in Pseudoxanthoma Elasticum

Pseudoxanthoma elasticum (PXE) is a systemic disease with characteristic findings on fundus examination. The fundus findings may be difficult to detect with ophthalmoscopy. A case report is described as follows. A PXE patient had subtle retinal findings on fundoscopy that were more prominently seen using a combination of both fundus autofluorescence (FAF) imaging and fluorescein angiography. The fundus features visualized using each of...

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Efficacy of Intravitreal Anti-vascular Endothelial Growth Factor in Acute Central Serous Chorioretinopathy: One-Year Results

To evaluate the 1-year efficacy of intravitreal anti-vascular endothelial growth factor (anti-VEGF) in patients with acute central serous chorioretinopathy (CSC).

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Three Consecutive Loading Dose of Ranibizumab for the Treatment of Retinal Angiomatous Proliferation

Purpose: To evaluate the 12 months functional outcome and morphological changes according stages after 3 monthly intravitreal ranibizumab injections for the treatment of retinal angiomatous proliferation (RAP) in Korea. Methods: A retrospective chart review of 40 patients (41 eyes) with RAP was conducted. Patients received three initial monthly intravitreal injections (0.5 mg) of ranibizumab and monitored monthly for 12 months....

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MH Combined with Ruptured Retinal Arterial Macro Aneurysm

Poster Young Joon Jo We report a case of macular hole with ruptured retinal arterial macro aneurysm. 84-year-old female had decreased vision 2 days ago. With fundus examination, dense preretinal and subretinal hemorrhage with ruptured retinal arterial macro aneurysm was detected, we planned vitrectomy for preretinal hemorrhage. After core vitrectomy, ICG assisted ILM peeling was done. After dense subILM hemorrhage was removed. MH was...

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Does Incomplete Irvan Syndrome Exist?

Poster 3 Joaquin Castro Navarro Advantages: To report a case of an incomplete IRVAN (Idiopathic Retinal Vasculitis, Aneurysms and Neuroretinitis) syndrome. Methods: A 21-year-old women presented with blurred vision for 10 days in her left eye (LE). A complete ocular exploration, including Visual Acuity (VA), anterior and posterior segment examination, fluorescein angiography (FA) was carried out. Complementary exams were also...

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Excision of Multiple Capillary Hemangiomas of Retina in a Patient with Rhegmatogenous Retinal Detachment and Proliferative Vitreoretinopathy

Introduction: Capillary hemangiomas of retina could be associated with rhegmatogenous retinal retachment (RRD) with proliferative vitreoretinopathy (PVR), situation that is difficult to manage. The surgical outcome is poor and recurrences are common. Vitrectomy along with excision and removal of capillary hemangiomas of the retina can be can be a viable treatment option for these cases. Methods: A 25-year-old male was diagnosed to have...

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Retinal Fold in Macula After PVR

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Expulsive Hemorrhage During Penetrating Keratoplasty

We present a case of loss of the anterior chamber, forward projection of intraocular contents during placing the second suture of a corneal graft. Immediate management including forced placement of the second suture, an immediate pars plana stab with core vitrectomy, further deepening of the anterior chamber and placement of closing sutures. Postoperatively, there was recovering of vision with full function of the graft. Immediate maneuvers...

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SCH in Blunt Trauma in PK: Early MIVS Approach with “Pole to Pole” Strategy

Advantages: To show the effectiveness and safety of mini-invasive (MIVS) 23 gauge system in the treatment of post-traumatic suprachoroidal hemorrhagic detachment (SCH) in patient operated for PK. Methods: Case report of 61 y/o male patient who undergo to accidental blunt trauma with corneal wound reopening, lens expulsion, iris rupture, vitreous prolapse, retinal detachment and SCH. Surgery with not valved 23 gauge trocars was performed...

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Outcomes of PPV for Non-clearing Vitreous Hemorrhage in PDR

Introduction: Diabetic vitreous errateage often clears in a few weeks. If pan retinal laser photocoagulation is not possible, or there is persistent non-clearing vitreous errateage, vitrectomy should be performed. Purpose: To assess the outcomes of one year follow up of patients who underwent pars plana vitrectomy for non- clearing diabetic vitreous haemorrhage. Methods: Retrospective case note study, analysed notes of patients who...

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Do Neovascular AMD Lesions Associated with PED Behave Differently to Anti-VEGF Treatment?

Purpose: To document the prognosis of eyes with neovascular AMD associated with any pigment epithelial detachment (PED) during the course of anti VEGF treatment. Methods: The medical records of 331 eyes with neovascular AMD treated with intravitreal anti VEGFs were retrospectively errate for the presence of PED. The visual and anatomical (OCT) prognosis of the cases and complication rates after treatment were determined. Results: PED was...

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Functional and Anatomical Effect of Laser and Intravitreal Injection on the Persistence of Serous Macular Detachment

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

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Combination Treatment of PDT and Intravitreal Ranibizumab for CNV Secondary to Angioid Streaks – 12-Month Results

Angioid streaks also called Knapp striae are small breaks in the Bruch’s membrane and have been reported with a host of systemic diseases. Rupture of streaks or development of secondary choroidal neovascular membrane (CNVM) carries a dismal visual prognosis. We report the result treatment of CNVM secondary to angioid streaks with combination treatment of photodynamic therapy (PDT) and intravitreal ranibizumab.

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A Case of Purtscher-like Retinopathy Associated with Coil Embolization of a Middle Cerebral Artery Aneurysm

Advantages: To report a case of Purtscher-like retinopathy and its atypical changes following coil embolisation of the middle cerebral artery (MCA) aneurysm. Methods: Case presentation. Effectiveness / Safety: A 53-year-old female with history of coil embolisation in her left MCA aneurysm presented with a visual disturbance. Her left eye vision was 20/40. Fundus examination of the left eye showed an intraretinal haemorrhage and multiple...

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Bilateral Retinal Hemorrhage – Case Report

Background: Diffuse large B-cell lymphoma is the most common type of non-Hodgkin lymphoma (NHL), accounting for about 1/3 of all cases. It is a B-cell high-grade cancer with fast-growing pattern, needing urgent treatment. It can occur at any time between adolescence and old age and is slightly more common in men. In more than 50% of cases there is extranodal commitment. Diagnosis may be confirmed by lymph node biopsy and treatment should be...

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ME Secondary to Central Serous Chorioretinopathy Treated by PDT Without Verteporfin

ME Secondary to Central Serous Chorioretinopathy Treated by PDT Without Verteporfin Francisco J. Ascaso Advantages: To get a cost-effectiveness central serous chorioretinopathy (CSC) therapy, reducing the side-effects of verteporfin (allergy, photosensitivity, …), and avoiding its contraindications (pregnancy, liver disease, …). Methods: Eight symptomatic male patients (mean age: 45.1 years, range: 27-63 years) with macular...

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Submacular Surgery of High Pigment Epithelial Detachment in ARMD

Advantages: The purpose was to compare the effectiveness of intravitreal injection of ranibizumab and submacular surgery in patients with a subfoveal high pigment epithelial detachment (PED). Methods: The clinical trial included two groups of patients. Group 1 consisted of 11 patients (11 eyes), who received three initial intravitreal injections of ranibizumab. Group 2 consisted of 9 patients (9 eyes), who underwent intentional drainage...

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Massive Suprachoroidal Hemorrhage During Phacoemulsification: Surgical Treatment

G. Carlevaro, P.U. Mainardi, V. Marino (Italy) Advantages: To obtain full drainage of subretinal and choroidal hemorrhage. Methods: A 79 year old woman underwent in her left eye suprachoroidal hemorrhage drainage through sclerotomies in the 4 quadrants, vitrectomy, 360° peripheral retinectomy, drainage of subretinal hemorrhage, silicon oil injection. Effectiveness / Safety: Peripheral retinectomy may improve visual outcome in...

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Spontaneous Resolution of Serous Retinal Detachment in a Patient with Congenital Retinal Macrovessel

Francisco J. Ascaso, Esther Nuñez, Laura Lavilla, María A. Del Buey, José A. Cristóbal (Zaragoza, Spain) Advantages: Macular neurosensory retinal detachments (RD) that present in an atypical fashion constitute a diagnostic challenge to retinal specialists. We recommend observation when they are associated with a congenital retinal macrovessel (CRM). Fluorescein angiography (FA) proves to be valuable in establishing a definitive...

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Management of Massive Suprachoroidal Hemorrhage

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 posterior surface of the iris. Choroidal...

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Hemorrhagic Retinal Detachments

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 subretinal blood is evacuated. Effectiveness /...

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An Atypical Form of Multiple Pigment Epithelial Detachments

M Nuñez, MP Mendivil (Bilbao, Spain) Advantages: We present this case because of its peculiarity and unique images. We’ve looked through the bibliography and haven’t found any case similar to this one. Case Report: A Russian 50-year-old man with unremarkable ocular, medical and family histories searched for therapy because of decreased visual acuity. He presented with 20/20 in the right eye and 20/40 in the left eye. Ophthalmoscopic...

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Photodynamic Therapy with Verteporfin Combined with Intravitreal Bevacizumab for Choroidal Neovascularization in Angioid Streaks

Levent Karabas, Hande Etus*, Bengu Yucel, Yusuf Çaglar (Kocaeli, Turkey) Advantages: To evaluate safety and efficacy of photodynamic therapy (PDT) with Verteporfin combined with intravitreal bevacizumab for choroidal neovascularization associated with angioid streaks. Methods: Six eyes of six patients treated with PDT with Verteporfin and 0, 05 mg/ml Bevacizumab injections were included. Standardized protocol, visual acuity (VA),...

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Intravitreal Bevacizumab for Treatment of Chronic Central Serous Chorioretinopathy

Kubilhan Elmas, Özgür Bilen Basaran, Ali Altýnsoy (Ankara, Turkey) The purpose of this study was to evaluate the effectiveness of intravitreal injection of bevacizumab for treatment of central serous chorioretinopathy. Seven eyes of 7 patients with chronic central serous chorioretinopathy received an intravitreal bevacizumab (1.25 mg/0.05 ml) injection. At baseline and follow-up visits patients had best corrected visual acuity (BCVA),...

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When to Consider Stopping Intravitreal Bevacizumab for the Treatment of CNV Secondary to Angioid Streaks

Leila El Matri, Fedra Kort, Ahmed Chebil, Rim Bouraoui, Najoua Ben Youssef, Mejda Bouladi (Tunis, Tunisia) Advantages: Choroidal neovascularization (CNV) is the most serious complication of angioid streaks. It occurs in young and active people and leads to severe visual impairment. Treatment is difficult and results are often disappointing. Methods: Twenty eyes of 19 patients with subfoveal or juxtafoveal CNV secondary to angioid streaks...

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Low-fluence Photodynamic Therapy Can Reduce Metamorphopsia in Central Serous Chorioretinopathy Treatment

Sin Woo Bae, Sung Jae Yang, Ju Byung Chae (Seoul, South Korea) Advantages: To compare metamorphopsia changes after two different central serous chorioretinopathy treatments with M-CHART (Inami Co., Tokyo, Japan). Methods: We compared 20 self-resolved eyes with oral medication and 10 eyes with low-fluence (LF) PDT. M-CHART, best corrected visual acuity (BCVA), and optical coherence tomography (OCT) were investigated. Effectiveness /...

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The Role of Conventional Argon Laser Treatment in Central Serous Chorioretinopathy

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

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Post-Traumatic Vitreous Hemorrhages – Case Report


http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages:  To report a case of successful management of post-traumatic vitreous haemorrhage and to discuss the results. Methods:  Case report.  We describe a case of a male patient who presented at our service with a severe dense vitreous hemorrhage...

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