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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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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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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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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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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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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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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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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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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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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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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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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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Macular Involvement in Terson Syndrome


http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Ferenc Kuhn (Birmingham, AL, USA) Advantages: Knowing that hemorrhages can severely impact macular function and recognizing the type of macular pathology involved helps the surgeon deal with the macular complications correctly. Methods: Review of the author’s cases over a period exceeding two decades. Effectiveness / Safety:  Removal of the macular hemorrhages is a simple and...

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Sutureless 20 Gauge Vitrectomy in Retinal Vascular Diseases


http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Ashraf Shaarawy (Alexandria, Egypt) Advantages:  To Study the long term follow-up of patients submitted to 20 Gauge trocar system To explore the indication, safety and complications of 20 Gauge sutureless vitrectomy in retinal vascular diseases including vitreous haemorrhage, diabetic macular oedema, Coat’s disease and Valsalva maculopathy. Methods: A prospective study of...

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Macular Hemathoma Due to ARMD in the Era of Anti-VEGF: Has Anything Changed?

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Jean-François Le Rouic, Frank Becquet, Didier Ducournau (Nantes, France) Introduction:  Although anti-VEGF therapy is a breakthrough in the treatment of exudative age-related macular degeneration (ARMD), sub-macular haemorrhage remains a major concern which may still need surgical treatment when the bleeding is large and thick.  We wondered if the main characteristics and the...

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Anti-VEGF Monotherapy for Exudative ARMD Presenting with Concomitant Hemorrhages

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Silvia Bopp, Andreas Schüler, Klaus Lucke (Bremen, Germany) Advantages:  To investigate the role of sub-retinal hemorrhages in exudative ARMD and investigate, if the hemorrhagic component influences the outcomes under continuous anti-VEGF therapy. Methods: Retrospective chart review of 30 patients presenting with exudative ARMD and concurrent sub-retinal hemorrhage of 2 disc...

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Peripheral Temporal Retinotomy for the Evacuation of Submacular Blood Clots Secondary to Retinal Arterial Macroaneurysms

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Hassan Mortada (Cairo, Egypt) Advantages:  One hundred and eighty degree peripheral temporal retinotomy, just posterior to the ora serrata allows free access to the sub-retinal space.  It allows complete removal of unabsorbed sub macular blood clot secondary to retinal arterial macroaneurysms.  Peripheral retinotomies are associated with less risk of epiretinal proliferation than...

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Treatment of Post-Traumatic Suprachoroidal Hemorrhages in the Mini-Invasive Era

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 show the effectiveness of use of mini-invasive 25/23 Gauge system for the management of post-traumatic suprachoroidal haemorrhages (SCH). Methods:  We use 25 or 23 Gauge anterior chamber infusion and posterior drainage by means 25 / 23 Gauge...

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Pars Plana Drainage of Suprachoroidal Hemorrhage Using Viscoelastic Augmentation in Vitrectomized Eyes

http://www.evrs.eu/medias/2010/congress/Hemorrhages.flv Shree K. Kurup (Winston Salem, NC, USA) Advantages:  Rapid safe drainage without risk of retinal incarceration. Methods: In a vitrectomized eye pressurisation with injectable dispersible viscoelastics would effectively release denatured suprachoroidal blood through a pars plana incision. Effectiveness / Safety: In our institution, no complications such as retinal incarceration were...

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Vitreous Hemorrhage after Intravitreal Anti-VEGF Injection

Su Jin Lim, Sun Hyun Kim, Oh Woong Kwon (Seoul, South Korea) Advantages: To study the clinical feature of vitreous hemorrhage after intravitreal anti-VEGF injection for age-related macular degeneration Methods: 6 eyes of 6 patients who had vitreous hemorrhage after intravitreal anti-VEGF injection were studied. Their medical records were reviewed and course and characteristics were studied. Effectiveness / Safety: 4 eyes were diagnosed...

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Expulsive Suprachoroidal Hemorrhage that Complicated Cataract Surgery of Two Patients Successfully Managed with Pars Plana Vitrectomy with Silicone Oil Tamponade

Dagmar Dotrelova, Jana Stepankova (Prague, Czech Republic) Advantages: Expulsive suprachoroidal hemorrhage (ESH) is a rare severe complication of intraocular operations.  It manifests by loss of red reflex and shallowing of the anterior chamber, with a tendency for extrusion of the intraocular content together with increased intraocular pressure.  Ocular risk factors of ESH are peroperative hypotony, glaucoma and degenerative myopia,...

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Surgical Management of Suprachoroidal Hemorrhages Induced by Cataract Surgery – Case Series

http://www.evrs.eu/medias/2010/videos/MalgorzataPietrasTrzpiel_VP6_768K.flv Malgorzata Pietras-Trzpiel, Robert Rejdak, T. Chorgiewicz, M. Latalska (Lublin, Poland) Aim: Suprachoroidal hemorrhage (SCH) is a rare complication occurring during surgery (early SCH) or 3-5 days after operation as a delayed suprachoroidal hemorrhage. It occurs more often in patients who have complicated cataract surgery with vitreous loss or lens dislocation. The...

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Expulsive Choroidal Hemorrhage: What Yes and What Never

http://www.evrs.eu/medias/2010/videos/FerencKuhn_VP6_768K.flv Ferenc Kuhn (Birmingham, AL, USA) Advantages: Understanding the pathophysiology of the disease helps preventing the otherwise unavoidable disaster. Methods: Analysis of the literature and the author’s personal experience. Effectiveness / Safety: Prophylaxis and/or proper primary intervention yield results that are far superior to even the best secondary treatment. Take...

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Management of Massive Suprachoroidal Hemorrhage after Intravitreal Bevacizumab Combined with Photodynamic Therapy in Neovascular, Age-Related Macular Degeneration

http://www.evrs.eu/medias/2010/videos/SooGeunJoe_VP6_768K.flv Soo Geun Joe, Jong Uk Hwang, Joo Yong Lee, June-Gone Kim (Seoul, South Korea) Advantages: The authors will discuss their successful management of massive suprachoroidal hemorrhage with secondary angle closure glaucoma, which developed after photodynamic therapy (PDT) combined with intravitreal bevacizumab injection (IVB) for age-related macular degeneration (ARMD). In this...

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First Blood, Last Hope

http://www.evrs.eu/medias/2010/videos/PiotrFryczkowski_VP6_768K.flv Piotr Fryczkowski (Warsaw, Poland) First blood, last hope is a didactic movie about different types of bleeding. We are glad to see small hemorrhages after ILM peeling, and we are terrified when expulsive hemorrhage occurs, we can also ignore small bleeding during diabetic surgery.  Sometimes we can only give up, because blood floods our view and last hopes for successful...

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Acute Suprachoroidal Hemorrhage during Open Sky Vitrectomy. Is really everything lost?

http://www.evrs.eu/medias/2010/videos/CesareForlini_2_VP6_768K.flv Cesare Forlini (Ravenna, Italy), Adriana Bratu (Ravenna, Italy), Marco De Luca (Napoli, Italy), Matteo Forlini (Modena,Italy), Paolo Rossini (Ravenna, Italy), Monika Weglarz (Krakow, Poland) Advantages: Suprachoroidal hemorrhage is a rare but dangerous complication of intraocular surgery. This video shows a management of expulsive haemorrhage with the extrusion of...

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Different Sources of Bleeding in Persistent Vitreous Hemorrhage after Phacoemulsification for a Child with Cataract, Iris Coloboma and PHPV

http://www.evrs.eu/medias/2010/videos/HazemElSabagh_VP6_768K.flv Hazem El-Sabagh (Dammam, Saudi Arabia) The video presents a case of phacoemulsification for a child with cataract, iris coloboma and PHPV that was complicated by persistent vitreous hemorrhage, which was managed by pars plana vitrectomy. On reviewing videos of the two procedures three different bleeding sources have been identified. Knowing possible bleeding sources helps to...

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Pars Plana Vitrectomy and Epiretinal Membrane Peeling in Cases of Vitreous Hemorrhage with Tractional Retinal Detachment

http://www.evrs.eu/medias/2010/videos/MohamedElDeeb_1_VP6_768K.flv Mohamed El-Deeb (Cairo, Egypt) Advantages: This video shows the classic surgical steps for management of cases of diabetic vitreous hemorrhage with tractional retinal detachment. If the surgeon masters these steps, he will achieve very satisfactory surgical results. Methods: This video shows the classic surgical steps for management of vitreous hemorrhage with tractional...

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Acute Suprachroroidal Hemorrhage During Open Sky Vitrectomy: … Is Really Everything Lost?

Acute Suprachroroidal Hemorrhage During Open Sky Vitrectomy: … Is Really Everything Lost?

Cesare Forlini (Ravenna, Italy), Adriana Bratu (Ravenna, Italy), Marco De Luca (Napoli, Italy), Matteo Forlini (Modena,Italy), Paolo Rossini (Ravenna, Italy), Monika Weglarz (Krakow, Poland)  Advantages:Suprachoroidal hemorrhage is a rare but dangerous complication of intraocular surgery. This video shows a management of expulsive haemorrhage with the extrusion of intraocular contents during a open sky surgery in an elderly...

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Dense Premacular Subhyaloid Haemorrhages Treated with Vitrectomy

Authors: Joaquin Castro-Navarro, I. Sliesoraityte, C.González-Castaño, A. Garcia-Alonso, M. Fonollá-Gil, Oviedo, Spain Advantages: Quick visual acuity recovery after the surgery. Quick restoration of the retina anatomical structures. The preventive role for epiretinal membrane formation. Less risk of retinal damage. Methods: Six patients with dense (more that four disk diameter), non diabetic, premacular subhyaloid hemorrhage treated...

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Fundus Obscuring Vitreous Hemorrhage of Indeterminate Origin: Rationales for Early Timing of Surgery

http://www.evrs.eu/medias/2009/congress/Hemorrhages.flv Author: Silvia Bopp, Bremen, Germany Advantages: To encourage early vitrectomy for vitreous hemorrhage to prevent retinal detachment and PVR. Methods: Causes for fundus-obscuring vitreous hemorrhage are manifold. Therefore, waiting for spontaneous resolution and interfering only in case of vision-threatening complications, such as retinal detachment, is commonly advocated. Due to the...

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Full Macular Translocation for Massive Submacular Hemorrhage Secondary to Neovascular AMD

http://www.evrs.eu/medias/2009/congress/Hemorrhages.flv Author: Hassan Mortada, Cairo, Egypt Advantages: In eyes with massive submacular hemorrhage secondary to neovascular AMD, perform full macular translocation (FMT) remove the submacular hemorrhage, excise the neovascular membrane and translocate the macula to an area with healthier RPE/CC complex. This results in improvement of both distant and reading vision and prevents recurrence of...

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Pneumatic Displacement in the Diagnosis and Treatment of Valsavia Retiopathy in a Case with Premacular Hemorrhage

Eylem Yaman Pinarci, Berna Demirel, Hulya Gungel Advantages: Instillation of Intravitreal gas is very easy and helpful to make a differential diagnosis and also treatment in premacular haemorrhagia Methods: 0.3 cc pure C3F8 gas was instilled intravitreally with the aim of pneumatic displacement in order to make a differential diagnosis for the Valsalva retinopathy and haemorraghia due to SMD to a 72 year-old male patient who had scar...

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Vitrectomy Session – Hemorrhages

http://www.evrs.eu/medias/2007/videos/vitrectomysession-hemorrhages.flv

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Use of Silicone Oil for Treatment of Postvitrectomy Diabetic Vitreous Hemorrhage

Serguei V Nossov, MD (Ekaterinburg, Russia) PURPOSE: To review the anatomic and visual outcomes of a consecutive series of patients with postvitrectomy diabetic vitreous hemorrhage who underwent revision vitrectomy with silicon oil tamponade. METHODS: The study included 184 patients (192 eyes) who consecutively underwent pars plana vitrectomy for proliferative diabetic retinopathy. Postvitrectomy diabetic vitreous hemorrhage occurred in 36...

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A Simple Predictor of Vitrase® Efficacy for Successful Laser Treatment in Patients with Diabetes and Severe Vitreous Hemorrhage

Abdhish R. Bhavsar, MD (Minneapolis, MN),* Maurice B. Landers, MD, FACS (Chapel Hill, NC),* Ronald K. Pearson, PhD (Harrisburg, PA),* Alan M. Hochberg, BSE (Harrisburg, PA),* Timothy R. McNamara, Pharm D (Irvine, CA),* James A. Gow, MD (Irvine, CA),* Lisa R. Grillone, PhD (Irvine, CA)* PURPOSE: To develop and validate a method of predicting by one month post-intravitreous injection whether subjects receiving Vitrase® (lyophilized, ovine...

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Vitrase for Vitreous Hemorrhage Revisited

http://www.evrs.eu/medias/2006/congress/Vitrase-for-Vitreous-Hemorrhage-Revisited.swf Michael A. Singer, MD (San Antonio, TX), Rafael Lin Wong, (San Antonio, TX), Catherine Alderete, CMA (San Antonio, TX), Robin D. Hartman, BBA (San Antonio, TX) PURPOSE: To determine whether Vitrase is effective in clearing of vitreous hemorrhage and at what point in time hemorrhage clears enough to adequately assess pathology and...

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A Simple Predictor of Vitrase® Efficacy for BCVA Improvement in Patients with Diabetes and Severe Vitreous Hemorrhage

http://www.evrs.eu/medias/2006/congress/A-Simple-Predictor-of-Vitrase-Efficacy-for-BCVA-Improvement-in-Patients-with-Diabetes-and-Severe-Vitreous-Hemorrhage.swf Abdhish R. Bhavsar, MD (Minneapolis, MN),* Maurice B Landers, MD (Chapel Hill, NC),* Ronald K Pearson, (Harrisburg, PA),* Alan M. Hochberg, BSE (Harrisburg, PA),* Timothy R. McNamara, Pharm D (Irvine, CA),* James A. Gow, MD (Irvine, CA),* Lisa R. Grillone, PhD (Irvine,...

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Photodynamic Therapy for Subfoveal Predominantly Hemorrhagic Choroidal Neovascular Lesion Secondary to Age-related Macular Degeneration

Francesco Boscia, MD (Bari, Italy), Ugo Introini, MD (Milano, Italy), Alfredo Pece, MD (Melegnano (mi), Italy), Francesco Prascina,  MD (Foggia, Italy), Michele Reibaldi, MD (Catania, Italy), Claudio Furino, (Bari, Italy), Caterina Papadopolou, MD (Bari, Italy), Giancarlo Sborgia, MD (Bari, Italy) PURPOSE: Large randomized clinical trials of laser photocoagulation, photodynamic therapy (PDT) with verteporfin and antiangiogenic drugs have...

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Vitrectomy for Non-clearing Non-diabetic Vitreous Haemorrhage at the Western Eye Hospital

Joseph Park, MBBS, FRANZCO, (London, UK), Hari Jayaram, MBBS (London, UK), Ed Schulenberg, FRCS, FRCOphth (London, UK), Graham Duguid, MD, FRCOphth (London, UK), Rahila Zakir, MBBS (London, UK) PURPOSE: To establish the etiology of non-diabetic vitreous hemorrhage (NDVH) requiring vitrectomy. METHODS: Retrospective chart review of 18 consecutive patients (19 eyes) presenting with NDVH to Western Eye Hospital, and requiring vitrectomy, over...

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Role of Subretinal R-TPA in Management of Subretinal Haemorrhage due to Age Related Macular Degeneration

S. Natarajan, Santosh Mahapatra, Hitendra B. Mehta , Hemant Todkar Purpose: To establish the role of R-TPA in management of massive subretinal haemorrhage due to ARMD. Methods: Retrospective case control study. Results: Clearance of subretinal / sub RPE haemorrhage in two of our cases following vitrectomy and subretinal R-TPA injection. Conclusion: Subretinal / Sub Retinal Pigment Epithelium (RPE) R-TPA, is a good therapeutic option in...

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Vitrectomy and Subretinal tPA in Submacular Hemorrhage

Mehmet Cakir, MD, Ziya Kapran, MD, Nur Acar, MD, Y. Banu Ünver, MD, Tugrul Altan, MD, Zerrin Bayraktar, MD – Beyoglu Eye Research and Education Hospital, Istanbul Submacular hemorrhage in age related macular degeneration (ARMD) leads to severe visual loss in the early period by photoreceptor damage. At the same time, subretinal hemorrhage prevents the diagnosis and the treatment of the primary pathology. Tissue plasminogen activator...

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Therapeutic Approach to Acute Submacular Hemorrhage

http://www.evrs.eu/medias/2005/congress/Therapeutic-Approach-to-Acute-Submacular-Hemorrhage.swf Ziya Kapran, Tugrul Altan, Mehmet Cakir, Nur Acar, Yaprak B. Ünver, Zerrin Bayrakar Purpose: To evaluate the efficacy of pneumatic displacement of submacular hemorrhage with sulfur hexafluoride (SF6) gas tamponade, with or without use of tissue plasminogen activator (tPA). Methods: Pneumatic displacement or surgical removal of the submacular...

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Management of Sub-Macular Haemorrhage

http://www.evrs.eu/medias/2005/congress/Management-of-sub-macular-haemorrhage.swf Pietro Rossi MD, Carlandrea Trillo MD, Claudia Castiglioni MD, Angelo Macrì MD, Massimo Corazza MD Purpose: To evaluate two different management strategy for thick submacular haemorrhage. Methods: Comparative retrospective interventional non randomized study of 30 consecutive eyes with thick sub-macular haemorrhage secondary to age related macular...

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The Use of tPA in the Management of Sub-Retinal Haemorrhages

Theodoros Potamitis, Aristos Kafkalias, Eleni Topuzi Purpose: To evaluate the efficacy and safety of sub-retinal haemorrhage removal during vitrectomy, augmented by the use of tPA. Methods: Eight cases of massive sub-retinal haemorrhage due to AMD are reviewed. The method used and the timing for tPA injection are presented. Results: In all eight cases peripheral vision improved so that the patients gained navigation vision. Removal of the...

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Macular Bleeding Associated with Sexual Activity in a Patient Receiving Anticoagulants

http://www.evrs.eu/medias/2005/congress/Macular-bleeding-associated-with-sexual-activity-in-a-patient-receiving-anticoagulants.swf S. Ben Yahia, S. Zaouali, B. Jelliti, A. Bettaieb, K. Hmidi, S. Jenzeri, A. Ladjimi, M. Khairallah Purpose: To report a patient receiving anticoagulant therapy who suffered sudden visual loss associated with sexual activity. Methods: Case report. Results: A 50-year-old man presented with a sudden visual loss in...

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Full Macular Translocation for Massive Submacular Haemorrhage Secondary to Exudative Age-Related Macular Degeneration

Hassan A. Mortada, MD Purpose: To report the results of full macular translocation (FMT) in management of massive subretinal haemorrhage secondary to age-related macular degeneration (ARMD). Methods: FMT with 360 peripheral retinotomy was used to treat 4 eyes (4 patients) presenting with massive submacular haemorrhage secondary to exudative ARMD. The duration of the haemorrhage ranged between 15 – 30 days and the preoperative visual...

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Surgery for Age-Related Macular Degeneration Complicated by Massive Subretinal Hemorrhage

Nataliya Nehus, Klaus Lucke – Augenklinik Universitätsallee, Bremen, Germany Purpose: Eyes with massive subretinal hemorrhage complicating advanced age related macular degeneration are known to have a very poor functional prognosis. Surgical management is extremely difficult and consequently very rarely undertaken. The aim of this study is to evaluate the anatomic and functional outcomes in a group of patients in which surgery for such a...

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