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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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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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A Patient with 42 Episodes of Vitreous Hemorrhage

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

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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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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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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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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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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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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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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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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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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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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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