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Vasalva Retinopathy

SCIENTIFIC POSTER_Miriam Garcia Fernandez_7 Advantages: To report the etiology, treatment and results of 8 patients with Valsalva retinopathy. Methods: Seven patients with sudden visual acuity loss due to Valsalva retinopathy were included in this study. Two patients underwent 20-G vitrectomy, 3 patients were treated with 23-G vitrectomy, in 2 patients no therapy deemed neccessary as the hemorrhage was small and resolved spontaneously after...

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A Dramatic Complication After Idiopathic MH Surgery: Retinal Phototoxicity

Poster 1 Joaquin Castro Navarro Advantages: To report three cases of retinal phototoxicity caused by Xenon light during idiopathic macular hole surgery. Methods: Three eyes (3 patients), two females and one male with idiopathic macular hole, underwent three-port pars plana vitrectomy (Accurus, ALCON, Fort Worth, Tx, EUA) with internal limiting membrane peeling and fluid-gas exchange and fluid-gas exchange (C3F8) due to the presence of an...

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Retinal Detachment in Eye Trauma: What Can We Do to Avoid Failure?

Miroslav Vukosavljevic (Belgrade, Serbia) Advantages: Ocular trauma may lead to various forms of damage to different parts of the eye, ranging from superficial abrasions to sight-threatening lesions with retinal detachment. Even with all advances in equipment and surgical techniques, as well as in our understanding of pathophysiology and management of eye injuries, there are still many factors, which can affect final outcome. Achieving...

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Anatomic and Functional Prognosis in Patients with Traumatic Retinal Detachment After Close Globe Injury

Ozen Osmanbasoglu, Hülya Güngel, Isil Pasaoglu, Abdurrahman Bascý, Merih Gul (Istanbul, Turkey) Advantages: To assess the anatomical and functional prognosis in patients with traumatic retinal detachment after close globe injury. Methods: The study was a nonrandomised and retrospective chart review of 25 patients who were operated for traumatic retinal detachment after close globe injury. The age, time elapsed before the surgery, the...

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Bilateral Subinternal Limiting Membrane Hemorrhage with Terson Syndrome

Kubilhan Elmas, Özgür Bilen Basaran, Ali Altýnsoy (Ankara, Turkey) Purpose: To report the anatomic location of bilateral dome-shaped posterior pole hemorrhages in a patient with Terson syndrome. Methods: Case report. We performed bilateral vitrectomy for vitreous hemorrhage in a patient with Terson syndrome. After removal of vitreous hemorrhage, the tissue overlying a large discrete hemorrhage in the posterior pole was...

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Valsava Retinopathy: Etiology, Treatment and Results

J. Castro-Navarro, C. González-Castaño, M. García-Fernández, A. García-Alonso, M. Fonollá-Gil (Oviedo, Spain) Purpose: To report the etiology, treatment and results of six patients with Valsalva retinopathy. Methods: Six patients with sudden visual acuity loss owing to Valsalva retinopathy, treated in our hospital in the last three years, were selected for this study. Two patients underwent 20-G vitrectomy, three patients were treated...

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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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Purtscher-Like Retinopathy after Squint Surgery under Local Anesthesia

Hussein K. Elgendy (Jeddah, Saudi Arabia) Advantages: Purtscher retinopathy is a hemorrhagic and vaso-occlusive vasculopathy, which, in 1912, was first described as a syndrome of sudden blindness associated with severe head trauma. Purtscher-like retinopathy is seen in diverse conditions, including acute pancreatitis, fat embolization, amniotic fluid embolization, and vasculitic diseases. Methods: To report a rare case of Purtscher...

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Macular Hole Due to Terson’s Syndrome

Willemine De Vries Knoppert, MD (Amsterdam, The Netherlands), Peter Ringens, MD, PhD, PURPOSE: To report a case of a macular hole as a result of Terson’s syndrome and to postulate a new hypothesis regarding the mechanism of macular hole development. METHODS: A case report with clinical and surgical findings. RESULTS: A 57-year-old woman developed a subarachnoid haemorrhage with a subinternal limiting membrane (ILM) haemorrhage in the...

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The Effect of Blue Light on Vascular Endothelial Growth Factor

Kourous A. Rezai, MD (Harvey, IL), Kasra Attaran Rezaei, MD (Chicago, IL), Elzbietta Gasyna, MS (Chicago, IL), Lili Farrokh-Siar, MD (Chicago, IL) PURPOSE: Vascular endothelial growth factor (VEGF) plays an important role in AMD. Further it has been suggested that exposure to blue light may also affect the progression of AMD. In this study we analyzed the effect of blue light on the production of VEGF in human retinal pigment epithelial...

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No Light Perception (NLP) Vision After Injury: Don’t Give Up!

http://www.evrs.eu/medias/2006/videos/No-Light-Perception-NLP-Vision-After-Injury:-Don-t-Give-Up.flv Ferenc Kuhn, MD, PhD (Birmingham, AL) SYNOPSIS Over 90% of NLP eyes are enucleated, although vision often could be improved with timely reconstruction. This film is on an 80-year-old lady with an occult rupture after falling. Vision was NLP (confirmed at the slit lamp); the lens was under the conjunctiva and she had a retinal detachment....

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No Light Perception Vision After Injury: Don’t Give Up!

No Light Perception Vision After Injury: Don’t Give Up!

Ferenc Kuhn, MD, PhD (Birmingham, AL) SYNOPSIS Over 90% of NLP eyes are enucleated, although vision often could be improved with timely reconstruction. This film is on an 80-year-old lady with an occult rupture after falling. Vision was NLP (confirmed at the slit lamp); the lens was under the conjunctiva and she had a retinal detachment. Comprehensive reconstruction (wound closure, removal of extruded tissues, vitrectomy, silicone oil...

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A frequent cause for retinal detachment occur-ring in open globe injuries is retinal incarceration. The boundary between which cases are operable and which are not has been moved forward as new surgical tech-niques and materials have become available through the years. Aim of this video is to illustrate some of these concepts as we consider a first case in which the boundary of operability has been stretched forward and a second case in which there is a happy ending for a severe injury.

Ferenc Kuhn, MD, PhD (Birmingham, AL) SYNOPSIS Over 90% of NLP eyes are enucleated, although vision often could be improved with timely reconstruction. This film is on an 80-year-old lady with an occult rupture after falling. Vision was NLP (confirmed at the slit lamp); the lens was under the conjunctiva and she had a retinal detachment. Comprehensive reconstruction (wound closure, removal of extruded tissues, vitrectomy, silicone oil...

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Hemorrhagic Macular Cysts in Terson Syndrome

Ferenc Kuhn, Robert Morris, Viktoria Mester Purpose: To present the incidence, clinical appearance, surgical management, and prognosis of hemorrhagic macular cysts (HMC). Methods: Retrospective case series. Results: The incidence of HMC among patients with Terson syndrome was 42% (15 out of 36). In 11 eyes (73%) the cyst was submembranous (under the internal limiting membrane [ILM]). All cysts were removed without complication, and vision...

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Surgical Slit Lamp Advantages for Macular Surgery

Didier Ducournau Numerous advantages are provided by using the slit microscope and tilted five to seven degrees from the axis. The fact that the surgeon’s second hand is free, allowing him to stabilise forceps, enables a better precision. The fact the light is close to the axis increases the membrane reflex visualisation. The two advantages allow the surgeon not to use colouring agents. This decreases the global price of the procedure...

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