European VitreoRetinal Society a certain philosophy

http://www.dailymotion.com/video/xudueb Advantages: Management of severe proliferative diabetic retinopathy is one of the most difficult medical problems of the present time. Methods: We would like to present 10 patients between 25-60 in whom control of diabetes has been unsatisfactory.  Fundus examination, in all of cases showed the final stage of diabetic retinopathy with vitreous hemorrhage, persistent macular edema, new vascular...

http://www.dailymotion.com/video/xudueb Advantages: To examine whether 25 gauge vitrectomy might be a good approach for the treatment of severe proliferative diabetic retinopathy (PDR) and macular edema. Methods: 11 patients with severe PDR and macular edema were randomized to either 23 or 25 gauge vitrectomy. The 25 gauge vitrectomy was performed with bimanual technique, 27 gauge chandelier illumination, Tano diamond dusted scraper. 5...

Clinical Outcomes of Ultrahigh-speed 23 G with Duty Cycle Control System in the Treatment of PDR Complicated by Tractional RD Jung Ho Lee Advantages:          Dealing with vitreous of detached retina with fibrovascular proliferation and traction complicated by proliferative diabetic retinopathy is a challenge. A higher cutter rate may minimize vitreous turbulence by allowing only small bits of vitreous to enter the port,...

http://www.dailymotion.com/video/xn6rkh Satyen Deka, H Bhattacharjee, H Deka, M J Barman, R Saibum, S M Das (Guwahati, India) Advantages: Preoperative intravitreal bevacizumab in diabetic tractional retinal detachment (TRD) facilitates surgery, decreases the intraoperative bleeding and improves the visual acuity. Methods: In this non comparative interventional case series 10 eyes of 8 candidate diabetic TRD patients received 1.25 mg...

http://www.dailymotion.com/video/xn6rkh Shaheeda Mohamed*, Tsang Chi Wai (Hong Kong, China) Advantages: Retinal stability during hyaloid removal, better visualization of structures, assists dissection of fibrous membranes, facilitates endolaser of stabilised retina under tamponade, limits and confines blood. Methods: Prospective interventional case series of 13 eyes with tractional retinal detachment using en bloc perfluorocarbon dissection...

http://www.dailymotion.com/video/xn6rkh Kh.P. Takhchidi, S.S. Tillyakhodzhaev, A.A. Gorin, A.N. Bessarabov (Moscow, Russia) Surgical treatment of proliferative diabetic retinopathy (PDR) using 25-Ga technology requires the employment of special instruments for epiretinal membrane peeling and dissection of fibro-vascular proliferations – endovitreal spatula, forceps and scissors, but this technique has a lot of disadvantages. The...

Dae Young Lee, Suk Ho Moon, Sang Woong Moon, Dong Heun Nam, Hae Jung Paik (Incheon, South Korea) Advantages: To report the unwanted effects after intravitreal Bevacizumab injection as an adjunctive treatment to Panretinal Photocoagulation (PRP) for high-risk Proliferative Diabetic Retinopathy (PDR). Methods: The study was a retrospective chart review of patients with unwanted adverse effects (TRD, vitreous hemorrhage) following...

Hussein K. Elgendy (Jeddah, Saudi Arabia) Advantages: To evaluate the effectiveness and safety of combined phacoemulsification, pars plana vitrectomy (PPV), and intraocular lens (IOL) implantation in complicated proliferative diabetic retinopathy (PDR) patients. Methods: The results of combined operation of phacoemulsification pars plana vitrectomy (PPV) and foldable IOL implantation in 38 eyes of 38 patients with cataract and...

Nabil Abdulghani Taresh Ali, Amin A. Okbah, Ahmed Labib, Basma Alrefaei (Sanaa, Yemen) Purpose: To detect the role of intravitreal Avastin injection before pars plana vitrectomy in diabetic patients and when doing operation after Avastin injection. Material and methods: 40 patients with advanced proliferative diabetic retinopathy with tractional retinal detachment (TRD) and vitreous hemorrhage. Best corrected visual acuity Slit lamp...

Yusuf Akar, K. Cemil Apaydin, Mustafa Unal, Erkan Coban, Koray Demir, Koray Ahat, Meryem Guler, Pinar Tavas (Antalya, Turkey) Advantages: 23 Gauge transconjunctival sutureless vitrectomy appears to be a feasible option in treating vitreoretinal complications in diabetic patients, with the potential benefit of reducing postoperative ocular irritation. Methods: Seventy four eyes of 76 consecutive patients with diabetes mellitus who...

http://www.evrs.eu/medias/2010/videos/AhmedIbrahim_1_VP6_768K.flv Ahmed Ibrahim (Jeddah, Saudi Arabia) Advantages: Intravitreal Avastin Injection one Week prior to Vitrectomy and Removal of Advanced Diabetic Tractional Membrane Make It Easy to Sissect, Peel and Bleeding is less. Methods: Intravitreal Avastin injection done. And after one week 20 Gage pars plana vitrectomy performed with use of 23 Gauge curved needle and scissors to peel,...

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...

http://www.evrs.eu/medias/2010/videos/AbhijitChattopadhyay_VP6_768K.flv Abhijit Chattopadhyay, Chirag Bhatt, Soumen Mandal, Shubhankarsri Paul (Kolkata, India) Advantages: 25 Gauge sutureless methods allow early ambulation and quick recovery. This system also helps in better maintenance of intra-ocular pressure thus reducing the intra-operative bleeding. The hospital staying time also got reduced remarkably. The lid swelling and...

http://www.evrs.eu/medias/2010/videos/ChiragBhatt_1_VP6_768K.flv Chirag Bhatt, Aniruddha Maiti, R. C. Paul, P. K. Chatterjee, Aditya Kelkat, Abhijit Chattopadhyay (Kolkata, India) Advantages: Diabetic retinopathy is one of the leading causes of blindness in the world. Vitrectomy may not only remove vitreous hemorrhage but also prevent or relieve traction on the retina from contraction of the fibrovascular membranes that characterize severe...

http://www.evrs.eu/medias/2010/videos/EnricoBertelli_VP6_768K.flv Enrico Bertelli, Paolo Pelanda (Bolzano, Italy) Advantages: 23 Gauge transconjunctival vitrectomy is a minimally invasive vitreoretinal technique that offers the advantages of sutureless surgery combined with the benefits of a sturdy instrumentation, this latter feature making it potentially suitable for a large number of indications. Methods: The video highlights the ample...

http://www.evrs.eu/medias/2010/videos/FlorianBalta_VP6_768K.flv Florian Balta (Bucharest, Romania) Advantages: Reduction of the surgically induced trauma to the ocular tissue and reduction of the operative time. Methods: Removal of the membranes in proliferative diabetic retinopathy (PDR) using 25 Gauge instruments: the vitreous cutter is used at 5000 cuts / min (Constellation Alcon) either alone or combined with an intraocular forceps in...

Hassan Mortada (Cairo, Egypt) Introduction: Diabetes mellitus is the most common cause of proliferative vascular retinopathy which also includes retinal venous occlusive disease, sickle cell retinopathy and retinopathy of prematurity. The underlying abnormality in these disorders is retinal ischemia, which may ultimately lead to the formation and contraction of proliferative fibrovascular membranes with subsequent vitreous hemorrhage and...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Dominik Odrobina, Sławomir Cisiecki, Krzysztof Dzięgielewski, Zbigniew Pikulski, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland) Advantages: To analyze the effect of internal limiting membrane (ILM) peeling on the anatomical and functional outcomes in patients undergoing vitrectomy for proliferative diabetic retinopathy with vitreous...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Mushfig Karimov (Baku, Azerbaijan) Purpose: Data of 12 patients (12 eyes) with diabetes mellitus, who underwent phacoemulsification, IOL implantation and 23 Gauge pars plana vitrectomy for complications of proliferative diabetic retinopathy were analyzed. Follow-up ranged from 3 to 9 months. Results: Overall, visual acuity improved in 11 of 12 eyes (91.7%), in 9...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages: To examine whether 25 Gauge vitrectomy might be a good approach for treatment of severe proliferative diabetic retinopathy (PDR) and macular edema. Methods: 31 patients with severe PDR and macular edema were randomized to...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Barbara Parolini, Grazia Pertile (Verona, Italy) The new gauges and vitrectomy machines are leading to a wider use of the vitrectomy probe for various and finer surgical steps. The 23, 25, and 27 Gauges seem to be able to substitute the scissors for peeling and cutting membranes in PVR and PDR. However this talk is designed to present some surgical scenarios of...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Vito Primavera, Isabella Turco, Francesco Prascina, Nicola Delle Noci (Foggia, Italy) Advantages: To compare the effectiveness and safety of 25+  (Alcon, CONSTELLATION® Vision System) and 23 Gauge (Alcon, Accurus® Surgical System) MIVS in the management of vitreoretinal complications in patients with diabetic retinopathy. Methods: 34 consecutive patients...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Theodoros Potamitis, Yianna Antoniou (Limassol, Cyprus) Advantages: Although 23 Gauge and 25 Gauge vitrectomy systems have recently revolutionized our surgical techniques in many retinal pathologies, in our most complicated cases of tractional retinal detachments the advantages conferred by the use of 20 Gauge instruments outweighs the benefits of smaller gage...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Carl Claes (Antwerp, Belgium) Advantages: A new technique is presented to perform vitrectomy under stable intra-ocular conditions, within 2mmHg variation. This is very useful in cases with neovascularization and a high bleeding tendency intra-operatively, as in proliferative diabetic retinopathy. Methods: New, one step valved 23 Gauge trocars are used in...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Hassan Mortada (Cairo, Egypt) Advantages: Preoperative intravitreal Avastin injection produces significant reduction of retinal neovascularization. This dramatic effect may be related to its activity against all isoforms of VEGF. However, intravitreal Avastin injection is not without complications. It may lead to contraction of the fibrovascular tissue with...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Arwa Azmeh, Judi Abdin (Damascus, Syria) Advantages: To evaluate the efficacy of intravitreal triamcinolone acetonide injection (IVT) in causing regression of new vessels activity in proliferative diabetic retinopathy (PDR) refractory to pan retinal photocoagulation (PRP). Methods: 11 eyes of 10 patients with type 2 diabetes and active PDR refractory to PRP...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Arwa Azmeh, Wafi Maihoub (Damascus, Syria) Advantages: To evaluate the efficacy of intravitreal Bevacizumab  (IVB) injection in causing regression of new vessels activity in patients with proliferative diabetic retinopathy (PDR) refractory to pan retinal photocoagulation (PRP). Methods: 32 eyes of 23 patients with type 2 diabetes and active PDR refractory to...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Ivan Fiser (Prague, Czech Republic) Advantages: We should never stop warning against too extensive and destructive laser treatment in PDR. Modern lasers enable an effective coagulation of the RPE, still favoring the neuroretina. We have a suspicion that too extensive treatment with heavy burns can even cause an inflammation that stimulates the VEGF and the...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Majed Bakjaji, Abdelouahed Amraoui, Adil Mchachi (Casablanca, Morocco) Advantages: Reduced risk of development of neovascular glaucoma, recurrent vitreous hemorrhage, tractional retinal detachment, combined tractional rhegmatogenous retinal detachment, and severe fibrovascular proliferation, improved visual outcome. Methods: Two groups of patients with late...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Mario R. Romano, C. Costagliola, P. Vinciguerra (Milan, Italy) Advantages: Intravitreal Bevacizumab is efficacious as pre-operative adjuvant treatment rather than intra-operative, for the management of recurrent postoperative hemorrhages in patients with advanced proliferative diabetic retinopathy (PDR). Methods: The patients were divided in two groups: Group A...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Sergey V. Nosov, Victor N. Kazaikin (Ekaterinburg, Russia) Advantages: The developed system of dynamic follow-up and treatment tactics including choice of additional operation techniques in patients with late post-vitrectomy diabetic vitreous hemorrhages (PVDVH) takes into consideration the character of sclerotomies healing and course of diabetes. Methods: The...

http://www.evrs.eu/medias/2009/videos/DanielVilaplana_2_VP6_768K.flv Authors: Daniel Vilaplana, Vladimir Poposki, Isaac Alarcon, D. Martin, M. Castilla, Barcelona, Spain Advantages: A 65-year-old homeless man with hand movements vision in his left eye for a long period (the patient was unaware of this). He has been recently diagnosed with advanced diabetes mellitus. He suffered from high-risk proliferation with a chronic and haemorrhagic...

Authors: Zeliha Yazar, Nil Irem Ucgun, Mehmet Onen, Turan Kayik, Ankara, Turkey Advantages / Purpose: The evaluation of pars plana vitrectomy (PPV) surgery results on proliferative diabetic retinopathy (PDR) cases. Methods: One hundred and sixteen eyes of 90 PDR cases were examined retrospectively. Their age was between 20 and 83; 51 were females (56%) and 39 were males (44%). Their ocular features, pre and postoperative visual acuity and...

http://www.evrs.eu/medias/2009/congress/Proliferative-Diabetic-Retinopathy.flv Authors: Sergey V. Nosov, A.N. Varaksin, Yekaterinburg, Russia Advantages: Multiple investigators reveal fibrovascular ingrowth (FVIG) and anterior hyaloidal fibrovascular proliferation (AHFVP) at UBM of former sclerotomy sites after primary vitrectomy in diabetic patients. It is considered that FVIG and AHFVP are the reason of postvitrectomy diabetic vitreous...

http://www.evrs.eu/medias/2009/congress/Proliferative-Diabetic-Retinopathy.flv Authors: Vito Primavera, Isabella Turco, Giuseppe Schiena, Francesco Prascina, Nicola Delle Noci, Foggia, Italy Advantages: To compare the feasibility and efficacy between bimanual membrane peeling technique vitrectomy (group 1) and new generation 25 gauge vitrectomy system (group 2) for treating traction retinal detachment (TRD) secondary to severe...

http://www.evrs.eu/medias/2009/congress/Proliferative-Diabetic-Retinopathy.flv Authors: Stanislav Rodin, Veronika Aslanova, Nikolai Umanetz, Odessa, Ukraine Advantages: Intravitreal injection of bevacizumab before VE for severe PDR reduced hemorrhage risk and allowed to perform more effective surgery with complete and safe neovascularized ERM removal. Methods: The results of treatment of 17 patients (18 eyes) (20-67 y/o, 7 males, 10...

http://www.evrs.eu/medias/2009/congress/Proliferative-Diabetic-Retinopathy.flv Author: Maria H. Berrocal, San Juan, Puerto Rico Advantages: Preoperative Avastin reduces intraoperative complications and surgical time in complex diabetic retinal detachments. Methods: In this prospective study, 48 eyes undergoing pars plana vitrectomy for tractional (Group 1) and combined tractional and rhegmatogenous (Group 2) retinal detachment secondary to...

http://www.evrs.eu/medias/2009/congress/Proliferative-Diabetic-Retinopathy.flv Author: Hulya Gungel, Istanbul, Turkey Advantages: To reduce intraoperative bleeding. Methods: Forty-nine patients with tractional retinal detachment were studied retrospectively. To 23 patients 20 G PPV, to 26 patients 23 G MIVS combined with phacoemulsification were applied. They had tractional retinal detachment with macular involvement, rhegmatogenous retinal...

L Kotilova, B Kalvodova (Dept. of Ophthalmology, General Teaching Hospital in Prague, Czech Rep), M Kalousova, H Benakova, T Zima (Dept. of Biochemistry and laboratory Diagnostics, General Teaching Hospital in Prague, Czech Rep), A Kubena (Faculty of Pharmacy, Charles University, Prague, Czech) Advantages: Vitreous is currently used for clinical research assessing the vitreoretinal interface. Increased vascular permeability and breakdown...

Bikbov M.M., Altynbaev U.R. Purpose: To study anatomic and functional findings of 25G vitrectomy combined with preoperative intravitreally injected Avastin in patients with active form of proliferative diabetic retinopathy (PDR). Material & Methods: 9 patients (10 eyes) with PDR accompanied with expressed retinal neovascularization were included into investigation. Tractional retinal detachment was found in 8 cases, tractional and...

Pina Marin Begoña, Escobar Barranco José Juan, Fernández Bonet Manel Advantages: Sequenced triple therapy with anti Vascular Endothelial Growth Factor (antiVEGF) followed by complete photocoagulation and intravitreal triamcinolone allows treating diffuse diabetic macular edema, the most important factor regarding final visual acuity, without neglecting the treatment of neovascularization, the primary responsible of ocular integrity;...

http://www.evrs.eu/medias/2008/congress/Cryotherapy-of-Sclerotomy-Sites-May-Increase-the-Risk-of-Late-Post-Vitrectomy-Diabetic-Hemorrhage.flv Morteza Entezari, Alireza Ramezani, Hamid Ahmadieh, Pejman Bakhtiari, Mehdi Yaseri (Ophthalmic Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran) Advantages: To present the disadvantages of cryotherapy of sclerotomy sites in prevention of late (after 4 weeks)...

http://www.evrs.eu/medias/2008/congress/Dissection-of-Proliferative-Diabetic-Retinopathy-Using-the-Vitreotome-with-Flow-Control.flv Jean-François Le Rouic, Frank Becquet, Didier Ducournau Advantage: The precise aspirating flow control of recent vitrectomy machines and the reduction of the vitreotome port allow for a selective grasping and cutting of preretinal proliferations. This technique reduces the need for iterative exits through the...

Ashraf Shaarawy, MD (Alexandria, Egypt) PURPOSE: To determine wether air is an efficient retinal tamponade to treat either iatrogenic or rhegmatogenous breaks during diabetic vitrectomy.Air has a short duration of retinal tamponade. However, the use of intravitreal triamcinilone(TAAC) and intraoperative BIOM had improved our ability to completely remove the posterior hyaloid,vitreoschisis and fibrovascular proliferation and all the exerted...

Andriy Sergienko, MD (Kiev, Ukraine) PURPOSE: To evaluate role of microelements in development of proliferative retinopathy of different pathogenesis. METHODS: Seventy seven eyes with retinal detachment, 51eyes with proliferative diabetic retinopathy and 25 eyes traumatic retinopathy were included in this study. Thirty postmortem human eyes served as a control. Intraoperatively taken vitreous and subretinal fluid was used for the...

Jeffrey K. Luttrull, MD (Ventura, CA), David C. Musch, PhD (Ann Arbor, MI),* Charles A. Spink, CRA (Ventura, CA) PURPOSE: To report the visual and clinical outcomes of a pilot study of subthreshold diode micropulse (SDM) panretinal photocoagulation (PRP) for treatment of diabetic retinopathy. METHODS: A retrospective chart review of all patients undergoing PRP for complications of diabetic retinopathy between April 2000 and February 2003...

Janice C. Law, MD (Detroit, MI), Dean Eliott, MD (Los Angeles, CA) PURPOSE: The use of perfluorocarbon liquid (PFCL) has facilitated the treatment of complex retinal detachments. The purposes of this study were to evaluate the indications for PFCL use and the anatomic and functional outcome after PFCL use during pars plana vitrectomy for proliferative diabetic retinopathy. METHODS: Retrospective review of 520 consecutive diabetic...

http://www.evrs.eu/medias/2006/videos/Perfluorodissection-in-Vitreoretinal-Surgery:-A-Novel-Technique.flv J. Fernando Arevalo, MD, FACS (Caracas, Venezuela), Juan G. Sanchez, MD (Caracas, Venezuela) SYNOPSIS Improvement in surgical techniques has led to improved anatomic and functional success rates following surgery for severe complications of proliferative diabetic retinopathy (PDR) and uveitic vitreo-retinal complications. We found that...

Jans Fromow-Guerra, MD, PhD (Mexico City, Mexico), Elizabeth Reyna-Castelán, MD (Mexico City, Mexico), Juan Manuel Jimenez- Sierra, MD (Mexico City, Mexico), Adriana Solis-Vivanco, MD (Mexico City, Mexico), Jose Luis Guerrero-Naranjo, MD (Mexico City, Mexico), Maura Abraham-Marin, MD (Mexico City, Mexico), Myriam Lucia Hernández-Rojas, MD (Mexico City, Mexico), Griselda Alvarez-Rivera, MD (Mexico City, Mexico), Maria Ana Martinez-...

Nur Acar, MD (Istanbul, Turkey), Ziya Kapran, MD (Istanbul, Turkey), Yaprak Banu Unver (Istanbul, Turkey), Tugrul Altan (Istanbul, Turkey), Bulut Ocak (Istanbul, Turkey) SYNOPSIS In this video, three-port bimanual 25-gauge transconjunctival sutureless vitrectomy (TSV) technique is demonstrated in eyes with severe diabetic traction retinal detachments. 25-gauge illuminated infusion cannula is used for bimanual surgery. Membrane delamination...

Yavuz Bardak, MD (Isparta, Turkey), Osman Cekic, MD, PhD (Isparta, Turkey), Ufuk Sahin Tig, MD (Isparta, Turkey), Aykut Arslan Yildiz, MD (Isparta, Turkey), Fadime Kendir, MD (Isparta, Turkey), Mustafa Muhterem Ekim, MD (Isparta, Turkey) PURPOSE: To investigate effectiveness and safety of combined phacoemulsification (PE) and pars plana vitrectomy (PPV) in diabetic patients. METHODS: One hundred seventeen eyes of the 117 diabetic (type II)...

Guruprasad S. Ayachit, MS (Hubli, India), Paul E. Tornambe, MD (Poway, CA) PURPOSE: When transpupillary laser ablation is not feasible, does direct retinal ablation by endolaser and cryotherapy result in regression of NVI, control of IOP and preservation of vision? Is the surgery fraught with any risks? METHODS: A prospective, interventional, noncomparative case series. 14 patients with PDR with no previous laser and recalcitrant NVG were...

J. Fernando Arevalo, MD, FACS (Caracas, Venezuela), Lihteh Wu, MD (San Jose, Costa Rica), Juan G. Sanchez, MD (Caracas, Venezuela), Mauricio Maia, MD (Sao Paulo, Brazil), Mario J. Saravia, MD (Buenos Aires, Argentina) PURPOSE: To study the effects of intravitreal bevacizumab (Avastin) on retinal neovascularization (RN) in patients with proliferative diabetic retinopathy (PDR). METHODS: Retrospective study of patients with RN due to PDR who...

http://www.evrs.eu/medias/2006/congress/Reoperation-after-Diabetic-Vitrectomy:-Rate,-Indications,-Visual-Outcomes,-and-Complications-in-an-Urban-Academic-Medical-Center.swf Julie L. Gasperini, MD (Detroit, MI), Dean Eliott, MD (Los Angeles, CA) PURPOSE: To identify the rate, indications, visual outcomes, and complications in patients requiring reoperation(s) for the sequelae of proliferative diabetic retinopathy. METHODS: Retrospective...

John P. Denny, MD (Decatur, GA), G. Baker Hubbard, MD (Atlanta, GA) PURPOSE: Pars plana vitrectomy (PPV) is commonly performed to treat the ocular complictations of proliferative diabetic retinopathy (PDR). Recently, 25-gauge systems for PPV have been reported to decrease postoperative recovery time. This study investigates the safety and efficacy of PPV performed via a 25-gauge trocar system in a group of patients with proliferative...

Athanasios Nikolakopoulos, MD (Thessaloniki, Greece), Ifigenia Panidou (Thessaloniki, Greece), Elie Fantel (Thessaloniki, Greece), Apostolos Reptsis (Thessaloniki, Greece), Dimitris Kirodimos (Thessaloniki, Greece), Nikoletta Leventi (Thessaloniki, Greece) PURPOSE: Traction diabetic retina detachments and especially the table tops with the attached vitreous have the higher incidence of iatrogenic retina tears that reduce the rate of success...

http://www.evrs.eu/medias/2006/congress/25-Gauge-Vitrectomy-for-Advanced-Proliferative-Diabetic-Retinopathy:-A-Consecutive-Case-Series-Including-Complex-Retinal-Detachments.swf Firas M. Rahhal, MD (Los Angeles, CA)* PURPOSE: The author hypothesizes that with recent advances in technology, instrumentation, and experience, 25g pars plana vitrectomy (PPV) is safe and effective for the treatment of both simple and complex cases of advanced PDR....

http://www.evrs.eu/medias/2006/congress/Injection-of-Intravitreal-Avastin-Before-Vitrectomy-Surgery-in-the-Treatment-of-Severe-Proliferative-Diabetic-Retinopathy.swf http://www.evrs.eu/medias/2006/congress/Injection-of-Intravitreal-Avastin-Before-Vitrectomy-Surgery-in-the-Treatment-of-Severe-Proliferative-Diabetic-Retinopathy.flv Stanislao Rizzo, MD (Pisa, Italy), Federica Genovesi-Ebert, MD (Pisa, Italy), Emanuele Di Bartolo, MD (Pisa,...

http://www.evrs.eu/medias/2006/congress/Intravitreal-Bevacizumab-(Avastin)-in-the-Treatment-of-Proliferative-Diabetic-Retinopathy.swf http://www.evrs.eu/medias/2006/congress/Intravitreal-Bevacizumab-(Avastin)-in-the-Treatment-of-Proliferative-Diabetic-Retinopathy.flv Robert L. Avery, MD (Santa Barbara, CA),* Dante J. Pieramici, MD (Santa Barbara, CA),* Alessandro A. Castellarin, MD (Santa Barbara, CA), Ma-an A. Nasir, MD (Santa Barbara,...

http://www.evrs.eu/medias/2006/congress/Pegaptanib-Sodium-in-Diabetic-Retinopathy:-Improvements-in-Diabetic-Macular-Edema,-Retinal-Neovascularization,-and-Severity-of-Diabetic-Retinopathy.swf Victor Hugo Gonzalez, MD (Mcallen, TX) PURPOSE: Preclinical data indicate that pegaptanib, an aptamer targeting VEGF165, can reverse diabetesinduced blood-retinal barrier breakdown; clinical trials demonstrate pegaptanib’s efficacy in treating...

Giampaolo Gini, MD (Prato, Italy) SYNOPSIS Proliferative diabetic retinopathy continues to be a major cause of blindness throughout the world. Removal of fibrovascular tractions on the retina while avoiding the possibile iatrogenic damage deriving from such manouvers, requires both a good understanding of the anatomical variations involved in each specific case as well as the possibilty of using a bimanual technique. Aim of the video is to...

Arturo Santos, MD, PhD (Guadalajara, Mexico), Enrique A. Roig-Melo, MD PhD (Guadalajara, Mexico), Miguel Castellanos, MD (Guadalajara, Mexico), Iban Flores, MD (Guadalajara, Mexico), Ramon Flores-Fuentes, MD (Guadalajara, Mexico), Monica A. Ayala, MD (Guadalajara, Mexico) SYNOPSIS Performing surgery in a case of diabetic retinopathy with extensive fibrovascular tissue is a challenge and demands surgical skills and a wide variety of...

http://www.evrs.eu/medias/2006/videos/Bimanual-Surgery-as-the-Golden-Standard-in-Proliferative- Diabetic-Retinopathy.flv Giampaolo Gini, MD (Prato, Italy) SYNOPSIS Proliferative diabetic retinopathy continues to be a major cause of blindness throughout the world. Removal of fibrovascular tractions on the retina while avoiding the possibile iatrogenic damage deriving from such manouvers, requires both a good understanding of the anatomical...

http://www.evrs.eu/medias/2006/videos/Preoperative-Bevacizumab-in-the-Management-of-Diabetic-Retinal-Detachments.flv Maria H. Berrocal, MD (Santurce, PR) SYNOPSIS Preoperative Bevacizumab (Avastin) combined with viscodissection and high-speed cutter vitrector reduces operative time and complications in cases of traction and traction and rhegmatogenous retinal detach-ments. Several cases are presented using this technique.

http://www.evrs.eu/medias/2006/videos/Pre-operative-Bevacizumab-(Avastin)-as-a-Surgical-Adjuvant-in-the-Treatment-of-Proliferative-Diabetic-Retinopathy.flv Robert L. Avery, MD (Santa Barbara, CA)* SYNOPSIS Preoperative Avastin is shown to be very helpful in decreasing the vascularity of PDR membranes thereby reducing the intra-operative bleeding.

L. O. Hattenbach, P. N. Jentzmik, J. Puchta, Y. Sinangin, F. Koch – Klinik für Augenheilkunde, Netzhaut- und Glaskörperchirurgie, Klinikum der Johann Wolfgang Goethe Universität, Frankfurt am Main, Germany Purpose: To investigate visual recovery and clinical outcome after pars plana vitrectomy with or without internal limiting membrane (ILM) peeling in patients with macular edema associated with proliferative diabetic vitreoretinopathy...

Indu Singh, MS Purpose: Management of thick fibrovascular membranes involving macular area with the present techniques lead to haemorrhage. In this paper I will talk about my experience of using Plasma blade in tackling such membranes. Methods: Plasma blade is a cutting device which utilises fourth state of matter „Plasma“. After doing pars plana vitrectomy we remove the Tractional bands with Plasma blade. The technique will be...