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Efficacy and Safety Analysis of Intraocular Lutein-based Dyes for Vitreoretinal Surgery in Preclinical and Clinical Models

SCIENTIFIC POSTER_Mafalda Figueiredo Purpose: To investigate the efficacy and safety of novel dyes composed of lutein in association with brilliant blue for staining the vitreous and the internal limiting membrane (ILM) during vitreoretinal surgery in pre-clinical and clinical human models. Methods: The preclinical efficacy of lutein-based dyes (Retidyne and Retidyne Plus) was tested in sixty human cadaveric eyes undergoing vitreoretinal...

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Advantages of ILM Blue in Macular Surgery

http://www.dailymotion.com/video/x16xl5y http://www.dailymotion.com/video/x16xmo8 Internal Limiting membrane removal has been confronted by 2 obstacles for several years. These obstacles are circumvented nowadays by: Minimising the surgical trauma induced to the neurosensorial tissue, and the certainty to have removed the complete limiting membrane, from the papilla to the temporal raphe, and going until the vascular arcades. The use of a...

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Comparative Evaluation of Indocyanine Green and Brilliant Blue Assisted Internal Limiting Membrane Peeling During Macular Hole Surgery

http://www.dailymotion.com/video/x16xl5y http://www.dailymotion.com/video/x16xmo8 Purpose: To evaluate the anatomical closure rate and visual outcomes in patients undergoing pars plana vitrectomy with internal limiting membrane peeling with either indocyanine green staining and methylcellulose protection of the macular hole (group 1) or brilliant blue staining of the ILM (group 2). Methods: Non-controlled, retrospective case series of 187...

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Combined Peeling of Epiretinal and Internal Limiting Membranes with the Single Injection of Membrane Blue-dual Dye in Eyes with Idiopathic ERM

http://www.dailymotion.com/video/x15yej8 Objective: Epiretinal membranes are sometimes multilayered which needs peeling more than once during vitrectomy. Although some surgeons prefer not to peel ILM in the surgical management of ERMs; ILM peeling is shown to decrease the recurrence of ERMs while not affecting the visual outcome. Different dyes may be used to stain ERM and ILM, although toxicity concerns still exist especially regarding...

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New Dye for ILM Contrasting

For ILM staining today surgeons use water-soluble color dyes. Membrane blue is  a water soluble dye which is toxic and phototoxic for pigment epithelium and optic nerve. In our Eye Microsurgery complex a new contrast agent “Vitreocontrasta” was developed. It is an inert low-soluble Barium salt suspension. Particle size 4-5 mkm density 4.4 g sm provides high adhesion. No toxic effects on the retina and other eye tissues was found by...

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Various Dyes for ILM Peeling

http://www.dailymotion.com/video/xudw1d Advantages: To review current visualization aids for VR surgery with respect to their specific features and clinical applications. Furthermore, to correlate the various staining patterns with the underlying pathology. Methods: ICG, trypan blue, brilliant blue and the combination trypan blue/brilliant blue as well as triamcinolone serve for visualization of the vitreous, proliferative vascular and...

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A Comparison of Brilliant Blue G, Triamcinolone and Indocyanine Green Dyes to Assist ILM Peeling During Macular Hole Surgery

Purpose: To compare surgical outcomes with three dyes, brilliant blue G (BBG), triamcinolone (TA) and indocyanine green (ICG), used to facilitate internal limiting membrane peeling during macular hole surgery. Methods: This comparative, interventional cases series consisted of 30 eyes of 26 patients with senile idiopathic macular holes, who underwent 23 G vitrectomy with internal limiting membrane peeling. We compared the intraoperative...

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Rhegmatogenous Retinal Detachment with Dislocated Intraocular Lens and Capsular Tension Ring Complex Management in a Single Sitting

http://www.dailymotion.com/video/xnrh6r Naresh Babu (Madurai, India) Advantages: Intrascleral sutureless technique combined with 20 and 23 Gauge vitrectomy for managing RD and to reinstall a dislocated posterior chamber IOL with the CTR complex in a single sitting, can lead to early rehabilitation. No special haptic architecture or preparation was required. Methods: Surgical treatment of a dislocated IOL-Capsular Tension Ring complex and RD...

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ILM Peeling with Brilliant Blue in Retinal Detachment with a Macuar Hole in a Highly Myopic Eye

http://www.dailymotion.com/video/xnbeee Nur Acar, Ziya Kapran, Yaprak Banu Unver (Istanbul, Turkey) ILM peeling in retinal detachment with a macuar hole in a highly myopic eye is sometimes difficult. In this video ILM peeling with Brilliant Blue in retinal detachment with a macuar hole under heavy perflourocarbon fluid in a highly myopic eye is demonstrated. In highly myopic young eyes ILM may be very tightly adherent, and sometimes...

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Anatomical Results After Primary Retinal Detachment Surgery by MIVS: Role of Triamcinolone Acetonide Assistance and Chandelier Illumination System

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Vito Primavera, Isabella Turco, N. Delle Noci (Foggia, Italy) Advantages: To compare the anatomical outcome following small gauge vitrectomy for rhegmatogenous retinal detachment (RRD) between triamcinolone acetonide assistance and chandelier illumination system. Methods: Retinal detachment repair was performed by the same...

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Role of the Dyes in the Prevention and Treatment of PVR

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Cesare Forlini, Matteo Forlini, Adriana Bratu, Paolo Rossini (Ravenna, Italy) Objective: To investigate the importance of the dyes for the prevention and treatment of PVR Methods: Patient charts were reviewed retrospectively for 25 eyes of 25 patients (15 male, 10 females) with mean age of 60 years consecutively recruited patients who underwent primary or...

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Brilliant Peel Assisted Macular Hole Surgery

Yuksel Totan, Fatma Betul Aydogdu, Emre Guler (Ankara, Turkey) Advantages: To evaluate the surgical experiences with Brilliant blue G (BBG) staining of the inner limiting membrane (ILM) and the outcomes of BBG assisted macular hole surgery. Methods: In 10 patients with stage 3-4 idiopathic macular holes, BBG (Brilliant peel, Fluoron) was applied following complete posterior vitreous detachment on the macular surface under air conditions for...

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Congress – Pars Plana Vitrectomy wth ILM Peeling in Macular Hole Surgery

SYMPOSIUM: VITREOMACULAR INTERFACE VISUALIZATION / SURGICAL APPROACH Moderators: Claudio Azzolini, Etienne Bovey Tuesday, June 21, 2005 Pars plana vitrectomy (PPV) with ILM peeling in maculer hole surgery Author: Yaprak Banu Ünver, MD, Nur Acar, MD, Ziya Kapran, MD, Mehmet Cakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Eylem Y. Pınarcı, MD Abstract : In stage 2, 3 and 4 maculer holes, anatomical and functional success is...

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Using of a New Dye, Vitreocontrast for Vitreous Body Visualization

Nataliya M. Kislicyna, S.V. Novikov, S.V. Belikova (Moscow, Russia) Advantages: One of the current questions in vitreous surgery is the visualization of vitreous body and the identification of semi-transparent epiretinal membranes and internal limiting membrane. Peyman was the first to report on the use of triamcinolone acetonide as an aid to visualize the vitreous and posterior hyaloid during vitrectomy. The water- insoluble triamcinolone...

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Central Retinal Vein Occlusion / Branch Retinal Vein Occlusion: It is More Brilliant to Peel the ILM

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Vein-Occlusion-Central-Retinal-Vein-Occlusion.flv Didier Ducournau (Nantes, France) Last year, during the 2009 EVRS congress, we presented the results of ILM removal on 236 patients presented a macular edema after BRVO (82) and CRVO 154); more than one year after operation, the obtained improvement (in LorMAR lines) was superior to 5 lines i.e. twice as much than after repeated...

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Vitrectomy with Epimacular Membrane Peeling Using Dye (Brilliant Peel) and IOL Exchange after Complicated Cataract Surgery

http://www.evrs.eu/medias/2010/videos/AhmedIbrahim_2_VP6_768K.flv Ahmed Ibrahim, Ashraf Radwan (Jeddah, Saudi Arabia) Advantages: Using dye (Brilliant peel) makes the removal of fine epimacular membrane easier and easy to identify with decrease the risk of complications especially in anterior segment complications with narrow pupil. Methods: IOL extraction from anterior chamber (posterior chamber IOL was implanted in anterior chamber!!!)...

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Massage on Large Macular Holes

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Authors: George Pappas, Theoni Panagiotoglou, Dimitris Raptakis, Vasiliki Kounali, Paraskevi Drakou, Nikos Nikoletakis, Heraklion, Greece Advantages: To report the surgical outcome and the safety profile of massage around large macular holes in order to achieve closure. Methods: We have reviewed the notes of 12 patients who underwent pars plana vitrectomy (PPV) for large...

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Application of Retina Vacuum Massage for Intraoperative Closing of Macular Holes Stage 3-4

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Authors: Ural R. Altynbayev, M.M. Bikbov, Ufa, Russia Advantages: The method allows achieving an intraoperative approximation of the edges in stage 3 – 4 macular holes, to prevent mechanical damage of photoreceptors and pigment epithelium and to improve anatomical and functional outcomes. Methods: The present study includes 12 patients with idiopathic macular hole...

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Non-Vitrectomizing Idiopathic Macular Pucker Surgery Performed with 25 Gauge Infusion System with 27 Gauge Light Using only 2 Sclerotomies

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Authors: Mariotti Cesare, Viti Francesca, Neri PierGiorgio, Ancona, Italy Advantages: To improve best corrected (BCVA) using only 2 sclerotomies (no lens opacity or retinal complications,) reduce duration of surgery and minimize inflammatory reactions, preserving the option to convert the surgery from no-vitrectomy to minimal-vitrectomy if necessary. Methods: Patients...

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Visco-Protection of Macular Holes During ICG-Guided ILM-Peeling

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Authors: Silvia Bopp, Klaus Lucke, Andreas Schüler, Bremen, Germany Advantages: To protect RPE from potential ICG-toxicity in MHS and enhance visual outcomes. Methods: Recent data supports that ICG is potentially harmful to the neuroetina and RPE. Presumed mechanisms include direct tissue toxicity and enhanced light absorption (phototoxicity). In addition, ICG seems to...

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Brillant Peel Staining Pro

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Author: Didier Ducournau, Nantes, France I have been performing a lot of ILM removals without any dying guided only by the membrane reflection provided by the slit lamp illumination. When the dying appeared, I did not receive that as a resolution as: Membrane blue was dying the vitreous fibres as well as the ILM and was therefore obliging me to increase the amount of...

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Trypan Blue Staining Pro

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Author: Jerzy Nawrocki, Lodz, Poland Advantages: Trypan blue is used since 2003 for staining of vitreous, epiretinal membranes and ILM together with different illumination observation systems. Trypan blue is also non-toxic. Methods: Pars plana vitrectomy with trypan blue staining is presented in different indications. Effectiveness / Safety: Trypan blue staining of the...

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Trypan Blue Staining Pro

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Authors: Ivan Fiser, Ivan Kolin, Prague, Czech Republic Advantages: Trypan blue stains not only the ILM but also the vitreous, the “ERM” (i.e. the layer of posterior hyaloid) and enables to distinguish between them. It facilitates the identification of the posterior hyaloid and the surgical PVD. It prevents from confusing the leaf of vitreoschisis for...

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Pharmacosurgery with the INTRECTOR® Technology, Clinical Results and Effects on to the Physiology of the Vitreous Body

http://www.evrs.eu/medias/2009/videos/MichaelKoss_VP6_768K.flv Authors: Michael Koss, Rashid Benjilali, Thea Herbort, Fawaz Al-Sareireh, Pankaj Singh, Frank Koch, Frankfurt am Main, Germany The 23 gauge Intrector® allows to perform a well-defined pars plana vitrectomy under the control of the indirect ophthalmoscope plus a 28 dpt lens, or under the microscope using microscopic light plus a plano-concave contact lens. In gel or peribulbar...

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Brilliant Blue is “Cool”

http://www.evrs.eu/medias/2009/videos/FernandoFaus_2_VP6_768K.flv Authors: Fernando Faus, Jose Mª Olivan, MªTeresa Ballarin, Adela Ruiz de la Cuesta, Enrique Albalad, Zaragoza, Spain Advantages: Today the use of vital dyes for identification of retinal structures is becoming increasingly common as a co-adjuvant in vitrectomy for retinal pathology. It has been proposed several ways of using different dyes, mixed with glucosade solution,...

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Vitrectomy in Two Steps

http://www.evrs.eu/medias/2009/videos/FernandoFaus_1_VP6_768K.flv Authors: Fernando Faus, Jose Mª Olivan, MªTeresa Ballarin, Enrique Albalad, Zaragoza, Spain Advantages: One problem in performing vitrectomy is the occurrence of retinal tears in the area of sclerotomies secondary to vitreous traction generated during repeated maneuvers of entry and exit during surgery. We present a new technique that allows the introduction of vital dyes...

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“Brilliant Blue G” Stain for ILM Peeling

Authors: Vadim S. Stebnev, Sergey D. Stebnev, Samara, Russia Advantages / Purpose: To study the efficiency and features of application of  «Brilliant Blue G» for staining of the internal limited membrane during its peeling. Methods: The results of internal limited membrane staining with «Brilliant Blue G» for its peeling are analyzed. In total with the use of the new stain 5 patients with various vitreoretinal pathology were...

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Vitrectomy in Two Steps

Vitrectomy in Two Steps

Fernando Faus, Jose Mª Olivan, MªTeresa Ballarin, Enrique Albalad, Zaragoza, Spain Advantages: One problem in performing vitrectomy is the occurrence of retinal tears in the area of sclerotomies secondary to vitreous traction generated during repeated maneuvers of entry and exit during surgery. We present a new technique that allows the introduction of vital dyes and co-adjuvant substances during surgery without having to leave the...

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Safe Methods in Vitreo-Retinal Procedures During Complicated Retinal Detachment Cases

http://www.evrs.eu/medias/2008/congress/Safe-Methods-in-Vitreo-Retinal-Procedures-During-Complicated-Retinal-Detachment-Cases.flv I.N.Serezhin, V.K. Surkova, Z.A.Dautova, M.X.Zakirzjanov Advantages: To evaluate the effectiveness of safe surgical techniques and instruments in treating proliferative vitreoretinopathy (PVR) retinal detachment. Methods: Results of vitreoretinal operations in proliferative vitreoretinopathy (PVR) retinal...

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Macular Hole Surgery: ILM Heme Visualization

http://www.evrs.eu/medias/2008/congress/Macular-Hole-Surgery:-ILM-Heme-Visualization.flv Colin A. McCannel Advantages: Using autologous blood to visualize the ILM during macular hole surgery is simple, inexpensive and apparently safe. Methods: Blood is withdrawn from the patient at sterilely prepped venipuncture site. The blood is transferred into a heparin sodium tube and gently agitated. After a thorough vitrectomy is performed, a very...

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A New Method to Improve the Application of Dyes on the Retinal Surface Without Fluid-Air Exchange

http://www.evrs.eu/medias/2008/congress/A-New-Method-to-Improve-the-Application-of-Dyes-on-the-Retinal- Surface-without-Fluid-Air-Exchange.flv Martin K. Schmid Advantages: Efficient dying of retinal membranes without the need of fluid-air exchange or preparing heavy dyes with glucose. Methods: The density of the dye is increased by cooling it to 4°C before application. A more intense and longer contact of the dye with the retina is...

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Italian Style to Colour the Eye

http://www.evrs.eu/medias/2008/congress/Italian-Style-to-Colour-the-Eye.flv Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S.Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy) Advantages: To show how to use or avoid the three colours of Italian flag (white, green and red) during vitreoretinal surgery. Methods: The use of IVT® (an approved...

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Staining of Internal Limiting Membrane with Brilliant Blue G Under Air for Macular Hole Surgery

http://www.evrs.eu/medias/2008/congress/Staining-of-Internal-Lmiting-Membrane-with-Brillant-Blue-G-Under- Air-for-Macular-Hole-Surgery.flv W. Ho, J Ellis Advantages: We were used to injecting trypan blue under air for the same purpose. We think that this technique is more efficient in ensuring optimal and adequate contact between the dye and ILM. We found that ILM takes up stain more effectively with brilliant blue G compared to trypan...

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The Use of Glucose-Diluted Trypan Blue in Membrane Peeling

http://www.evrs.eu/medias/2008/congress/The-Use-of-Glucose-Diluted-Trypan-Blue-in-Membrane-Peeling.flv Ivan Fiser, Ivan Kolin Advantages: It improves the adherence of trypan blue to the retina surface. It enables distinction between the posterior hyaloid, vitreoschisis, the ERM and the ILM. It makes the surgery faster and cheaper. Methods: The trypan blue, diluted with 10% glucose, makes the stain more viscous. It adheres better to the...

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Early Injection and Different Inoculation Site of Triamcinolone During Pars Plana Vitrectomy

http://www.evrs.eu/medias/2008/congress/Early-Injection-and-Different-Inoculation-Site-of-Triamcinolone-During-Pars-Plana-Vitrectomy.flv Mario Facino, Benedetto Mochi, Elena Guglielminetti, Fabio Giacomelli Advantages: We have developed a safe, simple method using a cheap and easy to assemble device that allows us to carry out early, reliable Triamcinolone injection during three-port pars plana vitrectomy. Methods: In an interventional...

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Posterior Subtenon Triamcinolone Acetonid Injection Efficiency in Uveitis Treatment

Zeliha Yazar, Nil Ýrem Uçgun, Dilay Ozek Purpose: To find out the efficiency of posterior subtenon triamcinolone acetonid (PSTA) injections and possible complications. Materials and Methods: 40 eyes of 22 patients (22 male, 14 female, with an average age of 36.8 (15-55) years) were studied in our clinic. Visual acuity changes, vitritis, retinal vasculitis or/and cystoid macular oedema (CME), the increase in intraocular pressure (IOP) and...

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The Snowstorm Technique: Triamcinolone Suspension in the Infusion Bottle

http://www.evrs.eu/medias/2008/congress/The-Snowstorm-Technique:-Triamcinolone-Suspension-in-the- Infusion-Bottle.flv Enrico Bertelli Advantages: Triamcinolone Acetonide (TA)-assisted vitrectomy has been first described in 2000, and has become popular among vitreoretinal surgeons. Vitreous staining properties of TA suspension in the conventional use improve visualization of vitreous fibers and vitreoretinal interface. However they offer...

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The Back-Flush Cannula as an Instrument to Introduce Various Substances Onto the Macula During Pars Plana Vitrectomy

http://www.evrs.eu/medias/2008/congress/The-Back-Flush-Cannula-as-an-Instrument-to-ntroduce-Various- Sudstances-on-to-the-Macula-During-Pars-Plana-Vitrectomy.flv Mario Facino, Benedetto Mochi, Fabio Giacomelli Advantages: Precise control of the amount of substance to introduce onto the macula Injection and removal of the substance with a single maneuver; it is not necessary to exit and re-enter the eye Less amount of substance needed to...

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Injection and Removing of Dyes, PFCL or Triamcinolone without Back-Flush Needle

http://www.evrs.eu/medias/2008/congress/Injection-and-Removing-of-Dyes,-PFCL-or-Triamcinolone-without-Back-Flush-Needle.flv Laurent Velasque Advantages: This personal technic using the vitreotome allows injecting and removing dyes PFCL or Triamcinolon without back flush needle. It reduces intra operative motions and duration of the surgery. Methods: The liquid is being injected directly into the vitreotome pipe, and then it can be removed...

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Vitrectomy Session – Subretinal Bubbles

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

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Anatomic and Functional Results in Macular Hole Surgery

Miguel Angel Quiroz-Reyes, MD (Mexico City, Mexico), Carmen Lizana, MD (Mexico, City, Mexico) PURPOSE: Is the limitorrhrexis an efective and secure technique to improve the anatomic and functional outcomes in idiopathic macular hole patients? METHODS: Retrospective study of patients with stage 2 to 4 idiopathic macular hole who underwent vitrectomy with and without dye-assited limitorhexis between the year 2000 to 2005. RESULTS: Fifty nine...

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Triamcinolone Acetonide in Silicone-filled Eyes as Adjunctive Treatment for Proliferative Vitreoretinopathy; a Randomized Clinical Trial

http://www.evrs.eu/medias/2006/congress/Triamcinolone-Acetonide-in-Silicone-filled-Eyes-as-Adjunctive-Treatment-for-Proliferative-Vitreoretinopathy;-a-Randomized-Clinical-Trial.swf Hamid Ahmadieh, MD (Tehran, Iran), Homa Tabatabaei, MD (Tehran, Iran), Mostafa Feghi, MD (Ahvaz, Iran), Ardeshir Papi, MD (Tehran, Iran), Alireza Ramezani, MD (Tehran, Iran), Touka Banaee, MD (Mashhad, Iran) PURPOSE: To evaluate the effect of triamcinolone...

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Intravitreal Injection of Triamcinolone for the Treatment of Diabetic Macular Edema

Ashraf Shoukry, (Doha Qatar, Saudi Arabia), Walid A. Alturki, MD (Jeddah, Saudi Arabia) PURPOSE: Can 4mg intravitreal triamcinalone acetonide effectively treat diabetic macular edema that is refractory to conventional laser treatment? METHODS: 50 eyes were enrolled in the study. Preinjection best corrected visual acuity; intraocular pressure and optical coherence tomography were done for each patient. Intraocular injection of 4 mg of...

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Diabetic Macular Edema Before and After Intravitreal Triamcinolone Injection

Alireza Ramezani, (Tehran, Iran), Homa Tabatabaei, MD (Tehran, Iran), Hamid Ahmadieh, MD (Tehran, Iran) PURPOSE: The therapeutic effect of intravitreal triamcinolone (IVT) on diabetic macular edema (DME), which is a chronic disease, has been shown to be temporary. This study was conducted to compare IVT treatment effect with the natural course of refractory DME in a particular group of the eyes. We chose one group for both interventions to...

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The Use of New Surgical Strategies in Dealing with Ocular Trauma

The Use of New Surgical Strategies in Dealing with Ocular Trauma

Giampaolo Gini, MD (Prato, Italy), Vincent S. Reppucci, MD (New York, NY) SYNOPSIS New techniques and devices are helping us deal successfully with complex trauma cases. Drainage implants have proved reliable where no other option for controlling IOP is available. Posterior hyaloid identification with Triamcinolone and its consequent removal accounts for fewer mid- and long-term retinal complications. Finally, the laser-assisted corneal...

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Surgical Management of Vitreo-retinal Proliferation

http://www.evrs.eu/medias/2006/videos/Surgical-Management-of-Vitreo-retinal-Proliferation.flv Jeroni Nadal, MD (Barcelona, Spain) SYNOPSIS Techniques and surgical manoeuvres are presented in the management of proliferative vitreo-retinophaty (PVR) including unimanual and bimanual surgery. Special procedures like peeling under perfluoro-carbon, use of biological stains to visualize the different proliferative menbranes, and viscosurgery to...

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25 Gauge Transconjunctival Sutureless Vitrectomy (TSV) for the Treatment of Myopic Macular Holes (MH) Complicated by Retinal Detachment (RD)

http://www.evrs.eu/medias/2006/videos/25-Gauge-Transconjunctival-Sutureless-Vitrectomy-(TSV)-for-the-Treatment-of-Myopic-Macular-Holes-(MH)-Complicated-by-Retinal-Detachment-(RD).flv Stanislao Rizzo, MD (Pisa, Italy), Federica Genovesi-Ebert, MD (Pisa, Italy), Michele Palla, MD (Pisa, Italy) SYNOPSIS 25-g TSV allows a faster patient’s recovery but sclerotomies can leak. We treat a myopic MH with RD where extensive vitrectomy with gas...

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Combined 25g Vitrectomy + Sheathatomy + ILM Peeling + Phacoemulsification + IOL Implantation for the Treatment ofBranch Retinal Vein Occlusion

Murat Oncel, MD (Istanbul, Turkey) SYNOPSIS This film demonstrates the use of the transcon-junctival sutureless 25-gauge vitrectomy system combining with clear corneal phacoemulsification and posterior chamber intraocular lens implantation. Sheathotomy was performed either using a special knife or nitinol flexiable extandible pick with trypan blue-assisted peeling of the internal limiting membrane in branch retinal vein occlusion. Pre- and...

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Objective Quantification of Disappearance of Plaque-like Hard Exudates in Diabetic Macular Edema after Intravitreal Triamcinolone Injection

Osman Cekic, MD, PhD (Isparta, Turkey), Yavuz Bardak, MD (Isparta, Turkey), Uzeyir Y ´ yld´ yzoglu, MD (Isparta, Turkey), Sahin Ufuk T ´ yg, MD (Isparta, Turkey) PURPOSE: To quantify the disappearance of plaque-like hard exudates after 4 mg intravitreal triamcinolone acetonide injection in eyes with diabetic macular edema. METHODS: This retrospective interventional case series included 22 eyes of 14 patients with chronic diabetic macular...

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Alterations in Ocular Perfusion after Intravitreal Triamcinolone Injection for Diabetic Macular Edema

Osman Cekic, MD, PhD (Isparta, Turkey), Yavuz Bardak (Isparta, Turkey), Aykut Demirkol, MD (Isparta, Turkey), Ahmet Yepildao, MD (Isparta, Turkey), Mustafa Yalç ´ yn, MD (Isparta, Turkey), Orhan Oyar, MD (Isparta, Turkey) PURPOSE: To investigate ocular hemodynamic changes after intravitreal triamcinolone acetonide injection in patients with diabetic macular edema. METHODS: Prospective interventional case-control study. Thirteen eyes of 13...

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Surgical Treatment of Macular Pucker: Multicenter Clinical Trial

Claudio Azzolini, (Segrate, Italy), Simone Donati, MD (Varese, Italy) PURPOSE: The aim of this multicentric, prospective, randomized study was to evaluate the efficacy of the inner limiting membrane removal and the indocyanine green staining on the outcomes of the surgical treatment of macular pucker. METHODS: 208 eyes in 208 patients with idiopathic macular pucker in selected italian centers were randomized and included in three groups as...

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Effects of Triamcinolone Injection on Macular Functions In Diabetic Macular Edema

Yavuz Bardak, MD (Isparta, Turkey), Osman Cekic, MD, PhD (Isparta, Turkey), Ufuk Sahin Tig, MD (Isparta, Turkey), Aykut Arslan Yildiz, MD (Isparta, Turkey) PURPOSE: To investigate effects of intravitreal triamcinolone injection on macular functions in patients with diabetic macular edema. METHODS: Intravitreal triamcinolone (4mg) injection was applied to 18 eyes of 18 subjects (Type II Diabetus Mellitus, mean age 57, M/F:9/9) with diabetic...

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Intravitreal Triamcinolone in the Treatment of Diabetic Maculopathy

Leyla S. Atmaca, MD (Ankara, Turkey), Elif Akmese, MD (Ankara, Turkey), Selcen Celik, MD (Ankara, Turkey) PURPOSE: To evaluate the efficacy of the intravitreal triamcinolone acetonide injection in the treatment of diabetic maculopathy. METHODS: This prospective, non-randomized, uncontrolled study included patients with diabetic maculopathy who were treated with 4 mg (0.1 ml) of triamcinolone acetonide intravitreally. Full ophthalmic...

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Posterior Juxtascleral Injection of Triamcinolone Acetonide for Cases of Diabetic Macular Edema Unresponsive or Unamenable to Laser Treatment

http://www.evrs.eu/medias/2006/congress/Posterior-Juxtascleral-Injection-of-Triamcinolone-Acetonide-for-Cases-of-Diabetic-Macular-Edema-Unresponsive-or-Unamenable-to-Laser-Treatment.swf Franco M. Recchia, MD (Nashville, TN), Jaclyn Lekse Kovach, MD (Nashville, TN), Guri Bronner, MD (Nashville, TN), Srilakshmi Maguluri, MD (Nashville, TN) PURPOSE: The risks of endophthalmitis, retinal detachment, and glaucoma associated with intravitreal...

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Triamcinolone Asssisted Vitrectomy in Treating Vitreoretinal Interface Abnormalities

http://www.evrs.eu/medias/2006/videos/Triamcinolone-Asssisted-Vitrectomy-in-Treating-Vitreoretinal-Interface-Abnormalities.flv Maria Stefaniotou, (Ioannina, Greece), Ekaterini Christodoulou, (Ioannina, Greece), Eleni Bagli, MD, PhD (Ioannina, Greece), Spiridon Gorezis, MD (Ioannina, Greece), Christos D. Kalogeropoulos, MD, PhD (Ioannina, Greece), Miltiadis Aspiotis, MD, PhD (Ioannina, Greece) SYNOPSIS Residual vitreous cortex is a scaffold...

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Preservative Free Triamcinolone Acetonide (PFTA) as an Adjuvant in Vitreoretinal Surgery

http://www.evrs.eu/medias/2006/videos/Preservative-Free-Triamcinolone-Acetonide-(PFTA)-as-an-Adjuvant-in-Vitreoretinal-Surgery.flv Arturo Santos, MD, PhD (Guadalajara, Mexico), Enrique A. Roig-Melo, MD PhD (Guadalajara, Mexico), Miguel Castellanos, MD (Guadalajara, Mexico), Ramon Flores- Fuentes, MD (Guadalajara, Mexico), Monica A. Ayala-Fernandez, MD (Guadalajara, Mexico), Iban Flores, MD (Guadalajara, Mexico) SYNOPSIS Many strategies have...

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Intravitreal Triamcinolone Acetonide in Silicone Filled Eye to Prevent Presilicone Fibrosis and Inferior Proliferative Vitreoretinopathy

Morteza Mehdizadeh, MD (Shiraz, Iran) PURPOSE: To asses the effect of intravitreal Triamcinolone Acetonide in silicone filled eye to prevent presilicone fibrosis (PSF) and proliferative vitreoretinopathy. METHODS: 4 eyes of 4 patients with early PSF and PVR changes in inferior retina 10-14 days after pars plana vitrectomy and silicone oil injection were taken. 0.1 ml, 4mg Triamcinolone Acetonide was injected through pars plana. The...

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Reliable and Reproducible Dosage Delivery of Triamcinolone Acetonide Prepared for Intravitreal Injection

Daniel B. Roth, MD (New Brunswick, NJ), Nancy E. Martin, PharmD, FCP (New Brunswick, NJ), Jonathan L. Prenner, MD (New Brunswick, NJ) PURPOSE: The empiric dose of 4mg in 0.1mL triamcinolone acetonide (TA) administered via intravitreal injection has demonstrated promising results for macular diseases. Variability of the actual dose delivered has been a concern with the use of Kenalog®-40 suspension. Herein, we evaluate the reproducibility...

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ILM Peeling with the Use of Trypan Blue in Different Indications

http://www.evrs.eu/medias/2006/videos/ILM-Peeling-with-the-Use-of-Trypan-Blue-in-Different-Indications.flv Zofia Nawrocka, MD (Lodz, Poland), Jerzy Nawrocki, MD, PhD (Lodz, Poland), JanuszMichalewski, MD (Lodz, Poland), Zofia  Michalewska, MD (Lodz, Poland) SYNOPSIS Simple method of staining with trypan blue is presented. After closing of infusion line small amount of trypan blue is slowly injected over the macula. This allows putting the...

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Retinal Toxicity to Triamcinolone Acetonide’s Vehicle: An Electrophysiology and Electromicroscopy Study

Tamer Macky, MD (Cairo, Egypt), Dina Helmy, MD (Cairo, Egypt), Nihal El Shazly, MD (Cairo, Egypt) PURPOSE: To assess rabbit retinal toxicity to triamcinolone acetonide vehicle, benzyl alcohol, when injected intravitreally. METHODS: This prospective comparative experimental study included 24 pigmented rabbits assigned into 2 groups; group 1 (experiment, n=12) received intravitreal 0.1ml of benzyl alcohol (BA), and group 2 (control, n=12)...

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Early Vitrectomy for Acute Endophthalmitis Following Intravitreal Triamcinolone Acetonide Injection

Adiel Barak, MD (Tel Aviv, Israel), Anat Loewenstein, MD (Tel Aviv, Israel) PURPOSE: Infectious endophthalmitis following intravitreal triamcinolone injections (IVTA) can result in severe loss of vision when treated in a fashion similar to the endophthalmitis vitrectomy Study recommendations. We want to report outcomes of six eyes who developed acute postoperative endophthalmitis following IVTA and were treated with early vitrectomy and...

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Secondary Glaucoma after Intravitreal Triamcinolone Acetate Injection

Ferenc Kuhn, MD, PhD (Birmingham, AL), Zsuzsanna Szijarto, MD (Pecs, Hungary), Gyongyi Kiss, MD (Pecs, Hungary) PURPOSE: Intravitreal triamcinolone acetate injection has become very popular for treating a variety of conditions ranging from macular edema to age-related macular degeneration. Its complication rate, however, needs to be closely evaluated. METHODS: A prospective study was undertaken to evaluate the postoperative complications of...

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Condiments in Vitreoretinal Surgery: a Bad Day in the Kitchen!

Condiments in Vitreoretinal Surgery: a Bad Day in the Kitchen!

J. Fernando Arevalo, MD, FACS (Caracas, Venezuela), Reinaldo A. Garcia, MD (Caracas, Venezuela) SYNOPSIS We report a case of macular hole surgery complicated by accidental massive subretinal indocyanine green (ICG), and retinal tear through the papillomacular bundle. Our anatomic and functional results were poor with retinal and RPE atrophy, and a VA of 20/150. Unnecessary persistent subretinal ICG should be avoided, and precautions should...

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Long-term Retinal Toxicity of Intravitreal Commercially-available Preserved Triamcinolone Acetonide (Kenalog) in Rabbit Eyes

Eric R. Holz, MD (Houston, TX), Thomas A. Albini, MD (Houston, TX), Muhammad M. Abd- El-Barr, (Houston, TX), Petros E. Carvounis, BM, BCh (Houston, TX), Mohan N. Iyer, MD (St. Petersburg, FL), Rohit R. Lakhanpal, MD (Houston, TX), Mark E. Pennesi,(Houston, TX), Patricia Chevez-Barrios, MD (Houston, TX), Samuel M. Wu, PhD (Houston, TX) PURPOSE: To investigate whether IVTK produces histological or electroretinographic changes in the rabbit...

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Vitreous Cutter-assisted Triamcinolone and/or PFCL Infusion

http://www.evrs.eu/medias/2006/videos/Vitreous-Cutter-assisted-Triamcinolone-and-or-PFCL-Infusion.flv Spyridon Mourtzoukos, MD (Athens, Greece), Giorgos Morphis, MD (Athens, Greece), Manolis Gogos, MD (Athens, Greece), Elias Feretis, MD (Athens, Greece) SYNOPSIS During vitrectomy the vitreous cutter may removed and a blunt needle is inserted to inject substances in the vitreous cavity such as triamcinolone, or PCFL. In our technique, the...

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Stardust – Triamcinolone Acetonide in Macular Surgery

http://www.evrs.eu/medias/2006/videos/Stardust-Triamcinolone-Acetonide-in-Macular-Surgery.flv Joseph Moisseiev, MD (Tel Aviv, Israel) SYNOPSIS The film demonstrates how injection of Triamcinolone acetonide during vitrectomy improves the visibility of residual cortical vitreous in three cases: a case of vitreomacular traction syndrome, diabetic macular edema in an eye with PDR, and very thin ERM following PVD with multiple retinal breaks....

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Pars Plana Vitrectomy Alone for the Management of Rhegmatogenous Retinal Detachment: The Importance of Using a Chandelier Illumination

http://www.evrs.eu/medias/2006/videos/Pars Plana Vitrectomy Alone for the Management of Rhegmatogenous-Retinal-Detachment:-The-Importance-of-Using-a- Chandelier-Illumination.flv Vicente Martinez-Castillo, MD (Barcelona, Spain), Anna Boixadera, MD (Barcelona, Spain), Miguel A. Zapata, MD (Barcelona, Spain), José García-Arumí, MD (Barcelona, Spain) SYNOPSIS This video describes the main advantages of using a 25-gauge sutureless xenon...

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Colorants in Vitreo-retinal Surgery “United Colours of Vitrectomy”

http://www.evrs.eu/medias/2006/videos/Colorants-in-Vitreo-retinal-Surgery-United-Colours-of-Vitrectomy.flv Giuseppe Giunchiglia, MD (Palermo, Italy), Cesare Forlini, MD (Ravenna, Italy), Benedetto Scarpulla, MD (Palermo, Italy), Francesco la Barbera, MD (Palermo, Italy) SYNOPSIS This video shows the use of colorants during the various stages of vitreo-retinal surgery. An endovitreal injection of Triamcinolone Acetonide and/or of Tripan Blue...

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Use of Trypan Blue Dye in Removal of Internal Limiting Membrane (ILM)

http://www.evrs.eu/medias/2006/videos/Use-of-Trypan-Blue-Dye-in-Removal-of-Internal-Limiting- Membrane-(ILM).flv Alay S. Banker, MD (Ahmedabad, India), Marisa Flores-Aguilar, MD (Tijuana, Mexico) SYNOPSIS The video demonstrates the efficacy of (0.2%) trypan blue dye for staining internal limiting membrane (ILM) in eyes undergoing vitrectomy for macular hole, vitreomacular traction syndrome and diabetic retinopathy. Trypan blue resulted in a...

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Trypan Blue-assisted Vitrectomy: More Condiments in France

http://www.evrs.eu/medias/2006/videos/Trypan-Blue-assisted-Vitrectomy:-More-Condiments-in-France.flv J. Fernando Arevalo, MD, FACS (Caracas, Venezuela), Juan G. Sanchez, MD (Caracas, Venezuela) SYNOPSIS We evaluated the efficacy of trypan blue (TB) dye for the staining and removal of the internal limiting membrane (ILM), epiretinal membranes (ERM), and the mechanical detachment of the posterior hyaloid during pars plana vitrectomy. No...

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The Effect of an Intravitreal Triamcinolone Injection in Macular Edema Secondary to Parafoveal Telangiectasis Type 2A

Lihteh Wu, MD (San Jose, Costa Rica), Teodoro Evans, MD (San Jose, Costa Rica), J. Fernando Arevalo, MD, FACS (Caracas, Venezuela), Maria H. Berrocal, MD (Santurce, PR), Francisco J. Rodriguez, MD (Bogota, Colombia), Maria Hsu, MD (San Jose, Costa Rica), Juan G. Sanchez, MD (Caracas, Venezuela) PURPOSE: To report the visual outcome and ocular complications of an intravitreal injection of triamcinolone (IVT) in the treatment of macular edema...

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Modified Technique for Improving Trypan Blue Staining of Epiretinal Membranes

Modified Technique for Improving Trypan Blue Staining of Epiretinal Membranes

Stanislao Rizzo, MD (Lucca, Italy), Michele Palla, MD (Pisa, Italy), Federica Genovesi-Ebert, MD, PhD (Pisa, Italy) SYNOPSIS In the air-filled vitreous cavity we have instilled first TB and subsequently liquid perfluorocarbon, that due to its high specific gravity pushes down the coloring agent, thus making it spread better on the retinal surface, allowing a more effective and complete ERM staining and removal.   VIDEO not...

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Pars Plana Vitrectomy Alone for the Management of Rhegmatogenous RD: The Importance of Using a Chandelier Illumination

Pars Plana Vitrectomy Alone for the Management of Rhegmatogenous RD: The Importance of Using a Chandelier Illumination

Vicente Martinez-Castillo, MD (Barcelona, Spain), Anna Boixadera, MD (Barcelona, Spain), Miguel A. Zapata, MD (Barcelona, Spain), José García-Arumí, MD (Barcelona, Spain) SYNOPSIS This video describes the main advantages of using a 25-gauge sutureless xenon chandelier light during Pars Plana Vitrectomy for the surgical repair of rhegma-togenous retinal detachment: Peripheral scleral depression by the surgeon, improved fundus view during...

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Predictive Factors for Visual Outcome after Intravitreal Triamcinolone Acetonide Injection for Diabetic Macular Edema

Rishi P. Singh, MD (Shaker Heights, OH), Oswaldo FM Brasil, MD (Cleveland, OH), Anat Galor, MD (Cleveland, Ohio), Scott D Smith, MD, MPH (Cleveland, OH), Careen Y. Lowder, MD (Cleveland, OH), Jonathan E. Sears, MD (Cleveland, OH), Peter K. Kaiser, MD (Cleveland, OH) PURPOSE: To evaluate the predictive factors for visual outcome after intravitreal triamcinolone acetonide injection in the treatment of diabetic macular...

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The Effect of an Epiretinal Membrane on Intravitreal Triamcinolone Treatment for Diabetic Macular Edema

http://www.evrs.eu/medias/2006/congress/The-Effect-of-an-Epiretinal-Membrane-on-Intravitreal-Triamcinolone-Treatment-for-Diabetic-Macular-Edema.swf Parin S. Gohel, MD (Denver, CO), Gian Paolo Giuliari, MD (Caracas, Venezuela), Antonio P. Ciardella, MD (Denver, CO) PURPOSE: To evaluate the efficacy of intravitreal triamcinolone injection (IVTA) for the treatment of diabetic macular edema (DME) in eyes with an epiretinal membrane (ERM)...

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Intravitreal Triamcinolone for Acute Central Retinal Vein Occlusion: A Randomized Clinical Trial

Alireza Ramezani, MD (Tehran, Iran), S. Morteza Entezari (Tehran, Iran), Siamak Moradian, MD (Tehran, Iran), Homa Tabatabaei, MD (Tehran, Iran), Shohreh Kadkhodaei, MD (Tehran, Iran) PURPOSE: Central retinal vein occlusion (CRVO) is the most common vascular event in the eye after diabetic retinopathy. This study was conducted to evaluate the therapeutic effect and safety of intravitreal triamcinolone acetonide (IVT) in acute...

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Modified Technique for Improving Trypan Blue (TB) Staining of Epiretinal Membranes (ERM)

Stanislao Rizzo, MD (Lucca, Italy), Michele Palla, MD (Pisa, Italy), Federica Genovesi-Ebert, MD, PhD (Pisa, Italy) SYNOPSIS In the air-filled vitreous cavity we have instilled first TB and subsequently liquid perfluorocarbon, that due to its high specific gravity pushes down the coloring agent, thus making it spread better on the retinal surface, allowing a more effective and complete ERM staining and removal.

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The Use of New Surgical Strategies in Dealing with Ocular Trauma

http://www.evrs.eu/medias/2006/videos/The-Use-of-New-Surgical-Strategies-in-Dealing-with-Ocular-Trauma.flv Giampaolo Gini, MD (Prato, Italy), Vincent S. Reppucci, MD (New York, NY) SYNOPSIS New techniques and devices are helping us deal successfully with complex trauma cases. Drainage implants have proved reliable where no other option for controlling IOP is available. Posterior hyaloid identification with Triamcinolone and its consequent...

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The Iatrogenic Price of Some Tips and Tricks

Vincenzo Ferrara, MD (Arona, Italy), Daniele Battistello, MD (Busto Arsizio, Italy), Vito Belloli, MD (Robecchetto, Italy) SYNOPSIS In recent years several maneuvers and tools have been introduced in the vitreoretinal routine to facilitate, make safer or simply  speed up our surgery. Among these, the staining with colorants of the surfaces to be peeled or the use of self-sealing transconjunctival small incisions are the more popular....

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Condiments in Vitreoretinal Surgery: A Bad Day in the Kitchen!

http://www.evrs.eu/medias/2006/videos/Condiments-in-Vitreoretinal-Surgery:-A-Bad-Day-in-the-Kitchen.flv J. Fernando Arevalo, MD, FACS (Caracas, Venezuela), Reinaldo A. Garcia, MD (Caracas, Venezuela) SYNOPSIS We report a case of macular hole surgery complicated by accidental massive subretinal indocyanine green (ICG), and retinal tear through the papillomacular bundle. Our anatomic and functional results were poor with retinal and RPE...

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Indocyanine Green (ICG) Mediated Phototrombosis of a Large Retinal Hemangioblastoma in von Hippel-Lindau Disease

Enrico Bertelli, (Bolzano, Italy) PURPOSE: To assess the efficacy of ICG mediated phototrombosis in the treatment of large vascular lesions, and in particular of a 6 mm large, actively exudating retinal hemangioblastoma in a case of von Hippel- Lindau disease. METHODS: A 31 year old female patient presented with history of decreased vision in her right eye dating back several months. Visual acuity had decreased to 20/200. Fundus examination...

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Fundus Autofluorescence in Central Serous Chorioretinopathy

Seung-Young Yu, MD, PhD (Seoul, Korea), Sang-Woong Moon, MD (Seoul, Korea), Won Ki Lee, MD, PhD (Seoul, Korea), Hyung-Woo Kwak, MD, PhD (Seoul, Korea) PURPOSE: To describe the fundus autofluorescence (FAF) patterns in patients with central serous chorioretinopathy (CSC) and compare them with the findings of optical coherent tomography (OCT), fluorescein angiography (FA), and indocyanine green angiography (ICG). METHODS: The FAF images were...

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A Meta-analysis of Visual Outcome Following Intravitreal Triamcinolone Acetonide for Macular Edema in Retinal Vascular Disorders

Ron A. Adelman, MD, MPH (New Haven, CT), Adarsh Arya, MD (New Haven, CT), John Emerson, PhD (New Haven, CT) PURPOSE: To study predictive factors that determine visual improvement following intravitreal triamcinolone acetonide for macular edema in diabetes and retinal vein occlusions. METHODS: A meta-analysis was performed on the articles reporting functional outcome following intravitreal triamcinolone in macular edema associated with...

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The Complications after Intravitreal Injection of Triamcinoline Acetonide

Dong Heun Nam, MD (Incheon, Korea), Jee Woong Jeung, MD (Incheon, Korea), Kyung Hwan Shyn, MD, PhD (Incheon, Korea) PURPOSE: This study was performed to ascertain the complication, intraocular pressure(IOP) elevation and cataract formation, arisen after 4.0 mg triamcinolone (TA) is injected into vitreous cavity in curing retinal diseases, and to analyze the influential factors. METHODS: The 289 patients and 325 eyes traced for over 6...

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Safety Profile of Various Steroids on Retinal Cells in Vitro

Baruch D. Kuppermann, MD, PhD (Irvine, CA), Raja Narayanan, MD (Irvine, CA), Saurabh Luthra, MD (Irvine, CA), L. E. Marques, MD (Irvine, CA), Aneesh Neekhra, MD (Irvine, CA), Maria C. Kenney, MD (Irvine, CA) PURPOSE: To study the toxicity of the steroids triamcinolone acetonide (Kenalog®), preservative free triamcinolone (PFTA), dexamethasone, betamethasone, and methyl prednisolone acetate (Depomedrol®) on retinal pigment epithelial...

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Radial Optic Neurotomy Plus Intravitreal Triamcinolone with and without Internal Limiting Membrane Peeling for Central Retinal Vein Occlusion

Jose Garcia-Arumi, MD (Barcelona, Spain), Miguel Angel Zapata, MD (Barcelona, Spain), Anna Boixadera, MD (Barcelona, Spain), Alejandro Fonollosa, MD (Barcelona, Spain), Jorge Prieto, MD (Barcelona, Spain), Vicente Martinez-Castillo, MD (Barcelona, Spain) PURPOSE: RON has been proposed to relieve the pressure exerted by scleral ring in CRVO. Vitrectomy, intravitreal triamcinolone and ILM peeling seem to be effective for treating macular...

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Comparative Study of Surgical and Conservative Medical Treatment of Vascular Occlusions

Indu Singh, MS Purpose: To compare the results of Vitrectomy with vein decompression (for BRVO) and neurotomy (for CRVO) and conservative management of these diseases with photocoagulation and intraocular injection of Triamcinolone. Methods: 52 eyes with Macular edema and visual acuity worse than 6/24 secondary to BRVO and CRVO were taken up for this study. Four groups were formed wherein the patients underwent either medical or surgical...

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Clinical Outcome after Vitrectomy with or without Internal Limiting Membrane Peeling in Proliferative Diabetic Vitreoretinopathy Patients with Macular Edema

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...

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The Effect of Intravitreal Triamcinolone Acetonide on Optic Nerve Head Topography

Yusuf Akar, Cemil Apaydin, Meryem Altin, Asli Oner Purpose: To assess the effects of intravitreal triamcinolone acetonide injection on optic nerve head topography. Methods: The study population consisted of one eye of 23 patients with type 2 diabetes mellitus with clinically significant macular edema. None of the patients had proliferative diabetic retinopathy or a history of retinal laser photocoagulation. All eyes had received 4 mg of...

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Different Effect of Intravitreal Triamcinolone Acetonide in the Management of Macular Edema Secondary to Perfusion Type and Ischemic Type Branch Retinal Vein Occlusion

Yun-Sik Yang, Cang-uk Choi, Yong-Woo Kim Purpose: To evaluate the difference of intravitreal triamcinolone acetonide in the management of macular edema secondary to perfusion type and ischemic type branch retinal vein occlusion (BRVO). Methods: 44 patients consecutive patients were selected with a BRVO with macular edema. 23 were perfusion type and twenty one were ischemic type BRVO. These patients received a single intravitreal injection...

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Intravitreal Triamcinolone Acetonide Injection for the Management of Branch Retinal Vein Occlusion

N. Acar, M. Çakır, Y. B. Ünver, Z. Kapran, T. Altan, Z. Bayraktar, E. Y. Pınarcı, I. Perente, M. Dogan Purpose: To evaluate the efficacy of intravitreal triamcinolone acetonide (IVTA) injection for the treatment of macular edema (ME) due to branch retinal vein occlusion (BRVO) by OCT. Methods: In this prospective study, a total 42 eyes of 42 patients with BRVO in which visual acuity is ≤ 0.5 Snellen lines with ME were included in...

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Intravitreal Triamcinolone (IVT) for Diabetic Massive Macular Hard Exudates

http://www.evrs.eu/medias/2005/congress/Intravitreal-Triamcinolone-(IVT)-for-Diabetic-Massive-Macular-Hard-Exudates.swf S. Ben Yahia , B. Jelliti, K. Hmidi, F. Amouri, S. Attia, R. Messaoud, A. Ladjimi, M. Khairallah Purpose: To evaluate the efficacy of intravitreal triamcinolone acetonide (TA) as treatment for massive macular hard exudates in diabetic patients. Methods: Prospective, noncomparative, interventional case series, of twelve...

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Regression of Serous Macular Detachment after Intravitreal Triamcinolone

Murat Karacorlu, Hakan Ozdemir, Serra Arf Karacorlu Purpose: To evaluate the effect of intravitreal triamcinolone acetonide on serous macular detachment in eyes with diabetic cystoid macular edema (CME). Methods: Twenty eyes of 20 patients with diabetic macular edema made up the study population. The eligibility criteria for this study included clinically detectable CME in which the presence of serous macular detachment was documented by...

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Combined Treatment: Photodynamic Therapy with Visudyne and Intravitreous Injection of Triamcinolone (IVT)

http://www.evrs.eu/medias/2005/congress/Combined-treatment:-Photodynamic-therapy-with-visudyne-and-intravitreous-injection-of-triamcinolone-(IVT).swf Guy L’Helgoual’ch Purpose: To estimate the interest of intravitreous injection of Triaminolone 24 hours after Photodynamic Therapy with Visudyne used as treatment of néovascular complications of age related macular degeneration. Methods: During a period longer than 2 years, each patient...

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Intravitreal Triamcinolone Acetonide Injection for the Management of Diabetic Macular Edema

http://www.evrs.eu/medias/2005/congress/Intravitreal-Triamcinolone-Acetonide-Injection-for-the-Management-of-Diabetic-Macular-Edema.swf Mehmet Cakir, MD, C. Aslı Utine, MD, Nur Acar, MD, Y. Banu Ünver, MD, Muhammed Beyazal, MD, Irfan Perente, MD, Tugrul Altan, MD, Zerrin Bayraktar, MD, E. Yaman Pınarcı, MD, Ziya Kapran – Beyoglu Eye Research and Education Hospital, Istanbul Purpose: To evaluate the efficacy of intravitreal...

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Confounding Factors on the Effect of Intravitreal Triamcinolone for Refractory Diabetic Macular Edema

http://www.evrs.eu/medias/2005/congress/Confounding-Factors-on-the-Effect-of-Intravitreal-Triamcinolone-for-Refractory-Diabetic-Macular-Edema.swf Ali R. Ramezani, MD, Hamid Ahmadieh, MD Purpose: To evaluate the influences of different confounding factors on the effect of intravitreal triamcinolone acetonide (IVTA) for refractory diabetic macular edema (DME) according to clinical, angiographic and optical coherence tomographic...

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Intravitreal Triamcinolone Acetonide (IVTA) for Diabetic Macular Edema (DME): Primary vs Secondary

http://www.evrs.eu/medias/2005/congress/Intravitreal-Triamcinolone-Acetonide-(IVTA)-for-Diabetic-Macular-Edema-(DME):-Primary-vs-Secondary.swf B. V. Kumar, L. Dhir, C. Murphy, S. Prasad Purpose: To compare benefit of IVTA in patients with DME as a Primary treatment option or as Secondary option after laser treatment. Methods: Non-randomised retrospective case review was done of 8 patients with DME who had undergone treatment with...

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The Many Faces of Triamcinolone

Giampaolo Gini Purpose: To present the indications and the limits of triamcinolone in the treatment of macular conditions both as single treatment by itself, as a preparatory step for further procedures or an intraoperatory instrument. Methods: In dealing with macular edema understanding the causes determining the condition is essential in choosing a successful therapeutic strategy. Thus, triamcinolone finds different indications according...

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Photodynamic Therapy in the Treatment of Retinal Angiomatous Proliferation (RAP)

http://www.evrs.eu/medias/2005/congress/Photodynamic-therapy-in-the-treatment-of-retinal-angiomatous- proliferation-(RAP).swf Márcio Nehemy, MD, PhD, Erika Magalhães, MD, PhD, Patrícia Nehemy, MD Purpose: To evaluate photodynamic therapy (PDT) for retinal angiomatous proliferation (RAP). Methods: Thirty eight eyes of thrity one consecutive patients with RAP were treated with PDT. Fifteen of these eyes received also an intravitreous...

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Does Using Intravitreal Triamcinolone Acetonide During ILM Peeling Affect the Outcome of Macular Hole Surgery?

http://www.evrs.eu/medias/2005/congress/Does-Using-Intravitreal-Triamcinolone-Acetonide-During-ILM-Peeling-Affect-the-Outcome-of-Macular-Hole-Surgery.swf Murat Karacorlu, Hakan Ozdemir, Serra Arf Karacorlu Purpose: To evaluate functional and anatomical outcome of triamcinolone acetonide assisted internal limiting membrane (ILM) peeling in patients with macular hole. Methods: Fifteen eye of 15 consecutive patients were identified with stage...

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