European VitreoRetinal Society a certain philosophy

http://www.dailymotion.com/video/xuct5f http://www.dailymotion.com/video/xudmjn http://www.dailymotion.com/video/xufmom Advantages: To improve certain vitreo-retinal instruments to enhance the accesses to posterior pole and avoid complications during macular surgery in highly myopic eyes. Methods: Modified double bent aspiration 23-gauge cannula with 30.00 mm working part was used during pars plana vitrectomy in highly myopic eyes. The...

SYMPOSIUM: SUTURELESS VITRECTOMY Moderator: Anne-Catherine Gribomont Tuesday, June 21, 2005   25g sutureless surgery for macular pucker Author: A. Nikolakopoulos, I. Panidou, E. Fantel, E. Psimenidou, A. Vakalis Abstract : Purpose: To present a new system for 25g sutureless vitrectomy using high vacum for a quicker and safer result. Methods: In our clinic in Thessaloniki we are trying to modify our technique for macular surgery by...

on SYMPOSIUM: ARMD SURGICAL APPROACH Monday, June 20, 2005 ; 8:30 – 1:15 The Challenge of Retinal Transplantation Author: Peep V. Algvere, M.D., Ph.D., Relya Zivojnovic Award Abstract : Since several retinal diseases and dystrophies exhibit apoptotic cell death of photoreceptors and/or RPE cells, transplantation of young and healthy cells has been most desirable to replace the diseased tissue. A remarkable achievement was the...

SYMPOSIUM:MACULA POT POURRI Moderator: Khaled El-Rakhawy Sunday, June 19, 2005 One port VPPV for the treatment of epimacular disorders: Author: Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Barbara Campanini, MD, Department of Ophthalmology – Ravenna Hospital Viale V. Randi, 5 48100 Ravenna, Italy Abstract : Purpose: This presentation shows a personal technique of one port VPPV for the treatment of epiretinal...

Radek Girgle, Igor Vicha, Eva Vlkova, Jiri Rozman, Martin Cizek, Jiri Dlouhy (Brno, Czech Republic) Advantages: Team of ophthalmologists and bioengineers presents the final version of a three-year development of a new electronic system helping the patients to keep the head in optimal position after vitrectomy. A head mounted device continually monitors the head position and immediately warns the patient whenever the position of the head...

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/2009/congress/Trauma.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: Presenting the “pole to pole” surgical strategy as a reconstruction in trauma cases using multiple procedure surgery all in a single operation. It is important for the ophthalmologist to develop strategic thinking so that it can be used systematically in different cases. Methods: The introduction of...

Kim, Jung-Yeul Purpose: To evaluate the postoperative frequency and severity of posterior synechia after combined pars plana vitrectomy, phacoemulsification, and intraocular lens implantation in different groups using long-acting and short-acting mydriatics. Design: Prospective, randomized, controlled trial. Participants: A total of 69 eyes in 69 patients with rhegmatogenous retinal detachment and cataracts. Methods: All patients underwent...

Igor Vicha, Eva Vlkova, Radek Girgle (Department of Ophthalmology, Masaryk University and University Hospital, Brno, Czech Republic), Jiri Rozman, Martin Cizek, Jiri Dlouhy (Department of Biomedical Engineering, Faculty of Electrical Engineering and Communication, University of Technology, Brno, Czech Republic) Advantages: A new electronic system helps patients to keep their heads in optimum position after vitrectomy (firstly with gas). A...

http://www.evrs.eu/medias/2006/congress/Interface-Vitrectomy.swf Steve T. Charles, MD (Memphis, TN)* PURPOSE: To demonstrate that all vitreoretinal surgery techniques can be performed under air, PFO or silicone oil and that this is often advantageous. METHODS: Retrospective review of charts, operative notes, and surgical videos. Prospective, consecutive series of medium term PFO use and surgery under silicone will be discussed. Critical...

Woo Hyok Chang, (Daegu, South Korea) PURPOSE: To provide an insight into the learning curve of ophthalmologist in fellowship course associated with scleral buckling procedure and to determine risk factors affecting outcomes during this period. METHODS: Prospective data were collected on 80 consecutive scleral buckling operations alone performed by author over a 22-month period, beginning with his first year fellowship course. All patients...

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...

Carl C. Awh, MD (Nashville, TN)* PURPOSE: To demonstrate the efficacy of new devices for vitreoretinal surgery, including the following: an improved chandelier illuminator, “one-step” insertion cannulas for 23- and 20-gauge vitrectomy, an intraocular fluid micro-injector, and an improved endoillumination source. To compare these devices to previously existing devices. METHODS: The following devices were used during a variety of...

Luiz Eduardo de Aguiar Marques, MD (Irvine, CA), Faisal Jehan, MD (Irvine, CA), Bogdan Alexandrescu, MD (Irvine, CA), Baruch D. Kuppermann, MD, PhD (Irvine, CA)* SYNOPSIS We show 25-gauge surgeries with an emphasis on external aspects and our technique of tunnelled incisions. We also demonstrate situations that may occur during surgery (cannulas coming out, suturing…). Internal limiting peeling in a diabetic patient, aqueous...

http://www.evrs.eu/medias/2006/videos/Lost-in-Vitrectomy-South-of-the-Border-Approach.flv Virgilio Morales-Canton, MD (Mexico City, Mexico) SYNOPSIS This video shows different techniques that can be used on some surgical steps of the vitrectomy proce-dure. What to do with small pupils when you don’t have iris hooks? How to survive and have a successful case when the instrumentation is not the best?

http://www.evrs.eu/medias/2006/videos/A-New-Surgical-Approach-in-the-Management-of-Posteriorly-Dislocated-Intraocular-Lenses.flv Tansu Erakgun, MD (Izmir, Turkey) SYNOPSIS I herein report on one patient a new surgical technique in the management of dislocated PCIOLs consisting retrieval from the vitreous cavity, followed by repositioning of the intraocular lens with minimal tissue damage and complications. The instrument used consists of a...

Carlos Mateo, MD (Barcelona, Spain), Borja Corcostegui, MD (Barcelona, Spain) SYNOPSIS Dry macular folds are a rare complication after vitreoretinal surgery. Most reported associated conditions are: superior bullous retinal detachment repair, giant breaks retinal detachment repair and recently limited macular translocation. When affecting the fovea dry macular folds cause a dense linear scotoma with metamorphosia with a very unpleasant...

Virgilio Morales-Canton, MD (Mexico City, Mexico) SYNOPSIS Vitrectomy techniques have evolved greatly during the last decade thanks to improvements in technology. Wide-angle visualization, and better instrumentation offers better surgical outcomes. This video describes important considerations during surgery that facilitates the maneuvers giving better results, and that’s why can be considered “a reference for the rest of...

http://www.evrs.eu/medias/2006/videos/Bimanual-Vitreous-Surgery-Using-Xenon-Light-Illuminated- Translucent-Forceps-and-Illuminated-Infusion-Line.flv Ching J. Chen, MD (Jackson, MS), Michael C. Palmer, MD (Jackson, MS), Hussein Wafapoor, MD (Jackson, MS), Charles G. Sherwood, MD (Jackson, MS) SYNOPSIS This film will demonstrate a practical way to conduct a bimanual membrane dissection. Xenon light was connected to the Duo-Mode infusion...

Murat Oncel, MD (Istanbul, Turkey) SYNOPSIS This film demonstrates the technique of using a new microscope observation system for vitrectomy procedures that does not require the use of fiber optic illumination. Without fiber optic illumination, the surgeon is able to perform bimanuel surgery. A 40D non-contact lens provides a wide-angle viewing. ...

Andriy Sergienko, MD (Kiev, Ukraine), Alexander Filipchuk, MD (Kiev, Ukraine) PURPOSE: To evaluate efficacy of the method developed for safe vitrectomy manipulations. METHODS: A design of the developed instrument is supplied with thin irrigation tube which is fixed near a tip of the vitreo-cutter. The water jet from the tube allows to prevent capture of the retina and to control removal of vitreous. Initial trial of the instrument was...

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...

Virgilio Morales-Canton, MD (Mexico City, Mexico) SYNOPSIS This video shows different techniques that can be used on some surgical steps of the vitrectomy proce-dure. What to do with small pupils when you don’t have iris hooks? How to survive and have a successful case when the instrumentation is not the best? ...

Daniel Ochoa-Contreras, MD (Mexico City, Mexico), Maura Lucy Abraham Marin, MD (Mexico City, Mexico), Carlos Fernando Cortes Luna, MD (Bogota, Colombia), Ricardo Agurto Rivera, MD (Santiago, Chile), Mitzy Torres Soriano, MD (Mexico City, Mexico),Lidia Griselda Alvarez-Rivera, MD (Mexico City, Mexico), Virgilio Morales-Canton, MD (Mexico City, Mexico) PURPOSE: Describe our experience with two-port vitrectomy, using binocular indirect...

http://www.evrs.eu/medias/2006/videos/A-New-Microscope-with-Wide-Angle-Viewing-System-without-Endoillumination.flv Murat Oncel, MD (Istanbul, Turkey) SYNOPSIS This film demonstrates the technique of using a new microscope observation system for vitrectomy procedures that does not require the use of fiber optic illumination. Without fiber optic illumination, the surgeon is able to perform bimanuel surgery. A 40D non-contact lens provides a...

Virgilio Morales-Canton, MD (Mexico City, Mexico) SYNOPSIS Vitrectomy techniques have evolved greatly during the last decade thanks to improvements in technology. Wide-angle visualization, and better instrumentation offers better surgical outcomes. This video describes important considerations during surgery that facilitates the maneuvers giving better results, and that’s why can be considered “a reference for the rest of us.”

Sal Rassam, (Worthing, UK) PURPOSE: A mathematical model is proposed for the posterior pole of the eye that will aid in the design of vitreoretinal microsurgical instruments. METHODS: An initial 2-Dimensional mathematical model is formulated based on certain basic assumptions. It is then carried forward to a 3-Dimensional view of the posterior pole from which angles of approaches to the macula are extrapolated. These are then put to the...

http://www.evrs.eu/medias/2006/videos/BEST-OF-SHOW-Managing-Dry-Macular-Folds-after-Vitreoretinal-Surgery.flv Carlos Mateo, MD (Barcelona, Spain), Borja Corcostegui, MD (Barcelona, Spain) SYNOPSIS Dry macular folds are a rare complication after vitreoretinal surgery. Most reported associated conditions are: superior bullous retinal detachment repair, giant breaks retinal detachment repair and recently limited macular translocation. When...

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/A-Simple-Snare-Instrument-for-Intraocular-Foreign-Bodies.flv Tansu Erakgun, MD (Izmir, Turkey) SYNOPSIS Intraocular foreign bodies (IOFB) often produce injuries to a variety of ocular structures in a complex array of patterns and form a risk for infection, retinal detachment and metallosis. Here I report a simple snare instrument formed of a vascular catheter and a prolene suture, used for the removal...

Calvin A. Grant, MD (Oak Lawn, IL) PURPOSE: To address the possibility of safe and reproducible multiple sequential branch retinal vein decompression and chorioretinal venous anastomosis for the reversal ischemia central vein occlusion as evidenced by patient satisfaction, vision, pupillary function, and fluorescein and/or ICG angiography. To monitor for neovascularization and vitreous hemorrhage known in laser only CRVA...

http://www.evrs.eu/medias/2006/videos/Shielded-Bullet-Pick.flv Edwin H. Ryan, MD (Minneapolis, MN)* SYNOPSIS The shielded bullet pick has been available for nearly 10 years. I think it is underutilized, and feel it both saves time and improves outcomes in complex cases. This video will show some of its uses for bimanual membrane dissection. The cases include PVR, PDR, RD with macular hole, myopic macular hole, and management of dislocated...

Frank Koch, MD, 1, Lars-Olof Hattenbach, MD, 1, Albert Augustin, MD, 2 – 1 University Eye Clinic Frankfurt/M., Germany, 2. Staedt. Kliniken Karlsruhe, Germany Purpose: To summarize the treatment potentials of steroid injections w/o laser coagulation for treatment of the macula in ARMD. Methods: Triamcinolone (0.4 to 20 mg) is injected intravitreally and/or subretinally. Subthreshold laser is applied transretinally or subretinally through...

http://www.evrs.eu/medias/2005/congress/Is-Face-Down-Positioning-Necessary-in-Macular-Hole-Surgery.swf Jan-Olof Carlsson Purpose: To evaluate the possibility of abandon face down positioning in order to widen the indications for idiopathic macular hole surgery and to facilitate the postoperative period without compromising the success rate. Methods: One experienced surgeon, using a standard 3-port vitrectomy, ILM peeling and fluid-gas...

http://www.evrs.eu/medias/2005/congress/25g-Sutureless-Surgery-for-Macular-Pucker.swf A. Nikolakopoulos, I. Panidou, E. Fantel, E. Psimenidou, A. Vakalis Purpose: To present a new system for 25g sutureless vitrectomy using high vacum for a quicker and safer result. Methods: In our clinic in Thessaloniki we are trying to modify our technique for macular surgery by using 25g instruments-pressurized infusion and high vacum to facilitate quick...

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...

Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Barbara Campanini, MD, Department of Ophthalmology – Ravenna Hospital Viale V. Randi, 548100 Ravenna, Italy Purpose: This presentation shows a personal technique of one port VPPV for the treatment of epiretinal disorder. Moreover, it will be shown that through anterior chamber infusion it is possibile to create a new dynamics in intraocular flows. Methods: This one port VPPV...

Ferenc Kuhn, Robert Morris, Viktoria Mester, Gyongyi Kiss, Purpose: To present the rationale, indications, and techniques of internal limiting membrane (ILM) removal. Methods: Analysis of personal experience and videotape demonstration. Results: Surface traction relief is the primary reason for ILM peeling. A long list of indications for ILM removal exist today, including its original condition (hemorrhagic macular cyst in eyes with Terson...

Jan-Olof Carlsson Purpose: The advantage of bimanual vitrectomy is wellknown by vitreoretinal surgeons. The reason for using a prototype of an illuminated vitrector is an ambition to further facilitate development of this technique. The primary purpose of the study was to evaluate the capacity and consistency of this instrument as the only vitrectorprobe used, both in straightforward and complex surgery. The other purpose was to evaluate...

http://www.evrs.eu/medias/2005/congress/The-Challenge-of-Retinal-Transplantation.swf Peep V. Algvere, M.D., Ph.D., Relya Zivojnovic Award Since several retinal diseases and dystrophies exhibit apoptotic cell death of photoreceptors and/or RPE cells, transplantation of young and healthy cells has been most desirable to replace the diseased tissue. A remarkable achievement was the first successful grafting of RPE cells to the RCS-rat showing...