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Surgical PVD Induction Using Combined Sharp Pick and Active Aspiration

Some cases of retinal detachment particualry in young phakic patients, may not have posterior vitreous detachment (PVD). If operated by PPV, induction of PVD in these cases is mandatory. However, PVD induction by active aspiration of the vitreous cortex over the optic disc margin as usually employed in PPV surgery can be challenging in these eyes because of firmly adherent posterior hyaloid and the absence of counter traction from the...

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A Few More Tips!

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   This is a short presentation demonstrating few surgical tips including the use of the vitreous cutter as a conduit to inject fluids inside the eye during vitrectomy, tips on removing posterior dislocated IOL and explantation of scleral fixated IOL. A different technique for injection of subtenon’s anaesthesia will also be...

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Pick-assisted Diabetic Fibrovascular Membrane Delamination Rediscovered

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To delaminate posterior pole and macular fibrovascular proliferations in eyes with severe proliferative diabetic retinopathy using a 20G modified blunt curved edged pick. Methods: The use of a 20G blunt edged pick which allows safe delamination of macular fibrovascular membranes, when a bimanual approach is not possible. In...

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Clinical, Biometrical & Refractive Results in Combined Phacoemulsification and 23 Gauge PPV

SCIENTIFIC POSTER_Roslyn Manrique Lipa Advantages: To describe the clinical, biometrical and refractive results in combined phaco-vitrectomy with 23G. Methods: 24 patients were included in this retrospective case series study. We recorded demographical and ophthalmological data which included: ophthalmic exploration before and after surgery, ocular biometric data, surgical technique, spherical equivalence before and after surgery and...

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IOL Positions Comparison Phaco vs PhacoVitrectomy

Purpose: Myopic shift is common after phacovitrectomy. One of the possible reasons is anterior displacement of the intraocular lens. This study evaluates the position of the intraocular lens after phacovitrectomy and compares the results with eyes that received phaco only. Methods: Medical records of patients who received phacovitrectomy in one eye and phaco alone in the fellow eye were analyzed. Patients with significant discrepancy in...

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Phacovitrectomy: My Way

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   I carry out all the steps of phacoemulsification first then proceed to pars plana vitrectomy (PPV). Surgical steps of my combined phacoemulsification PPV technique involve: 1. Clear corneal temporal incisions, 2. Capsulorrhexis, 3. Phacoemulsification, 4. Irrigation/ aspiration, 5. In bag IOL implantation, 6. A single 10/0 nylon...

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