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Chronic Diffuse DME: The Role of Vitrectomy vs Intravitreal Therapy

Introduction: Macular edema is the main cause of visual loss in diabetic patients. In spite of the ample choice of therapeutic modalities, chronic macular edema management is a challenge to this date. Aside from laser and intravitreal therapies, the newest proposal by some authors has been vitrectomy with ILM peeling as a possible solution for many therapy-resistant cases, or even naive cases. Reducing traction, increasing retinal...

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Delicate Procedure for Internal Limiting Membrane Peeling in Macular Edema

Iurii Belyi_SCIENTIFIC POSTER 2015_1 Purpose: To develop an optimized mechanical method of internal limiting membrane peeling. Method: We observed 3 patients with cystic macular edema of various etiologies. All patients were examined before and after the operation for: best corrected visual acuity (BCVA), intraocular pressure, perimetry, optical coherence tomography (OCT) (Stratus, Carl Zeiss Meditec) and retina photography. According to...

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RNFL Thickness Modification After ILM Peeling: A 4-year Follow-up Study

Antonio Ciardella_SCIENTIFIC POSTER 2015 Purpose: To evaluate RNFL thickness modification after ILM peeling for idiopathic macular hole (MH) or epiretinal membrane (ERM) during a follow up period of 45 months. Methods: Interventional, prospective, non randomized case series. Twenty eyes of 20 patients (76,7±6,6 years) who underwent pars plana vitrectomy and brilliant blue G – assisted ILM peeling were evaluated 24,2±1.2 and...

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Inverted ILM Flap Technique for Myopic MH & Retinoschisis

Introduction: In highly myopic eyes, macular hole is one of the most vision-threatening complications due to visual impairment and the risk of developing a retinal detachment. Possible pathogenetic factors in are tangential traction attributable to the vitreous or hyaloid membrane and vertical traction attributable to the elongation of posterior staphyloma. However, these factors are not clearly elucidated in highly myopic macular holes....

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Perfluoro-n-octane Assisted ILM Free Flap Technique for Recurrent MH

It is challenging to achieve hole closure in chronic large macular holes or highly myopic eyes. Recently, various surgical techniques have been introduced using the ILM, and we also reported a technique to cover a macular hole with a Internal Limiting Membrane (ILM) inverted flap as a single layer using Perfluoro-n-octane(PFO). However, these procedures are not feasible f or recurrent macular hole that the ILM around the macular hole has...

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Idiopathic Macular Hole: A Funny Trick and Different Inverted ILM Flap Techniques

Introduction: Idiopathic full thickness macular holes are foveal anatomic defects with interruption of all neurosensory retinal layers, resulting in visual and functional alterations with significant impact on the patient’s quality of life. Currently, the best therapeutic approach for macular holes is still being debated, after the new classification by the International Vitreomacular Study Group. Several surgical methods have been...

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