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Air Endotamponade Application in Patients with Rhegmatogenous RD

SCIENTIFIC POSTER 2016_Air Endotamponade Application in Patients with Rhegmatogenous RD Katarzyna Michalska-Malecka Introduction: The aim of this research was to evaluate the results of retinal detachment treatment with pars plana vitrectomy using air endotamponade. Methods: The research was conducted among 23 patients aged from 43 to 74 years old, 9 women (39.1%) and 14 man (60.9%). All patients underwent the treatment using pars plana...

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Is PFCL Totally Atoxic and Safe?

Purpose: To describe a very rare complication in vitreo retinal surgery related with a Perfluorocarbon liquid (PFCL). Description: We present 4 cases in which we use PFCL, two of them (Retinal detachment with macula attached and dislocated IOL in vitreous cavity) passed from 20/20 VA to hand movements and a severe central scotoma. All of them we could observe a severe atrophy in macular area with a complete disparition of retinal cell...

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Sub-foveal PFCL: Careful and Easy Removal

Problem: Subfoveal PFCL is usually observed after vitrectomy for macula-off retinal detachment. As it causes photoreceptor cell damage and visual impairment, removal as early as possible is generally recommended. Most frequently, during repeat vitrectomy, a direct puncture of the bleb using a small-sized cannula (for example with a 40G teflon needle) is performed. H owever this manoeuvre implies the risk to damage the juxtafoveal retinal...

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Sub-retinal PFCL

Contact Details: Email: parolinibarbara@gmail.com Cell Phone: /+393477431940

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Residual PFCL

Contact Details: Email: jp.berrod@gmail.com Cell Phone:...

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Silicone Oil in the Anterior Chamber: Obstacles and Options

I present a case of emulsified silicone oil in the anterior chamber, which hides an underlying total cataract, and a very thick calcified anterior capsule and mild subluxation. I evacuated the emulsified silicone oil from the anterior chamber. and then i managed the calcified anterior capsule by fashioning an opening using a cannas scissors. I used a cautious divide and conquer Phacoemulsification for the cataract. After implanting the...

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Sutures Can Prevent Silicone-corneal Contact in Cases of Defect Iris-lens Diaphragm

Currently, silicone oil tamponade is one of the most important and common stages in vitreous surgery. Also well -known negative effect of silicone oil on the corneal endothelium with its long stay contact. This is especially actual in cases of traumatic lesions of the eyeball when there is absolutely no iris-lens diaphragm or partially defect Zinns ligaments. Methods: In our work, we used the bandage sutures from “Mani”...

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Sticky Silicone

I will be presenting 2 cases of adherent silicone oil (1000cs) to the retina. In one patient, the silicone oil led to entrapment of heavy liquid fluid underneath the oil and that in turn led to foveal oedema and loss of central vision. The oil was removed 10 days later but the foveal vision never recovered. In the second patient, the adherent silicone oil was displaced and removed using a combination of heavy liquid fluid and fluid-air...

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OCT Analysis in Case of Spontaneous MH After Silicone Oil Removal in PDVR B Case

Piotr Fryczkowski_SCIENTIFIC POSTER 2015 Case of proliferative diabetic vitreoretinopathy in 38 year old male with juvenile diabetes. Poster shows spontaneous macular hole formation with macular detachment in OCT one month after silicone oil removal. We reject vitrectomy as a treatment because in the first operation ILM was removed up to the temporal arcades. After double injections of 25% SF6 macula attached, and the hole remains flat...

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Inadvertent Intrachoroïdal Silicone Oil Injection: A 5 year Follow-up

Philippe Koch_SCIENTIFIC POSTER 2015 Introduction: To present the case of a 55 y.o. patient who developed an inadvertent silicone oil injection into the choroidal space during a vitrectomy for RRD and the resultant 5 y.o. follow-up. Case Presentation: A patient presented in 2010 with a LE rhegmatogenous retinal detachment extending from 9 to 7 o’clock, macula OFF. The causative break was a huge superior break extending from 10 to 3...

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Using Vitreous as an Intraocular Tamponade for RRD

Philippe Koch_SCIENTIFIC POSTER 2015_2 Introduction: To present the case of a patient who developed a RRD recurrence after a pneumo-retinopexy (cryogas) that has been treated with Argon laser and a simple positioning. Case Report: A 59 y.o. woman presented for a RE Macula ON Rhegmatogenous Retinal Detachment with a limited detachment extending from 9 to 11 o’clock and a single retinal tear at 10 o’clock. She was thus treated with a...

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Long-term Outcome of Retained Subretinal PFCL – A Small Case Series

Perfluorocarbon (PFC) liquid is a widely used intraoperative surgical tool for the management of various vitreoretinal conditions. Retained subretinal PFC is a known complication that was observed to occur at a higher frequency with the use of small gauge vitrectomy. Most recently published literature focused on the various techniques for removal of subretinal PFC. In our case series, we report the longterm outcomes of retained subretinal...

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Transconjunctival Active Silicone Oil Removal with a Simple Method Surgical Technique

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: Silicone oil removal is a necessary step after pars plana vitrectomy with silicone oil endotamponade. The advantages of transconjunctival surgery have already been described including fast postoperative rehabilitation, less discomfort, and the benefits of avoiding conjunctival dissection, diathermy and probably suturation. The...

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My Way in Achieving a Near-100% Silicone Oil Fill

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Background & Purpose: Achieving a near-100% fill of silicone oil is desirable for PVR surgery in order to: 1.Better support retinal breaks, especially inferiorly; 2. Provide a more complete tamponade to holes; 3. Maximize oil conformation to irregularities in eyewall contour; 4. Minimize emulsification due to oil bubble motion...

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Severe Inflammation After Sticky Silicone Removal

SCIENTIFIC POSTER_Mehmet Selim Kocabora Purpose : To report an unusual case with severe inflammatory reaction in the vitreous cavity after removal of sticky silicone oil. Case: A 60 year-old woman was operated 2 months ago in our clinic for a pseudophakic total retinal detachment with 2 large horse-shoe tears on her right eye. After a successful 23 Gauge pars plana vitrectomy with 1000 cs silicone oil tamponade, the retina was reattached...

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Pneumatic Retinopexy for Selected RD

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Pneumatic retinopexy is highly successful in managing a selected group of retinal detachments. Good case selection and meticulous technique increase the success rate.

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Pneumatic Retinopexy: The Frowned upon Retinal Re-attachment Procedure!

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Background/aim of the work: Pneumatic retinopexy is a recognized, simple, procedure for the treatment of rhegmatogenous retinal detachment (RRD). However, this technique is not widely practiced in UK in particular and Europe in general. This is due to several factors including limited range of indications and lower success rate...

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Intravitreal Gas Injection: My Way

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   I use sulfur hexafluoride SF6 20%. We need to have a non expansile gas without hypotony. My way: I do a complete fluid air exchange to have an air filled globe. Then I remove all trocars from air filled globe except the infusion cannula. I fill a 5cc syringe with 2cc SF6 and 3cc air (SF6 40%). I fit a 28 G needle to the gas syring. I...

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Active Silicone Oil Removal Transconjunctivally with a Simple Method. An Updated New Surgical Technique

Silicone oil removal is a necessary step after pars plana vitrectomy with silicone oil endotamponade. The advantages of transconjunctival surgery have already been described including fast postoperative rehabilitation, less discomfort, and the benefits of avoiding conjunctival dissection, diathermy and probably suturation. The purpose of this presentation is to demonstrate an easy and effective technique to remove silicone oil actively...

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Development of Angle Closure Glaucoma 2 Years After Vitrectomy with Silicone Oil Tamponade

Poster Erkan Unsal Objective: To present a case who developed angle closure glaucoma with pupillary block 2 year after vitrectomy and silicone oil tamponade for giant retinal tear and detachment. Methods: 55-year-old phakic patient was applied to our outpatient clinic with the complaint of left vision loss. Best-corrected visual acuity was hand motion and intraocular pressure (IOP) was 14mmHg. Left retinal detachment was detected and a...

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Double Endotamponade with PFCL – Silicone Oil in RD Surgery: Physical and Chemical Interaction

Background: “Conventional” silicone oil floats upwards in the vitreous cavity. This results in a good tamponade of the upper retina, but leaves the lower retina without an effective tamponade. On the contrary, heavy silicone oil sinks and provides less effective support of the upper retina. In order to support both upper and lower retina double tamponade with perfluorocarbon liquid (PFCL) and silicone oil is used. There is a concern...

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Clinical Outcomes According to Silicone Oil Removal Timing in PDR

Advantages: To evaluate the visual prognosis and the occurrence of complications after different terms of silicone oil removal (SOR) in proliferative diabetic retinopathy (PDR). Methods: 21 patients who underwent SOR less than 3 months and 12 patients more than 6 months were included in this retrospective study. The length of silicone oil retention in the eye, visual acuity (VA) and intraocular pressure (IOP) prior to the SOR procedure...

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The Effect of the Metabolic Activity of the Retina on the Cholesterol and Fatty Acids’s Contents of the Removed Silicone Oils

Purpose: To investigate the effect of the metabolic activity of the retina on the cholesterol and fatty acid contents of the removed silicone oils. Design: A retrospective trial. Participants: 25 removed silicone oils from 25 eyes were included in the study. Methods: Silicone oils (polydimethylsiloxane) were removed from a total of 25 cases after 4-8 months, who had undergone pars plana vitrectomy combined with phacoemulsification and...

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Chronic Elevated Intraocular Pressure Following Silicone Oil Tamponade for Complex Retinal Detachment Incidence and Risk Factors

Poster Imen Ammous Purpose: To report incidence, risk factors and management of chronic elevated intraocular pressure (CEIOP) after silicone oil tamponade in complex retinal detachment. Patients & methods: A retrospective study of 170 cases (169 patients): 108 eyes with complex rhegmatogenous retinal detachment and 62 eyes with tractional diabetic retinal detachment. Pars plana vitrectomy with silicone oil tamponade was performed in...

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Macular Hole Surgery: Does C3F8 Provide Better Anatomical and Functional Outcomes than SF6 and C2F6?

Purpose: To assess differences in anatomical and functional outcomes when using C2F6, SF6 or C3F8 gas tamponade in macular hole surgery with pars plana vitrectomy, internal limiting membrane peeling and a non-strict postoperative posturing regimen. Setting: Gloucestershire Hospitals NHS Trust, UK. Methods: Clinical and surgical data were prospectively entered into an electronic medical record (Medisoft, Leeds, UK). Data of consecutive...

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The Most Simple Technique of Gas Tamponade

Advantages:  This very fast technique requires a single injection of undiluted gas without the need of gas mixing. Methods:  After vitrectomy, ILM peeling and fluid/air exchange, the sclera is sutured, or, in sutureless surgery, the cannulas are removed, however, the globe is left slightly hypotonous. The level of hypotony is very easily assessed using a finger. Then, just an injection of 1.5 ml of SF6 is injected using a 30ga needle....

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Treatment of Full Thickness Macular Hole with ILM Peeling and Different Densities of Silicone Oil Tamponade

Advantages: A high macular hole closure rate is obtained, and late reopening of the hole is avoided. Methods: In a prospective randomized trial, 72 eyes of 71 patients underwent vitrectomy with ILM peeling after staining with ILM-Blue to treat full-thickness macular hole. Two treatment arms were used: either 2000 cs or 5000 cs silicone oil was used, which was removed after 3 months. During the second procedure, half of the eyes of each...

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Hso as 1st Choice in Complicated Retinal Detachment: Checkmate in Two Moves!

Advantages: To show our strategy in complicated R.D., with high possibility of developing PVR and R.D. recurrence. In such cases, our first choice is to use HSO as tamponading agent to ensure an efficient tamponade of the inferior sectors and to reallocate to the top an eventual recurrence to be treated at a later time. Methods: 24 selected patients, with high risk of PVR recurrence (>C3) were treated with heavy silicon oil (Densiron...

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New Silicone Oils with Molecular Design

Innovative molecular design for a new generation of silicone oils – high resistance against emulsification with improved injectability in small gauge ppV. Although Silicone oils have been in clinical use for 50 years, in vitro testing methods simulating the eye’s physics came into practice only shortly. These new testing methods are able to quantify emulsification. Testing conventional silicone oils, high viscous silicone oil with a...

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Double Endotamponade with Perfluorodecalin and Silicone Oil in Retinal Detachment Surgery: An Experimental and Clinical Study

Background: Silicone oil tamponade of vitreous cavity (VC) is widely used in the surgery of retinal detachments. Tamponade quality determines anatomical outcome. For a variety of reasons it is practically impossible to create an ideal tamponade with silicone oil. “Conventional” silicone oil floats upwards in the vitreous cavity. This results in a good tamponade of the upper retina, but leaves the lower retina without an effective...

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Closer Look at Physical Properties of PFCL and Silicone Oil

Advantages: To study physical properties of perfluorocarbon liquids and silicone oil in vitro. Methods: Samples of perfluodecalin and silicone oil were taken to study their physical properties under microscope in dormant conditions. Samples of emulsified silicone oil were studied under microscope in BSS drop to evaluate physical properties in dormant conditions. Additional sample staining with the use of stain Sudan III was performed....

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The Importance of Gas Injection in Idiopathic ERM Peeling Recovery

Advantages: Inner limiting membrane (ILM) removal has become a standard procedure in idiopathic epiretinal membrane (iERM) peeling over the last 15 years but some entities still respond poorly to surgery, like pseudo-lamellar holes, either in their final visual acuity or metamorphopsia reports. Herein, we propose to investigate the importance of gas injection as a tamponade in every instance of iERM peeling and examine the effect on...

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Implantation of Masoud Lens Balloon in Vitreous Cavity for Aphakic Patient with RD and ME for Treatment and to Prevent Postoperative Complications

Advantages:   To treatment and to prevent postoperative complications with implantation intraocular bio lens balloon after vitrectomy for aphakic eyes with macula edamas in retinal detachment. Methods: After vitrectomy the special syringe filled by gas or BSS. (Fig 1A) with a fixed bio lens balloon on it (v.4-6 mm) (fig 2A) Injected through ora errate into vitreous cavity (fig 3A) Then we filled the bio lens bubble with gas or BSS...

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The Effect of Preplaced Suture on Postoperative Transient Hypotony After Pars Plana Silicone Oil Removal

Advantages: According to the latest report, postoperative transient hypotony after silicone oil removal was 39.3%. We reduced this incidence to about 5%, using preplaced suture. Methods: We retrospectively reviewed the medical records of patients who underwent pars plana silicone oil removal between January 2005 and June 2011. The changes of intraocular pressure (IOP) after surgery were recorded. Transient hypotony was defined as an IOP...

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HSO as First Choice in Complicated RD: Checkmate in Two Moves !

  Advantages: To show our strategy in complicated R.D, with high risk to develop recurrent RD with PVR. If the recurrence depends on the “dead space” where the concentration of fibroblastic cells is elevated, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of the inferior retina, and to “reallocate to the superior retina” eventual recurrence to treat in a second time with light...

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Silicone Oil Removal Using 23 G TSV with External Suction Pump

The procedure consists of three-port transconjunctival insertion of 23-gauge microcannulas. An inferotemporal cannula is connected to an infusion line and infusion pressure was controlled by air-pressurized infusion (VGFI: Vented Gas Forced Infusion by Accurus, Alcon) at 40-45 mmHg. We connected right-handed superior cannula to tubing adaptor from Total Plus Pak® (Alcon, Fort Worth, USA) wrapping 23-gauge microcannula entirely and used...

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Retinal Re-detachment After Silicone Oil Removal: First Steps of a Quality Management Procedure

Frank Koch, S. Deuchler, H. Krueger, Michael Koss, P. Singh (Frankfurt am Main, Germany) Advantages: To improve the quality of a vitreoretinal service by introducing strategies to counteract potential complications such as retinal redetachments after silicone oil removal. Methods: We evaluated retrospectively retinal detachments which had been tamponaded with silicone oil and in which the oil was successively removed (n = 119, silicone oil...

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Short-term PFCL Endotamponade in Treatment of Inferior Retinal Detachment

Kh.P. Takhchidi, S.S. Tillyakhodzhaev, A.A. Gorin (Moscow, Russia) Abstract: Modern technologies of vitreoretinal surgery ensure the high anatomical and functional results in the treatment of retinal detachment (RD). The key point investigations in this field are concentrated on the searching of liquids, which can provide short-term effective and sufficient endotamponade for achieving high anatomical and functional results. At present,...

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Detachment Repair Without Heavy Liquid

Theodoros Potamitis (Limassol, Cyprus) Advantages: The use of heavy liquid to flatten bullous retinal detachments, although very simple has several major disadvantages. Adding heavy liquid adds two steps to the process of vitrectomy, injection and removal of the PFCL. If heavy liquid enters the sub-retinal space it turns a simple procedure into a complicated one. The pressure exerted by the heavy liquid can give a false appearance of...

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Passive Removal of Silicone Oil with 23 G Transconjunctival System

Sengul Ozdek, Fulya Yaylacioglu (Ankara, Turkey) Advantages: Passive removal of 1000cs silicone oil with 23-G transconjunctival system is an easy and cheap method, which also allows additional vitreoretinal, maneuvers after removal. Methods: 91 eyes of 91 patients, enrolled in our clinic between January 2008 and April 2011, were studied retrospectively. After placing the 23 G infusion cannula, 23G trockars & cannulas were placed in...

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Phaco Fragmentation, Without IOL Implantation, in PVR Cases Treated with 25+G Vitrectomy and Silicone Oil

Stratos Gotzaridis, Elias Georg Alas, Thanasios Nikolakopoulos (Athens, Greece) Advantages: Cataract is always a factor that complicates the cases with PVR either during or after the vitrectomy. Removing the cataract and putting an IOL may lead to unstable AC that will allow oil to move into it. Methods: Eleven patients with total retinal detachment and stage IV PVR had also a moderate nuclear sclerosis. They underwent pars plana phaco...

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Silicone Oil in Retinal Detachments – Proposed Mechanisms of Action

Klaus Lucke (Bremen, Germany) The use of silicone oil for complex retinal detachments was developed primarily in Europe in the 70’s and 80’s. While there is widespread agreement on its advantages, to this day the mechanisms of action are not entirely understood and remain in part hypothetical. Recent developments such as the use of heavy oils, however, have shed some light on the mechanisms behind the beneficial effects of silicone...

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The Frequency of Silicone Oil Induced Glaucoma After Pars Plana Vitrectomy

A. Sergienko, L. Lytvynchuk, I. Kozlovska, Galina Y. Lavrenchuk, O. Fylypchuk, V. Siriachenko (Kyiv, Ukraine) Advantages: To evaluate the incidence of secondary glaucoma after pars plana vitrectomy due to silicon oil emulsification in different terms of endotamponade and to study the efficacy of trabeculectomy in refractory cases to medical treatment. Methods: Sixty-four (64) patients with different duration of silicon oil endotamponade...

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Recurrent Retinal Detachment in Silicone Oil Filled Eyes

Hassan Mortada (Cairo, Egypt) Advantages: Recurrent RD in silicone oil filled eyes may occur early due to persistent retinal traction not adequately relieved or missed breaks, or late due to reproliferation. The aim of the present study is to describe the pathogenesis and management of recurrent Rd, following vitrectomy and silicone oil tamponade in eyes with RRD complicated with PVR. Methods: 180 silicone oil filled eyes, with recurrent...

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Retinal Redetachment After Silicone Oil Removal

Silvia Bopp (Bremen, Germany) Advantages: To address the problem of retinal redetachments after silicone oil removal in eyes that had undergone vitreous surgery with silicone oil tamponade for complicated rhegmatogenous retinal detachment (RRD) and proliferative vitreoretinopathy (PVR). Methods: Retrospective chart review of 73 patients who had vitrectomy / silicone oil tamponade and consecutive oil removal between 2007-2010. Data...

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Removal of a Submacular Perflurocarbon Bubble

Stratos Gotzaridis, Elias Georgalas (Athens, Greece) Advantages: The use of perflurocarbons liquids leads to unpleasant complications such as subretinal bubbles. The problem is getting more serious when the bubble is located in the area of foveola, which results in severe reduction of the vision. We present a case of removal of a subretinal foveolar perflurocarbons bubble. Methods: Anatomical and functional results of treatment of a case...

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Retained PFC after Complicated Cataract Surgery

http://www.evrs.eu/medias/2010/videos/TharyGhait_VP6_768K.flv Thary Ghait (Jeddah, Saudi Arabia) Advantages: Avoid the toxic effect of PFC On the retina. Methods: 20 Gauge pars plana vitrectomy was done for the remaining vitreous – removal of PFC by flute needle – removal of remaining ERM by forceps – removal of retained PFC from the AC. – Endolaser 360 – closure. Effectiveness / Safety: Safe no...

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Application of Additional Gas Tamponade of Weak Expanding Concentration of Perfluoropropane in Rhegmatogenous Retinal Detachment Surgery with Inferior Breaks

Authors: Galyna Levytska, Stanislav Rodin, Zoya Rozanova, Mykola Umanets, Odessa, Ukraine Advantages / Purpose: To study the efficacy of endotamponade of inferior breaks by weak expanding concentration of perfluoropropane and additional gas tamponade in early postoperative period, if it is necessary. Methods: 62 patients (63 eyes), 30 male (48,4%), 32 female (51,6%) with rhegmatogenous retinal detachment, PVR grade A: 16 eyes (25,4%),...

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Silicone Oil and Macular Hole: Yes, We Still Use It!

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Author: Vincenzo Ferrara, Vito Belloli, Arona, Italy Advantages: Macular holes occur mostly in elderly people presenting frequently with health problems and creating serious difficulties in keeping uncomfortable postoperative postures. Furthermore, most of the phakic patients develop cataract in a period of time variable from few months to one or two years after surgery,...

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Is Any Intraocular Gas Bubble Safe for Airplane Travel?

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Authors: Mark Hammer, Jeffrey Rinkoff, Tampa, FL, USA Advantages: Small residual gas bubbles after vitro-retinal procedures requiring intraocular gas injection or exchange could delay travel home for several days or longer, if complete reabsorption is regarded as the only safe course. Methods: Computer simulation using clinically derived elastic constants and filtration...

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Sutureless Silicone Oil Removal: a Novel Technique

http://www.evrs.eu/medias/2009/congress/Silicone.flv Authors: George Pappas, Theoni Panagiotoglou, Vasiliki Kounali, Paraskevi Drakou, Statos Gotzaridis, Heraklion, Greece Advantages: To present a novel technique for sutureless silicone oil removal. Methods: Silicone oil removal was performed through a self-sealed transconjunctival sclerotomy. Retina inspection and additional surgical procedures were performed through 23 gauge...

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Silicone Oil Tamponade Finishing in Treatment of Retinal Detachment

http://www.evrs.eu/medias/2009/congress/Silicone.flv Authors: K.P. Takhchidi, Victor N. Kazaykin, A.A. Rapoport, Yekaterinburg, Russia Advantages: To develop effective system of various methods of silicone oil (SO) tamponade finishing in retinal detachment (RD) treatment. Methods: The results of SO tamponade finishing in 257 eyes have been analyzed. During SO removal two main tasks have been solved: to create most favorable conditions for...

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Relaxing Retinotomy / Retinectomy for Recurrent Retinal Detachment in Silicone Oil – Filled Eyes

http://www.evrs.eu/medias/2009/congress/Silicone.flv Author: Hassan Mortada, Cairo, Egypt Advantages: Recurrent retinal detachment in silicone oil – filled eyes is most commonly due to persistent or recurrent retinal traction 2ry to periretinal proliferation or retinal shortening. Adequate circumferential retinotomy is effective in relieving anteroposterior and/or circumferential shortening, removing subretinal proliferation as well as...

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25 Gauge Surgery and Silicone Oil Made Easy

http://www.evrs.eu/medias/2009/congress/Silicone.flv Authors: Athanasios Nikolakopoulos, E. Fandel, K. Papadopoulou, I. Panidou, Thessaloniki, Greece Advantages: We present our technique of injecting silicone oil in a fast and easy way in complicated retina problems using only 25 G minimal invasive surgery. Methods: The method is using all the abilities of the forced air injection VGFI and MED ONE special silicone oil 25 G injection...

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Do We Need Heavy Silicone Oil for PVR with Inferior Retinal Breaks or Retinotomy?

http://www.evrs.eu/medias/2009/congress/Silicone.flv Author: Khaled El Rakhawy, Cairo, Egypt Advantages: Conventional (standard) silicone oil has been used for PVR since a very long time. Recurrent retinal detachment often involves the inferior retina. Many heavier – than – water tamponading agents were tried as a means to prevent or to treat this situation. Heavy silicone oil was recently widely advocated as the recommended choice for...

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Postoperative Monitoring of Patients’ Head Position after Vitrectomy with Gas

Authors: Radek Girgle, Igor Vicha, Eva Vlkova, Jiri Rozman, Martin Cizek, Jiri Dlouhy, Brno, Czech Republic Advantages: A new electronic system helping the patients to keep their heads in optimal position after vitrectomy with gas was presented at the Eighth EVRS congress in Prague. Our team of ophthalmologists and bioengineers presents the progress in the development of this system during the last year. A head mounted device continually...

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Outcomes of Transconjunctival Sutureless 25-23 Gauge Vitectomy with Silicone Oil Infusion

V. Primavera, I. Turco, G. Schiena, F. Prascina , A. Iovine , C. Iaculli , N. Delle Noci Advantages: To evaluate the outcomes and complications of surgical management with 25-23 gauge pars plana vitrectomy (PPV) and silicone oil (SO) tamponade in complex vitreoretinal diseases. Methods: Retrospective review of a consecutive, interventional case series at Department of Ophtalmology University of Foggia, Italy from January 2007 to March...

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Retinal Re-Detachment in Eyes with Silicone Oil

http://www.evrs.eu/medias/2008/congress/Retinal-Re-Detachment-in-Eyes-with-Silicone-Oil.flv Daniel Vilaplana; Vladimir Poposki; Daniel Martin Advantages: Retinal detachment presenting in eyes intervened on previously and tamponaded with silicone oil has a bad prognosis. We present our own surgery technique that combines different procedures. Methods: Our surgical technique consists of the following steps: phacoemulsification (if necessary);...

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Silicone Oil Removal Associated with Secondary IOL Implantation Under Topical Anesthesia

http://www.evrs.eu/medias/2008/congress/Silicone-Oil-Removal-Associated-with-Secondary-IOL-Implantation-Under-Topical-Anesthesia.flv Gilbert WS Simanjuntak, Jannes F Tan, Helario Hasibuan, Jusuf Wijaya Advantages: To remove the silicone oil tamponade along with secondary intra ocular lens (IOL) implantation under topical anesthesia. Methods: Vitrectomized eyes where the peripheral capsule had been intentionally spared and which had been...

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My Silicone Oil Removal Technique Both in Phakic and Aphakic Patients and in Patients with Cataract

http://www.evrs.eu/medias/2008/congress/My-Silicone-Oil-Removal-Technique-Both-in-Phakic-and-Aphakic-Patients-and-in-Patients-with-Cataract.flv Sengul Ozdek Advantages: These sutureless techniques are easy to perform for the surgeons and comfortable for the patients Methods: In pkakic patients: After a 23G 3-port pars plana entry silicone oil is drained passively from the superior trockars. It takes 5 minutes. You can also continue with...

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Iris-Plane Sutures as Silicone Oil Barrier in Completely or Partially Aniridic Patients

http://www.evrs.eu/medias/2008/congress/Iris-Plane-Sutures-as-Silicone-Oil-Barrier-in-Completely-or-Partially-Aniridic-Patients.flv Colin A. McCannel Advantages: Simple, inexpensive technique to minimize chance of cornea – silicone oil touch which can lead to corneal decompensation.                                                                  Methods: The iris presents...

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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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The Use of Silicone Oil – Perfluoron Combination for Treatment of Recurrent Proliferative Vitreoretinopathy

http://www.evrs.eu/medias/2008/congress/The-Use-of-Silicone-Oil-Perfluoron-Combination-for-Treatment-of-Recurrent-Proliferative-Vitreoretinopathy.flv Jack O. Sipperley Advantages: Treatment of recurrent retinal detachments with inferior reproliferation has been successfully treated in nine consecutive patients with a combination of Silicone Oil and Perfluoron. Methods: After standard vitrectomy, membrane stripping, subretinal membrane...

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How to Avoid the Internal Tamponade Invading the Anterior Chamber.

http://www.evrs.eu/medias/2008/congress/How-to-Avoid-the-Internal-Tamponade-Invading-the-Anterior-Chamber.flv Frank Becquet Advantage: In case of zonulo-capsular disruption (zonular defect, artisan IOL, aphakia, etc.), retinal tamponading agents could invade the anterior chamber during silicone oil injection or could flatten an artisan IOL against the cornea during gas exchange. Method: The anterior chamber is filled completely with a...

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Using the PFCL-Air-Silicone Exchange System for the Surgical Treatment of Retinal Detachment

http://www.evrs.eu/medias/2008/congress/Using-the-PFCL-Air-Silicone-Exchange-System-for-the-Surgical-Treatment-of-Retinal-Detachment.flv Dmitriy Shkvorchenko Advantages: An improved technique for carrying out tamponading of the cavity at the end of surgical procedures is suggested. The silicone oil tamponade can be carried out in a so-called dry eye. This allows reduction in the percentage of retinal re-detachment in the postoperative...

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Retrograde Heavy Silicone Oil Injection in Difficult Cases

http://www.evrs.eu/medias/2008/congress/Retrograde-Heavy-Silicone-Oil-Injection-in-Difficult-Cases.flv Jean-Paul Amar Advantages: In difficult retinal detachments, the control of Silicone / Fluid exchange and the safety with which the maneuver is carried out are the two main goals to obtain. Methods: At the end of the surgery, especially in giant tears, the usual management is very difficult and risky, especially when one performs the...

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Imaging Closure of Traumatic Macular Hole with Pneumatic Retionpexy by Optic Coherence Tomography

Eylem Yaman Pinarci Advantages: Methods: Effectiveness / Safety:

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Pneumatic Displacement in the Diagnosis and Treatment of Valsavia Retiopathy in a Case with Premacular Hemorrhage

Eylem Yaman Pinarci, Berna Demirel, Hulya Gungel Advantages: Instillation of Intravitreal gas is very easy and helpful to make a differential diagnosis and also treatment in premacular haemorrhagia Methods: 0.3 cc pure C3F8 gas was instilled intravitreally with the aim of pneumatic displacement in order to make a differential diagnosis for the Valsalva retinopathy and haemorraghia due to SMD to a 72 year-old male patient who had scar...

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Pneumatic Displacement of Acute Submacular Haemorrhage with and without the Use of Tissue Plasminogen Activator

Osman Cekic, Mehmet Cakir, Omer F. Yilmaz Advantages: To displace massive submacular haemorrhage by injecting intravitreal C3F8 gas with and without the use of tissue plasminogen activator (tPA). Methods: Twenty-one eyes of 21 patients with recently developed (up to 10 days) dense submacular haemorrhage underwent intravitreal injection of pure C3F8 gas (0.4-0.5ml) followed by face down positioning for pneumatic displacement. Seven of them...

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Management of Subretinal Perfluorocarbon Liquid

Barbara Parolini, Grazia Pertile Advantages: Perfluorocarbon liquid (PFCL) may slip under the retina in complex cases of PFCL/silicone oil exchange with large retinotomies.  External scleral massage with a scleral depressor may help in extruding PFCL residues from the subretinal space. Methods: External scleral massage with scleral depressor in order to move the PFCL residues in the direction of the retinotomy and extrude the residues...

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Macular Hole: An Easier, Faster and More Efficient Gas Injection Technique

http://www.evrs.eu/medias/2008/congress/Macular-Hole:-An-Easier,-Faster-and-More-Efficient-Gas-Injection-Technique.flv Didier Ducournau Advantages: A 40-seconds technique allowing injection of 3 to 3.2cc of 50% SF6 avoiding strict prone positioning of the patients head. Methods: The minimum bubble volume necessary to occlude a macular hole when the patient is looking in front of him is estimated to be around 2.6cc. After closing the...

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One-Needle Technique for Air-Gas Exchange

http://www.evrs.eu/medias/2008/congress/One-Needle-Technique-for-Air-Gas-Exchange.flv Ivan Fiser, Ivan Kolin (Cornea Lexum Eye Clinic) Advantages: This technique simplifies the air-gas exchange, making it the shortest and the cheapest possible. Methods: The exchange is performed on a closed eye, even after the conjunctival suture. A single 30ga needle is introduced, the required volume of air is removed using one 2ml syringe and the same...

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SF6 Gas Tamponade: The Easy Way

http://www.evrs.eu/medias/2008/congress/SF6-Gas-Tamponade:-The-Easy-Way.flv Barbara Parolini, Grazia Pertile Advantages: Gas tamponade with SF6 may be easily obtained without complex air-gas exchange procedure. Methods: At the end of pars plana vitrectomy, complete air filling is performed. A volume of 0.7 to 1cc of SF6, based on the dimension of the eye, is directly injected into the eye with a syringe and a 27-G needle though the...

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Removal of Silicone Oil with a 23-25 Gauge Sutureless

Schiena G., Primavera V., Turco I., Prascina F., Liotino G., Delle Noci Advantages: With this retrospective study we evaluated efficiency and safety of removal of silicone oil 1000 cs from pars plana with 23-25gauge transconjunctival sutureless system after retinal detachment. Methods: A series of 15 eyes using 23-25gauge sutureless technique was evaluated between January 2007 and February 2008. For the system of infusion we used a tube...

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Vitrectomy Session – Subretinal Bubbles

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

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Vitrectomy Session – Silicone

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

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Passive Removal of Silicone Oil with 25-gauge Transconjunctival Sutureless Vitrectomy Instruments

Ziya Kapran, MD (Istanbul, Turkey), Nur Acar, MD (Istanbul, Turkey), Yaprak Banu Unver, MD (Istanbul, Turkey), Tugrul Altan, MD (Istanbul, Turkey), Bulut Ocak, MD (Istanbul, Turkey) PURPOSE: To report a new and simple technique for passive silicone oil removal from pars plana with 25-gauge transconjunctival sutureless vitrectomy instrumentation. METHODS: In this prospective, interventional clinical trial, 48 eyes underwent silicone oil...

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Treatment of Macular Hematoma Due to Age-related Macular Degeneration by Displacement with Vitrectomy and Gas Injection

Jean-François Le Rouic, MD (Nantes, France), Frank J. Becquet, MD, PhD (Nantes, France), Pascal Peronnet, MD (Nantes, France), Caroline Pousset-Decre, MD (Nantes, France), Elisabeth Hermouet- Leclair, (Nantes, France), Philippe Gayet, (Nantes, France), Didier Ducournau, MD (Nantes, France) PURPOSE: To report the pre- and postoperative findings after displacement of recent submacular hemorrhages due to age-related macular degeneration...

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Nanostructured Polymeric Systems for the Repair of Retinal Detachments

William J. Foster, MD, PhD (Houston, TX), Hyder A. Aliyar, PhD (St. Louis, MO), Paul D. Hamilton, (St. Louis, MO), Nathan Ravi, MD, PhD (St. Louis, MO) PURPOSE: We sought to create an artificial version of the formed, juvenile vitreous using newly developed polymeric sol-gel systems. This would avoid issues related to patient positioning and known toxicity of current materials as well as provide better treatment of inferior...

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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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Cataract Surgery and Vitrectomy for Proliferative Vitreoretinopathy: Comparisons Between Internal Tamponades and Lens Removal Techniques

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Results of Pneumatic Retinopexy in Phakic Eyes – a Prospective Comparison of the Clinical Trial Group Inclusion Criteria and Extended Criteria

http://www.evrs.eu/medias/2006/congress/Results-of-Pneumatic-Retinopexy-in-Phakic-Eyes-a-Prospective-Comparison-of-the-Clinical-Trial-Group-Inclusion-Criteria-and-Extended-Criteria.swf Stephen M. Conti, MD, FRCS(C) (Toronto, Canada), Feisal A. Adatia, MD, MSc (Toronto, Canada), Jaime Claramunt, MD (Toronto, Canada), Howard Chen, MD (Toronto, Canada), Robert G. Devenyi, MD (Toronto, Canada), Wai-Ching Lam, MD, FRCS(C) (Toronto, Canada),...

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Evaluation of Air as a Retinal Tamponade During Vitrectomy in Eyes with Diabetic Tractional or Combined Tractional Rhegmatogenous Detachment

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...

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Visual and Anatomic Outcomes of Pneumatic Retinopexy

http://www.evrs.eu/medias/2006/congress/Visual-and-Anatomic-Outcomes-of-Pneumatic-Retinopexy.swf Daniel B. Roth, MD (New Brunswick, NJ), Kaushal Kulkarni, BA (New Brunswick, NJ), Jonathan L. Prenner, MD (New Brunswick, NJ), Stuart N. Green, MD (New Brunswick, NJ), David L. Yarian, MD (New Brunswick, NJ), Steven R. Leff, MD (New Brunswick, NJ), Eric S. Friedman, MD (New Brunswick, NJ), Bruce J. Keyser, MD (New Brunswick, NJ), Harold M....

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Use of Silicone Oil for Treatment of Postvitrectomy Diabetic Vitreous Hemorrhage

Serguei V Nossov, MD (Ekaterinburg, Russia) PURPOSE: To review the anatomic and visual outcomes of a consecutive series of patients with postvitrectomy diabetic vitreous hemorrhage who underwent revision vitrectomy with silicon oil tamponade. METHODS: The study included 184 patients (192 eyes) who consecutively underwent pars plana vitrectomy for proliferative diabetic retinopathy. Postvitrectomy diabetic vitreous hemorrhage occurred in 36...

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Use of Perfluorocarbon Liquid During Diabetic Vitrectomy

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...

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Idiopathic Macular Holes Following Pars Plana Vitrectomy for Retinal Detachment

http://www.evrs.eu/medias/2006/congress/Idiopathic-Macular-Holes-Following-Pars-Plana-Vitrectomy-for-Retinal-Detachment.swf http://www.evrs.eu/medias/2006/congress/Idiopathic-Macular-Holes-Following-Pars-Plana-Vitrectomy-for-Retinal-Detachment-1.flv http://www.evrs.eu/medias/2006/congress/Idiopathic-Macular-Holes-Following-Pars-Plana-Vitrectomy-for-Retinal-Detachment-2.flv Francesco Boscia, MD (Bari, Italy), Homayoun Tabandeh, MD...

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Perfluorodissection in Vitreoretinal Surgery: A Novel Technique

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...

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Prospective Randomized Clinical Trial Comparing Face Down Position and Semi-seated Position after Surgery for Idiopathic Fullthickness Macular Hole

http://www.evrs.eu/medias/2006/congress/Prospective-Randomized-Clinical-Trial-Comparing-Face-Down-Position-and-Semi-seated-Position-after-Surgery-for-Idiopathic-Fullthickness-Macular-Hole.swf Alexandre Guillaubey, (Dijon, France), Pierre-Olivier Lafontaine, MD (Dijon, France), Laure Malvitte, MD (Dijon, France), Jean-Paul Berrod, MD (Nancy, France), Catherine Creuzot, MD (Dijon, France) PURPOSE: To determine the influence of face down...

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Surgical Management of Iris-diaphragm Intraocular Lens Luxation

Jerzy A. Mackiewicz, MD (Lublin, Poland), Ewa Rakowska, MD (Lublin, Poland) SYNOPSIS The film shows fragments of two surgical proce-dures on the left eye of 28 y.o. man with irisdiaphragm intraocular lens, type Morcher, luxated into the vitreous. The first part shows vitrectomy with decaline injection, lens shifting to the anterior chamber and transscleral fixation. The second part of the film shows vitrectomy with silicone oil tamponade,...

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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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Heavy Silicones in Severe Vitreoretinal Diseases

Heavy Silicones in Severe Vitreoretinal Diseases

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy) SYNOPSIS To describe the usefulness of new heavy silicone oils in the management of complex cases of vitreoretinal surgery: a severe penetrating trauma, a macular trans-location for large paramacular hole in previous vitrectomy for CNV removal, and a closed trauma in previous PK patient with iris and lens expulsion.   VIDEO not communicated Sorry for the...

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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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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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Pneumatic Displacement of Submacular Hemorrhage – A Case Series

http://www.evrs.eu/medias/2006/congress/Pneumatic-Displacement-of-Submacular-Hemorrhage-A-Case-Series.swf Wilson Heriot, MD (Melbourne, Australia) PURPOSE: To evaluate the clinical outcome of intravitreal tissue plasminogen activator (tPA) and expansile gas injection as a minimally invasive treatment for submacular haemorrhage (SMH). METHODS: This study was a retrospective, interventional, clinical case series examining 104 eyes of 103...

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No Light Perception (NLP) Vision After Injury: Don’t Give Up!

http://www.evrs.eu/medias/2006/videos/No-Light-Perception-NLP-Vision-After-Injury:-Don-t-Give-Up.flv Ferenc Kuhn, MD, PhD (Birmingham, AL) SYNOPSIS Over 90% of NLP eyes are enucleated, although vision often could be improved with timely reconstruction. This film is on an 80-year-old lady with an occult rupture after falling. Vision was NLP (confirmed at the slit lamp); the lens was under the conjunctiva and she had a retinal detachment....

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How Many Days after Onset Is It Too Late to Evacuate Submacular Hemorrhage Secondary to AMD?

http://www.evrs.eu/medias/2006/congress/How-Many-Days-after-Onset-Is-It-Too-Late-to-Evacuate-Submacular-Hemorrhage-Secondary-to-AMD.swf Keye L. Wong, MD (Sarasota, FL), Melvin C. Chen, MD (Sarasota, FL), John H. Niffenegger, MD (Sarasota, FL) PURPOSE: Animal experiments with submacular hemorrhage suggest that irreversible photoreceptor damage may occur within 48 hours. tPA-assisted pneumatic hemodisplacement is a technique which can result...

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No Light Perception Vision After Injury: Don’t Give Up!

No Light Perception Vision After Injury: Don’t Give Up!

Ferenc Kuhn, MD, PhD (Birmingham, AL) SYNOPSIS Over 90% of NLP eyes are enucleated, although vision often could be improved with timely reconstruction. This film is on an 80-year-old lady with an occult rupture after falling. Vision was NLP (confirmed at the slit lamp); the lens was under the conjunctiva and she had a retinal detachment. Comprehensive reconstruction (wound closure, removal of extruded tissues, vitrectomy, silicone oil...

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Pole to Pole Sugery in Trauma Case: The Dancer

Pole to Pole Sugery in Trauma Case: The Dancer

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy), Stefano Dolce, MD (Ravenna, Italy), Antonio Aversano, MD (Ravenna, Italy), William Gualtieri, MD (Ravenna, Italy) SYNOPSIS Complex cases of ocular traumatology, which involve different sectors of the eyeball. A “pole to pole” surgical strategy has been chosen, developing a global surgical strategy, putting aside the traditional distinctions between anterior and...

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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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