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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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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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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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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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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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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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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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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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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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Vitrectomy Session – Subretinal Bubbles

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

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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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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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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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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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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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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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C3F8 Injection Induces Inferior Retinal Tamponade by Regular Silicone Oil

Morteza Mehdizadeh, MD (Shiraz, Iran) PURPOSE: To asses the effect of C3F8 in silicone filled eye to induce inferior retinal tamponade. METHODS: To assess the effect of C3F8 in silicone filled eye to induce inferior retinal tamponade. RESULTS: In 3 of 6 of these eyes (50%) inferior retinal reattachment were achieved, so Laser retinopexy were done in these eyes. In 2 of them (33.4%) retina remained attached after disappearance of gas bubble...

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Therapeutic Approach to Acute Submacular Hemorrhage

http://www.evrs.eu/medias/2005/congress/Therapeutic-Approach-to-Acute-Submacular-Hemorrhage.swf Ziya Kapran, Tugrul Altan, Mehmet Cakir, Nur Acar, Yaprak B. Ünver, Zerrin Bayrakar Purpose: To evaluate the efficacy of pneumatic displacement of submacular hemorrhage with sulfur hexafluoride (SF6) gas tamponade, with or without use of tissue plasminogen activator (tPA). Methods: Pneumatic displacement or surgical removal of the submacular...

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Management of Sub-Macular Haemorrhage

http://www.evrs.eu/medias/2005/congress/Management-of-sub-macular-haemorrhage.swf Pietro Rossi MD, Carlandrea Trillo MD, Claudia Castiglioni MD, Angelo Macrì MD, Massimo Corazza MD Purpose: To evaluate two different management strategy for thick submacular haemorrhage. Methods: Comparative retrospective interventional non randomized study of 30 consecutive eyes with thick sub-macular haemorrhage secondary to age related macular...

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Vitrectomy for Optic Pit-Related Retinal Detachment

Ferenc Kuhn, Robert Morris, Viktoria Mester Purpose: To present an effective intraocular approach for the treatment of eyes with optic pitrelated retinal detachment. Methods: Retrospective case series. Results: Twenty-one eyes underwent pre- or intraoperative laser (L) at the disc margin, complete vitrectomy (V), including separation and removal of the posterior hyaloid face, and gas tamponade (G) with postoperative positioning “LVG...

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Circular Macular Translocation in Selected Cases of CNV and Heavy Silicone Tamponade

Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Roberto Lodi, MD – Department of Ophthalmology, S. Maria delle Croci Hospital, Ravenna, Italy Purpose: To evaluate the role of heavy tamponade in circular macular translocation. Methods: After PPVV we performed circular macular translocation and heavy silicone oil tamponade. 1 patient had age related macular degeneration with CNV and 1 atrophic age related macular...

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