European VitreoRetinal Society a certain philosophy

http://www.dailymotion.com/video/xukyk0 Purpose : To report our results for macular hole using the anterior chamber infusion (during the reverse zonular flow “Re-flow”-personal technique) one pars plana port 27G vitrectomy technique. Setting/Venue: Department of Ophthalmology, Hospital S. Maria delle Croci, Ravenna, Italy Methods: A retrospective analysis of 5 eyes which underwent re-flow one port 27g vitrectomy with the infusion in...

Introduction: Diabetic vitreous errateage often clears in a few weeks. If pan retinal laser photocoagulation is not possible, or there is persistent non-clearing vitreous errateage, vitrectomy should be performed. Purpose: To assess the outcomes of one year follow up of patients who underwent pars plana vitrectomy for non- clearing diabetic vitreous haemorrhage. Methods: Retrospective case note study, analysed notes of patients who...

Clinical Outcomes of Ultrahigh-speed 23 G with Duty Cycle Control System in the Treatment of PDR Complicated by Tractional RD Jung Ho Lee Advantages:          Dealing with vitreous of detached retina with fibrovascular proliferation and traction complicated by proliferative diabetic retinopathy is a challenge. A higher cutter rate may minimize vitreous turbulence by allowing only small bits of vitreous to enter the port,...

Introduction: While peeling an idopathic epiretinal membrane with a standard 23-gauge vitrectomy the Infusion port dislocated inadvertently and caused a massive uveal effusion. Methods: By using an additional 20-gauge sclerotomy, it is possible to continue the vitrectomy, peeling the macular pucker and the inner limiting membrane in order to successfully complete the surgery. In this case, the 20-gauge sclerotomy serves as a drainage...

We present the case of a 75-years-old male patient with decreased visual acuity from vitreous hemorrhage. Visual acuity was hand movement. We performed 23 G pars plana vitrectomy under topical anesthesia. The patient was very interested in all surgical procedures. We communicated with him during the surgery. The procedure was completed in approximately twenty minutes without any complications. In both the intraoperative and postoperative...

Jolanta Oficjalska, Joanna Adamiec-Mroczek, Bożena Gołębiowska (Wroclaw, Poland) Tractional retinal detachment is a common cause of blindness in the working-aged population. Therefore it is important to develop new effective surgical procedures, which would enable a quick return to professional work. We present 53-year-old female with decreased visual acuity from tractional retinal detachment. The patient underwent 27-gauge sutureless...

http://www.dailymotion.com/video/xns59p Didier Ducournau (Nantes, France) If the goal of a vitrectomy is to remove the vitreous as much as we can, we must use machines which allow us to remove the anterior hyaloid and the posterior hyaloid. High-speed cutters and shaving techniques have been invented to decrease the iatrogenic retinal tears risk. In fact, low cutting frequency is dangerous if the operator is not controlling the aspiration...

http://www.dailymotion.com/video/xns59p Jean-Paul Berrod, I. Hubert, J. Selton (Nancy, France) Advantages: Low vacuum setting might reduce the rate of retinal tears and/or retinal detachment after macular surgery. Traction on the peripheral retina during vitrectomy increases with the maximum vacuum set up. The aim of our study was to precise the incidence of retinal tears and retinal detachment after macular surgery depending on the maximum...

http://www.dailymotion.com/video/xns59p Jean-Paul Amar (Cannes, France) Whatever the technique used during vitrectomy, physical law will determine the quality and the safety of the PPV. In fact, to perform a complete vitrectomy, some principles are mandatory: • We have to control the flow rate of the cutting system. • In order to decrease the gradient of pressure and this way the dangerous movements of the retina, the occlusion during...

http://www.dailymotion.com/video/xns59p Peter Stalmans (Leuven, Belgium) Purpose: During surgery, several complications can occur: posterior lens capsule aspiration, aspiration of retinal tissue into the cutter during vitreous base shaving and pressure alterations leading to hypotony (inducing collaps and even subchoroidal haemmorrhage) or hypertony (compromising the retinal perfusion). Methods: Several soft and hardware features were...

http://www.dailymotion.com/video/xns59p Claude Boscher (Paris, France) Flow control is especially crucial during vitrectomy for retinal detachment because of the risk of iatrogenic retinal tears, due to traction at distance or to direct retinal browsing. Balance between risk and efficiency must be continuously monitored. Endoscopy assisted vitrectomy allows high magnification observation of the vitreous/retinal motion and cutter action....

http://www.dailymotion.com/video/xn4oo0 Stefanie Pape (Bremen, Germany) With advances in vitrectomy techniques in recent years there has been a trend away from buckling and towards primary vitreous surgery with combined lens exchange for primary uncomplicated retinal detachments in presbyopic patients in which the preservation of the natural lens is of secondary importance. A number of reasons seem to be responsible for this...

http://www.dailymotion.com/video/xnbb3y Maha Elshafei (Doha, Qatar) Cases with advanced proliferative diabetic retinopathy with tough membranes that needs pars plana vitrectomy is better performed with 20 G. The instruments (forceps and scissors) we need in these procedures are way better in dealing with tough membranes. 23 G are suitable for diabetic vitreous hemorrhage with simple...

http://www.dailymotion.com/video/xnra3f Dalibor Cholevik, Jan Nemcansky (Ostrava, Czech Republic) Advantages: Effective surgical 
treatment 
of 
exudative 
retinal
 detachment 
in 
eye 
with 
nanophthalmus
. Methods: When the sclerotomy is fail in exudative retinal detachment in nonothalmic eye, is PPV needed. The eye is very shot and retinal detachment is total. There is not space for standard PPV. We present...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Hassan Mortada (Cairo, Egypt) Advantages: Peeling of adherent cortical vitreous during primary vitrectomy in eyes with rhegmatogenous RD is crucial in achieving complete mobilization of the retina, to remove the scaffold for further proliferation and to achieve long-term retinal stability. The posterior hyaloid may be...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Robert Rejdak, Malgorzata Pietras-Trzpiel, Katarzyna Nowomiejska, Agnieszka Kalinowska, Tomasz Zarnowski, Cesare Forlini, Anselm Junemann (Lublin, Poland) Advantages: The aim of the study was to evaluate visual function of the macula and changes in retinal layers in patients with retinal detachment following TPPV with...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Slawomir Cisiecki (Lodz, Poland) Advantages: Peeling of the ILM is an extremely effective prophylaxis for postoperative epiretinal membrane formation and is also a well-known part of primary vitrectomy in more advanced stages (beyond Stage B) PVR retinal detachments. However, some surgeons recommend ILM peeling in general...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o 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...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o 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...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Stratos Gotzaridis, Elias Georgalas (Athens, Greece) Advantages: To evaluate the efficacy of incompletely draining subretinal fluid at the end of the vitrectomy for treating retinal detachment cases. Methods: Sixty-seven eyes of 67 patients underwent PP vitrectomy for retinal detachment. Forty of them were macula on and 27...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Vito Primavera, Isabella Turco, N. Delle Noci (Foggia, Italy) Advantages: To compare the anatomical outcome following small gauge vitrectomy for rhegmatogenous retinal detachment (RRD) between triamcinolone acetonide assistance and chandelier illumination system. Methods: Retinal detachment repair was performed by the same...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Sevil Karaman, Hülya Güngel, Isil Pasaoglu (Osmaniye, Turkey) Advantages: After pars plana vitrectomy cataract development is seen often. Phacoemulsification in vitrectomized eyes is challenging. Combined surgery has advantages preoperatively and postoperatively. Methods: 46 patients underwent pars plana vitrectomy...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Woohyok Chang, Byoung Young Gu, Min Sagong (Daegu, South Korea) Purpose: To compare the outcomes of phaco-vitrectomy and vitrectomy for treatment of primary rhegmatogenous retinal detachment. Methods: Retrospective comparison of the anatomical success, functional success and complications between patients in Group I, who...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Sevil Karaman, Hülya Güngel, Isil Pasaoglu, Ozen Osmanbasoglu, Ece Uzun, Dilek Alp (Osmaniye, Turkey) Advantages: To compare prognosis after 20-gauge (G) and 23-G pars plana vitrectomy (PPV) combined with phacoemulsification for repair of primary phakic rhegmatogenous retinal detachment. Methods: 56 phakic patients who...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Nur Acar*, Yaprak Banu Unver, Leyla Hazar, Nihat Sayýn, Yasar Kucuksumer, Ziya Kapran (Istanbul, Turkey) Advantages: Being less invasive, 23-gauge, and 25-gauge transconjunctival pars plana vitrectomy (PPV) techniques may cause less postoperative inflammation and patient discomfort. In this prospective study the aim was...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Nur Acar*, Ziya Kapran, Yaprak Banu Unver, Yasar Kucuksumer, Turgay Satýcý (Istanbul, Turkey) Advantages: Primary vitrectomy allows visualization of all retinal breaks and performing effective retinopexy while enabling removal of all vitro tractions and membranes. Less invasive PPV techniques like 25-gauge and 23-gauge...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Ferenc Kuhn (Hungary / USA), Zora Ignjatovic (Belgrade, Serbia) Advantages: Even though the retinal break is thought to be the cause of the retinal detachment, the break is secondary to – typically dynamic – vitreoretinal traction. Vitrectomy is the rational approach to treatment by addressing the source,...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Etienne H. Bovey, Jean-Antoine Pournaras (Lausanne, Switzerland) Purpose: To describe a new technique of surgery for pseudophakic retinal detachment, using 23G vitrectomy, slit-lamp and non-contact 90D lens. Methods: 42 pseudophakic eyes with retinal detachment were analyzed retrospectively. They were operated on by 23G...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Jean-Paul Berrod, I. Hubert, R. Ouled-Moussa, M. Casillas (Nancy, France) Advantages: Primary pars plana vitrectomy (P.P.V) is nowadays a common practice to repair retinal detachments in pseudophakic or phakic patients. It reduces periocular and muscle disorders, facilitates visualization of the breaks, and shortens...

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Hassan Mortada (Cairo, Egypt) Advantages: The advantages of primary vitrectomy include direct relieve of vitreoretinal traction, removal of inflammatory mediators & cells, intraoperative complete retinal reattachment, choice of the appropriate tamponade and avoiding the complications associated with scleral buckling....

http://www.dailymotion.com/video/xn6a0u http://www.dailymotion.com/video/xn6a1e http://www.dailymotion.com/video/xn6a2o Chi Wai Tsang (Hong Kong, China) Advantages: The technique can avoid the complications related to gas or oil tamponade in selected cases of rhegmatogenous retinal detachment. Methods: The operation was performed using wide-angle viewing system (BIOM). The 27G twinlight chandelier system was used to facilitate peripheral...

http://www.dailymotion.com/video/xn6rl7 http://www.dailymotion.com/video/xn853l Hassan Mortada (Cairo, Egypt) Advantages: To evaluate the efficacy of using only 23g transconjuntival sutureless vitrectomy in management of complicated retinal detachment over the past 3 years. The preservation of the integrity of the conjunctiva and sclera in these cases is of crucial importance, as these cases frequently need more than one operation, at least...

Isil Pasaoglu, Hülya Güngel, Sevil Karaman, Dilek Alp, Ozen Osmanbasoglu, Ece Uzun (Istanbul, Turkey) Advantages: To analyse the factors affecting visual outcomes of 23-gauge transconjunctival sutureless vitrectomy combined with phacoemulsification in phakic rhegmatogenous retinal detachment. Methods: A retrospective case series study was performed in 56 patients with phakic retinal detachment. Patients with a final visual acuity greater...

Hülya Güngel, Isil Pasaoglu, Evre Pekel, Dilek Alp, Ozen Osmanbasoglu, Ece Uzun (Istanbul, Turkey) Methods: Forty-five patients with pseudophakic retinal detachment were analyzed retrospectively. Patients with a final visual acuity greater than 0,1 (snellen equivalent) were defined as having a good visual prognosis. Parameters examined were age, gender, duration of the symptoms, preoperative visual acuity, preoperative intraocular...

Hande Etus, Levent Karabas, Gulin Karaaslan, Yusuf Çaglar (Kocaeli, Turkey) Advantages: We initiated this prospective study to determine the safety and efficacy of topical anesthesia and its effect on surgical time in 23 G posterior vitrectomy. Methods: This study was comprised of 67 patients (73 eyes) scheduled for posterior vitrectomy using topical (35 eyes) (group 1) or retrobulbar (38 eyes) (group 2) anesthesia. Subjective pain and...

Sungjin Na, Yongbaek Kim, Keunsung Park, Eunjung Lee, Eunkyoung Lee (Daejeon, South Korea) Advantages: To reduce patient’s cost and facilitate early rehabilitation in day surgery. Methods: After performing 23-gauge vitrectomy, we prospectively compared the 3-month follow-up results of day surgery cases (79 eyes) and 1-day admission cases (72 eyes). Effectiveness / Safety: Between 2 groups, improvement of best-corrected visual acuity...

Sungjin Na, Yongbaek Kim, Keunsung Park, Eunjung Lee, Eunkyoung Lee (Daejeon, South Korea) Advantages: To reduce patient’s discomfort and hasten postoperative recovery. Methods: 38 eyes with simple rhegmatogenous retinal detachment underwent 23-gauge primary vitrectomy with air tamponade and without prone positioning by a single vitreoretinal surgeon. All cases were followed up for a minimum of 6 months after surgery. Effectiveness /...

Mashchenko, Khudyakov, Zhigulin, Rudenko, Lebedev (Khabarovsk, Russia) Advantages: To study results of surgical treatment of secondary cataract by using 25G bi-port transciliary capsulevitrectomy in patients with high axial myopia. Methods: 43 patients (44 eyes) with high axial myopia and posterior lens capsule opacity of different degree were examined. There were paraoral and equatorial dystrophy in 23 eyes, myopic changes of posterior...

Jung Yeul Kim (Daejeon, South Korea) Purpose: To evaluate visual outcomes of combined cataract extraction and pars plana vitrectomy for macula-sparing rhegmatogenous retinal detachment (RRD) with cataract. Methods: In patients with RRD and cataract in whom the macular are of 6,000 in diameter was not detached on the OCT, a retrospective analysis was performed to examine the results after combined vitrectomy/cataract extraction. Anatomic...

Kuhl Huh, Seong-Woo Kim, Jaeryung Oh (Seoul, South Korea) Advantages: To identify the risk factors of posterior iris synechiae formation after 23G sutureless vitrectomy with clear cornea phacoemulsification and posterior chamber IOL implantation. Methods: Retrospective chart review was performed for patients treated with 23G phacovitrectomy by a single surgeon in a single center between March 2009 and February 2011. Various factors, such as...

http://www.dailymotion.com/video/xnbp9u Boris Rysanek (Caen, France) The “bag-in-the-lens” cataract technique was described in 2002 in Anvers by professor MJ Tassignon. It consists to realize a calibrated anterior and posterior capsulorhexis. Then, a specific IOL is injected and inserted into the two joined capsulorhexis. The vitrectomy is realized after the cataract. The advantages of this technique are the good visibility during the...

http://www.dailymotion.com/video/xnbef0 Jolanta Oficjalska, Joanna Adamiec-Mroczek, Bożena Gołębiowska (Wroclaw, Poland) Tractional retinal detachment is a common cause of blindness in the working-aged population. Therefore it is important to develop new effective surgical procedures, which would enable a quick return to professional work. We present 53-year-old female with decreased visual acuity from tractional retinal detachment. The...

http://www.dailymotion.com/video/xnbef6 Ziya Kapran, Nur Acar, Yaprak Banu Unver (Istanbul, Turkey) In eyes with severe corneal opacity that precludes pars plana vitrectomy (PPV), temporary keratoprosthesis is a very useful tool in the OR.In this video PPV with using a temporary keratoprosthesis combined with a penetrating keratoplasty is. This technique allows vitrectomy in a closed system. With the help of this technique eyes can be...

http://www.dailymotion.com/video/xn4nbe

http://www.dailymotion.com/video/xn4mfs

Vitrectomy In Diabetic Retinopathy Hospital Geral de Santo António. Porto, Portugal Vitrectomy In Diabetic Retinopathy Ferreira N, Pessoa B, Macedo M, Queirós P, Meireles A Hospital Geral de Santo António. Porto, Portugal Background Diabetic retinopathy is a vascular retinal disease. Prolonged hyperglycaemia in diabetes can result in increased permeability and progressive occlusion of retinal vessels. These alterations may lead...

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...

SYMPOSIUM: VITREOMACULAR INTERFACE VISUALIZATION / SURGICAL APPROACH Moderators: Claudio Azzolini, Etienne Bovey Tuesday, June 21, 2005 Pars plana vitrectomy (PPV) with ILM peeling in maculer hole surgery Author: Yaprak Banu Ünver, MD, Nur Acar, MD, Ziya Kapran, MD, Mehmet Cakır, MD, Zerrin Bayraktar, MD, Tugrul Altan, MD, Eylem Y. Pınarcı, MD Abstract : In stage 2, 3 and 4 maculer holes, anatomical and functional success is...

http://www.evrs.eu/medias/2010/congress/Non-Proliferative-Diabetic-Maculopathies.flv Oh Kwon, Yongsung You (Seoul, South Korea) Purpose: To study the effect of surgical removal and the lipid composition of subfoveal hard exudates in diabetic retinopathy. Material and Methods: Retrospective study was done in consecutive 7 case series with dense subfoveal large hard exudates (> 1 DA) in diabetic retinopathy, which were surgically...

http://www.evrs.eu/medias/2010/congress/Non-Proliferative-Diabetic-Maculopathies.flv Hassan Mortada (Cairo, Egypt) Advantages: PPV, with or without ILM peeling relieves traction at the vitreoretinal interface, improves trans-vitreal oxygenation of the retina and removes growth factor reservoir in the premacular hyaloid. Methods: 46 eyes with tractional diffuse diabetic macular edema underwent PPV: 12 eyes with taut adherent posterior...

http://www.evrs.eu/medias/2010/congress/Branch-Retinal-Artery-Occlusion-Central-Retinal-Artery Occlusion.flv Mariachiara Romagnoli, Stanislao Rizzo (Pisa, Italy) Advantages:  To evaluate, safety and anatomical and functional effectiveness of surgical embolus removal in branch retinal artery occlusion. Methods:  Retrospective study of four patients with branch retinal artery occlusion, occurring less than 36 hours before surgery.  All...

Mehran Masoudnaseri (Odessa, Ukraine) Advantages: To avoid postoperative complications and improve retinal reattachment with Nano Silicon Mehran Lent-1, after scleral buckling. Methods: Scleral buckle by Nano silicon Mehran lent-1, a piece of Nano silicone sponge, rubber, or semi-hard plastic, buckling the sclera. This buckle has 4 pairs of holes at the end of the strip. On one its ends there is a split 1,5 mm, the head of the silicon can...

Mehran Masoudnaseri (Odessa, Ukraine) Advantages:   To treat and avoid postoperative complications with intraocular Nano silicon balloon (antivirus, antibacterial, antifungal) after vitrectomy in aphakic and pseudophakic eyes with large posterior retinal tear after vitrectomy. Methods: After vitrectomy the syringe with silicon oil (fig 1A) with fixed Nano silicon bubble (anti virus, antibacterial, with treatment drugs) on it (v.4-6 mm)...

Necip Kara, Ahmet Taylan Yazici, Ercument Bozkurt, Mehmet Cakir, Nese Alagoz, Ahmet Demirok, Omer Faruk Yilmaz (Istanbul, Turkey) Advantages: To evaluate the anatomical and functional results of combined 23-gauge transconjunctival sutureless vitrectomy and cataract surgery. Methods: This retrospective, consecutive, noncomparative case series was observed to 20 eyes of 20 patients who underwent combined 23-gauge transconjunctival...

Michele Fortunato (Rome, Italy), Rossana Di Pietro (Pinerolo (TO) Italy) Advantages: The use of vitrectomy 23 / 25 G in pediatric age permits a rapid anatomical restoration and the reduction of ambliopic effects. Methods: The authors describe the treatment of pediatric intravitreal hemorrages with the use of mininvasive vitrectomy. Effectiveness / Safety: These surgical procedures in pediatric age are safe and without complications. Take...

Osman Çekiç, M. Selim Kocabora, Kübra Þerefoðlu (Istanbul, Turkey) Advantages: To present data on the long-term intraocular pressure changes after vitrectomy. Methods: A retrospective observational study was undertaken of patients that underwent pars plana vitrectomy. The main outcome measure was final intraocular pressure (IOP) of the vitrectomized eye. Confounding cases were excluded. Effectiveness / Safety: A total of 41 eyes of...

Yusuf Akar, K. Cemil Apaydin, Mustafa Unal, Erkan Coban, Koray Demir, Koray Ahat, Meryem Guler, Pinar Tavas (Antalya, Turkey) Advantages: 23 Gauge transconjunctival sutureless vitrectomy appears to be a feasible option in treating vitreoretinal complications in diabetic patients, with the potential benefit of reducing postoperative ocular irritation. Methods: Seventy four eyes of 76 consecutive patients with diabetes mellitus who...

http://www.evrs.eu/medias/2010/congress/Age-Related-Macular-Degeneration-2.flv Slawomir Cisiecki (Lodz, Poland), Maciej Bednarski (Lodz, Poland), Michael Koss (Frankfurt am Main, Germany), Janusz Michalewski (Lodz, Poland) Advantages: The aim of combined treatment in cases of exudative ARMD is to reduce the rate of anti-VEGF injections. Core vitrectomy using intrector is indicated when there is no response after three monthly intravitreal...

http://www.evrs.eu/medias/2010/videos/LarsOlofHattenbach_VP6_768K.flv Lars-Olof Hattenbach (Ludwigshafen am Rhein, Germany) Flattened sclerotomies are an essential step in ensuring postoperative wound stability in transconjunctival sutureless vitrectomy. However, in complex cases involving complete vitrectomy with shaving of the vitreous base, laser application and peeling of surface membranes, conventional angled incisions often leak at...

http://www.evrs.eu/medias/2010/videos/CesareForlini_1_VP6_768K.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages: To describe the how is possible to customize the number of the trocars in the vitreoretinal surgery. Methods: This video shows how is possible to customize the number of the trocars (from the standard 3 to 0 ports) during a vitrectomy....

http://www.evrs.eu/medias/2010/videos/AbhijitChattopadhyay_VP6_768K.flv Abhijit Chattopadhyay, Chirag Bhatt, Soumen Mandal, Shubhankarsri Paul (Kolkata, India) Advantages: 25 Gauge sutureless methods allow early ambulation and quick recovery. This system also helps in better maintenance of intra-ocular pressure thus reducing the intra-operative bleeding. The hospital staying time also got reduced remarkably. The lid swelling and...

http://www.evrs.eu/medias/2010/videos/EnricoBertelli_VP6_768K.flv Enrico Bertelli, Paolo Pelanda (Bolzano, Italy) Advantages: 23 Gauge transconjunctival vitrectomy is a minimally invasive vitreoretinal technique that offers the advantages of sutureless surgery combined with the benefits of a sturdy instrumentation, this latter feature making it potentially suitable for a large number of indications. Methods: The video highlights the ample...

http://www.evrs.eu/medias/2010/videos/FlorianBalta_VP6_768K.flv Florian Balta (Bucharest, Romania) Advantages: Reduction of the surgically induced trauma to the ocular tissue and reduction of the operative time. Methods: Removal of the membranes in proliferative diabetic retinopathy (PDR) using 25 Gauge instruments: the vitreous cutter is used at 5000 cuts / min (Constellation Alcon) either alone or combined with an intraocular forceps in...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Mushfig Karimov (Baku, Azerbaijan) Purpose: Data of 12 patients (12 eyes) with diabetes mellitus, who underwent phacoemulsification, IOL implantation and 23 Gauge pars plana vitrectomy for complications of proliferative diabetic retinopathy were analyzed. Follow-up ranged from 3 to 9 months. Results: Overall, visual acuity improved in 11 of 12 eyes (91.7%), in 9...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Cesare Forlini (Ravenna, Italy), Matteo Forlini (Modena, Italy), Adriana Bratu (Ravenna, Italy), Paolo Rossini (Ravenna, Italy) Advantages: To examine whether 25 Gauge vitrectomy might be a good approach for treatment of severe proliferative diabetic retinopathy (PDR) and macular edema. Methods: 31 patients with severe PDR and macular edema were randomized to...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Barbara Parolini, Grazia Pertile (Verona, Italy) The new gauges and vitrectomy machines are leading to a wider use of the vitrectomy probe for various and finer surgical steps. The 23, 25, and 27 Gauges seem to be able to substitute the scissors for peeling and cutting membranes in PVR and PDR. However this talk is designed to present some surgical scenarios of...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Vito Primavera, Isabella Turco, Francesco Prascina, Nicola Delle Noci (Foggia, Italy) Advantages: To compare the effectiveness and safety of 25+  (Alcon, CONSTELLATION® Vision System) and 23 Gauge (Alcon, Accurus® Surgical System) MIVS in the management of vitreoretinal complications in patients with diabetic retinopathy. Methods: 34 consecutive patients...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Theodoros Potamitis, Yianna Antoniou (Limassol, Cyprus) Advantages: Although 23 Gauge and 25 Gauge vitrectomy systems have recently revolutionized our surgical techniques in many retinal pathologies, in our most complicated cases of tractional retinal detachments the advantages conferred by the use of 20 Gauge instruments outweighs the benefits of smaller gage...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Carl Claes (Antwerp, Belgium) Advantages: A new technique is presented to perform vitrectomy under stable intra-ocular conditions, within 2mmHg variation. This is very useful in cases with neovascularization and a high bleeding tendency intra-operatively, as in proliferative diabetic retinopathy. Methods: New, one step valved 23 Gauge trocars are used in...

http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv Majed Bakjaji, Abdelouahed Amraoui, Adil Mchachi (Casablanca, Morocco) Advantages: Reduced risk of development of neovascular glaucoma, recurrent vitreous hemorrhage, tractional retinal detachment, combined tractional rhegmatogenous retinal detachment, and severe fibrovascular proliferation, improved visual outcome. Methods: Two groups of patients with late...

http://www.evrs.eu/medias/2010/congress/Vascular-Pathologies-in-Young-Patients.flv Klaus Lucke, Silvia Bopp (Bremen, Germany) Advantages: To describe surgical procedures and overall relatively good outcomes in advanced cases of Coats’ disease with traction retinal detachment, subretinal exsudation and frequently pucker formation in eyes that unoperated would eventually end up blind. Methods: The charts of 17 eyes of 16 patients with...

Authors: Lidmila Prochazkova, Martina Zavorkova, Martin Hovorka, Usti Nad Labem, Czech Republic Advantages: To diminish the central scotoma and to improve the visual acuity. Methods: Two days after an acute subretinal hemorrhage, PPV with retinotomy, drainage and SF6 tamponade was performed. Effectiveness / Safety: Subjectively significant diminishing of the central scotoma and improving of the visual acuity from 2/50 to 5/50 was reached....

Authors: Clairton De Souza, Philip Polkinghorne, Auckland, New-Zealand Advantages: To maintain the intraocular pressure and simultaneous air exchange during the vitreous biopsy, preventing from dilution and contamination of the obtained sample. The method also facilitates collection of larger volumes of vitreous and is compatible with 25, 23 and 20-gauge systems. Methods: The vitreous sample is collected in a gas-sterilized test tube by...

http://www.evrs.eu/medias/2009/congress/20-Gauge-23-Gauge-25-Gauge.flv Author: Zoran Tomic, Uppsala, Sweden Advantages: According to the recent reports similarly good results are achieved now using either 20 G, 23 G or 25 G vitrectomy technique for most of the operating indications. Besides that, there is a possibility to combine the standard 20 G with microincision techniques, which is especially convenient in certain procedures such as...

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Authors: Mariotti Cesare, Viti Francesca, Neri PierGiorgio, Ancona, Italy Advantages: To improve best corrected (BCVA) using only 2 sclerotomies (no lens opacity or retinal complications,) reduce duration of surgery and minimize inflammatory reactions, preserving the option to convert the surgery from no-vitrectomy to minimal-vitrectomy if necessary. Methods: Patients...

http://www.evrs.eu/medias/2009/videos/MichaelKoss_VP6_768K.flv Authors: Michael Koss, Rashid Benjilali, Thea Herbort, Fawaz Al-Sareireh, Pankaj Singh, Frank Koch, Frankfurt am Main, Germany The 23 gauge Intrector® allows to perform a well-defined pars plana vitrectomy under the control of the indirect ophthalmoscope plus a 28 dpt lens, or under the microscope using microscopic light plus a plano-concave contact lens. In gel or peribulbar...

http://www.evrs.eu/medias/2009/videos/MariaGarciaPous_VP6_768K.flv Authors: Maria Garcia-Pous, E. Palacios, J. Mataix, M.C. Desco, A. Navea, Valencia, Spain Advantages: To show small problems during 23 gauge vitreoretinal surgery. Methods: We show several surgeries where arise little handicaps such as gas / air running away through the sclerotomies at the end of surgery, liquid infusion springing through the trocar, or perfluorocarbon...

http://www.evrs.eu/medias/2009/congress/Systematic-Primary-Pars-Plana-Vitrectomy-vs-Only-in-Selected-Cases.flv Author: Didier Ducournau, Nantes, France My philosophy is always to perform the minimum sufficient and necessary trauma to obtain the best anatomical and functional results. In stage A, there is a vitreous traction and it can be logical to cut this traction at the origin of the disease. However, vitrectomy in retinal detachment...

http://www.evrs.eu/medias/2009/congress/Systematic-Primary-Pars-Plana-Vitrectomy-vs-Only-in-Selected-Cases.flv Author: Ron A. Adelman, New Haven, CT, USA Advantages: Each specific type of retinal detachment needs its own specific treatment. Methods: Pneumatic retinopexy for superior phakic detachments. For other phakic detachments without PVR, scleral buckle is utilized. For Pseudophakic detachments vitrectomy is the preferred...

http://www.evrs.eu/medias/2009/videos/DanielVilaplana_1_VP6_768K.flv Authors: Daniel Vilaplana, Vladimir Poposki, S. Beckers, Isaac Alarcon, M. Castilla, Barcelona, Spain Advantages: A 26-year-old man with questionable light perception in the right for many months (the patient was unaware of this). He also had uveitis episodes in this eye and HIV positivity as a consequence of his drug addiction. A total chronic non-rhegmatogenous retinal...

http://www.evrs.eu/medias/2009/congress/Systematic-Primary-Pars-Plana-Vitrectomy-vs-Only-in-Selected-Cases.flv Author: Ron A. Adelman, New Haven, CT, USA Advantages: Easy to use, supports vitreous base 360 degree. Methods: #41encircling band to support retinal break. Effectiveness / Safety: Over 90% success rate with one surgery. Take home message: Scleral buckle with a small size encircling band is an effective treatment for retinal...

http://www.evrs.eu/medias/2009/congress/Systematic-Primary-Pars-Plana-Vitrectomy-vs-Only-in-Selected-Cases.flv Author: Hassan Mortada, Cairo, Egypt Advantages: Primary vitrectomy detect all retinal breaks, directly relieves traction on retinal breaks, removes attached posterior cortical vitreous, smoothly attach the retina through PFCL injection and provides internal tamponade with air or gas for all retinal breaks. Primary vitrectomy...

http://www.evrs.eu/medias/2009/congress/Systematic-Primary-Pars-Plana-Vitrectomy-vs-Only-in-Selected-Cases.flv Authors: Silvia Bopp, Klaus Lucke, Bremen, Germany Advantages: Primary vitrectomy without additional buckle is equal effective and the more patient-oriented method. Methods: The conventional approach to retinal detachment includes vitrectomy in combination with scleral buckling and is considered safe and effective. Major...

http://www.evrs.eu/medias/2009/congress/Systematic-Primary-Pars-Plana-Vitrectomy-vs-Only-in-Selected-Cases.flv Author: Slawomir Cisiecki, Lodz, Poland Advantages: 1. Possibility of adequately calculate IOL power in subsequent cataract surgery in macula off retinal detachments 2. Preservation of crystalline lens (accommodation) in cases of young patients with longer delay of cataract surgery 3. No risk of exodrainage, no postoperative...

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...

http://www.evrs.eu/medias/2009/congress/Systematic-Primary-Pars-Plana-Vitrectomy-vs-Only-in-Selected-Cases.flv Authors: Levent Karabas, Berna Ozkan, Yusuf Caglar, Kocaeli, Turkey Advantages: With this technique, the operation time was shortened; peroperative retinal reattachment and laser retinopexy were warranted. Methods: In this technique infusion cannula is directly connected to air and vitrectomy is performed under air infusion during...

http://www.evrs.eu/medias/2009/congress/Systematic-Primary-Pars-Plana-Vitrectomy-vs-Only-in-Selected-Cases.flv Author: Alexey Putienko, Odessa, Ukraine Advantages: 20% C3F8 allows to achieve 75% or more of gas mixture in vitreous cavity for at least 10 – 12 days after operation, and for this reason there is the possibility to block the tears, which localize in any part of retina, even in inferior zone, very anteriorly. Method: At...

http://www.evrs.eu/medias/2009/congress/Dislocated-Lens.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: The Authors present the use of iris-claw IOL fixation onto the posterior iris surface. The purpose of this technique is to eliminate tilting of the IOL into the anterior chamber (thus achieving a better aesthetic result) and allowing more physiological location of the IOL in the posterior...

http://www.evrs.eu/medias/2009/congress/Dislocated-Lens.flv Authors: Levent Karabaş, Berna Özkan, Basak Doğu, Yusuf Çağlar, Kocaeli, Turkey Advantages: With the technique we described, it is possible to perform 23 gauge transconjunctival sutureless vitrectomy in cases with lens dislocation. Conjunctival dissection is not necessary in these cases without optimal capsular support for IOL implantation. Methods: We performed 23 gauge...

http://www.evrs.eu/medias/2009/congress/Dislocated-Lens.flv Authors: Katerina Papadopoulos (1), Athanasios Nikolakopoulos (1), Theoni Panagiotoglou (2), Vasiliki Kounali (2), Nikos Fragos (3), George Pappas (2) 1: Thessaloniki, Greece 2: Heraklion, Greece Advantages: To report the surgical outcome and the safety profile of 23-Gauge surgery for the management of dropped nucleus. Methods: A retrospective interventional case series. 26...

http://www.evrs.eu/medias/2009/congress/Combined-or-not-Combined.flv Authors: Dong Heun Nam, Myun Ku, Hee Jin Sohn, Dae Yeong Lee, Incheon, South Korea Advantages: To prevent postoperative hypotony and IOL-related complications in combined 23 gauge sutureless vitrectomy and cataract surgery. Methods: A prospective, consecutive, interventional case series of 48 eyes that underwent 23 gauge vitrectomy with a minimal fluid-air exchange...

http://www.evrs.eu/medias/2009/congress/Combined-or-not-Combined.flv Authors: Jean-Paul Berrod, R. Ouled-Moussa, I. Hubert, P. Genin-Perriguey, Nancy, France Advantages: Combined phaco-vitrectomy for epimacular membrane surgery prevents the need of a second operation but may induce macular edema. 25-Gauge vitrectomy minimizing ocular trauma might be the best standard. Methods: Retrospective study of 111 eyes operated on between 2001 and...

http://www.evrs.eu/medias/2009/congress/Combined-or-not-Combined.flv Authors: Barbara Parolini, Grazia Pertile, Verona, Italy Advantages: The removal of the crystalline lens combined with pars plana vitrectomy is advantageous in order to completely remove the vitreous body and to spare the patient from further surgery. However, when pars plana is performed to remove an epiretinal membrane (ERM) and internal limiting membrane (ILM) and is...

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Authors: Frank Becquet, Nantes, France Sutureless sclerotomies in microincisional vitrectomy are now widely used, but questions have been raised about self sealing properties of non sutured sclerotomy wounds. Greater risks of hypotony, endophthalmitis and even retinal detachment (due to leakage of vitreous or fluid through the incision) have been pointed out by...

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Authors: Enrico Bertelli, Stefano Coser, Paolo Pelanda, Veronika Rogger, Bolzano, Italy Advantages: Post-surgical hypotony is a rare but potentially dangerous complication of mini-invasive sutureless vitrectomy. Individual characteristics of the sclera or variables in dynamic and extension of performed vitrectomy may lead to unpredictable selfsealing features of...

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Author: Klaus Lucke, Bremen, Germany Flow control and audio feedback puts you back in charge Vitrectomy near the retina, particularly a mobile one, remains the big challenge in vitreoretinal surgery. Removing the vitreous in the vitreous base effectively brings on the danger of cutting into the retina inadvertently. The fact that vitreous generally is transparent adds...

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Authors: Barbara Parolini, Grazia Pertile, Verona, Italy Advantages: To report the rate of postoperative retinal detachment in 943 consecutive eyes operated with 23-gauge transconjuctival pars plana vitrectomy. Methods: Single-center, retrospective, noncomparative, interventional case series. Nine hundred and forty-three eyes underwent 23-gauge transconjunctival...

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: Presenting our standard surgical behaviour in the use of 23 g Surgery. Methods: 146 consecutive procedures for macular pucker, macular hole, vitreous hemorrhage, macular edema, RRD. The standard technique is: use of BIOM system and Xenon chandelier light; radical triamcinolone-assisted...

http://www.evrs.eu/medias/2009/congress/How-to-Reduce-Complications.flv Author: Jean-François Le Rouic, Nantes, France Advantages: Introduction: Despite recent improvement in vitrectomy, RD is still a major complication after macular surgery. 23 G sutureless vitrectomy has become very popular and has replaced 20 G vitrectomy in most cases of macular surgery. The aim of the study is to compare the rate of postoperative RD after macular...

http://www.evrs.eu/medias/2009/congress/20-Gauge-23-Gauge-25-Gauge.flv Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy Advantages: The re-flow strategy is a surgical technique developed in 2004 (Vail Vitrectomy 2004, Forlini C. et al.) in which the infusion is placed into anterior chamber. It utilizes the trans-zonular fluid toward the vitreous chamber, and allows changing the fluidinamic concepts into the eye during...