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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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Submacular Surgery for Myopic Choroidal Neovascular Membrane

http://www.evrs.eu/medias/2009/congress/Surgery.flv Author: Khaled El Rakhawy, Cairo, Egypt Advantages: In selected cases of myopic CNVM, surgical removal gives better visual outcome and relieves the patient from metamorphopsia as well as from the need to have many repeated injections with only limited improvement or merely stabilization of vision. Large membranes are particularly suitable for this approach. Methods: After complete...

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ILM Removal in Idiopathic Macular Hole Surgery versus Myopic Macular Hole Surgery; Differences in Technique and Results

Khaled El-Rakhawy, MD Background: Myopic macular holes are different from idiopathic macular holes in their epidemiological characteristics, clinical presentation, surgical objectives and outcome. Some of the still ongoing controversies in the management of both conditions include the role of ILM removal as well as the technique used to achieve this, whether with or without staining. Methods: In vitrectomy for idiopathic macular holes,...

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Surgical Management of Complicated Diabetic Retinal Detachment by Simple Vitrectomy Techniques

Khaled el-Rakhawy Background: Several surgical techniques, varying from simple to more complex, can be used to manage complicated diabetic retinal detachment. A variety of manual and automated scissors, forceps, pics, tissue manipulators as well as several methods of illumination are available for these cases. Methods: 141 eyes with complicated traction retinal detachment were operated in the past 3 years. All eyes had either 1) thick and...

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Three Hundred Sixty Degrees Retinotomy in Severe PVR

Khaled El-Rakhawy,MD Cairo University, Egypt Purpose: To report the anatomical and functional results of extensive (360-degree) retinotomy in eyes with retinal detachment (RD) complicated by severe proliferative vitreoretinopathy (PVR). Method: This series includes 44 eyes with RD complicated by very severe PVR where epiretinal and/or subretinal membrane removal together with less extensive retinotomy has failed to achiever retinal...

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