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Role of Endo-diathermy Probe in PDR Surgery

I use the endodiathermy probe as one of two instruments for bimanual dissection of diabetic fibrovascular proliferations. It replaces either the forceps or the vitreous cutting probe and scissors. Forceps Replacement: I identify the surgical planes, by inserting the endodiathermy probe tip underneath the membranes; this allows me to dissect with the vitreous cutting probe under good visulaization. Probe/scissors Replacement: In the...

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Macular Hole in RD PDR

          Giant macular hole in a 13 yo girl after surgery for retinal detachment. Subretinal strands are also visible. Tamponade is silicone oil. Contact Details: Email: parolinibarbara@gmail.com Cell Phone:...

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Chronic Diffuse DME: The Role of Vitrectomy vs Intravitreal Therapy

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

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Qualitative and Quantitative Analysis of Retinal Vascular Impairment in Diabetic Maculopathy: An OCT-Angiography Assessment

Purpose: To perform a qualitative and quantitative assessment of the foveal microvasculature in eyes with diabetic maculopathy (DM) using optical coherence tomography angiography (OCT-A). Methods: Retrospective case series of 50 eyes of 34patients with DM (14 females, mean age 64.4 ± 9.2 years) and 30 eyes of 30 age-matched controls, evaluated by conventional multimodal imaging andSpectralis OCT-A (Heidelberg Engineering, Heidelberg,...

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Safety and Efficacy of Intravitreal Ocriplasmin in DME with Vitreomacular Adhesion

Introduction: There are many reports supporting that the relationship of the posterior cortical vitreous to the macula plays a role in the development of diabetic macular edema (DME). Until recently, the only treatment option available for vitreomacular adhesion (VMA) was vitrectomy. Given the risks for vitrectomy, the standard of care has generally been to wait until visual symptoms from VMT have deteriorated enough to justify the...

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Subthreshold Diode Micropulse Laser for the Treatment of Clinically Significant DME Less than 400 μ

Purpose: To assess effect of micropulse diode laser (MPDL) on best corrected visual acuity (BCVA) and central foveal thickness (CFT) in treatment of clinically significant diabetic macular oedema (CSME) as compared to conventional argon green laser (CGL) treatment. Design: Single-center, prospective, interventional, comparative study. Methods: Twenty four patients (40 eyes) with diabetic CSME were randomly assigned to MPDL (n=20) or CGL...

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