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Inverted ILM Flap Technique for MH in High Myopia: A Case Report

Purpose: To report the surgical technique and efficacy of the inverted internal limiting membrane (ILM) flap technique for an idiopathic macular hole (MH) in high myopia. Case presentation: A 47-year-old female with a full thickness macular hole with foveoschisis underwent pars plana vitrectomy with 23 gauge plus transconjunctival system, ILM peeling and SF6 gas tamponade. Axial length was 29.96mm and best corrected visual acuity was 0.06...

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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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Limited Field with Aspheric Macular Contact Lens

The Aspheric Macular Contact Lens provides superb visualization of the macula. However, the field of view is 30 degrees. Sometimes, I need to tilt the lens slightly to one side of the cornea to see a wider area of the macula. In certain situations the contact lens alone is not sufficient for complete macular maneuver. These include: wide extensive epimacular membranes, and small pupil. My Strategy is so simple: I try to use the contact...

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Problematic Induction of Posterior Hyaloid Detachment

Posterior hyaloid was tightly attached to retina and could not detach it with vacuum. I tried to engage the posterior hyaloid with a pick. However, triamcinolone blocked my view and I engaged the retina and tear the retina in the papillomacular bundle area. Contact Details: Email: sozdek@gazi.edu.tr Cell Phone:...

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Macular Stab Wound

A myopic foveoschisis case 78 year-old high myopic female (-13.00D) with foveoschisis. This video demonstrates the unexpected iatrogenic retinal hemorrhage caused by ILM forceps trauma. Considering long eyeball length of highly myopic eye, the actual forceps length is too short for 25G plus system developed by Alcon. When trying to approach to the macula with 25G plus ILM forceps for high myopic eye, we should be careful of abrupt...

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ME Recurrence After ILM Peeling

Contact Details: Email: hamonpro@gmail.com Cell Phone: /+33607486707

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