Long-term Outcomes of Vitreous Floaters Management with 23-Gauge Transconjunctival Sutureless Vitrectomy
|
|
- Joy Bruce
- 5 years ago
- Views:
Transcription
1 Long-term Outcomes of Vitreous Floaters Management with 23-Gauge Transconjunctival Sutureless Vitrectomy Malhar 1Consultant 1 Soni, Minas G 2 Georgopoulos, Adriana 2 Kovakova Vitreo-Retinal Surgeon, London, UK; 2 Department of Ophthalmology, Queen Elizabeth II Hospital, UK. Correspondence: malharsoni@gmail.com PURPOSE RESULTS Ø To evaluate the anatomical and visual outcomes of 23-gauge transconjunctival sutureless vitrectomy for Ø Complications Ø One eye required per-operative cryotherapy and gas tamponade for an iatrogenic break chronic vitreous floaters. Ø None of the sclerotomies required suturing METHODS Ø No post-operative hypotony, endophthalmitis or retinal detachment Ø Retrospective analysis of a consecutive case series. Ø 100% of patients were very satisfied with the visual outcome. Ø 10 eyes of 10 consecutive patients underwent 23-gauge transconjunctival sutureless vitrectomy (TSV) or DISCUSSION phaco-vitrectomy surgery (TSPV) for vitreous floaters of more than 6 months duration, - affecting visual acuity and significantly affecting quality of life. Ø Data collected on age, pre & post-operative best corrected visual acuity (BCVA LogMAR units), Intraocular pressure Ø Vitreous floaters can cause considerable visual morbidity despite good visual acuity1. Surgery for this indication is primarily patient-driven2 so the techniques employed for the surgery should optimise patient satisfaction whilst minimising the attendant risks. Ø Principle outcome measures: Ø Minimised ocular surface disruption, shorter operative times and faster visual recovery are some of the - Visual acuity, Patient satisfaction and, inherent advantages of 23-gauge surgery3,4 that make the technique particularly appropriate for the - Surgical complications at 6 months follow-up Ø All procedures were performed under local anaesthesia by a single surgeon (MS) surgical management of floaters. Ø Surgical technique Ø The mean intraocular pressures on day one are consistent with those reported in the literature for 23-G 23-gauge trocar cannula insertion with the help of pressure plate before proceeding with phacoemulsification, surgery3, whilst no hypotony was observed. The lens was removed via corneal wound. The capsulorrhexis size was slightly smaller than the diameter of the intraocular lens optic. A 5.5 mm one piece PMMA intraocular lens implant was inserted into the capsular bag. Viscoelastic was removed from Figure 1-23G TSPV the anterior chamber by irrigation and aspiration, CONCLUSIONS Pars plana vitrectomy was performed using 23 gauge instrumentation (Figure 1). The posterior vitreous face was detached by changing the vitreous cutter to aspiration mode only and applying maximum of 600 mm Hg of aspiration on the posterior vitreous cortex near ONH Diluted Triamcinolone Acetonide (0.04 mg in 0.1 ml) was used to assist complete removal of posterior hyaloid in some cases with partial vitreous detachment or vitreoschisis, the retinal periphery was examined and cryopexy was performed if tears were observed, 23G cannulae were removed in a controlled fashion after exchange of gas if it was required. Ø 23 gauge phaco-vitrectomy is a safe and effective method in the management of vitreous floaters due to asteroid hyalosis and posterior vitreous detachment. Ø A high anatomical and visual success can be achieved with 23 gauge transconjunctival RESULTS vitrectomy surgery without short-term or long-term post-operative complications. Ø Mean age: 69 years REFERENCES Ø 5 eyes had asteroid hyalosis & 5 eyes had large chronic floaters secondary to PVD 1. Tan HS, Mura M, Oberstein SYL, Bijl HM. Safety of vitrectomy for floaters Am J Ophth. 151: Ø 8 eyes underwent phaco-vitrectomy & 2 eyes were pseudophakic prior to surgery 2. Wilkinson CP. Safety of Vitrectomy for Floaters How Safe is Safe? Am J Ophth. 151: Ø Mean pre-operative BCVA , Mean post-operative BCVA Narayanan R, Sinha A, Reddy RK, Krishnaiah S, Kuppermann BD. Faster visual recovery after 23-gauge vitrectomy Ø Mean IOP on day one 14 mm of Hg compared with 20-gauge vitrectomy Retina 30: Misra A, Ho-Yen G, Burton RL. 23-gauge sutureless vitrectomy and 20-gauge vitrectomy: a case series comparison. Ø Mean follow-up 8.5 months Eye 2009; 23: Visual acuity analysis Financial disclosure : None
2 PURPOSE Ø To evaluate the anatomical and visual outcomes of 23-gauge transconjunctival sutureless vitrectomy for chronic vitreous floaters. METHODS Ø Retrospective analysis of a consecutive case series Ø 10 eyes of 10 consecutive patients underwent 23-gauge transconjunctival sutureless vitrectomy (TSV) or phaco-vitrectomy surgery (TSPV) for vitreous floaters of more than 6 months duration, - affecting visual acuity and significantly affecting quality of life Ø Data collected on age, pre & post-operative best corrected visual acuity (BCVA LogMAR units), intraocular pressure. Principle outcome measures were visual acuity and surgical complications at 6 months follow-up Ø All procedures were performed under local anaesthesia by a single surgeon (MS)
3 METHODS Ø Surgical technique 23-gauge trocar cannula insertion with the help of pressure plate before proceeding with phacoemulsification, The lens was removed via corneal wound. The capsulorrhexis size was slightly smaller than the diameter of the intraocular lens optic. A 5.5 mm one piece PMMA intraocular lens implant was inserted into the capsular bag. Viscoelastic was removed from the anterior chamber by irrigation and aspiration, Pars plana vitrectomy was performed using 23 gauge instrumentation (Figure 1). The posterior vitreous face was detached by changing the vitreous cutter to aspiration mode only and applying maximum of 600 mm Hg of aspiration on the posterior vitreous cortex near ONH, Diluted Triamcinolone Acetonide (0.04 mg in 0.1 ml) was used to assist complete removal of posterior hyaloid in some cases with partial vitreous detachment or vitreoschisis, the retinal periphery was examined and cryopexy was performem if tears were observed, 23G cannulae were removed in a controlled fashion after exchange of gas if it was required. Figure 1-23G TSPV
4 RESULTS Ø Mean age: 69 years Ø 5 eyes had asteroid hyalosis & 5 eyes had large chronic floaters secondary to PVD Ø 8 eyes underwent phaco-vitrectomy & 2 eyes were pseudophakic prior to surgery Ø Mean pre-operative BCVA , Mean post-operative BCVA Ø Mean IOP on day one 14 mm of Hg Ø Mean follow-up 8.5 months Ø Complications One eye required per-operative cryotherapy and gas tamponade for an iatrogenic break None of the sclerotomies required suturing No post-operative hypotony, endophthalmitis or retinal detachment Ø 100% of patients were very satisfied with the visual outcome
5 DISCUSSION Ø Vitreous floaters can cause considerable visual morbidity despite good visual acuity 1. Surgery for this indication is primarily patient-driven 2 so the techniques employed for the surgery should optimise patient satisfaction whilst minimising the attendant risks. Ø Minimised ocular surface disruption, shorter operative times and faster visual recovery are some of the inherent advantages of 23-gauge surgery 3,4 that make the technique particularly appropriate for the surgical management of floaters. Ø The mean intraocular pressures on day one are consistent with those reported in the literature for 23G surgery 3, whilst no hypotony was observed.
6 CONCLUSIONS Ø 23 gauge phaco-vitrectomy is a safe and effective method in the management of vitreous floaters due to asteroid hyalosis and posterior vitreous detachment. Ø A high anatomical and visual success can be achieved with 23 gauge transconjunctival vitrectomy surgery without short-term or long-term post-operative complications. REFERENCES 1. Tan HS, Mura M, Oberstein SYL, Bijl HM. Safety of vitrectomy for floaters Am J Ophth. 151: Wilkinson CP. Safety of Vitrectomy for Floaters How Safe is Safe? Am J Ophth. 151: Narayanan R, Sinha A, Reddy RK, Krishnaiah S, Kuppermann BD. Faster visual recovery after 23-gauge vitrectomy compared with 20-gauge vitrectomy Retina 30: Misra A, Ho-Yen G, Burton RL. 23-gauge sutureless vitrectomy and 20-gauge vitrectomy: a case series comparison. Eye 2009; 23: Correspondence: malharsoni@gmail.com
Comparison Between 20- Gauge And 23-Gauge Vitrectomy In Diabetic Patients
Asok Nataraj MS Abstract Aim: - Comparison Between 20- Gauge And 23-Gauge Vitrectomy In Diabetic Patients The purpose of this study was to directly compare the outcome, safety and efficacy of the 20G and
More informationPrompt 27-gauge sutureless transconjunctival vitrectomy for bleb-associated endophthalmitis
Int Ophthalmol (2018) 38:2663 2668 https://doi.org/10.1007/s10792-017-0747-4 (0456789().,-volV) (0456789().,-volV) CASE REPORT Prompt 27-gauge sutureless transconjunctival vitrectomy for bleb-associated
More informationRisk of complications of vitrectomy for floaters,based on presence or absence of posterior vitreous detachment.
1 2 3 Risk of complications of vitrectomy for floaters,based on presence or absence of posterior vitreous detachment. Rahman R 1, Gormley J 1, Stephenson J 2 4 5 6 7 8 9 10 11 12 13 KEYWORDS: Floaters,
More informationAnina Abraham, Consultant, Swarup Eye Centre, Hyderabad, India. The author has no financial interests
Reduced Incidence of Sclerotomy Related Breaks during 23-Gauge Vitrectomy Anina Abraham, Consultant, Swarup Eye Centre, Hyderabad, India The author has no financial interests Introduction Sclerotomy related
More informationThe Outcome Of 23 Gauge Pars Plana Vitrectomy Without Scleral Buckle For Management Of Rhegmatogenous Retinal Detachment. By:
The Outcome Of 23 Gauge Pars Plana Vitrectomy Without Scleral Buckle For Management Of Rhegmatogenous Retinal Detachment. By: Mohamed El-Deeb, MD, M.Sc, ICO, FRCS. Vitreoretinal Consultant, Magrabi Eye
More informationJ of Evolution of Med and Dent Sci/ eissn , pissn / Vol. 4/ Issue 78/ Sept 28, 2015 Page 13570
SAFETY AND EFFECTIVENESS OF 20G SUTURELESS PARS PLANA VITRECTOMY: A PROSPECTIVE STUDY AT SAROJINI DEVI HOSPITAL, HYDERABAD Rajalingam Vairagyam 1, Karunakar B 2, Pasyanthi B 3, B. Y. Babu Rao 4, Rita Bahadur
More informationMinimally Invasive Surgery for the Removal of Posterior Intraocular Foreign Bodies
Surgical Technique Minimally Invasive Surgery for the Removal of Posterior Intraocular Foreign Bodies Jesus Hernan Gonzalez Cortes 1, MD, PhD; Yunuen Bages Rousselon 1, MD; Jesus Emiliano Gonzalez Cantu
More informationComparison between 23 Gauge and 25 Gauge Pars Plana Vitrectomy for Posterior Segment Disease
Original Article Comparison between 23 Gauge and 25 Gauge Pars Plana Vitrectomy for Posterior Segment Disease Huma Kayani, Aamir Ahmed, Kashif Jahangir, Hizb-ur-Rehman, Khurram Chauhan Pak J Ophthalmol
More informationClinical Study Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment
Hindawi Ophthalmology Volume 2017, Article ID 1341948, 5 pages https://doi.org/10.1155/2017/1341948 Clinical Study Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment Kang Yeun Pak,
More informationClinical Study Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia
Hindawi Ophthalmology Volume 2017, Article ID 4721540, 5 pages https://doi.org/10.1155/2017/4721540 Clinical Study Air Bubble Technique for Fundus Visualization during Vitrectomy in Aphakia Mahmoud Mohamed
More informationSafety of 23 Gauge Transconjunctival Sutureless 3 Port Pars Plana Vitrectomy for Vitreoretinal Diseases
Original Article Safety of 23 Gauge Transconjunctival Sutureless 3 Port Pars Plana Vitrectomy for Vitreoretinal Diseases Syed Raza Ali Shah, Nadeem Ahmad, Qasim Lateef Chaudry, Chaudary Nasir Ahmad, Asad
More informationProgressive Symptomatic Retinal Detachment Complicating Retinoschisis. Initial Reporting Questionnaire
Progressive Symptomatic Retinal Detachment Complicating Retinoschisis In association with the British Ophthalmological Surveillance Unit Ethics ref: 13/NW/0037 Initial Reporting Questionnaire Case Definition:
More informationClinical Study Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge Cannulas
Ophthalmology Volume 2016, Article ID 4182693, 4 pages http://dx.doi.org/10.1155/2016/4182693 Clinical Study Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge Cannulas Zhong
More informationAnatomical results and complications after silicone oil removal
Romanian Journal of Ophthalmology, Volume 61, Issue 4, October-December 2017. pp:261-266 GENERAL ARTICLE Anatomical results and complications after silicone oil removal Brănişteanu Daniel Constantin* **,
More informationVenturi versus peristaltic pumps 33 vitrectomy dynamics 34 Fluorescein, vitreous staining 120
Subject Index Accurus 35, 83 Aflibercept, diabetic macular edema management 167, 168 Air-forced infusion, Stellaris PC 12, 13 Alcon Constellation, see Constellation system Autoclave sterilization lens
More informationAudit of Macular Hole Surgery, Visual Outcome Prediction on OCT Appearance of Macular Hole
International Journal of Ophthalmology & Visual Science 2017; 2(4): 93-97 http://www.sciencepublishinggroup.com/j/ijovs doi: 10.11648/j.ijovs.20170204.13 Audit of Macular Hole Surgery, Visual Outcome Prediction
More informationSurgical outcome of pars plana vitrectomy: a retrospective study in a peripheral tertiary eye care centre of Nepal
Original article : a retrospective study in a peripheral tertiary eye care centre of Nepal Subedi S 1, Sharma MK 2, Sharma BR 2, Kansakar I 2, Dhakwa K 2, Adhikari RK 2 1.Nepal Eye Hospital, National Academy
More informationCOURSE DESCRIPTION BASIC FUNDAMENTALS
TACKLING POSTERIOR CAPSULE RUPTURE AND IOL IMPLANTATION: A VIDEO BASED COURSE TUESDAY - 29 th APRIL, 2014: 1.00 PM-2.30 PM, BCEC, ROOM 258 A ; SESSION 29-308 COURSE DESCRIPTION BASIC FUNDAMENTALS Early
More informationCritical Complication Wonderfully Managed by Vitreoretinal Surgeon
Critical Complication Wonderfully Managed by Vitreoretinal Surgeon Prof. Dr. Sherif Embabi Consultant of ophthalmology Ain Shams univ. & Alwatany Eye Hospital, MD Dr. Remon Atef Ophthalmology specialist
More informationOriginal Article Capsular tension ring implantation after lens extraction for management of subluxated cataracts
Int J Clin Exp Pathol 2014;7(7):3733-3738 www.ijcep.com /ISSN:1936-2625/IJCEP0000754 Original Article Capsular tension ring implantation after lens extraction for management of subluxated cataracts Xiao
More informationIntraoperative Visualization of Peripheral Retina with Wide-Angle Viewing Systems
Intraoperative Visualization of Peripheral Retina with Wide-Angle Viewing Systems Homayoun Tabandeh, M.D., MS, Francesco Boscia, M.D. 1. Retina -Vitreous Associates Medical Group, Los Angeles, California,
More informationInterface Vitrectomy Offers an Alternative for Surgery
Published in the January/February 2012 issue of Retinal Physician Magazine. Interface Vitrectomy Offers an Alternative for Surgery By leaving surface tension management agents in the eye, many vitreoretinal
More informationChanges in Day 1 Post-Operative Intraocular Pressure Following Sutureless 23-Gauge and Conventional 20-Gauge Pars Plana Vitrectomy
Send Orders of Reprints at reprints@benthamscience.net 42 The Open Ophthalmology Journal, 2013, 7, 42-47 Open Access Changes in Day 1 Post-Operative Intraocular Pressure Following Sutureless 23-Gauge and
More informationICO-Ophthalmology Surgical Competence Assessment Rubric Vitrectomy (ICO-OSCAR:VIT)
ICO-Ophthalmology Surgical Competence Assessment Rubric Vitrectomy (ICO-OSCAR:VIT) Date Resident Evaluator Novice (score = 2) Beginner (score = 3) Advanced Beginner (score = 4) Competent (score = 5) Not
More informationScleral Buckling Using a Non-contact Wide-Angle Viewing System with a 25-Gauge Chandelier Endoilluminator
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2017;31(6):533-537 https://doi.org/10.3341/kjo.2017.0044 Original Article Scleral Buckling Using a Non-contact Wide-Angle Viewing System with a 25-Gauge
More informationElectronic poster presentations
Electronic poster presentations Cataract Surgery E-00002 Blue-light exposure in an animal model of uveal melanoma B.F. Fernandes, S. Di Cesare, S. Maloney, J.-C. Marshall, W. Dawson, M.N. Burnier, Jr.
More informationIncidence of endophthalmitis after 23-gauge pars plana vitrectomy
Lin et al. BMC Ophthalmology (2018) 18:16 DOI 10.1186/s12886-018-0678-5 RESEARCH ARTICLE Open Access Incidence of endophthalmitis after 23-gauge pars plana vitrectomy Zhong Lin 1, Xiaofen Feng 1, Liya
More information84 Year Old with Rosacea
84 Year Old with Rosacea S/p tap and injection of intravitreal vancomycin, ceftazidime, dexamethasone Post-injection day#1 Va HM IOP 14 mmhg Post-injection week#3 BCVA 20/20-3 (plano +0.50 x 180) IOP 23
More informationEarly surgery preserves more vision for patients with Epiretinal Membranes
Early surgery preserves more vision for patients with Epiretinal Membranes Rahman R 1, Stephenson J 2 KEYWORDS: Epiretinal membrane, Combined phakovitrectomy, OCT. Addresses: 1 Ms Rubina Rahman*, CalderdaleRoyalHospital,
More informationObjectives. Tubes, Ties and Videotape: Financial Disclosure. Five Year TVT Results IOP Similar
Tubes, Ties and Videotape: Surgical Video of Glaucoma Implants and Financial Disclosure I have no financial interests or relationships to disclose. Herbert P. Fechter MD, PE Eye Physicians and Surgeons
More informationCataract surgery is the leading cause of malpractice claims (OMIC) Complicated CE/IOL: Choices the anterior segment surgeon can make
Posterior Segment Complications and Management of Retained Lens Material Jay M. Stewart, MD Cataract surgery is the leading cause of malpractice claims (OMIC) Complicated CE/IOL: Choices the anterior segment
More informationLate Intraocular Lens Subluxation in Patients with Uveitis
Late Intraocular Lens Subluxation in Patients with Uveitis LR Steeples, NP Jones Manchester Royal Eye Hospital Introduction Late in-the-bag IOL subluxation is an unusual complication of phacoemulsification
More informationRETINAL DISORDERS. Roberto dell Omo & Francesco Barca & H. Stevie Tan & Heico M. Bijl & Sarit Y. Lesnik Oberstein & Marco Mura
Graefes Arch Clin Exp Ophthalmol (2013) 251:485 490 DOI 10.1007/s00417-012-2059-8 RETINAL DISORDERS Pars plana vitrectomy for the repair of primary, inferior rhegmatogenous retinal detachment associated
More informationMeasure #192: Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures
Measure #192: Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures 2012 PHYSICIAN QUALITY REPORTING OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY
More informationTransvitreal Fine Needle Aspiration Biopsy of Choroidal Melanoma via Pars Plana Vitrectomy
Surgical Technique Is pars plana vitrectomy a safe method for performing fine needle aspiration biopsy of choroidal melanoma? What are the rates of complications? Clinical Characteristics Do tumor thickness
More informationClinical Study Surgical Outcomes of 27-Gauge Pars PLana Vitrectomy for Symptomatic Vitreous Floaters
Hindawi Ophthalmology Volume 2017, Article ID 5496298, 6 pages https://doi.org/10.1155/2017/5496298 Clinical Study Surgical Outcomes of 27-Gauge Pars PLana Vitrectomy for Symptomatic Vitreous Floaters
More informationClinical Evaluation of the BunnyLens IOL
Clinical Evaluation of the BunnyLens IOL Introduction: BunnyLens is a foldable Hydrophlic Acrylic IOL with four ear shaped haptic design. The lens design offers many advantages in terms of: 1. Centration
More informationTrauma. steve charles
Trauma steve charles Pathobiology of Trauma Hypocellular Vitreous Collagen Contraction (formerly called gel contraction) Poor Names: Vitreous Bands & Vitreous Membranes (always along vitreous surface or
More informationThe Visual Outcome between Foldable and Rigid Intraocular Lens Implantation in Phacoemulsification A Hospital Based Study
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 10 Ver. XIII (Oct. 2017), PP 74-80 www.iosrjournals.org The Visual Outcome between Foldable
More informationCombined 23-gauge transconjunctival vitrectomy and scleral fixation of intraocular lens without conjunctival dissection in managing lens complications
Yeung et al. BMC Ophthalmology (2018) 18:108 https://doi.org/10.1186/s12886-018-0776-4 RESEARCH ARTICLE Open Access Combined 23-gauge transconjunctival vitrectomy and scleral fixation of intraocular lens
More informationPostoperative Adverse Events, Interventions, and the Utility of Routine Follow-Up After 23-, 25-, and 27-Gauge Pars Plana Vitrectomy
ORIGINAL CLINICAL STUDY Postoperative Adverse Events, Interventions, and the Utility of Routine Follow-Up After 23-, 25-, and 27-Gauge Pars Plana Vitrectomy Ryan A. Shields, MD, Cassie A. Ludwig, MD, MS,
More informationSutureless Intrascleral Pocket Technique of Transscleral Fixation of Intraocular Lens in Previous Vitrectomized Eyes
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2014;28(2):181-185 http://dx.doi.org/10.3341/kjo.2014.28.2.181 Case Report Sutureless Intrascleral Pocket Technique of Transscleral Fixation of Intraocular
More informationWataru Kobayashi, MD,* Hiroshi Kunikata, MD, PhD,* Toshiaki Abe, MD, PhD,Þ and Toru Nakazawa, MD, PhD*
ORIGINAL CLINICAL STUDY Retrospective Comparison of 25- and 23-Gauge Microincision Vitrectomy Surgery and 20-Gauge Vitrectomy for the Repair of Macular Hole Retinal Detachment Wataru Kobayashi, MD,* Hiroshi
More informationGo in with confidence. Choose the game-changing performance of Alcon s MIVS for every challenge.
TM Go in with confidence Choose the game-changing performance of Alcon s MIVS for every challenge. Essential Components of the CONSTELLATION Vision System The ALCON MIVS (Micro-Incision Vitrectomy Surgery)
More informationDisclosures. Objectives. Small gauge vitrectomy POD 1. The routine postoperative course 1/24/2018. None
Disclosures Retina Surgery: Postoperative Considerations and Complications None D. Wilkin Parke III, M.D. VitreoRetinal Surgery, PA 1 2 Objectives Small gauge vitrectomy To understand the common and serious
More informationFoveal Red Spot, Macular Microhole and Foveal Photoreceptor Defect in the Era of High-Resolution Optical Coherence Tomography
1:15 PM Foveal Red Spot, Macular Microhole and Foveal Photoreceptor Defect in the Era of High-Resolution Optical Coherence Tomography Edward F. Hall, MD Steven J. Rose, MD Brian P. Connolly, MD Ernest
More information2/26/2017. Sameh Galal. M.D, FRCS Glasgow. Lecturer of Ophthalmology Research Institute of Ophthalmology
Sameh Galal M.D, FRCS Glasgow Lecturer of Ophthalmology Research Institute of Ophthalmology No financial interest in the subject presented 1 Managing cataracts in children remains a challenge. Treatment
More informationAn Injector s Guide to OZURDEX (dexamethasone intravitreal implant) 0.7 mg
An Injector s Guide to OZURDEX (dexamethasone intravitreal implant) 0.7 mg This guide is intended to provide injectors with information on the recommended injection technique and the important risks related
More informationComparison of Pars Planavitrectomy Versus Combined Pars Planavitrectomy + Encirclage for Primary Repair of Pseudophakic Retinal Detachment
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 1 Ver. 13 January. (2018), PP 35-41 www.iosrjournals.org Comparison of Pars Planavitrectomy
More informationVitreous Loss. Pearls on anterior vitrectomy for cataract surgeons. COVER STORY
Vitreous Loss Pearls on anterior vitrectomy for cataract surgeons. By Brad Feldman, MD, and Terry Kim, MD With up to 6% of cataract surgeries complicated by vitreous loss, 1 anterior vitrectomy is an essential
More informationInadvertent trypan blue staining of posterior capsule during cataract surgery associated with "Argentinian flag" event
Washington University School of Medicine Digital Commons@Becker Open Access Publications 2016 Inadvertent trypan blue staining of posterior capsule during cataract surgery associated with "Argentinian
More informationEvaluation of Wound Morphology of Sclerotomy Sites of Sutureless Vitrectomy Using Spectralis Anterior Segment Optical Coherence Tomography
ORIGINAL CLINICAL STUDY Evaluation of Wound Morphology of Sclerotomy Sites of Sutureless Vitrectomy Using Spectralis Anterior Segment Optical Coherence Tomography Manish Nagpal, MS, DO, FRCS, Gaurav Paranjpe,
More informationConjunctival displacement to the corneal side for oblique-parallel insertion in 25-gauge vitrectomy
European Journal of Ophthalmology / Vol. 18 no. 5, 2008 / pp. 848-851 SHORT COMMUNICATIONS & CASE REPORTS Conjunctival displacement to the corneal side for oblique-parallel insertion in 25-gauge vitrectomy
More informationRETINAWS 2010: ASRS. A sampling of cases presented and discussed at the ASRS Annual meeting in Vancouver, Canada.
RETINAWS 2010: ASRS A sampling of cases presented and discussed at the ASRS Annual meeting in Vancouver, Canada. BY KOUROUS REZAEI, MD RETINAWS was presented at the American Society of Retina Specialists
More informationManagement of Congenital Cataract Surgery. Dr. Vaishali Vasavada, MS. Dr. Abhay R. Vasavada, MS, FRCS (England) Raghudeep Eye Hospital, India
Management of Congenital Cataract Surgery Dr. Vaishali Vasavada, MS Dr. Abhay R. Vasavada, MS, FRCS (England) Raghudeep Eye Hospital, India Congenital cataract surgery is a complex issue best left to surgeons
More informationORIGINAL ARTICLE. SURGICAL RESULTS OF PARS PLANA VITRECTOMY COMBINED WITH SMALL INCISION CATARACT SURGERY V.D. Karthigeyan 1
SURGICAL RESULTS OF PARS PLANA VITRECTOMY COMBINED WITH SMALL INCISION CATARACT SURGERY V.D. Karthigeyan 1 HOW TO CITE THIS ARTICLE: VD Karthigeyan. Surgical results of pars plana vitrectomy combined with
More informationInternational Council of Ophthalmology s Ophthalmology Surgical Competency Assessment Rubric (ICO-OSCAR)
International Council of Ophthalmology s Ophthalmology Surgical Competency Assessment Rubric (ICO-OSCAR) The International Council of Ophthalmology s Ophthalmology Surgical Competency Assessment Rubrics
More informationOptometric Postoperative Cataract Surgery Management
Financial Disclosures Optometric Postoperative Cataract Surgery Management David Dinh, OD Oak Cliff Eye Clinic Dallas Eye Consultants March 10, 2015 Comanagement Joint cooperation between two or more specialists
More informationAIR VERSUS GAS TAMPONADE IN RHEGMATOGENOUS RETINAL DETACHMENT WITH INFERIOR BREAKS AFTER 23-GAUGE PARS PLANA VITRECTOMY
AIR VERSUS GAS TAMPONADE IN RHEGMATOGENOUS RETINAL DETACHMENT WITH INFERIOR BREAKS AFTER 23-GAUGE PARS PLANA VITRECTOMY A Prospective, Randomized Comparative Interventional Study CHUANDI ZHOU, MD, QINGHUA
More informationApril Stellaris PC: Next-generation Technology. An advanced combined platform for anterior and posterior segment surgery
Supplement to Sponsored by April 2011 Stellaris PC: Next-generation Technology An advanced combined platform for anterior and posterior segment surgery CONTENTS Stellaris PC: Next-generation Vitrectomy
More informationImplantation of a corneal graft keratoprosthesis for severe corneal opacity in wet blinking eyes
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Interventional procedure consultation document Implantation of a corneal graft keratoprosthesis for severe corneal opacity in wet blinking eyes The cornea
More informationOutcome of primary rhegmatogenous retinal detachment surgery in a tertiary referral centre in Northern Ireland A regional study
Ulster Med J 2017;86(1):15-19 Clinical Paper Outcome of primary rhegmatogenous retinal detachment surgery in a tertiary referral centre in Northern Ireland A regional study Michael A Mikhail 1, George
More informationLENS CAPSULAR FLAP TRANSPLANTATION IN THE MANAGEMENT OF REFRACTORY MACULAR HOLE FROM MULTIPLE ETIOLOGIES
LENS CAPSULAR FLAP TRANSPLANTATION IN THE MANAGEMENT OF REFRACTORY MACULAR HOLE FROM MULTIPLE ETIOLOGIES SAN-NI CHEN, MD,* CHUNG-MAY YANG, MD Purpose: To report the clinical results of lens capsular flap
More informationEyesi Surgical Simulator
Eyesi Surgical Simulator High-End Virtual Reality Simulator for Intraocular Surgery Training Cataract Surgery Training Practice all Steps of Intraocular Cataract Surgery Taking the Patient Out of the Surgical
More informationSurgical outcomes of 25-gauge pars plana vitrectomy for diabetic tractional retinal detachment
(2015) 29, 1213 1219 2015 Macmillan Publishers Limited All rights reserved 0950-222X/15 www.nature.com/eye Surgical outcomes of 25-gauge pars plana vitrectomy for diabetic tractional retinal detachment
More informationMacular hole repair outcomes with non-supine positioning
Number of Patients Macular hole repair outcomes with non-supine positioning Jaafar El Annan, M.D., Jordan Heffez, M.D., Joshua D. Udoetuk, M.D., Menka M. Sanghvi, Petros E. Carvounis, M.D., F.R.C.S.C Retina
More informationCATARACT SURGERY IN UVEITIS. Professor Harminder Singh Dua
Research Institute of Ophthalmology, Cairo 11 th International Conference, 3-4 February, 2017 CATARACT SURGERY IN UVEITIS Professor Harminder Singh Dua MBBS, DO, DO(Lond), MS, MNAMS, FRCS, FRCOphth., FEBO,
More informationProgram= Loma Linda University Program
OPHTHALMOLOGY: PROGRAM REPORT (Main Table) Reporting Period: Total Experience of Residents Completing rams in 2008-2009 ram=2400521023 - Loma Linda University ram [PART 1 ] rams in the Nation: 115 Residents
More informationPosterior capsule rupture is a complication that is
techniques Posterior assisted levitation for nucleus retrieval using Viscoat after posterior capsule rupture David F. Chang, MD, Richard B. Packard, MD A pars plana injection of Viscoat (sodium hyaluronate
More informationVITREOUS INCARCERATION IN SCLEROTOMIES AFTER VALVED 23-, 25-, OR 27-GAUGE AND NONVALVED 23- OR 25-GAUGE MACULAR SURGERY
VITREOUS INCARCERATION IN SCLEROTOMIES AFTER VALVED 23-, 25-, OR 27-GAUGE AND NONVALVED 23- OR 25-GAUGE MACULAR SURGERY GIAN MARCO TOSI, MD, PHD,* ALEX MALANDRINI, MD, GABRIELE CEVENINI, MD, GIOVANNI NERI,
More information2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY
Measure #192 (NQF 0564): Cataracts: Complications within 30 Days Following Cataract Surgery Requiring Additional Surgical Procedures National Quality Strategy Domain: Patient Safety 2016 PQRS OPTIONS FOR
More informationTwenty-Three-Gauge Pars Plana Vitrectomy With Inferior Retinectomy and Postoperative Perfluoro-n-Octane Retention for Retinal Detachment Repair
ORIGINAL CLINICAL STUDY Twenty-Three-Gauge Pars Plana Vitrectomy With Inferior Retinectomy and Postoperative Perfluoro-n-Octane Retention for Retinal Detachment Repair Ryan B. Rush, MD,* Matthew P. Simunovic,
More informationII Ophthalmic Spring Academy. May 20 th -24 th 2014 Cracow, Hotel Galaxy
II Ophthalmic Spring Academy May 20 th -24 th 2014 Cracow, Hotel Galaxy Faculty: Lecturers of the phaco part: prof. Igor Loskutov prof. Marek Rękas prof. Frank Wilhelm prof. Tomasz Żarnowski II Ophthalmic
More informationClosed System and Expanded Instrumentation Improves MIVS Outcomes
CLOSED SYSTEM AND GRIESHABER EXPANDED DSP INSTRUMENTATION Instrumentation for IMPROVES SurgeryMIVS OUTCOMES Closed System and Expanded Instrumentation Improves MIVS Outcomes By Martin Charles, MD I have
More informationI need to acknowledge Dr. Inder Paul Singh for providing slides for this presentation
I need to acknowledge Dr. Inder Paul Singh for providing slides for this presentation DISCLOSURES I AM A: CONSULTANT TO ELLEX SPEAKER FOR ELLEX RESEARCH FOR ELLEX It s a really good laser for capsulotomies
More informationScleral Buckling and Pars Plana Vitrectomy versus Vitrectomy alone for Primary Repair of Rhegmatogenous Retinal Detachment
ORIGINAL ARTICLE Scleral Buckling and Pars Plana Vitrectomy versus Vitrectomy alone for Primary Repair of Rhegmatogenous Retinal Detachment MARIA MEHBOOB 1, MUHAMMAD USMAN GHANI 2, ASMA KHAN 3, MUHAMMAD
More informationInjury. Contusion Lamellar Laceration Laceration Rupture. Penetrating IOFB. Perforating
Mechanical Ocular Trauma Došková Hana, MD. Department of Ophthalmology Medicine Faculty of Masaryk University Brno General Considerations Ocular trauma constitude about 6% of all injuries, but eyes set
More informationEndo Optiks. Clinical Publication Summaries
Endo Optiks Clinical Publication Summaries Effective. Safe. Simple. Four scientific studies demonstrating the proven clinical benefits of combined ECP and cataract surgery. ECP is an Effective, Safe, and
More informationComparison of Phaco Energy and Complications for Conventional Phacoemulsification and 25-gauge Phacovitrectomy Surgery
Ophthalmology Research: An International Journal 6(3): XX-XX, 2016; Article no.or.29870 ISSN: 2321-7227 SCIENCEDOMAIN international www.sciencedomain.org Comparison of Phaco Energy and Complications for
More informationTRAUMATIC CATARACT DR.KHUTEJA FATIMA IIND YEAR PG DEPT OF OPHTHALMOLOGY
TRAUMATIC CATARACT DR.KHUTEJA FATIMA IIND YEAR PG DEPT OF OPHTHALMOLOGY Traumatic cataract :Traumatic lens damage caused by mechanical injury and by physical forces (Ionising radiation,ir radiation, electrical
More informationat the Leading Edge Cannulas 20 & 23 Gauge Instruments Vitreoretinal
E s ta bl is h ed i n 19 59 20 & Instruments 20g 23g Vitreoretinal 23g 25g Cannulas Re-usable Titanium Cannulas Enhanced performance with better fixation and stabilisation compared to single use 7 Marquis
More informationOutcomes of 140 Consecutive Cases of 25-Gauge Transconjunctival Surgery for Posterior Segment Disease
Outcomes of 140 Consecutive Cases of 25-Gauge Transconjunctival Surgery for Posterior Segment Disease Rohit R. Lakhanpal, MD, 1 Mark S. Humayun, MD, PhD, 1 Eugene de Juan, Jr, MD, 1,2 Jennifer I. Lim,
More informationComparison of outcomes between 20, 23 and 25 gauge vitrectomy for idiopathic macular hole
Dihowm and MacCumber International Journal of Retina and Vitreous (2015) 1:6 DOI 10.1186/s40942-015-0007-6 ORIGINAL ARTICLE Comparison of outcomes between 20, 23 and 25 gauge vitrectomy for idiopathic
More informationTROCAR/CANNULA ROUNDUP
Section Editor: ndrew. Moshfeghi, MD, MB TROCR/CNNUL ROUNDUP These tiny tools have important differences. BY MICHEL. KLUFS, MD Every step in retina surgery is important and builds upon the previous one,
More informationComparison of Surgically-induced Astigmatism after Combined Phacoemulsification and 23-Gauge Vitrectomy: 2.2-mm vs mm Cataract Surgery
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2014;28(2):130-137 http://dx.doi.org/10.3341/kjo.2014.28.2.130 Original Article Comparison of Surgically-induced Astigmatism after Combined Phacoemulsification
More informationVisual outcome after silicone oil removal and recurrent retinal detachment repair
Visual outcome after silicone oil removal and recurrent retinal detachment repair CHRISTINA J. FLAXEL, SUZANNE M. MITCHELL, G. WILLIAM AYLWARD c.j. Flaxel GW. Aylward Moorfields Eye Hospital City Road
More informationUKOA Cataract Coding Handbook
UKOA Cataract Coding Handbook Cataract Cataract is a clouding of the natural clear focussing lens inside the eye, usually associated with age (senile). Other causes include diabetic, other metabolic diseases,
More informationNon Phaco Sutureless Cataract Surgery with Small Scleral Tunnel Incision Using Rigid PMMA IOLS
Original Article Non Phaco Sutureless Cataract Surgery with Small Scleral Tunnel Incision Using Rigid PMMA IOLS Muhammad Hashim Qureshi Pak J Ophthalmol 2007, Vol. 23 No.1.......................................................................................
More informationCLINICAL SCIENCES. for managing primary rhegmatogenous
CLINICAL SCIENCES Pars Plana Vitrectomy Alone With Diffuse Illumination and Vitreous Dissection to Manage Primary Retinal Detachment With Unseen Breaks Vicente Martínez-Castillo, MD; Anna Boixadera, MD;
More informationRoyal Berkshire Hospital Dunedin Hospital. Prince Charles Eye Unit Pi Princess Margaret Hospital
Vitreoretinal Surgery Mr Vaughan Tanner www.tanner-eyes.co.uk eyes Reading Royal Berkshire Hospital Dunedin Hospital Windsor Prince Charles Eye Unit Pi Princess Margaret Hospital Success rates VR surgery
More informationClinical Study Clear Corneal Phacovitrectomy with Posterior Capsulorhexis and IOL Implantation in Management of Selective Vitreoretinal Cases
Journal of Ophthalmology Volume 2015, Article ID 474072, 9 pages http://dx.doi.org/10.1155/2015/474072 Clinical Study Clear Corneal Phacovitrectomy with Posterior Capsulorhexis and IOL Implantation in
More informationVisual outcome and early complications of sutureless and glueless scleral fixated intraocular lens
Original article Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens Lalit Agarwal, Nisha Agrawal, Rajya Laxmi Gurung, Rahul Chaubey, Bhaskar kumar Jha, Bishwa
More informationSecondary management and outcome of massive suprachoroidal hemorrhage
European Journal of Ophthalmology / Vol. 16 no. 6, 2006 / pp. 835-840 Secondary management and outcome of massive suprachoroidal hemorrhage E. FERETIS, S. MOURTZOUKOS, G. MANGOURITSAS, S.A. KABANAROU,
More informationInsertion of an epiretinal prosthesis for retinitis pigmentosa
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Interventional procedure consultation document Insertion of an epiretinal prosthesis for retinitis pigmentosa Retinitis pigmentosa is a disease that affects
More informationOutline. Outline. Vitreous Development & Anatomy OPT - 243
2010 OPT - 243 Vitreous Disorders & Vitreoretinal Disorders of the Posterior Pole I Leo Semes, OD, FAAO 100% 0% 0% 0% 0% Which of these gives the best resolution for studying vitreoretinal disorders of
More informationVisual Results and Complications after Trans Pars Plana Vitrectomy and Lensectomy for Lens Dislocation
Original Article 429 Visual Results and Complications after Trans Pars Plana Vitrectomy and Lensectomy for Lens Dislocation Hsiu-Mei Huang, MD; Min-Lun Kao, MD; His-Kung Kuo,MD; Shih-Hao Tsai, MD; Yung-Jen
More informationTractional detachments
Retinal detachment: Surgery and post op care Tractional detachments Causes: diabetes, sickle cell, trauma, von Hippel Lindau disease. Sam S. Dahr, M.D. Retina Center of Oklahoma Key principles Remove the
More informationPhacoemulsification with hydrodelineation and OVD-assisted hydrodissection in posterior polar cataract
Hua et al. BMC Ophthalmology (2018) 18:165 https://doi.org/10.1186/s12886-018-0845-8 RESEARCH ARTICLE Open Access Phacoemulsification with hydrodelineation and OVD-assisted hydrodissection in posterior
More informationClinical Study Success Rates of Vitrectomy in Treatment of Rhegmatogenous Retinal Detachment
Journal of Ophthalmology Volume 2016, Article ID 2193518, 9 pages http://dx.doi.org/10.1155/2016/2193518 Clinical Study Success Rates of Vitrectomy in Treatment of Rhegmatogenous Retinal Detachment Yasser
More informationThe Egyptian Journal of Hospital Medicine (October 2018) Vol. 73(1), Page
The Egyptian Journal of Hospital Medicine (October 2018) Vol. 73(1), Page 5896-5906 Internal Limiting Membrane Peeling for Diffuse Tractional Diabetic Macular Oedema Department of Ophthalmology, Faculty
More information