http://www.eyemoviepedia.com/videos/4256252187/55
http://www.eyemoviepedia.com/videoview/5e5b85bf-5749-421f-baa1-1dc0567e0559
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/5e5b85bf-5749-421f-baa1-1dc0567e0559&autoplay=true&sound=70&desc=Scleral+loop+to+fixate+an+encircling+band
http://www.eyemoviepedia.com/viewvideopreview/5e5b85bf-5749-421f-baa1-1dc0567e0559-0/seo
Scleral loop to fixate an encircling band
The standard fixation of an encircling belt is a permanent scleral suture. Sutures have the disadvantage that they eventually may protrude through the conjunctiva, they may cut through the sclera causing dislocation of the belt, or they may be assciated with infections.
The scleral loop requires only a round knife (Teller-Messer), formed like a plate. In case of very thin (blue) sclera a suture will not hold and extra sclera need to be sutured onto the eye. However in case of a scleral loop the sclera is prepared down to the choroid leaving usually a suffient strong scleral loop to hold the band. To avoid the tip of the band to perforate the choroid when sliding behind the sclera a guide is introduced first and removed after the band is in place.
.0
313
2009-07-08T07:59:06+02:00
Scleral loop
band
Retinal Detachment
yes
http://www.eyemoviepedia.com/videos/4166636950/56
http://www.eyemoviepedia.com/videoview/345c9ce7-c517-4b14-8387-c3c9e31c4305
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/345c9ce7-c517-4b14-8387-c3c9e31c4305&autoplay=true&sound=70&desc=RPE+and+Choroid+Translocation+in+massive+submacular+hemorrhage
http://www.eyemoviepedia.com/viewvideopreview/345c9ce7-c517-4b14-8387-c3c9e31c4305-0/seo
RPE and Choroid Translocation in massive submacular hemorrhage
Usually when larger blood volumes are being removed from underneath the macula then the RPE goes with the blood. An RPE substitute is then required, either by macular translocation or by translocation of a free transplant of pigment epithelium and choroid. The latter is shown here.
.0
186
2009-07-20T11:33:47+02:00
Submacular hemorrhage
Massive
AMD
Surgery
RPE
Choroid
Transplantation
Age Related Macular Degeneration
yes
http://www.eyemoviepedia.com/videos/4166636950/66
http://www.eyemoviepedia.com/videoview/4099bcc9-ddcc-4de6-b03e-0fed4599d636
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/4099bcc9-ddcc-4de6-b03e-0fed4599d636&autoplay=true&sound=70&desc=RPE+and+Choroid+Translocation+in+Anti-VEGF-Non-Responder
http://www.eyemoviepedia.com/viewvideopreview/4099bcc9-ddcc-4de6-b03e-0fed4599d636-0/seo
RPE and Choroid Translocation in Anti-VEGF-Non-Responder
Until present it is difficult to indentify an Anti-VEGF Non-Responder early enough for submacular surgery to be still worthwhile. In this case (typically) surgery was considered not before VA had dropped to 0,1. There was an absolute scotoma temporal to the central fixation (microperimetry). Otherwise the surgical technique is identical to the approach for exsudative AMD before the introduction of VEGF-Blockers:
Vitrectomy
Posterior vitreous separation (if not yet present)
360 degree laser cerclage
Laser demarcation of excision site (Retina choroid RPE) in the inferior periphery.
Submacular BSS injection to create working space under the retina
Retinotomy in the temporal horizontal raphe
CNV extraction with angulated forceps
Eventually removal of fresh hemorrhage
Excision of the transplant
Insertion under the macula through the retinotomy
Postioning with spatula under the pressure of liquid perfluorocarbon
PFCL Silicone (usually heavy silicone) exchange.
.0
194
2009-07-24T08:07:34+02:00
AMD
Non-Responder
Surgery Submacular
RPE
Transplantation
Age Related Macular Degeneration
yes
http://www.eyemoviepedia.com/videos/4166636950/67
http://www.eyemoviepedia.com/videoview/47d00bac-ae50-4cfb-b864-3459471f6956
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/47d00bac-ae50-4cfb-b864-3459471f6956&autoplay=true&sound=70&desc=RPE+and+Choroid+Translocation+in+Geographic+Atrophy
http://www.eyemoviepedia.com/viewvideopreview/47d00bac-ae50-4cfb-b864-3459471f6956-0/seo
RPE and Choroid Translocation in Geographic Atrophy
A major goal in surgery of geographic atrophy is the atraumatic creation of a submacular space by subretinal injection of BSS. Often the retinal-RPE-Choroid-adhesion is to tight, that water is insufficient. Then a spatula manoevre is advised with the tip of the spatula pointing to the RPE and choroid. Damage of Bruchs membrane is attempted to later on allow ingrowth of connecting vessels from the original choroid to the transplant.
The surgical steps are as follows:
Core vitrectomy, posterior vitreous separation, submacular fluid injection, eventually supported by a spatula manoevre, enlargement of a retinotomy temporal to the macula to allow the insertion of the transplant later on, laserdemarcation of the excision site, usually temporal inferior, laser disseminated between the excision site and the ora. Excision of the transplant, retina discarded, grabbing the transplant from the choroidal side near an edge. By using the edge of the retinotomy as a counter bearing the transplant is turned over so that the RPE side faces the photoreceptors in the subretinal space, positioning under the presseure of liquid perflurocarbon with a spatula underneath the transplant, exchange of liquid perfluorocarbon against heavy silicone.
.0
277
2009-07-24T09:42:41+02:00
Geographic Atrophy
RPE
Choroid
Translocation
AMD
submacular Surgery
Age Related Macular Degeneration
yes
http://www.eyemoviepedia.com/videos/4256252187/70
http://www.eyemoviepedia.com/videoview/fc0a32a0-2b29-4e75-b36e-1877749e1abe
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/fc0a32a0-2b29-4e75-b36e-1877749e1abe&autoplay=true&sound=70&desc=Primary+Vitrectomy
http://www.eyemoviepedia.com/viewvideopreview/fc0a32a0-2b29-4e75-b36e-1877749e1abe-0/seo
Primary Vitrectomy
Primary vitrectomy has largely replaced bucking procedures because the procedure requires less experience, is more controlled and the retina is attached at the end of the intervention. The steps are as follows.
Three port vitrectomy access, core vitrectomy, liquid perfluorocarbon, vitreous base shaving, eventually removal of the flap of the horseshoe tear, PFCL and BSS exchange against air to release subretinal fluid through the retinal hole, laser-or kryo-retinopexy around the hole and eventually 360 retinotomy, air-SF6 or C3F8 exchange.
.0
457
2009-08-14T12:37:06+02:00
Vitrectomy
retinal detachment
liquid perfluorocarbon
gas tamponade
endolaser
Retinal Detachment
yes
http://www.eyemoviepedia.com/videos/4166636950/71
http://www.eyemoviepedia.com/videoview/a62d34c6-2e52-4754-afb8-246066d85161
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/a62d34c6-2e52-4754-afb8-246066d85161&autoplay=true&sound=70&desc=Full+Macular+Translocation+in+Exsudative+Age+Related+Macular+Degeneration
http://www.eyemoviepedia.com/viewvideopreview/a62d34c6-2e52-4754-afb8-246066d85161-0/seo
Full Macular Translocation in Exsudative Age Related Macular Degeneration
Core vitrectomy, posterior vitreous separation if not yet present, vitreous base shaving, usually those eye are pseudophakic otherwise the natural lens can be shifted anteriorly by anterior chamber drainage, so that the vitreous base is accessible without damage to the lens. BSS injection is used to detach the retina, first transretinally to create a retinal bleb of sufficient size to allow further BSS injection transretinally via a 30 or 27 gauge cannula. As long as the peripheral retina is without break and no leak exists from the subretinal to the vitreous space, the retina will continue to detach until complete retinal detachment. Then the vitreous cavity will be reestablished by intravitreal PFCL injection in conjunction with a small peripheral retinectomy. Once two third of the vitreous cavity is filled with PFCL the peripheral retina is being cut and removed together with the vitreous base using a cutter. After aspiration of the PFCL the submacular space is accessible and the CNV can be removed. Eventual bleeding stops either by itself or requires cautery. The central retina is reattached by semifluorinated fluorocarbon which has a specific gravity of 1.3 and facilitates to slide and rotate the retina around the optic disc as much as needed. In this film the surgeon is positioned over the head, thus the superior fundus is represented in the lower part of the picture. Eventually the macula is sufficiently distant from the choroidal defect, which itself is located in the inferior temporal arcade (superior part of the picture). Finally PFCL is added to the already existing semiflurorinated fluororcarbon to completely reattach the retina, laser the edge of the retina 360 and exchange the PFCL against silicone oil.
4.0
241
2009-08-14T12:36:54+02:00
Full macular translocation
rotation
age related macular degeneration
submacular surgery
AMD
Age Related Macular Degeneration
yes
http://www.eyemoviepedia.com/videos/4168803644/72
http://www.eyemoviepedia.com/videoview/e4cd7c6c-af6d-4fed-952d-7c06a76af06d
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/e4cd7c6c-af6d-4fed-952d-7c06a76af06d&autoplay=true&sound=70&desc=Missed+Posterior+Vitreous+Separation+in+a+Child+with+PVR+Reaction
http://www.eyemoviepedia.com/viewvideopreview/e4cd7c6c-af6d-4fed-952d-7c06a76af06d-0/seo
Missed Posterior Vitreous Separation in a Child with PVR Reaction
The surgeon meant to have separated the posterior hyaloid. But especially in children the vitreous separation is likely to be incomplete or non-existent at all despite vitrectomy. Leaving the hyloid in place raises the risk of a PVR reaction. As shown here the fibrous condensations were confined to the hyaloids and no relevant traction was evident on the retina. The indication for vitrectomy was a retinectomy as pressure lowering procedure in refractive glaucoma. I hope microplasmin in the future will facilitate posterior vitreous separation in vitrectomy of children.
.0
212
2009-08-14T12:36:41+02:00
Posterior vitreous separation
missed
child
proliferative vitreous separation
Posterior vitreous separation
yes
http://www.eyemoviepedia.com/videos/4168803644/73
http://www.eyemoviepedia.com/videoview/49067392-7c03-4dbc-919a-e45677d9d713
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/49067392-7c03-4dbc-919a-e45677d9d713&autoplay=true&sound=70&desc=Posterior+Vitreous+Separation+in+Rhegmatogenous+Retinal+Detachment+Complicated+by+Iatrogenic+Retinal
http://www.eyemoviepedia.com/viewvideopreview/49067392-7c03-4dbc-919a-e45677d9d713-0/seo
Posterior Vitreous Separation in Rhegmatogenous Retinal Detachment Complicated by Iatrogenic Retinal
The combination of retinal detachment and adherent hyaloid is a situation a risk of iatrogenic retinal holes. The retina is mobile and aspiration of cortex cannot be separated from aspiration of retina. The cutter is apparently not a suitable instrument here. Two iatrogenic retinal holes occurred until the procedure was completed in a primary vitrectomy approach. Posterior vitreous separation is left for an eventual secondary procedure possibly in conjunction then with PVR surgery.
.0
291
2009-08-14T12:36:30+02:00
Posterior vitreous separation
PVD
retinal detachment
retinal hole
trauma
Posterior vitreous separation
yes
http://www.eyemoviepedia.com/videos/4168803644/74
http://www.eyemoviepedia.com/videoview/231aa2d1-e96d-4655-ace1-bc5a8e49ed87
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/231aa2d1-e96d-4655-ace1-bc5a8e49ed87&autoplay=true&sound=70&desc=Normal+Posterior+Vitreous+Separation+by+Cutter+Aspiration
http://www.eyemoviepedia.com/viewvideopreview/231aa2d1-e96d-4655-ace1-bc5a8e49ed87-0/seo
Normal Posterior Vitreous Separation by Cutter Aspiration
Usually posterior vitreous aspiration can be achieved by moving the cutter close to the attached retina and maximal suction near the disc or over the temporal vascular arcade. Successful PVD can be recognized by the migrating borderline between attached and detached hyaloid, moving from the posterior pole to the periphery in synchrony with the tip of the cutter.
.0
253
2009-08-14T12:36:18+02:00
Posterior vitreous separation
PVD
normal
cutter aspiration
Posterior vitreous separation
yes
http://www.eyemoviepedia.com/videos/4168803644/75
http://www.eyemoviepedia.com/videoview/ed7d9d6e-02cc-46b2-a563-1695c2989662
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/ed7d9d6e-02cc-46b2-a563-1695c2989662&autoplay=true&sound=70&desc=Posterior+Vitreous+Separation+by+a+Combination+of+Triamcinolon+and+Fluid+Jet
http://www.eyemoviepedia.com/viewvideopreview/ed7d9d6e-02cc-46b2-a563-1695c2989662-0/seo
Posterior Vitreous Separation by a Combination of Triamcinolon and Fluid Jet
The advantage of triamcinolone in the context of the creation of posterior vitreous separation is to better visualize the hyaloid. Being able to directly see the hyaloid may help to improve the effectiveness of detaching the hyaloid via the cutter and helps to realize a beginning separation. But triamcinolone does not directly interfere with vitreo-retinal adhesion. A jet of fluid, BSS, applied through a small glass capillary pipette however can sever and weaken vitreo-retinal adhesions and facilitate the hyaloid detachment by the subsequent cutter aspiration as shown here. Too strong a jet of fluid however can perforate the retina an create a accidental retinal bleb.
.0
142
2009-08-14T12:36:10+02:00
Posterior vitreous separation
PVD
triamcinolone
fluid jet
BSS
glass capillary pipette
Posterior vitreous separation
yes
http://www.eyemoviepedia.com/videos/4168803644/76
http://www.eyemoviepedia.com/videoview/a8a6df86-666d-4982-8e81-e3bf32e8b764
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/a8a6df86-666d-4982-8e81-e3bf32e8b764&autoplay=true&sound=70&desc=Posterior+Vitreous+Separation+using+the+Jet+of+a+Flute+Needle
http://www.eyemoviepedia.com/viewvideopreview/a8a6df86-666d-4982-8e81-e3bf32e8b764-0/seo
Posterior Vitreous Separation using the Jet of a Flute Needle
Triamcinolone does clearly demonstrate the hyaloid, but does not help to loosen the vitreo-retinal adhesion. A jet of water directed obliquely onto the surface of the retina finds its way through the hyaloid and is then deflected by the retinal surface into the vitreo-retinal interface unless the jet is too strong. Then it can perforate the retina. Such a jet of fluid is often just enough to lift off the hyaloid locally, allowing the cutter to aspirate effectively and start the detachment of the hyaloid from there.
.0
189
2009-08-14T12:36:00+02:00
Posterior vitreous separation
PVD
jet
flute needle
vitreo-retinal adhesion
Posterior vitreous separation
yes
http://www.eyemoviepedia.com/videos/4168803644/77
http://www.eyemoviepedia.com/videoview/5e1311ac-333e-4304-9b13-a12a64fb3013
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/5e1311ac-333e-4304-9b13-a12a64fb3013&autoplay=true&sound=70&desc=Posterior+Vitreous+Separation+by+Tano+Scraper
http://www.eyemoviepedia.com/viewvideopreview/5e1311ac-333e-4304-9b13-a12a64fb3013-0/seo
Posterior Vitreous Separation by Tano Scraper
There are few instances when either triamcinolone or fluid jet are insufficient to help detach the hyaloid. This is my only indication in vitreo-retinal surgery to use a Tano scraper. Its rough and sticky “tongue” entangles with the collagen fibres of the hyaloid and can provide the starting edge for the cutter.
.0
219
2009-08-14T12:35:52+02:00
Posterior vitreous separation
PVD
Tano scraper
difficult
triamcinolone
Posterior vitreous separation
yes
http://www.eyemoviepedia.com/videos/4168803644/78
http://www.eyemoviepedia.com/videoview/df43c3f2-58cb-422e-9258-0057cc5d5376
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/df43c3f2-58cb-422e-9258-0057cc5d5376&autoplay=true&sound=70&desc=Posterior+vitreous+separation+in+High+Myopia
http://www.eyemoviepedia.com/viewvideopreview/df43c3f2-58cb-422e-9258-0057cc5d5376-0/seo
Posterior vitreous separation in High Myopia
Vitreo-retinal adhesion is typically extremely tight in high myopia at the posterior pole. Remnants or plaques of hyaloid are often associated with retinal tears, then in conjunction with posterior pole rhegmatogenous retinal detachments. To ignore residual hyaloid would mean to accept a risk of PVR retinal re-detachment. The hyaloid is virtually impossible to discern without the help of triamcinolone. Then it is so adherent that suction is insufficient force to detach it. It requires a forceps maneuver to lift the hyaloid of the retina.
.0
252
2009-08-14T12:35:43+02:00
Posterior vitreous separation
PVD
high myopia
triamcinolone
retinal detachment
rhegmatogenous
PVR
Posterior vitreous separation
yes
http://www.eyemoviepedia.com/videos/1221440249/79
http://www.eyemoviepedia.com/videoview/5d568156-143f-4e01-a339-baf070c8e163
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/5d568156-143f-4e01-a339-baf070c8e163&autoplay=true&sound=70&desc=Macular+Hole+in+Combination+with+Pucker
http://www.eyemoviepedia.com/viewvideopreview/5d568156-143f-4e01-a339-baf070c8e163-0/seo
Macular Hole in Combination with Pucker
Since the introduction of dyes in macular hole surgery we recognize the admixture of more or less epiretinal membrane in conjunction with macular hole formation. I do not imply a correlation of epimacular membranes to macular hole formation since even severe pucker formation occur without macular hole. Adressing those combined macular holes and epiretinal membranes we first need to peel the epiretinal membrane, which we find in the non-stained area. Thereafter we need to check whether the ILM went with the epiretinal membrane or whether remnants of ILM are still present and are to be removed more easily in the second part of the peeling.
.0
373
2009-08-14T12:35:34+02:00
Macular hole
ICG
Pucker
Peeling
chromovitrectomy
Macular hole
yes
http://www.eyemoviepedia.com/videos/1221440249/80
http://www.eyemoviepedia.com/videoview/e0d508c2-1685-4e71-8d9b-9ad73c842f69
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/e0d508c2-1685-4e71-8d9b-9ad73c842f69&autoplay=true&sound=70&desc=ILM+Staining+Brilliant+Blue
http://www.eyemoviepedia.com/viewvideopreview/e0d508c2-1685-4e71-8d9b-9ad73c842f69-0/seo
ILM Staining Brilliant Blue
This BBG is not heavier than water, thus no admixture of glucose, not cooled down, and no admixture of heavy water yet. It does stain the ILM sufficiently but somewhat less intense than the heavier than water ICG. The intensity of the staining is sufficient to identify and peel the ILM.
.0
259
2009-08-14T12:35:23+02:00
ILM
chromovitrectomy
Brilliant Blue
BBG
without glucose
Macular hole
yes
http://www.eyemoviepedia.com/videos/3510833472/81
http://www.eyemoviepedia.com/videoview/bc4acb0f-93c1-4d87-8356-b3a94f3ef69a
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/bc4acb0f-93c1-4d87-8356-b3a94f3ef69a&autoplay=true&sound=70&desc=Pucker+Membrane+does+not+stain+with+ICG
http://www.eyemoviepedia.com/viewvideopreview/bc4acb0f-93c1-4d87-8356-b3a94f3ef69a-0/seo
Pucker Membrane does not stain with ICG
Even though this is a macular hole this film focuses on the staining characteristics of the accompanying pucker membrane extrafoveally. The epiretinal membrane stands out in negative contrast, as unstained. Once the pucker is peeled then a second application of ICG unreveals the remaining ILM.
.0
276
2009-08-14T12:35:12+02:00
Pucker
macular hole
ICG
peeling of epiretinal membrane
peeling of ILM
chromovitrectomy
Pucker
yes
http://www.eyemoviepedia.com/videos/3510833472/82
http://www.eyemoviepedia.com/videoview/89e1ee9a-1d56-4565-8091-314212ee03f0
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/89e1ee9a-1d56-4565-8091-314212ee03f0&autoplay=true&sound=70&desc=Membrane+on+the+back+Side+of+the+ILM+Causing+Pucker-like+Distortions
http://www.eyemoviepedia.com/viewvideopreview/89e1ee9a-1d56-4565-8091-314212ee03f0-0/seo
Membrane on the back Side of the ILM Causing Pucker-like Distortions
Even though the ILM stains homogenously the ILM is distorted like in a pucker. The explanation is that the causative membrane resides on the back side of the ILM and bridges to the retina, possibly glial tissue. Thus ILM is a substrate and precondition for membrane formation not matter on which side of the ILM membranes develop.
.0
184
2009-08-14T12:35:02+02:00
Pucker
ILM
sub-ILM membrane
ICG
membrane peeling
Pucker
yes
http://www.eyemoviepedia.com/videos/3510833472/84
http://www.eyemoviepedia.com/videoview/09434188-2e1d-46ef-b1b1-248e0e2cc57d
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/09434188-2e1d-46ef-b1b1-248e0e2cc57d&autoplay=true&sound=70&desc=No+ILM+present+in+a+case+of+PVR
http://www.eyemoviepedia.com/viewvideopreview/09434188-2e1d-46ef-b1b1-248e0e2cc57d-0/seo
No ILM present in a case of PVR
The intention to peel the ILM over the macula was to prevent Pucker formation later on in a case of PVR. Suprisingly there was not staining for ILM with ICG, and no tissue typical for ILM could be peeled off. Instead the consistency of the tissue was that of glial tissue or nerve fibre layer. Apparently it is possible that ILM is not developed at all.
.0
162
2009-08-14T12:34:30+02:00
ILM not developed
ILM
chromovitrectomy
prophylaxis against pucker
Pucker
yes
http://www.eyemoviepedia.com/videos/3510833472/85
http://www.eyemoviepedia.com/videoview/755aedaa-0f03-48b2-bdfb-b5fb6b496f56
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/755aedaa-0f03-48b2-bdfb-b5fb6b496f56&autoplay=true&sound=70&desc=Simulated+missing+of+ILM+in+Uveitis+asssociated+macular+edema+with+overlooked+hyaloid+attached
http://www.eyemoviepedia.com/viewvideopreview/755aedaa-0f03-48b2-bdfb-b5fb6b496f56-0/seo
Simulated missing of ILM in Uveitis asssociated macular edema with overlooked hyaloid attached
Initially, I was uncertain whether there was ILM at all, since ICG staining did not stain at all, not the posterior pole, not the ILM outside the posterior pole. Only after more or less blind peeling a preretinal sheet unraveled, that turned out be attached thick changed hyaloid, preventing the staining of the ILM. After posterior vitreous separation staining of the ILM was possible as usual. The reason for a completely negative ILM staining may therefore be: not developed ILM or ILM covered up by hyaloid.
.0
209
2009-08-14T12:34:19+02:00
ILM
peeling
ICG
negative staining
hyaloid not detached
Uveitis
macular edema
chromovitrectomy
Pucker
yes
http://www.eyemoviepedia.com/videos/4275284548/86
http://www.eyemoviepedia.com/videoview/d538bfdb-abfd-4ef1-8a7c-29559ecda153
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/d538bfdb-abfd-4ef1-8a7c-29559ecda153&autoplay=true&sound=70&desc=Sub-ILM+Deposits+of+Silicone+Oil+Bubbles+complication+vitrectomy+in+Optic+Pit
http://www.eyemoviepedia.com/viewvideopreview/d538bfdb-abfd-4ef1-8a7c-29559ecda153-0/seo
Sub-ILM Deposits of Silicone Oil Bubbles complication vitrectomy in Optic Pit
The surgeon who performed the vitrectomy and silicone oil fill and silicone oil removal in optic pit was uncertain whether the central silicone oil bubbles were under the retina. Subretinal oil has been described in conjunction with silicone oil surgery of optic pits. In this case however the bubbles were entangled between retina (macula) and ILM. The ILM could be stained and removed over the attached macula. The oil bubbles were aspirated and PFCL was injected transiently to allow adhesion of eventually undetected remnants of silicone oil from the surface of the macula.
.0
198
2009-08-14T12:34:09+02:00
Sub-ILM Silicone oil
chromovitrectomy
optic pit
ILM peeling
ICG
Complications
yes
http://www.eyemoviepedia.com/videos/2018957988/87
http://www.eyemoviepedia.com/videoview/64fd103d-e32f-462e-a478-d68e0cf99a29
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/64fd103d-e32f-462e-a478-d68e0cf99a29&autoplay=true&sound=70&desc=PVR+in+the+Superior+Retinal+Periphery+after+Tamponade+by+Heavy+Silicone+oil
http://www.eyemoviepedia.com/viewvideopreview/64fd103d-e32f-462e-a478-d68e0cf99a29-0/seo
PVR in the Superior Retinal Periphery after Tamponade by Heavy Silicone oil
This eye originally had PVR retinal detachment in the inferior retinal periphery. It was at first treated by vitrectomy, retinectomy and standard silicone oil. After PVR recurrence under standard silicone oil typically in the inferior peripheral retina, heavy silicone oil was filled at the occasion of re-vitrectomy. The Film shows the end of the removal of heavy silicone oil and a partially detached retina, but this time in the superior retinal periphery. The vitreous base is contracted, similar to the condition before in the inferior periphery under standard silicone oil. After retinectomy and laser the eye is filled with 20% SF6 gas. The tamponading effect is here only required in the superior retinal periphery.
.0
263
2009-08-14T12:33:43+02:00
PVR
retinectomy
superior retina
heavy silicone oil
densiron
Proliferative Vitreo-Retinopathy (PVR)
yes
http://www.eyemoviepedia.com/videos/2018957988/88
http://www.eyemoviepedia.com/videoview/1c598ba6-b1e7-4af3-9a1d-92ccbf8bb55c
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/1c598ba6-b1e7-4af3-9a1d-92ccbf8bb55c&autoplay=true&sound=70&desc=Peeling++of+Epiretinal+Membranes+in+PVR
http://www.eyemoviepedia.com/viewvideopreview/1c598ba6-b1e7-4af3-9a1d-92ccbf8bb55c-0/seo
Peeling of Epiretinal Membranes in PVR
Starfolds in PVR show considerable retinal traction, but the causing epiretinal membrane is rarely clearly to discern from the underlying retinal tissue. One must then grab the navel of the fold and while pulling tangentially learn by the difference in elasticity what is membrane and what is retina. The primary goal is to release traction. An incidental retinal hole is a minor disadvantage over leaving behind epiretinal membranes. However all retinal holes need to be lasered in the end.
.0
220
2009-08-14T12:33:34+02:00
Membrane peeling
PVR
Proliferative vitreoretinopathy
retinal hole
differential elasticity of retina and membrane
Proliferative Vitreo-Retinopathy (PVR)
yes
http://www.eyemoviepedia.com/videos/2049311483/89
http://www.eyemoviepedia.com/videoview/24fd5c42-7d4e-4050-880b-1a2dbea9b7bc
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/24fd5c42-7d4e-4050-880b-1a2dbea9b7bc&autoplay=true&sound=70&desc=Retinectomy+as+a+Pressure+Lowering+Procedure
http://www.eyemoviepedia.com/viewvideopreview/24fd5c42-7d4e-4050-880b-1a2dbea9b7bc-0/seo
Retinectomy as a Pressure Lowering Procedure
The rational for a retinectomy in the context of refractive glaucoma is the fact that the retina is the main barrier for the transition of water from the vitreous cavity to the choroid. The advantage of a retinectomy in refractive glaucoma is, that a retinal hole cannot close/heal. Thus the IOP lowering effect lasts as long as the underlying choroidal sponge is perfused. Complications are PVR retinal detachment. That is why it is advisable to reserve retinectomy to eyes only when in a stage of
.0
134
2009-08-14T12:33:20+02:00
Retinectomy
refractive glaucoma
vitrectomy
retinotomy
tamponade
Retinectomy
yes
http://www.eyemoviepedia.com/videos/1258158020/90
http://www.eyemoviepedia.com/videoview/fe18ee7b-8511-4475-ae56-e120b3a2e255
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/fe18ee7b-8511-4475-ae56-e120b3a2e255&autoplay=true&sound=70&desc=Foreign+Body+Removal+by+Vitrectomy+and+Endomagnet
http://www.eyemoviepedia.com/viewvideopreview/fe18ee7b-8511-4475-ae56-e120b3a2e255-0/seo
Foreign Body Removal by Vitrectomy and Endomagnet
This is an encapsulated older intraocular foreign body. At the time of injury there was very little vitreous hemorrhage. It was then possible to put a laser barrage around the foreign body to be able to remove the foreign body later on and lower risk of inducing a retinal detachment. Once the capsule is opened by the vitreous cutter the endomagnet attracts the iron foreign body and allows to remove it from the eye via the sclerotomy. Then the hyaloid is detached and removed as well.
.0
283
2009-08-14T12:33:10+02:00
Trauma
intraocular foreign body
magnetic
endomagnet
vitrectomy
Trauma
yes
http://www.eyemoviepedia.com/videos/1258158020/91
http://www.eyemoviepedia.com/videoview/73840a47-5115-4310-8ff7-5ab6a84b1ca8
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/73840a47-5115-4310-8ff7-5ab6a84b1ca8&autoplay=true&sound=70&desc=Rupture+of+the+Eye+after+Bomb+Explosion
http://www.eyemoviepedia.com/viewvideopreview/73840a47-5115-4310-8ff7-5ab6a84b1ca8-0/seo
Rupture of the Eye after Bomb Explosion
The situation of rupture of both eye balls concerned both eyes after a bomb explosion as a criminal attack. The patient had “perception of light” in both eyes. One eye was primarily enucleated. The other eye was reconstructed as shown here. This is meant as an example of successful reconstruction in an assumingly hopeless situation and as a reason against primary enucleation at the time of emergency surgery. Since there was no ciliary body and thus permanent aqueous insufficiency the eye was filled with silicone oil permanently. It needed no retinal revision since 15 years. The temporary keratoprothesis was replaced by a corneal transplant which was available from our eye bank at the time of primary surgery. Otherwise the temporary keratoprothesis can be left in place until a donor cornea is available for up to three days.
4.5
273
2009-08-14T12:32:58+02:00
Rupture
trauma
explosion
retinectomy
reconstruction
temporary keratoprothesis
silicone permanent tamponade
Trauma
yes
http://www.eyemoviepedia.com/videos/1141023995/92
http://www.eyemoviepedia.com/videoview/90e8061b-cd94-4134-b52b-aa7ff62e85d7
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/90e8061b-cd94-4134-b52b-aa7ff62e85d7&autoplay=true&sound=70&desc=Endoresection+of+Choroidal+Melanoma
http://www.eyemoviepedia.com/viewvideopreview/90e8061b-cd94-4134-b52b-aa7ff62e85d7-0/seo
Endoresection of Choroidal Melanoma
The reason for the endoresection is the location of the tumor in the vicinity of the macula. Brachytherapy as only means would likely damage the fovea. Endoresection is always combined with brachytherapy, but after removal of the tumor a much lower dose is needed to “sterilize” the sclera. The vitrectomy after 180 degree retinotomy is performed under air to prevent seeding of tumor cells. Also eventual hemorrhage does not compromise the view. The disadvantage of vitrectomy under air is more reflections, especially in pseudophakic eyes.
.0
323
2009-08-14T12:32:41+02:00
Choroidal melanoma
endoresection
air
endolaser
vitrectomy
seeding
bleeding
Tumours
yes
http://www.eyemoviepedia.com/videos/1762898395/93
http://www.eyemoviepedia.com/videoview/5d1e5ebf-c457-4f03-b6d9-b2ffb61916d3
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/5d1e5ebf-c457-4f03-b6d9-b2ffb61916d3&autoplay=true&sound=70&desc=Vitrectomy+and+Lentectomy+in+Childhood+Uveitis
http://www.eyemoviepedia.com/viewvideopreview/5d1e5ebf-c457-4f03-b6d9-b2ffb61916d3-0/seo
Vitrectomy and Lentectomy in Childhood Uveitis
The vitrectomy approach is explorative, because the condition of the retina and optic disc could not be estimated preoperatively through the dense cataract. IOP was low –normal. Since the view to the fundus was at first obscured the lens was removed via a limbal approach by a vitreous cutter. Then a common three port vitrectomy approach was possible showing a fibrotic ciliary body and peripheral retina as a consequence of long standing intermediate uveitis. The choroid showed disseminated spots of atrophy also likely consequences of (granulomatous) posterior uveitis. The ILM was peeled from the macula because of macular edema, and the retina was lasered panretinally because of retinal vascular occlusion. Spectacle were adapted. The child has ambulatory vision since 5 years now and no phthisis yet.
.0
292
2009-08-14T12:32:27+02:00
Uveitis
Childhood
secondary cataract
aqueous insufficiency
vitrectomy
lentectomy
macular edema
ILM peeling
endolaser
Uveitis
yes
http://www.eyemoviepedia.com/videos/4275284548/94
http://www.eyemoviepedia.com/videoview/234a3f1c-8368-4295-ba74-11940148db16
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/234a3f1c-8368-4295-ba74-11940148db16&autoplay=true&sound=70&desc=Subchoroidal+Infusion+with+Air,+Water,+Silicone+oil
http://www.eyemoviepedia.com/viewvideopreview/234a3f1c-8368-4295-ba74-11940148db16-0/seo
Subchoroidal Infusion with Air, Water, Silicone oil
The typical situation for subchoroidal infusion is ocular hypotony. In the first instance hypotony exists because an infusion in place is removed and another infusion is introduced through the same sclerotomy. The line contains air which instantly escapes through the adjacent sclerotomy for the light pipe. An angulated spatula is used from the opposite site of the infusion to free the tip of the subchoroidal infusion cannula from ciliary body tissue. Eventual remaining subchoroidal air can be left for spontaneous absorption, also in the next scene subchoroidal water can be left. In the third instance subchoroidal silicone oil entering through an excision site of choroid and RPE was also left untreated.
.0
255
2009-08-14T12:32:06+02:00
Subchoroidal infusion
complication
vitrectomy
infusion cannula
air
water
silicone oil
Complications
yes
http://www.eyemoviepedia.com/videos/4275284548/95
http://www.eyemoviepedia.com/videoview/9cb94f8f-01a0-45d1-8f03-9a481ed0f338
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/9cb94f8f-01a0-45d1-8f03-9a481ed0f338&autoplay=true&sound=70&desc=Retinal+Injury+from+Light+Pipe
http://www.eyemoviepedia.com/viewvideopreview/9cb94f8f-01a0-45d1-8f03-9a481ed0f338-0/seo
Retinal Injury from Light Pipe
Unexperienced surgeons must permanently observe both instruments in the eye, if not, both instruments must be removed. In this case the resident is so diverted by a first successful ILM peeling that on removing the forceps uncontrolled movement of the light pipe – still in the eye - ends up in a retinal hole inferior to the macula. No noticeable functional loss remained. The procedure was completed as planned by fluid gas exchange for macular hole.
.0
266
2009-08-14T12:28:59+02:00
Retina
Trauma
incidental
intraoperative
penetration of retina
bleeding
extramacular
ILM Peeling
Complications
yes
http://www.eyemoviepedia.com/videos/4168803644/96
http://www.eyemoviepedia.com/videoview/6825bbbf-4cef-4dfb-8191-52748d902d28
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/6825bbbf-4cef-4dfb-8191-52748d902d28&autoplay=true&sound=70&desc=Horseshoe+tear+at+the+End+of+Vitrectomy
http://www.eyemoviepedia.com/viewvideopreview/6825bbbf-4cef-4dfb-8191-52748d902d28-0/seo
Horseshoe tear at the End of Vitrectomy
It is mandatory to inspect the peripheral retina at the end of vitrectomy of incidental retinal tears usually associated with the sclerotomies. These may be preformed or newly formed by incarceration of vitreous base into the sclerotomie during change of instruments.
.0
213
2009-08-14T12:28:35+02:00
Horseshoe tear
sclerotomy associated
vitrectomy
retinopexy
endolaser
exocryo
inspection of retinal periphery
indentation
Posterior vitreous separation
yes
http://www.eyemoviepedia.com/videos/4275284548/97
http://www.eyemoviepedia.com/videoview/377dd854-501e-4482-b4b9-009fdf774372
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/377dd854-501e-4482-b4b9-009fdf774372&autoplay=true&sound=70&desc=Iatrogenic+Retinal+Dialysis+from+instruments+introduced+through+the+sclerotomy
http://www.eyemoviepedia.com/viewvideopreview/377dd854-501e-4482-b4b9-009fdf774372-0/seo
Iatrogenic Retinal Dialysis from instruments introduced through the sclerotomy
Occasionally and usually unexpected the instrument (light pipe, cutter, forceps) introduced through the sclerotomy pushes forward condensed vitreous that is connected to the peripheral retina. The stress from the induced traction is usually sufficient to create a more or less large dialysis. Being aware of the risk, peripheral fundus inspection with indentation and eventual cryopexy or endolaser is the treatment of choice, not necessarily combined with a tamponade in otherwise attached retina.
.0
205
2009-08-14T12:28:08+02:00
Retinal dialysis
iatrogenic
sclerotomy
instruments
kryopexy
Complications
yes
http://www.eyemoviepedia.com/videos/4275284548/98
http://www.eyemoviepedia.com/videoview/fa66e945-5705-47b3-bb52-08213e60d57a
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/fa66e945-5705-47b3-bb52-08213e60d57a&autoplay=true&sound=70&desc=Silicone+oil+bubbles+entrapped+in+the+vitreous+base+during+silicone+oil+removal
http://www.eyemoviepedia.com/viewvideopreview/fa66e945-5705-47b3-bb52-08213e60d57a-0/seo
Silicone oil bubbles entrapped in the vitreous base during silicone oil removal
Especially heavy silicone oil has the peculiarity to be retained and entangled into the vitreous base. Thus after aspiration of the core of heavy oil it is strongly recommended to inspect the vitreous base with indentation. Since the oil bubbles are entrapped in the vitreous it requires active suction and cutting with a vitrectomy probe.
.0
698
2009-08-14T12:27:47+02:00
Silicone oil
heavy silicone oil
vitreous base
bubbles
entrapped
vitreous cutter
Complications
yes
http://www.eyemoviepedia.com/videos/157750906/99
http://www.eyemoviepedia.com/videoview/91a18602-f2ce-4b38-9249-ca176ad1c6f7
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/91a18602-f2ce-4b38-9249-ca176ad1c6f7&autoplay=true&sound=70&desc=Optic+Disc+Pit+treated+by+Vitrectomy+and+Platelet+Concentrate
http://www.eyemoviepedia.com/viewvideopreview/91a18602-f2ce-4b38-9249-ca176ad1c6f7-0/seo
Optic Disc Pit treated by Vitrectomy and Platelet Concentrate
After unsuccessful pretreatment with laser along the temporal circumference of the optic disc (old scars) a vitrectomy is performed, posterior vitreous separation and platelet concentrate. The idea of platelets is to clog the pig. The idea of vitrectomy is to release traction of eventual vitreous strands into the pit. Both rationales are hypothetical.
.0
183
2009-08-14T12:27:25+02:00
Optic pit
vitrectomy
platelet concentrate
gas tamponade
laser
Malformations
yes
http://www.eyemoviepedia.com/videos/157750906/100
http://www.eyemoviepedia.com/videoview/f03159a5-bd9c-4108-9fff-67f8d250704d
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/f03159a5-bd9c-4108-9fff-67f8d250704d&autoplay=true&sound=70&desc=Vitrectomy+and+Lentectomy+in+FEVR
http://www.eyemoviepedia.com/viewvideopreview/f03159a5-bd9c-4108-9fff-67f8d250704d-0/seo
Vitrectomy and Lentectomy in FEVR
The goal of treatment of such advances stages of FEVR is to get to the abnormal peripheral retinal vessels and coagulate them. On the way lensectomy and vitrectomy are necessary. The vitreous consists for typical multiple onion-like layers of veils, that are rather stiff, but not very tractional and grow out of the retina. They cannot be completely detached but only trimmed back.
.0
157
2009-08-14T12:26:57+02:00
FEVR
familial exsudative vitreoretinopathy
cataract
vitreous veils
vitreous traction
subretinal exsudates
narrow angle kappa
endolaser
Malformations
yes
http://www.eyemoviepedia.com/videos/157750906/101
http://www.eyemoviepedia.com/videoview/1ebd8a88-98c9-43d2-b2ae-d7fbdf3e6db5
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/1ebd8a88-98c9-43d2-b2ae-d7fbdf3e6db5&autoplay=true&sound=70&desc=Terson+Syndrome+showing+a+circumscribed+slackening+or+detachment+of+the+ILM+from+the+posterior+pole
http://www.eyemoviepedia.com/viewvideopreview/1ebd8a88-98c9-43d2-b2ae-d7fbdf3e6db5-0/seo
Terson Syndrome showing a circumscribed slackening or detachment of the ILM from the posterior pole
The hypothesis here is that the intravitreal hemorrhage in Terson Syndrome needs to cross the ILM on its way to the vitreous. This way the localized ILM detachment may have occurred. Conversely this supports the idea, that the origin of the hemorrhage is the retinal vessels.
.0
147
2009-08-14T12:26:13+02:00
Terson Syndrome
ILM detached
long standing vitreous hemorrhage
ICG
Malformations
yes
http://www.eyemoviepedia.com/videos/157750906/102
http://www.eyemoviepedia.com/videoview/974f74bb-7f3f-485d-964d-7b6b7da1d0ed
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/974f74bb-7f3f-485d-964d-7b6b7da1d0ed&autoplay=true&sound=70&desc=Persistent+Hyaloid,+posterior+variant+addressed+by+vitrectomy
http://www.eyemoviepedia.com/viewvideopreview/974f74bb-7f3f-485d-964d-7b6b7da1d0ed-0/seo
Persistent Hyaloid, posterior variant addressed by vitrectomy
A prominent pucker-like formation in a child is diagnosed as posterior variant of primary persistent hyaloid. After vitrectomy a thick membrane can be aspirated and peeled of the macula with the cutter. Petechial hemorrhages suggest the ILM is gone with the epimacular membrane, which is confirmed by ICG staining. At the outer prominent rim of this process no further tissue can be peeled off.
.0
183
2009-08-14T12:25:51+02:00
Primary persistent hyaloid
posterior variant
ILM
vitrectomy
peeling
Malformations
yes
http://www.eyemoviepedia.com/videos/157750906/103
http://www.eyemoviepedia.com/videoview/27eec185-69fc-49ee-9e30-a9aabde75fef
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/27eec185-69fc-49ee-9e30-a9aabde75fef&autoplay=true&sound=70&desc=Sub-ILM+Hemorrhage+from+a+retina+macroaneurysm
http://www.eyemoviepedia.com/viewvideopreview/27eec185-69fc-49ee-9e30-a9aabde75fef-0/seo
Sub-ILM Hemorrhage from a retina macroaneurysm
The relevant cause of visual loss is here a preretinal but sub-ILM bleeding from a retina macroaneurysm. Part of the hemorrhage is (typically) intraretina, part subretina, but fortunately these more difficult representations are outside the macula. By peeling of the premacular ILM and aspiration of the fresher premacular blood visual improvement could be achieved.
.0
206
2009-08-14T12:25:27+02:00
Hemorrhage
ILM
macroaneurysm
retina
vitrectomy
ICG
peeling
Malformations
yes
http://www.eyemoviepedia.com/videos/1251861393/104
http://www.eyemoviepedia.com/videoview/982d6835-0789-4184-b82c-e6843716d6da
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/982d6835-0789-4184-b82c-e6843716d6da&autoplay=true&sound=70&desc=Removal+of+Standard++Silicone+Oil,+Influence+of+Type+of+Infusion+Cannula
http://www.eyemoviepedia.com/viewvideopreview/982d6835-0789-4184-b82c-e6843716d6da-0/seo
Removal of Standard Silicone Oil, Influence of Type of Infusion Cannula
Standard silicone oil being lighter than water can simply be removed by aspiration. The replacing water is usually entering the eye via an end-opening straight cannula. The jet of water directed towards the center of the eye often results in a central water filled cavity surrounded by an outer rim of silicone more or less adherent to the retina. Consequently the complete removal of oil is sometimes tedious and complicated.
Alternatively an infusion cannula with openings to the side but near the tip dissects the silicone oil bubble from the retina and allows rapid aspiration of a coherent oil bubble.
.0
126
2009-08-14T12:24:57+02:00
Infusion cannula
standard silicone oil
removal
adhesion of silicone oil to retina
Infusion Cannula with Lateral Opening
yes
http://www.eyemoviepedia.com/videos/612702422/105
http://www.eyemoviepedia.com/videoview/f3949183-1956-41c6-a825-da13c142aa4c
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/f3949183-1956-41c6-a825-da13c142aa4c&autoplay=true&sound=70&desc=Removal+of+Heavy+Silicone+Oil
http://www.eyemoviepedia.com/viewvideopreview/f3949183-1956-41c6-a825-da13c142aa4c-0/seo
Removal of Heavy Silicone Oil
Removal of heavy silicone oil takes about 3 minutes, due to its low viscosity of a little more than 1000 cSt. The cannula is a peripheral infusion trimmed to the appropriate length. The tip should reach to about the center of the vitreous cavity, may even less. Smaller bubbles of heavy oil can be aspirated from the posterior pole by a flute needle. Inspection of the retinal periphery with indentation is recommended, because bubbles may be entangled and retained in the vitreous base.
.0
193
2009-08-14T12:24:17+02:00
Heavy silicone oil
Densiron
active suction
peripheral IV line
flute needle
inspection of retinal periphery
Heavy Silicone Oil Removal
yes
http://www.eyemoviepedia.com/videos/612702422/106
http://www.eyemoviepedia.com/videoview/3a7b53c3-4224-4170-9ebb-0f542f50b916
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/3a7b53c3-4224-4170-9ebb-0f542f50b916&autoplay=true&sound=70&desc=Removal+of+Heavy+Silicone+Oil+Adherent+to+the+Retina+with+PFCL
http://www.eyemoviepedia.com/viewvideopreview/3a7b53c3-4224-4170-9ebb-0f542f50b916-0/seo
Removal of Heavy Silicone Oil Adherent to the Retina with PFCL
Rarely heavy silicone oil is so adherent to the retina that it does not coalesce during aspiration. It is of course nerve racking to aspirate with high suction very close to the retina and still not be able to completely remove the oil. The remedy is to add liquid perfluorocarbon to the layer of adherent silicone oil. The adhesion to PFCL is much stronger than to the adhesion to the retina. One must add as much PFCL into the eye that all parts of the retina in contact with oil are in contact with PFCL as well. The oil will immediately detach from the retina and float on the surface of the PFCL bubble where it can be easily aspirated via a flute needle.
.0
291
2009-08-14T12:23:20+02:00
Heavy silicone oil
adherent to retina
Densiron
PFCL
liquid perfluorocarbon
removal
sticky oil
Heavy Silicone Oil Removal
yes
http://www.eyemoviepedia.com/videos/2243022629/107
http://www.eyemoviepedia.com/videoview/7f761e08-d0bc-48c0-b798-22981487a426
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/7f761e08-d0bc-48c0-b798-22981487a426&autoplay=true&sound=70&desc=Implantation+of+a+Flexible+Silicone+Iris+Diaphragm+to+Prevent+Silicone+Keratopathy
http://www.eyemoviepedia.com/viewvideopreview/7f761e08-d0bc-48c0-b798-22981487a426-0/seo
Implantation of a Flexible Silicone Iris Diaphragm to Prevent Silicone Keratopathy
Indications for a closed iris diaphragm are eye that require a permanent (PVR, aqueous insufficiency) silicone oil tamponade, but are at risk of silicone keratopathy (Aniridia, Aphakia). A former version with a central opening is no longer used, because all indications can be served with the closed flexible type.
.0
218
2009-08-14T12:22:13+02:00
Iris diaphragm
flexible
closed
aqueous insufficiency
aniridia
silicone oil tamponade
permanent
Artificial Iris Diaphragm
yes
http://www.eyemoviepedia.com/videos/4166636950/108
http://www.eyemoviepedia.com/videoview/5f776e66-4dcc-4594-ac5a-2f3e1ca5c99c
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/5f776e66-4dcc-4594-ac5a-2f3e1ca5c99c&autoplay=true&sound=70&desc=CNV+Adherent+to+Macula
http://www.eyemoviepedia.com/viewvideopreview/5f776e66-4dcc-4594-ac5a-2f3e1ca5c99c-0/seo
CNV Adherent to Macula
Especially in long standing CNV, like occult CNV, fibrotic PED the RPE-Choroid complex is eventually tightly adherent to the outer retina. In this older film an angulated subretinal forceps is being used as a spatula as well in order to sever off the CNV from the outer retina. Apparently here the connation is too strong. Thus during the subsequent pulling a macular hole is created. The strong adhesion is apparent from the indentation (navel) of the macula. I cannot exclude that a RAP-formation was unrecognized here. The procedure is being completed by a RPE-Choroid free transplant. Since a macular hole developed one should have better peeled the ILM at the completion.
.0
330
2009-08-18T08:01:49+02:00
CNV
adherent
macular hole
RPE-Choroid
occult CNV
patch
Age Related Macular Degeneration
yes
http://www.eyemoviepedia.com/videos/2383778673/109
http://www.eyemoviepedia.com/videoview/8d127534-12a7-4cff-bdc8-a9623b7c0758
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/8d127534-12a7-4cff-bdc8-a9623b7c0758&autoplay=true&sound=70&desc=Removal+of+silicone+oil+from+a+silicone+intraocular+lens
http://www.eyemoviepedia.com/viewvideopreview/8d127534-12a7-4cff-bdc8-a9623b7c0758-0/seo
Removal of silicone oil from a silicone intraocular lens
Although F6H8, a semifluorinated fluorocarbon, is a solvent for silicone oil, the solvent is not powerful enough to dissolve the oil and clean the lens simply by contact. It requires the force of a fluid jet to detach the oil form the surface of the silicone lens. This is the first time, that silicone oil can be removed from silicone intraocular lenses, avoiding the lens exchange. However a complete removal of remnants of silicone oil from the eye is not possible, because droplets may be hidden entangled in the vitreous base, released at some time point later and again attach to the silicone lens.
.0
461
2009-08-18T08:01:53+02:00
Silicone oil
silicone intraocular lens
semifluorinated fluorocarbon
schlieren
solvent
removal of silicone oil
Silicone solvent
yes
http://www.eyemoviepedia.com/videos/2383778673/110
http://www.eyemoviepedia.com/videoview/9923ebab-d30c-4fb3-bcd6-253bbe7092ff
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/9923ebab-d30c-4fb3-bcd6-253bbe7092ff&autoplay=true&sound=70&desc=Removal+of+heavy+silicone+oil+from+the+posterior+surface+of+the+natural+lens
http://www.eyemoviepedia.com/viewvideopreview/9923ebab-d30c-4fb3-bcd6-253bbe7092ff-0/seo
Removal of heavy silicone oil from the posterior surface of the natural lens
Apparently not only silicone but rarely also the natural lens provides a surface for strong adherence of silicone oil, in this case heavy silicone oil (Densiron®). The removal is possible by a solvent for silicone oil: F6H8 or F4H5, two semifluorinated fluorocarbons. The solvent plus the fluid jet manage to remove the oil form the surface of the natural lens.
.0
450
2009-08-18T08:01:59+02:00
Removal
heavy silicone oil
natural lens
solvent
F6H8
Silicone solvent
yes
http://www.eyemoviepedia.com/videos/2139196253/111
http://www.eyemoviepedia.com/videoview/a6ba2f1c-0fc8-4f58-805b-4e0ca4329012
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/a6ba2f1c-0fc8-4f58-805b-4e0ca4329012&autoplay=true&sound=70&desc=Illuminated+Cutter+plus+Chandelier+Light
http://www.eyemoviepedia.com/viewvideopreview/a6ba2f1c-0fc8-4f58-805b-4e0ca4329012-0/seo
Illuminated Cutter plus Chandelier Light
Vitreous to be demonstrated requires a focused light or a light source close to the cutter tip. A diffuse light pipe must be approached to the cutter tip. A chandelier light is diffuse and in most locations to distant from the cutter tip and unsuitable to visualize vitreous. The chandelier light provides the diffuse light for the overview (safety) and an additional light should be positioned close to the cutter opening. An illuminated cutter delivers the light where it is needed and allows a free hand to indent the retinal periphery or use an additional tool (forceps) to feed membranes into the cutter. The illuminated cutter comes as a set with a chandelier light.
.0
433
2009-08-20T08:30:14+02:00
Illuminated Cutter
Chandelier light
bimanual
vitrectomy
indentation
visualization of vitreous
Illuminated Cutter
yes
http://www.eyemoviepedia.com/videos/3510833472/112
http://www.eyemoviepedia.com/videoview/ee738ec0-6402-4af5-a80b-e895566f2d37
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/ee738ec0-6402-4af5-a80b-e895566f2d37&autoplay=true&sound=70&desc=ILM+does+not+Reform,+once+it+is+Removed
http://www.eyemoviepedia.com/viewvideopreview/ee738ec0-6402-4af5-a80b-e895566f2d37-0/seo
ILM does not Reform, once it is Removed
This short film shows that the macula area is spared from ICG staining one year after the ILM was removed from the same spot. Apparently ILM, once it is peeled, cannot rebuild. Sine ILM is a precondition to epiretinal membrane formation, ILM peeling should protect from pucker recurrence.
.0
450
2009-09-12T03:30:59+02:00
ILM
removal
peeling
chromovitrectomy
no reformation of ILM
Pucker
yes
http://www.eyemoviepedia.com/videos/1693844001/117
http://www.eyemoviepedia.com/videoview/09febf09-0576-4935-923f-58312fab6d51
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/09febf09-0576-4935-923f-58312fab6d51&autoplay=true&sound=70&desc=Trabeculectomy+Fornix+Based
http://www.eyemoviepedia.com/viewvideopreview/09febf09-0576-4935-923f-58312fab6d51-3/seo
Trabeculectomy Fornix Based
Fornix based trabeculectomy with mitomycin C.
.0
224
2009-12-11T11:48:25+01:00
trabeculectomy
glaucoma
filtering procedure
mitomycin
Trabeculectomy and other filtering procedures
yes
http://www.eyemoviepedia.com/videos/1693844001/118
http://www.eyemoviepedia.com/videoview/0f92af87-e281-4eda-8075-e564cfc8f1a0
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/0f92af87-e281-4eda-8075-e564cfc8f1a0&autoplay=true&sound=70&desc=Trabeculectomy+Limbus+Based
http://www.eyemoviepedia.com/viewvideopreview/0f92af87-e281-4eda-8075-e564cfc8f1a0-1/seo
Trabeculectomy Limbus Based
Trabeculectomy Limbus Based, Mitomycin,
.0
221
2009-12-12T08:02:52+01:00
trabeculectomy limbus based
glaucoma
filtering procedure
mitomycin
Trabeculectomy and other filtering procedures
yes
http://www.eyemoviepedia.com/videos/4256252187/119
http://www.eyemoviepedia.com/videoview/3d8b6684-bf49-4287-b073-2c39965c8cc1
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/3d8b6684-bf49-4287-b073-2c39965c8cc1&autoplay=true&sound=70&desc=Retinal+detachment+after+BRVO
http://www.eyemoviepedia.com/viewvideopreview/3d8b6684-bf49-4287-b073-2c39965c8cc1-0/seo
Retinal detachment after BRVO
Very rare complication of BRVO is hudge retinal tear along vessels in the posterior pole. Tractions are usually caused by neovascularization at the site of arterial-vein crossing sites.
.0
221
2009-12-15T08:27:06+01:00
retinal detachment
BRVO
Retinal Detachment
yes
http://www.eyemoviepedia.com/videos/1258158020/120
http://www.eyemoviepedia.com/videoview/43b9cc17-7597-4126-98ee-6874e8225703
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/43b9cc17-7597-4126-98ee-6874e8225703&autoplay=true&sound=70&desc=Intraocular+foreign+body+in+the+lens
http://www.eyemoviepedia.com/viewvideopreview/43b9cc17-7597-4126-98ee-6874e8225703-0/seo
Intraocular foreign body in the lens
Technique for atraumatic viscoexpression of intaocular foreign body affecting the lens is demonstrated in a short video.
.0
266
2009-12-15T08:28:23+01:00
Intraocular foreign body
traumatic cataract
Trauma
yes
http://www.eyemoviepedia.com/videos/2396657302/121
http://www.eyemoviepedia.com/videoview/68c31ff8-33c0-4243-aa6c-30ef3fbbe35b
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/68c31ff8-33c0-4243-aa6c-30ef3fbbe35b&autoplay=true&sound=70&desc=iLASIK+using+IntraLase+iFS+and+Visx+STAR+S4
http://www.eyemoviepedia.com/viewvideopreview/68c31ff8-33c0-4243-aa6c-30ef3fbbe35b-1/seo
iLASIK using IntraLase iFS and Visx STAR S4
The video shows an iLASIK procedure performed with the IntraLase iFS femtosecond laser and the Visx STAR S4 excimer laser.
.0
105
2010-02-16T07:43:34+01:00
LASIK
femtosecond laser
customized ablation
LASIK
yes
http://www.eyemoviepedia.com/videos/1821649375/122
http://www.eyemoviepedia.com/videoview/cb5461cf-903d-4eab-9226-ea2f4bc6354f
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/cb5461cf-903d-4eab-9226-ea2f4bc6354f&autoplay=true&sound=70&desc=Implantation+of+the+Acrysof+Cachet+phakic+IOL+with+bimanual+I/A
http://www.eyemoviepedia.com/viewvideopreview/cb5461cf-903d-4eab-9226-ea2f4bc6354f-5/seo
Implantation of the Acrysof Cachet phakic IOL with bimanual I/A
This video demonstrates the implantation of the Acrysof Cachet phakic IOL in a highly myopic patient in topical anesthesia. Bimanual I/A is used to remove the viscoelastic material after implantation.
.0
29
2010-02-28T08:11:07+01:00
phakic IOL
Acrysof Cachet
bimanual I/A
high myopia
Phakic IOL-Implantations
yes
http://www.eyemoviepedia.com/videos/1821649375/123
http://www.eyemoviepedia.com/videoview/646c0667-08c7-4454-8142-aa36a8e65e94
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/646c0667-08c7-4454-8142-aa36a8e65e94&autoplay=true&sound=70&desc=Implantation+of+the+Acrysof+Cachet+Phakic+IOL+with+Passive+Irrigation
http://www.eyemoviepedia.com/viewvideopreview/646c0667-08c7-4454-8142-aa36a8e65e94-2/seo
Implantation of the Acrysof Cachet Phakic IOL with Passive Irrigation
This video demonstrates the implantation of the Acrysof Cachet phakic IOL in a highly myopic patient. Passive irrigation is used to remove the viscoelastic material after implantation.
.0
25
2010-02-28T08:11:21+01:00
phakic IOL
Acrysof Cachet
high myopia
Phakic IOL-Implantations
yes
http://www.eyemoviepedia.com/videos/356822506/124
http://www.eyemoviepedia.com/videoview/5300fce1-da33-4078-a65d-6ebddb76a829
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/5300fce1-da33-4078-a65d-6ebddb76a829&autoplay=true&sound=70&desc=iLASIK+after+Implantation+of+a+Tecnis+Multifocal+IOL
http://www.eyemoviepedia.com/viewvideopreview/5300fce1-da33-4078-a65d-6ebddb76a829-4/seo
iLASIK after Implantation of a Tecnis Multifocal IOL
This video shows an iLASIK procdure using the IntraLase iFS femtosecond laaer and the Visx STAAR S4 excimer laser to perform a wavefront-guided LASIK after implantation of a Tecnis diffractive mutifocal IOL.
.0
47
2010-02-24T08:27:45+01:00
LASIK
wavefront guided
multifocal IOL
bioptics
Bioptics
yes
http://www.eyemoviepedia.com/videos/2396657302/125
http://www.eyemoviepedia.com/videoview/caec1c58-b3e0-49ab-bcc0-bf3635fcf1a3
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/caec1c58-b3e0-49ab-bcc0-bf3635fcf1a3&autoplay=true&sound=70&desc=Femtosecond+Laser+LASIK+with+the+AMO+FS+60+Femtosecond+Laser
http://www.eyemoviepedia.com/viewvideopreview/caec1c58-b3e0-49ab-bcc0-bf3635fcf1a3-5/seo
Femtosecond Laser LASIK with the AMO FS 60 Femtosecond Laser
This video demonstrates a LASIK procedure with the AMO FS 60 femtosecond laser and the Visx STAR IR excimer laser.
.0
34
2010-02-28T08:11:44+01:00
LASIK
femtosecond laser
LASIK
yes
http://www.eyemoviepedia.com/videos/1538087668/126
http://www.eyemoviepedia.com/videoview/a23a4a78-fa22-4adb-a92e-ae31aa65d203
http://www.eyemoviepedia.com/Scripts/flashplayer/seoplayer.swf?vdo=/videoview/a23a4a78-fa22-4adb-a92e-ae31aa65d203&autoplay=true&sound=70&desc=aniridia+aphakia+implant+and+corneal+transplant+surgery
http://www.eyemoviepedia.com/viewvideopreview/a23a4a78-fa22-4adb-a92e-ae31aa65d203-4/seo
aniridia aphakia implant and corneal transplant surgery
the patient had undergone perforating trauma with loss of corneal tissue, aniridia aphakia and retinal detachment.
the first surgery was performed to repair retinal detachment and to perform the first corneal transplant, with a gain in vision to 0,1 Snellen acuity pinhole.
the corneal graft failed after silicone oil removal.
one further surgery (Video) was planned to replace the corneal graft and to reconstruct the anterior segment with an aniridia aphakia implant.
.0
16
2010-03-04T07:30:55+01:00
aniridia
aphakia
corneal transplant
trauma
Total
yes