Nikolakopoulos hydrolifting in cortical vitreous attachments

4th FORUM OF OPHALMIC SURGERY KATOWICE POLAND

HYDROLIFTING IN CORTICAL VITREOUS

ATTACHMENTS

ATHANASIOS NIKOLAKOPOULOSTHESSALONIKI GREECE

WWW.TVRS.GR anikolako@yahoo.gr

VITREOSCHISISSPLITING WITHIN THE NATINE MULTILAMELLAR POSTERIOR VITREOUS CORTEX DURING A PVD

PVD DURING VITRECTOMY AN EASY SUCTION INFRONT OF THE DISC

VITREOSCHISIS

ANOMALOUS PVD WITH VITREOSCHISIS IS PATHOGENIC IN MACULA HOLES AND MACULA PUCKER AND TRACTION SYNDROMES

VITREOSCHISIS

DURING OUR VITRECTOMIESIN 215 VITRECTOMIES FOR MACULA INTERFACE PATHOLOGY133 EYES 59,5% HAD CORTICAL VITREOUS SCHISIS

39 EYES 18% SHOWN RESISTAND MACULA ATTACHMENTS THAT NEEDED MUCH MORE THAN A SUCTION

CLINICAL OBSERVATIONS

OF IN VIVO TYPES OF VITREOSCHISIS DURING

VITRECTOMY

ATTACHED CORTICAL VITREOUS MACULA and DISC

MACULA

GLOBULAR CENTRAL

DIFFUSE

FIRM AND WIDE

REFRACTORY PERIPHERAL

REFRACTORY CENTRAL

SURGICAL REFRACTIVE PVD SUCTION IS NOT ENOUGHFRIABLE TISSUE WHEN POULINGNO SPACE FOR SAFE LIFTINFGTOO CLOSE TO VERY VALUBLE TISSUE TO TOUCHAND A VERY FRUSTRATED SURGEON

STARTING WITH A R PVD WE NEED TO CREATE ENOUGH SPACE IN ORDER TO LIFT AND SAFELY REMOVE UNBLOQUETHE ATTACHED CV

HYDROLIFTING FOR RPVDPROPORTIONAL REFLUX OF BSS CURRENT BY THE 25+ PROBE AT THE EDGES OF THE RESISTING CORTICAL VITREOUS THE SOFTLY REGULATED BSS CURRENT IS LIFTING THE EDGES OF THE RCV CREATING SPACE FOR SAFE LIFTING OF THE HOLE AREA

A BACK FLASH SOFT TIP STEVE CHARLES FLUTE NEDLE CONNECTED TO A POSSITIVE SOURCE OF BSS THAT IS CAREFULLY INJECTED TO THE EDGES OF THE ATTACHED RCV

OCRIPLASMINEINJECTED SEVERAL

HOURS BEFORE VITRECTOMY FOR THE

18 % REFRACTORY CASES

Thank you

FINANCIAL INTEREST

HAAG STREIT SURGICALSYNERGETIC