Upload
thessaloniki-international-vitreo-retinal-summer-school
View
61
Download
2
Embed Size (px)
DESCRIPTION
http://www.tvrs.gr/
Citation preview
4th FORUM OF OPHALMIC SURGERY KATOWICE POLAND
HYDROLIFTING IN CORTICAL VITREOUS
ATTACHMENTS
ATHANASIOS NIKOLAKOPOULOSTHESSALONIKI GREECE
WWW.TVRS.GR [email protected]
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