Purpose:
To determine the utility of ultra-widefield (UWF) imaging in detecting pathologic peripheral retinal tears and holes.
Methods:
This was a retrospective, observational study. One-hundred ninety-eight eyes of 198 patients diagnosed wi…
Purpose:
To describe results in two cases of a dislocated silicone plate haptic intraocular lens managed with vitrectomy and repositioning with scleral suture fixation.
Methods:
Small case series.
Results:
Two patients presenting with…
Purpose:
To describe and evaluate the effectiveness of the microscope and lens tilting technique associated with the three-dimensional viewing system for improving the peripheral retinal view in noncontact lens vitreoretinal surgeries.
Methods:
Prospective, single-center, single-surgeon, consecutive case series of 25 patients undergoing vitrectomy for macular surgeries with three-dimensional visualization system. At the end of each surgery, the microscope and the noncontact lens were rotated by 20° in a direction opposite to the rotation of the eye to extend the peripheral visual field.
Results:
Microscope and lens tilting technique extended the edge of the peripheral viewing field relative to its position with the microscope untilted, by 1.72 mm (±0.37) for the superior retina and 1.93 mm (±0.42) for the inferior retina (P
Purpose:
To report the outcomes of the Peeling and Internal Limiting Membrane Reposition (PAIR) technique in myopic foveoschisis.
Methods:
A retrospective case series of eyes with myopic foveoschisis that underwent vitrectomy and PAIR. Visua…
Purpose:
Vitrectomy for severe tractional retinal detachments is a high-risk procedure given the surgical complexity and potential for postoperative complications. The risk is compounded when operating on monocular patients. We developed a novel technique using hyaloidal removal and minimal relaxing membranectomies for tractional retinal detachments with an opacified hyaloid over the fovea in monocular, diabetic patients and evaluated complications and outcomes.
Methods:
The technique was performed in nine monocular, diabetic patients with decreased visual acuity from opaque hyaloid with centripetal tractional retinal detachments. Outcomes included postoperative best-corrected visual acuity, retinal reattachment rate, redetachments, and complications.
Results:
Average age was 58 years (range 43–74) and the average follow-up time was 43.6 months (range 36–64). Preoperative best-corrected visual acuity ranged from 1.0 to 2.3 logMAR (20/200 – Hand Motion) with a mean of 1.39 logMAR (20/500). Postoperative best-corrected visual acuity at last follow-up ranged from 0.2 to 1.0 logMAR (20/30–20/200) with a mean of 0.49 logMAR (20/60) (P
Purpose:
To evaluate the efficiency and safety of using an intraocular foreign body forceps with two nitinol loops at its tip to capture and chop dropped nucleus (DN) during vitrectomy as an alternative method and to evaluate the outcomes and complications of this surgical technique.
Methods:
The eyes that underwent 23-gauge vitrectomy with removal of DN using nitinol forceps with a minimum follow-up time of 1 year are included in this study. The efficiency of surgical technique and anatomical and functional results with complications is recorded.
Results:
Nine patients with a mean age of 73.11 ± 2.15 years were included in this study. The mean time between DN and vitrectomy was 7.67 ± 3.74 (5–14) days. In all eyes, DN was easily chopped and removed with aspiration. Argon laser photocoagulation was performed in 4 eyes (44.44%) during surgery. All eyes were followed up for a mean time of 21.11 ± 12.36 (12–48) months. The mean preoperative best-corrected visual acuity increased significantly during the postoperative follow-up (P
Purpose:
To present the flattened flanged polypropylene suture technique developed to obtain round and stable pupils in patients with iridodialysis.
Methods:
After performing a fornix-based conjunctival peritomy, a flange was created at the …
Purpose:
To describe a technique of displacement of submacular hemorrhage (SMH) using subretinal injection of balanced salt solution and filtered air.
Methods:
Patients presenting within 2 weeks of massive SMH (>4 disk diameter) were prospec…
Purpose:
To assess the feasibility of a novel surgical technique that combines B-scan ultrasound with modern vitrectomy techniques.
Methods:
Patients with a clinical diagnosis of infectious keratitis endophthalmitis, which were scheduled for…
Purpose:
To demonstrate a mathematical analogy between the Pythagorean theorem using the axial a-scan measurement, i.e., the distance between the central cornea and the sclerotomy, and the lengths of the forceps in eyes of patients with all axial l…