In this video presentation, we describe various scenarios in which ILM peeling is done other than that for a macular hole.
Dr.Meena Chakrabarti, Dr.Arup Chakrabarti
Induction of posterior vitreous detachment is an important step in vitreous surgery. Successful separation of posterior hyaloid allows for complete removal of vitreous gel and prevents complications and failures related to residual vitreous gel.
Dr.Sudhir Kumar Parwani, Dr.O.P.Agrawal
On a bad day trouble never comes alone. Even the simplest procedures may land the surgeon into troubles from which it becomes almost difficult to come out. I describe the sequence of events on one such bad day, while operating a simple phaco surgery under peribulbar anesthesia. The First Trouble: In the initial part of trenching a more than ninety degree zonular dialysis happened. This was managed by converting to extra capsular surgery &after removing the nucleus & cortex the wound was sutured
Dr.Anand Rajendran, Dr.Jayant kumar
Pulsating optic disc has been reported in the past in cases of morning glory disc anomaly, peripapillary staphyloma and optic disc colobomas.
VT110 – INTRICACIES OF PARSPLANA VITRECTOMY AND IOL REPOSITIONING IN A 7 MONTH INFANT WITH CAPSULAR PHIMOSIS
Dr.Chekitaan Singh, Dr.Reena Gupta, Dr.Ishwar Singh, Dr.Ashok Kumar Khurana
We describe management of a challenging case of IOL(4- haptic foldable lens) drop in a 7 month infant with capsular phimosis. We made 3 ports 2mm from the limbus, used 20G system allowing greater and forceful manipulation.
Dr.Debdulal Chakraborty, Dr.Tushar Kanti Sinha, Dr.Boral Subhendu Kumar, Dr.Das Arnab
Advances in technique, instrumentation & knowledge of disease process have allowed repair of more complex diabetic complications. This video showcases how not only simple but complex diabetic vitrectomies can be easily tackled and enable good postoperative vision.
Dr.(wing Cdr) Mansur Ali Khan, Dr.Harikrishnan V, Dr.(Brig) Parthasarathi Moulick, Dr.Gurunadh Satyanarayana Velamakanni
Necessity is the mother of invention. Procedural delays in procurement of new vitrectomy machine and mounting pressure of patients in a government set up prompted us to use the 23 gauge cutter of Infinity anterior phacoemulsification system with addition of local made LED endolight light source, 2 speed fish pump with micro pore filter for AFE and 23/20 gauge intra cath for silicon oil injection. The video will demonstrate 3 successful VR surgeries using this modified system in cases of post traumatic RD with dialysis and large tear, Intraocular foreign body removal and dropped nucleus. All surgeries done free of cost to patients.
Dr.Kushal Umeshbhai Agrawal, Dr.Jay Kumar Chhablani, Dr.Mahima Jhingan
A 41-year-old male presented with recent vision loss in OS with BCVA of 20/400. Subretinal cyst noted and confirmed on B-scan. CT scan done and active neurocysticercosis was ruled out.
Dr.Kushal Umeshbhai Agrawal, Dr.Jay Kumar Chhablani, Dr.Ina Budhiraja
A 71-year old male diabetic patient, presented with non-resolving vitreous haemorrhage under silicon oil of 2 months duration, 1 month post uneventful vitrectomy for ERM with traction on macula and VH.
Intravitreal injection of triamcinolone,Anti VEGF & antibiotics are given in various retinal conditions.It may be a single or multiple injections at one time depending on the retinal condition.
Dr. Nidhee jain F., Dr.Nivean M, Dr.Pratheeba Devi J, Dr.Murali Ariga
This video showcases the novel technique of IOFB removal in a patient with cooker blast injury who had primary wound repair done elsewhere.
VT127 – Plugging All Loopholes: Surgically Managing Optic Nerve Head Colobomas With Retinal Detachment
Dr.Unnikrishnan Nair R, Dr.Manoj S
This video demonstrates a modification in the surgical management of retinal detachments associated with optic nerve head colobomas.
Dr.Reema Bansal, Dr.Ankur, Dr.Spoorti Krishna Reddy Mandadi
Subscleral sclerectomy (SSS) is an effective treatment in types 1 and 2 uveal effusion syndrome (UES). It produces an anatomic improvement in approximately 83% of treated eyes after a single procedure and in about 96% after one or two procedures.
Dr.Parth Amardeeep Patil, Dr.Prema K.V. Subramaniam, Dr.Parag K Shah, Dr.Narendran V
A 9 year old female child presented to our hospital with defective vision in left eye. Her visual acuity was counting fingers close to the face in left eye. Early posterior subcapsular cataract and an old vitreous haemorrhage with a persistent fetal vasculature stalk were noted in the left eye.
Dr.Sarang Lambat, Dr.Nangia Vinay Kumar B, Dr.Priyanka Pardhi, Dr.Tina Agrawal
Vitreo-macular traction (VMT) is characterised by incomplete separation of the posterior vitreous with persistent macular attachment. It can lead to traction on the retina, causing a variety of macular abnormalities causing significant visual disability or imminent threat of permanent damage to fovea.
Dr.Sherine M D Souza, Dr.Sumeet Agrawal, Dr.Thirumalesh M B, Dr.Adrian Braganza, Dr.Shetty Bhujang K
Intraocular gases are used in VR surgery for intermediate duration tamponade and have several complications like raised IOP, cataract etc AIM To report a unique, previously unreported complication of C3F8.
Dr.Kshitiz Kumar, Dr.Pallavi raj
To demonstrate 25 G Pars plana vitrectomy surgery for acquired retinoschisis recorded by smart phone. A 41-year-old female patient presented with sudden onset loss of vision in right eye for past 3 weeks.
Dr.Ramandeep Singh, Dr.Mohit Dogra, Dr.Simar Rajan Singh
Management of hypotony in a uveitic eye is a challenge given the extensive damage by inflammation and its sequelae.
Mr.Koshalram, Dr.Balasubramanian S, Dr. Anusha
This video suggests 4 varied situations of IOFB removal 1 IOFB impacted at the macula 2 IOFB with Retinal detachment 3 IOFB antrerior to the equator and20/20 vision 4 IOFB at the pars plicata. The varied situations that were followed in all the cases is illustrated in all these videos.
VT198 – Unimanual Versus Bimanual Surgery: Tips and tricks in Management of Complex Diabetic Vitrectomy
Dr.Giridhar Anantharaman, Dr.Mahesh G
Principles of surgical management of challenging diabetic vitrectomy incorporates complete removal of the vitreous gel, posterior hyaloid & fibrovascular proliferation to release antero-posterior and tangential forces from the retina.
Dr.Vipin Kumar Singh, Dr.Mehul Ashvin Kumar Shah, Dr.Pramod Kumar Upadhyay, Dr.Dilipkumar Batra
Endophthalmitis is a serious and vision threatening complication for any intraocular surgery AIM: To demonstrate the clinical presentation and management of endophthalmitis following SICS.
Dr.Madhu Kumar R, Dr.Pradeep Sagar, Dr.Mishra Divyansh Kailashcandra, Dr.Rajesh Ramanjulu, dr.Prabhakar G V PURPOSE: To demonstrate induction of posterior vitreous detachment (PVD) in different case scenarios. METHODS: This video demonstrates methods of PVD induction in various clinical scenarios such as PVD induction in cases with…
Dr.Hemantha Murthy, Dr.Muralidhar N S
Posterior vitreous detachment is an important step during vitrectomy and can usually be induced by the cutter using suction. Some of the challenging situations are 1. Young patients with adherent posterior hyloid
Dr.Aditya Kapoor, Dr.Vivek Dave
Introduction A Giant Retinal Tear (GRT) is a retinal break that extends around the retina for three or more clock hours. Method This video demonstrates the management of rhegmatogenous retinal detachment with Giant Retinal Tear in different clinical scenarios. Results The surgical management of GRT as presented here highlights the use of perfluorocarbon liquid (PFCL), confluent endolaser, posterior virteous detachment (PVD) induction, vitreous staining with triamcinolone acetonide and covers how GRT can be differentiated from retinal dialysis. Conclusion This video provides comprehensive educational experience in management of one of the most challenging situation in retinal surgery.
Dr.Atul Dhawan, Dr.Amar Agarwal, Dr.Athiya Agarwal, Dr.Pallavi
Dr.Atul Dhawan, Dr.Amar Agarwal, Dr.Athiya Agarwal, Dr.Pallavi We have done 3 cases. first case was presented with subluxated nucleus with endophthalmitis. TACM was used and nucleus was lifdted up in anterior chamber. unfortunately nucleus fall down during remaoval process in vitreous cavity. PPV was done…
Dr.Abhishek anand, Dr.Aastha singh, Dr.Bhawesh chandra saha
Posterior Pole Ectasia or Staphyloma with Macular hole and Retinal detatchment is a relatively precarious situation with Pars Plana vitrectomy due to curvatural and anatomical mismatch between the sclera and the retina at posterior pole, thin and taut retina and contrast desaturaton at posterior pole making ILM peeling a challenge.