Nikolakopoulos hydrolifting in cortical vitreous attachments
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Transcript of Nikolakopoulos hydrolifting in cortical vitreous attachments
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4th FORUM OF OPHALMIC SURGERY KATOWICE POLAND
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HYDROLIFTING IN CORTICAL VITREOUS
ATTACHMENTS
ATHANASIOS NIKOLAKOPOULOSTHESSALONIKI GREECE
WWW.TVRS.GR [email protected]
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VITREOSCHISISSPLITING WITHIN THE NATINE MULTILAMELLAR POSTERIOR VITREOUS CORTEX DURING A PVD
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PVD DURING VITRECTOMY AN EASY SUCTION INFRONT OF THE DISC
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VITREOSCHISIS
ANOMALOUS PVD WITH VITREOSCHISIS IS PATHOGENIC IN MACULA HOLES AND MACULA PUCKER AND TRACTION SYNDROMES
VITREOSCHISIS
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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
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CLINICAL OBSERVATIONS
OF IN VIVO TYPES OF VITREOSCHISIS DURING
VITRECTOMY
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ATTACHED CORTICAL VITREOUS MACULA and DISC
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MACULA
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GLOBULAR CENTRAL
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DIFFUSE
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FIRM AND WIDE
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REFRACTORY PERIPHERAL
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REFRACTORY CENTRAL
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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
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STARTING WITH A R PVD WE NEED TO CREATE ENOUGH SPACE IN ORDER TO LIFT AND SAFELY REMOVE UNBLOQUETHE ATTACHED CV
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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
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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
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OCRIPLASMINEINJECTED SEVERAL
HOURS BEFORE VITRECTOMY FOR THE
18 % REFRACTORY CASES
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Thank you
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FINANCIAL INTEREST
HAAG STREIT SURGICALSYNERGETIC
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