Surgical Retina
If you want to become a master in managing daily surgical retinal cases, you need to attend The Surgical Retina's series of online sessions. This is an exclusive opportunity to learn from the leading surgical retina specialists from around the globe. Prepare to witness live case presentations and discussions on a range of topics including non-complex RRD, VMT, Dropped nucleus, and diabetic vitreous hemorrhage. Don't settle for mediocre skills, join us and take your surgical retinal game to the next level!
VMT
Hasnain Buksh, MD, FCPS Assistant professor ophthalmology Consultant surgical and medical retina. Hasnain eye and retina care.
Non-complex RRD
Dr.Ameen Marashi (born December 9, 1983) is a Syrian ophthalmologist and retina specialist. He has published several books and research articles in the field of retina and is the Al-Marashi Clinics Group owner. He graduated with a Diploma degree in Medicine from the Chuvash State University Institute of Medicine in 2008, and a certificate from the International Council of Ophthalmology in 2013, and completed a specialization in ophthalmology in Tartous Hospitals in 2009, and from 2010 until 2013 in Aleppo, and obtained a certificate Syrian Board 2016.
Yazmin Baez a qualified and professional ophthalmologist and retina and vitreous specialist with 7 years of experience. Professor of the ophthalmology residency and the retina and vitreous fellowship in the Hospital Dr. Elías Santana, Dominican Republic.
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PPV for diabetic vitreous hemorrhage
Amin Nawar MD, FRCS Associate Professor of Ophthalmology Tanta University Egypt
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Panel Discussion
Meeting Summary
For the VMT talk
If the vision for distance is less than 6/24 and near less than N.10 OCT Scans are suggestive of absent foveal depression Intraretinal cysts and outer retinal schises Patients preference Practical viability is very important in cases of VMT where surgery is planned.
For the non-complex RRD talk
It is crucial to conduct a thorough retinal examination before proceeding with any surgical intervention. This examination should focus on identifying the location of the offending break, assessing the status of the posterior vitreous, and checking for the presence of any proliferative vitreoretinopathy (PVR). To aid in surgical planning and determine visual prognosis, ancillary tests such as B-scan and OCT can be helpful.
It is essential to have a consultation with the patient regarding the available procedures for treating retinal detachment. This is because choosing the optimal surgical procedure is crucial in achieving the best possible results.
During the surgery itself, several steps are essential to ensure a successful outcome. Inducing a posterior vitreous detachment (PVD), releasing traction, and shaving the vitreous base are all crucial steps that must be performed. These steps help to reduce the risk of complications and improve the overall success of the surgical intervention.
For the dropped nucleus talk
Dropped nucleus can be takled at the moment of the cataract complication or in 1-2 weeks then use Cutter for soft lens, cortex, small fragment or Fragmatome for dense lens, big fragment, and fibrotic material. Protect the macula and the nerve with a heavy liquid and Perform scleral indentation at the end of the surgery.
For the PPV for diabetic vitreous hemorrhage talk
1-Preoperative intravitreal injection of anti-VEGF agents is needed 72 hours prior to surgery to decrease the incidence of intraoperative bleeding and facilitate safe dissection of the membranes without iatrogenic retinal breaks.
2-TAAC is recommended for meticulous removal of the posterior hyaloid especially in cases with vitreoschisis.
3- Bimanual surgery is needed especially in cases of combined tractional rhegmatogenous RD.
4-Control of intraoperative bleeding by endodiathermy is important during surgery.
5-ILM peeling is recommended to decrease the incidence of recurrent epimacular membranes.
6-Regarding tamponade it is better to avoid silicone oil except in cases of combined tractional rhegmatogenous RD with multiple iatrogenic retinal breaks.
EXPLORE MORE
If you're interested in learning from expert retina specialists on how to manage daily retinal cases, join us for the Medical Retina First Round.
This is a series of online sessions where you can watch live case presentations and discussions by leading retina specialists from around the world. The Medical Retina First Round will cover various topics such as age-related macular degeneration, CSCR, retinal vein occlusion, and PCME.