EXPERT CASES

Surgical Retina

Expert Case Presentations on Vitreoretinal Surgical Techniques

If you want to become a master in managing daily surgical retinal cases, this is an exclusive opportunity to learn from leading surgical retina specialists from around the globe. Witness live case presentations and discussions on non-complex RRD, VMT, dropped nucleus, and diabetic vitreous hemorrhage.

About This Session

The Surgical Retina session features expert case presentations covering four key areas of vitreoretinal surgery. Each case is presented by a world-renowned specialist, followed by a panel discussion with all speakers.

  • VMT: Surgical decision-making for vitreomacular traction — when to operate and practical viability assessment.
  • Non-complex RRD: Thorough retinal examination, identifying the offending break, and choosing the optimal surgical procedure.
  • Dropped nucleus: Techniques for managing dropped lens material — cutter vs fragmatome, heavy liquids for macular protection.
  • PPV for diabetic vitreous hemorrhage: Pre-operative anti-VEGF, bimanual surgery, membrane dissection, and tamponade selection.
VMT RRD Dropped Nucleus Diabetic VH

🔪 Case Presentations

Four expert surgical case presentations covering common vitreoretinal challenges, followed by a panel discussion.

CASE 1

🔗 VMT — Vitreomacular Traction

Surgical decision-making in VMT: when vision for distance is less than 6/24 and near less than N.10, with OCT showing absent foveal depression, intraretinal cysts, and outer retinal schises — practical viability is key.

Speaker: Dr. Hasnain Buksh, MD, FCPS
Assistant Professor of Ophthalmology • Consultant Surgical and Medical Retina • Hasnain Eye and Retina Care
CASE 2

👁️ Non-complex RRD

Thorough retinal examination before surgical intervention — identifying the offending break, assessing posterior vitreous status, and checking for PVR. Consultation on available procedures for optimal results.

Speaker: Dr. Ameen Marashi, MD, SBO
Syrian ophthalmologist, retina specialist, published author
CASE 3

⚙️ Dropped Nucleus

Managing dropped nucleus at the moment of cataract complication or 1–2 weeks later. Use cutter for soft lens, cortex, and small fragments; fragmatome for dense lens, big fragments, and fibrotic material.

Speaker: Dr. Yazmin Baez
Ophthalmologist, Retina and Vitreous Specialist • Professor of Ophthalmology Residency and Retina Fellowship, Hospital Dr. Elías Santana, Dominican Republic
CASE 4

🩸 PPV for Diabetic Vitreous Hemorrhage

Pre-operative anti-VEGF injection 72 hours prior to surgery, triamcinolone for posterior hyaloid removal, bimanual surgery for combined tractional RD, and ILM peeling to reduce recurrent membranes.

Speaker: Dr. Amin Nawar, MD, FRCS
Associate Professor of Ophthalmology, Tanta University, Egypt
Expert Cases Panel Discussion Global Surgeons

🎬 Session Videos

Watch each case presentation from the Surgical Retina session.

VMT — Vitreomacular Traction

Dr. Hasnain Buksh

VMT — Vitreomacular Traction

Non-complex RRD

Dr. Ameen Marashi

Non-complex RRD

Dropped Nucleus

Dr. Yazmin Baez

Dropped Nucleus

PPV for Diabetic Vitreous Hemorrhage

Dr. Amin Nawar

PPV for Diabetic Vitreous Hemorrhage

Panel Discussion

All Speakers

Panel Discussion

📋 Meeting Summary

Key takeaways from each case presentation:

📝 Key Takeaways

VMT — Vitreomacular Traction

If the vision for distance is less than 6/24 and near less than N.10, with OCT scans suggestive of absent foveal depression, intraretinal cysts, and outer retinal schises — patient preference and practical viability are very important in cases of VMT where surgery is planned.

Non-complex RRD

It is crucial to conduct a thorough retinal examination before proceeding with any surgical intervention, focusing on identifying the offending break, assessing posterior vitreous status, and checking for PVR. B-scan and OCT aid surgical planning. Inducing PVD, releasing traction, and shaving the vitreous base are all crucial steps during surgery.

Dropped Nucleus

Dropped nucleus can be tackled at the moment of the cataract complication or in 1–2 weeks. Use cutter for soft lens, cortex, and small fragments; fragmatome for dense lens, big fragments, and fibrotic material. Protect the macula and nerve with heavy liquid and perform scleral indentation at the end of surgery.

PPV for Diabetic Vitreous Hemorrhage

  • Pre-operative intravitreal anti-VEGF 72 hours prior to surgery to decrease intraoperative bleeding and facilitate safe dissection
  • Triamcinolone (TAAC) recommended for meticulous posterior hyaloid removal, especially in vitreoschisis
  • Bimanual surgery needed for combined tractional rhegmatogenous RD
  • Endodiathermy for intraoperative bleeding control
  • ILM peeling to decrease recurrent epimacular membranes
  • Avoid silicone oil except in combined tractional rhegmatogenous RD with multiple iatrogenic breaks
Vitrectomy Anti-VEGF ILM Peeling Silicone Oil

⚠️ Educational Use Disclaimer

These case presentations are designed for professional education among ophthalmologists. The discussions represent expert opinions and surgical techniques and are intended for educational purposes only. All clinical decisions must be made by qualified specialists based on individual patient assessment and established treatment guidelines.

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