Posterior segment surgery MUDr Veronika Matukov On klinika

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Posterior segment surgery MUDr. Veronika Matušková Oční klinika FN Brno Přednosta prof. MUDr. Eva

Posterior segment surgery MUDr. Veronika Matušková Oční klinika FN Brno Přednosta prof. MUDr. Eva Vlková, CSc.

Retinal detachment • Rhegmatogenous - tear • Tractional - traction of corpus vitreum •

Retinal detachment • Rhegmatogenous - tear • Tractional - traction of corpus vitreum • Serose – production of fluid

Retinal detachment

Retinal detachment

Retinal detachment

Retinal detachment

Retinal detachment

Retinal detachment

Phtisis bulbi

Phtisis bulbi

Retinal detachment - symptoms • • • Fotopsia (flashes) Black spots (black snow) Scotoma

Retinal detachment - symptoms • • • Fotopsia (flashes) Black spots (black snow) Scotoma (black spot in peripheral visual field) Decrease of visual accuity Metamorfopsia

Surgery: Close the tear

Surgery: Close the tear

Laser photocoagulation

Laser photocoagulation

Extrabulbar operations Cryotherapy and plombage

Extrabulbar operations Cryotherapy and plombage

Plombage

Plombage

Plombage

Plombage

Cerclage

Cerclage

Cerclage

Cerclage

Cerclage

Cerclage

Extrabulbar surgery cerklážní pásek přímý sval plomba

Extrabulbar surgery cerklážní pásek přímý sval plomba

Cryotherapy - development of chorioretinal adhesion (scar)

Cryotherapy - development of chorioretinal adhesion (scar)

Complications • Fenestra is not closed • PVR - proliferative vitreoretinopathy

Complications • Fenestra is not closed • PVR - proliferative vitreoretinopathy

PPV • Pars plana vitrektomie

PPV • Pars plana vitrektomie

Pars plana vitrectomy • • Haemophtalmus PDR Retinal detachment Complications of cataract surgery Posterior

Pars plana vitrectomy • • Haemophtalmus PDR Retinal detachment Complications of cataract surgery Posterior luxation of lens Foreign intraocular body Endophtalmitis

Pars plana vitrectomy -PPV

Pars plana vitrectomy -PPV

PPV – pars plana

PPV – pars plana

PPV

PPV

PPV

PPV

Internal tamponade a) Infusion solution b) Silicone oil c) Gas ( C 3 F

Internal tamponade a) Infusion solution b) Silicone oil c) Gas ( C 3 F 8, SF 6)

Endolaser

Endolaser

PPV-video

PPV-video

PPV -23 or 25 G • Sutureless surgery • 23 G (0, 57 mm)

PPV -23 or 25 G • Sutureless surgery • 23 G (0, 57 mm) • 20 G (0, 45 mm)

Complications

Complications

Complications

Complications

Complications - emulsification

Complications - emulsification

Complications

Complications

Complications

Complications

Anesthesia • GA • ANS • LA

Anesthesia • GA • ANS • LA

Surgery

Surgery

Surgery

Surgery

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