Pediatric Surgery - Advances in Techniques and Technology - AAO 2015
Friday, March 25, 2016
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Chapters
S. Chien Wong: Paediatric Vitreoretinal Surgery with the DORC EVA
Financial disclosures
Higher Stakes:Paediatric Vitreoretinal Surgery
Case: 5 yo w/ pigmented macular lesion
Intraoperative challenges
Different Newborn Anatomy: Compounds Challenge
Challenge 1:
PVD induction?
Different Pathologies
Challenge 2:
My surgical wishlist
DORC EVA: Vacuum - Flow
DORC EVA
Safer surgery with endoscopy
Release of multiple vectors of traction
3 weeks post-op
Stage 4B: Dissecting narrow bridge of fibrosis between retina and lens
Acute ROP/FEVR
Safer sclerotomy: 2-step trocar insertion
Familial Exudative Vitreoretinopathy (FEVR)
Disc pit maculopathy 27g infusion
Disc pit maculopathy 27g PVD induction
Conclusions
Lejla Vajzovic: Pediatric Epiretinal membranes
Disclosure
Pediatric epiretinal membranes
Clinical Sciences
SDOCT Characterization of Pediatric Epiretinal Membranes
Pediatric membranes compared to Adults
Similar to adults, Retinal structure predicts postoperative
Case: 6 yo referred for failed school vision test
25G-PPV/MP/EL/PFAX for
Intraoperative Handheld SDOCT
Intraoperative Handheld SDOCT chart
Follow up
Case: 5 yo w/ pigmented macular lesion VA 20/250
Vitrectomy and membrane peel
Intra-Op Handheld SDOCT
PREOP 20/250
SDOCT Characterization of Pediatric Epiretinal Membranes pt 1
SDOCT Characterization of Pediatric Epiretinal Membranes pt 2
Pediatric eyes are NOT just little adult eyes pt1
Pediatric eyes are NOT just little adult eyes pt2
Limitations to current technology in pediatric retina surgery
Knowledge transfer in pediatric retina surgery remains extremely difficult
Ideal microsurgical vitrectomy instruments for pediatric surgery
25g + short
Chart 1
Pediatric microincisional vitrectomy set
25g + short Pediatric microincisional vitrectomy set
Cases at BPEI
Future
Conclusion
Thank you!
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