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LONDON — Many surgical procedures have become outdated since the
intravitreal injections for the treatment of various retinal
conditions, a specialist said here.
"Once upon a time, we did surgical removal of CNV in AMD, limited
translocation or 360º retinotomy and translocation in
AMD, radial optic neurotomy in CRVO, vitrectomy with or
without sheathotomy in BRVO, vitrectomy in diffuse nontractional DME,
vitrectomy in stage 2 macular holes," François Korobelnik, MD, OSN
European Editorial Board Member, said at the Euretina meeting.
Dr. Korobelnik noted that these surgical procedures required technical
virtuosity, a complicated armamentarium and an intricate decision-making
"We had a lot of discussion on whether or not to do surgery, on whether
to do translocation with large retinal incisions or small or no retinal
incision, with 360º retinotomy or large posterior
retinotomy. We did translocation with scleral shortening, and
there was a debate on whether to fold the sclera inside or outside," he said.
"We had a lot of fun, but things change. Intravitreal injections are definitely
- Disclosure: Dr. Korobelnik is a consultant for Alcon, Allergan,
Bayer, Bausch + Lomb, Novartis and Théa and is an investigator for
Novartis, Bayer and Alcon.