Hudson Nakamura is a Medical Specialist in Ophthalmology and specialized in Retina and Vitreous. CEO and Founder of Retinawesome Retina & Vitreous International
Is 55:8 | Porque os meus pensamentos não são os vossos pensamentos, nem os vossos caminhos, os meus caminhos, diz o SENHOR | (ESV) For my thoughts are not your thoughts,
neither are your ways my ways, declares the LORD ||| Photo by Hudson Nakamura
🔴🗜 Case https://t.co/1N2JwrLL49 | Retinawesome Clinic | Surgical | ✅Macular Pucker | Pre and Post Vitrectomy for Combined ERM-ILM Peel | Management: | See more on “X” Retinawesome (NakamuraHudson) and follow our YouTube Retina Channel at https://t.co/eJLrkxj9Vg
This case involves a 53‑year‑old woman who presented with a symptomatic epiretinal membrane (ERM) in the right eye, accompanied by pronounced metamorphopsia that significantly affected her daily visual function. At presentation, her best‑corrected visual acuity (BCVA) was 20/60, consistent with tractional distortion of the foveal contour.
Comprehensive preoperative imaging was obtained, including color fundus photography, wide‑field retinal imaging, and macular OCT, all of which demonstrated a dense epiretinal membrane with inner retinal wrinkling, loss of foveal contour, and tractional changes extending beyond the central macula. These preoperative images are included for comparison.
The patient underwent pars plana vitrectomy with meticulous ERM and internal limiting membrane peeling. The procedure was uneventful, and postoperative recovery progressed as expected.
By postoperative visit number 15, her BCVA improved to 20/40, with a marked reduction in metamorphopsia (actually disappeared). Postoperative retinal photographs and OCT scans — also included for comparison — demonstrate:
Restoration of the foveal contour
Resolution of tractional striae
Normalization of the inner retinal layers
Improved macular reflectivity and architecture
Together, the pre‑ and postoperative images highlight the anatomical and functional improvement achieved through surgery, illustrating the correlation between structural recovery and visual gain.
👁️ Game-Changing ILM SEAL Technique Drops at OphthalmicHub 2026! 👁️
Dr. Nakamura delivers a masterclass on tackling chronic large macular holes in phakic retinal detachment cases with the elegant ILM SEAL TECHNIQUE.
Watch how the ILM flap creates a powerful seal over the hole
🚨 Innovative ILM SEAL Technique for Challenging Cases! 🚨
Dr. Nakamura just dropped a 🔥 presentation at OphthalmicHub 2026 on the ILM SEAL TECHNIQUE for chronic & large macular holes associated with phakic retinal detachments.
This elegant approach uses an ILM flap/seal to close stubborn macular holes that are notoriously difficult to treat.
[Attach the original screenshot + the new schematic illustration above]
Key takeaway: Better closure rates in complex combined pathology cases! 👁️
What do you think — game changer for VR surgeons?
#Ophthalmology #Retina #VitreoretinalSurgery #MacularHole #ILM #OphthalmicHub2026 #RetinaSurgery
🔴🗞News.Retinawesome | Retinawesome Special Session with OphthalmicHub 2026 • April 3&4 • Retinawesome Session Sat April 4th | ✅ ▶️🎥✍️ https://t.co/M7Uy3Qr1VU (LINK) ••• Register: https://t.co/dVjhATbEHv
•••••••••••••••••••••••••••••••• Join us / à nos rejoindre: * Visit and Register to our YouTube Retinawesome Channel here: https://t.co/Ah4CoW6QSl | Visit Our Web Page at https://t.co/C6OTiQ7QkQ * drhudsonnakamura or https://t.co/nQJH4aL184 * Retinawesome Francophone: https://t.co/ASC22E56YI * Join us: https://t.co/ieCc36oEYP
Join Us for the Retinawesome Special Session at OphthalmicHub 2026 – April 4th
Dear Colleagues and Attendees,
We are delighted to welcome you to the Retinawesome Special Session, taking place within the OphthalmicHub 2026 program on Saturday, April 4th. This one‑hour session brings together an exceptional international faculty, each presenting unique cases and advanced approaches in vitreoretinal surgery.
You can join the session directly through the main event platform:
🌐 https://t.co/ywFIq8Jewo
---
🌍 Session Times (Local Time Zones)
(Scheduled via WorldTimeBuddy — https://t.co/4H8CNgBIO9)
• Kyiv, Ukraine: 4:00pm–5:30pm (EEST)
• Mobile, USA: 8:00am–9:30am (CDT)
• Brasília, Brazil: 10:00am–11:30am (GMT‑3)
• Cairo, Egypt: 3:00pm–4:30pm (EET)
• Thessaloniki, Greece: 4:00pm–5:30pm (EEST)
Additional zones:
Paris – 3:00pm (CEST) • Eastern US – 9:00am (EDT) • Central US – 8:00am (CDT) • Pacific US – 6:00am (PDT)
---
👁️ Featured Faculty & Topics
Dr. Ahmed Habib
Severe Fibrovascular Membrane in Adult FEVR: Surgical Management in a Single‑Eyed Patient
Dr. Athanasios Nikolakopoulos
From Dropped Nucleus to Retinal Detachment - When the Lens Hides behind the Retina: Taking over the Referred Case and Maintaining Patient Satisfaction
Dr. Hudson de Carvalho Nakamura
A Novel Technique for Combined RD and Large Chronic Macular Holes
Dr. Alan Franklin
Intraoperative Angiography in Diabetic Retinopathy and Complex Retinal Detachments
Dr. Francyne Veiga Cyrino
Macular Buckle or Vitrectomy: When to Choose—Or Is There a Right Answer?
---
We look forward to having you with us for this dynamic and insightful session.
Thank you for being part of OphthalmicHub 2026.
Warm regards,
Retinawesome Team
Proberb of the day: “Wise people Abstain • Bad people Epstein” | Proverbe du jour : « Les sages s'abstiennent • Les méchants, Epstein » | Provérbio do dia: “Pessoas sábias se abstêm • Pessoas más se Epstein”