Table of Contents - WOC 2012

FP-CAT-FR 74 (2)
Anticardiolipin Antibodies in Patients with Behcet›S Disease
Zlatanovic Gordana (1,2) , Zivkovic Maja (1,2) , Zlatanovic Marko (1,2) , Micic
Nevena (2)
1. University Eye Clinic
2. Center for Vision Maja
Purpose: The aims of this study are to determine anticardiolipin antibodies in
patients with Sy Behcet and to determine correlation between the levels of
anticardiolipin antibodies in serum in patients with clinic systemic and ocular
manifestations.
Methods: The study was conducted on 11 patients with Behcet disease (group
I), and on 11 healthy subjects (group II). Anticardiolipin antibodies – aCL were
determined by the standard ELISA method.
Results: The group of 11 patients with the diagnosis Sy Behcet, 6 of them were
(54, 5%) with values of anticardiolipin antibodies over 10 positive. In the control
group of the healthy examinees aCl were positive in 2 cases (18, 2%). There
are no statistically significant differences in the presence of systemic clinic
characteristics between aCl positive and negative patients. All the patients
with SY Behcet in whom anticardiolipn antibodies were found have extremely
severe visual damage which is not present in the group of those patients where
the values of aCl were low. The difference is statistically significant.
Conclusion: The level of anticardiolipin antibodies is increased in the patients
with Behcet. Visual acuity in patients with SY Behcet is statistically significantly
much lower in patients who had increased values of aCL.
FP-CAT-FR 74 (3)
Comparison of The Effect on Corneal Endothelium of Balanced Salt
Solution Plus and Ringer›s Lactate during Phacoemulsification.
Nayak Barun (1) , Shukla Rashmi (1)
1. P.D. Hinduja National Hospital and Medical Research Centre
Abstract: Purpose: To compare the effect on the corneal endothelium of
phacoemulsification using Balanced Salt Solution plus (BSS Plus) and Ringer’s
Lactate (RL).
Methods: Seventy eyes of 70 patients with senile cataract were randomized
into two groups of 35 each. Phacoemulsification was performed using BSS
Plus in group A and RL in group B as intraocular irrigating solutions. The
corneal endothelial cell density and central corneal thickness were measured
preoperatively and postoperatively up to 6 months.
Results: The % endothelial cell loss was similar between the two groups at 1
week (p=0.582), 1 month (p=0.668) and 6 months (p=0.483). Pachymetry
showed similar results between both groups.
Conclusion: RL can be safely used during phacoemulsification.
FP-CAT-FR 74 (4)
Outcome of Capsular Tension Ring (CTR) Implant in Complicated
Cataract
Sahai Anshu (1) , Kumar P Ratan (1) , Rai Garima (1) , Mahajan Shina (1)
1. Sahai Hospital and Research Centre
Aim: To evaluate frequency and indications of Capsular tension ring (CTR)
implant and analysis of the visual and anatomical outcome in various
complicated cataract surgeries.
Method: Retrospective screening of 6000 consecutive cataract surgeries was
done. CTR was implanted in cases with zonulodialysis of > 3 clock hours
or capsular bag instability detected during capsulorrhexis or subsequent
intraoperative maneuvers. Records were analysed for indication of CTR
implant and clinical outcome on Day 1, 1 month and 6 month.
Results: CTR implant was done in 45 cases. Indications- hypermature senile
cataract (HMSC) in 9, HMSC with lens induced glaucoma in 9, pseudoexfoliation
syndrome in 9, traumatic cataract in 6, iridochoroidal coloboma in 6, HMSC
with pseudoexfoliation in 3, marfan syndrome in 3. Decision of CTR implant
was per-operative in 42. At 6 month follow up, 39 patients had best corrected
visual acuity ?6/12. IOL was well centered in all except 3 cases.
Conclusion: CTR was used very infrequently (0.75%) but remains useful in
cataract surgeries with difficult pre and per- operative conditions.
WOC2012 Abstract Book
FP-CAT-FR 74 (5)
Comparison of 2.2mm and 2.8mm Coaxial Phacoemulsification in
Hard and Soft Cataract
Sahai Anshu (1) , Kumar P Ratan (1) , Khoisnam Vikram (1) , Mahajan Shina (1)
1. Sahai Hospital and Research Centre
Aim: To compare and analyse the outcome of 2.2mm and 2.8mm coaxial
phacoemulsification in hard and soft cataract.
Methods: A prospective study of 128 eyes, graded by lens opacity classification
system III into soft (groupA1, A2) and hard (groupB1, B2) cataract. Coaxial
phaco was done with 2.2mm incision in group A1, B1 (32 eyes in each
subgroup) and 2.8mm in group A2, B2 (32 eyes in each subgroup) by single
surgeon. Per-operative parameters - mean phaco time, phaco power percent,
effective phaco time (EFT), volume of balanced salt solution (BSS) noted.
Corneal status, anterior chamber cells and flare, visual outcome and vectoral
astigmatic changes recorded post operatively and followed on day 1, 5 and 30.
Result: Mean phaco time, phaco power, EFT and BSS positively correlated
with hardness of cataract. Using vector analysis, mean magnitude of surgically
induced astigmatism (SIA) was 0.33+/-0.22 D with the 2.2-mm and 0.64+/-0.48
D (P=.006) with the 2.8mm incisions.
Conclusion: 2.2-mm coaxial phaco leads to lesser degree of SIA compared to
2.8mm incision. Perop parameters and postop outcomes were similar in same
grades of cataract with no significant difference.
FP-CAT-FR 74 (6)
Effects of Diclofenac 0.1% on Aqueous Flare Elevation after
Phacoemulsification
Khochtali Sana (1) , Kahloun Rim (1) , Jenzri Salah (1) , Ksiaa Imen (1) , Khairallah
Moncef (1)
1. Department of Ophthalmology, Fattouma Bourguiba University Hospital
Purpose: To study the effect of topical diclofenac 0.1% on postoperative bloodaqueous
barrier breakdown following microcoaxial phacoemulsification.
Methods: Ninety-five patients with no eye disease other than cataract who
underwent microcoaxial (2.2 mm) phacoemulsification and foldable intraocular
lens implantation were included in this study. After cataract surgery, all patients
were treated only with topical diclofenac 0.1% four times daily for 4 weeks. No
concomitant corticosteroid use was allowed. The inflammatory reaction in the
anterior chamber was measured with laser flare photometry preoperatively and
1, 7, 14, and 28 days postoperatively.
Results: Mean preoperative aqueous flare (in photon counts per millisecond)
was 8.01 +/- 3.18. Following cataract surgery, mean aqueous flare increased
to 42.47 +/- 23.89 on day 1, and decreased to 17.98 +/- 10.43 on day 7, to
13.30 +/- 6.47 on day 14, and to 11.11 +/- 4.53 on day 28. No postoperative
complications such as fibrin formation, synechiae, or endophthalmitis were
observed in any of the patients. No significant side effects related to the study
treatment were recorded.
Conclusion: Topical diclofenac can effectively be used without concurrent
administration of corticosteroids to control postoperative inflammation after
microcoaxial phacoemulsification.
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