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Table of Contents - WOC 2012

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IS-ONC-FR 113 (3)<br />

Emerging Molecular Biology <strong>of</strong> Conjunctival Melanoma: Arrestins<br />

and ERK Signaling, Functional and therapeutic implications<br />

Girnita Leonard (1)<br />

1. Karolinska Institutet<br />

The major paradigm <strong>of</strong> melanoma biology is the hyperactivation <strong>of</strong> the RAS/<br />

RAF/MEK/ERK signaling pathway. This pathway is normally activated<br />

downstream <strong>of</strong> receptor tyrosine kinases, cytokines and heterotrimeric<br />

G-protein-coupled receptors. Unlike skin melanoma, in conjunctival melanoma<br />

BRAF and RAS are rarely mutated; instead MAPK signaling pathway is<br />

hyper activated by other mechanisms, bypassing the need for RAS or BRAF<br />

mutations. The aim <strong>of</strong> the present report is to highlight these mechanisms as<br />

well as to discuss their potential as therapeutic targets.<br />

IS-ONC-FR 113 (4)<br />

Conjunctival Melanoma<br />

Damato Bertil (1)<br />

1. Royal Liverpool University Hospital<br />

This presentation will cover the clinical features, differential diagnosis,<br />

pathology, investigation and treatment <strong>of</strong> in situ and invasive conjunctival<br />

melanoma. Delegates will learn how to assess patients and how to achieve<br />

local tumour control without inducing iatrogenic tumour seeding, which is lifethreatening.<br />

IS-ONC-FR 113 (5)<br />

Ultra High Resolution OCT for Imaging <strong>of</strong> Ocular Surface Tumors<br />

Karp Carol (1)<br />

1. Bascom Palmer Eye Institute<br />

New imaging techniques are evolving for the evaluation and management <strong>of</strong><br />

ocular surface tumors. This lecture will discuss exciting new methods <strong>of</strong><br />

evaluating and managing ocular surface tumors using ultra high resolution<br />

ocular coherence tomography (UHR-OCT). “Optical biopsies” will be presented<br />

along with the corresponding histopathology. The audience will learn how to<br />

distinguish, diagnose, and monitor various tumors using the UHR-OCT.<br />

IS-ONC-FR 113 (6)<br />

Management <strong>of</strong> Conjunctival Lymphoma<br />

Johnson Thomas (1)<br />

1. Bascom Palmer Eye Institute, University <strong>of</strong> Miami Miller School <strong>of</strong> Medicine<br />

Ocular adnexal lymphoid tumors can affect the orbit, conjunctiva, or eyelid.<br />

They can occur in isolation or be part <strong>of</strong> a systemic lymphoma. Patients<br />

diagnosed with ocular adnexal lymphoma should undergo a complete systemic<br />

workup to evaluate for systemic disease. Treatment options for conjunctival<br />

lymphomas may include excision, radiation therapy, monoclonal antibody<br />

therapy, or systemic chemotherapy when associated with systemic lymphoma.<br />

Continued follow-up <strong>of</strong> patients is important to evaluate for recurrence or later<br />

development <strong>of</strong> extraocular lymphoma.<br />

IS-ONC-FR 113 (7)<br />

OSSN: The Integrated Treatment<br />

Midena Edoardo (1)<br />

1. University <strong>of</strong> Padova<br />

Ocular surface squamous neoplasia (OSSN) are the most common tumors <strong>of</strong><br />

the conjunctiva. Their prevalence is growing because OSSN are becoming<br />

more diffuse among young people, affected by immunodeficiency (both virally<br />

and iatrogenically induced) and in geographic areas previously uninvolved.<br />

The correct therapeutic approach cannot be simply related to surgery, because<br />

surgery has high recurrence rate. Therefore any case needs to be individually<br />

considered. Surgery and immediate reconstruction, debulking and adjuvant<br />

chemotherapy represent the armamentarium to adequately treat OSSN.<br />

IS-ONC-FR 113 (8)<br />

Conjunctival Melanoma and UV Radiation<br />

Seregard Stefan (1)<br />

1. Department <strong>of</strong> Vitroretinal Disease, St Eriks Eye Hospital<br />

<strong>WOC</strong><strong>2012</strong> Abstract Book<br />

Cutaneous melanoma incidence is rising rapidly in the Western world and this<br />

rise is attributed to ultraviolet radiation (UVR) exposure. In contrast, the interior<br />

<strong>of</strong> the eye is largely protected from UVR and the incidence <strong>of</strong> uveal melanoma<br />

is largely stable. Conjunctival melanoma is unique in that these tumours<br />

may arise in both the setting <strong>of</strong> a mucous membrane exposed to UVR or in<br />

conjunctiva not exposed to UVR. This makes conjunctival melanoma aptly<br />

suited to study tumorigenesis.<br />

Retinal Imaging<br />

Fri 17 Feb 13:30 - 15:00 Conference Room B2<br />

IS-IMG-FR 114 (1)<br />

Advances in ICG angiography<br />

Han Lim Tock (1)<br />

1. National Healthcare Group Eye Institute, Tan Tock Seng Hospital<br />

Combining confocal aperture, scanning laser technology and dynamic capture,<br />

cSLO-ICGA allows imaging <strong>of</strong> the feeder vessels <strong>of</strong> choroidal neovascular<br />

(CNV), polypoidal choroidal vasculopathy (PCV). As there is recrudescence <strong>of</strong><br />

photodynamic therapy for PCV, accurate lesion localization by cSLO-ICGA has<br />

become important clinically. Using tracking laser, image co-location between<br />

ICGA, FA and OCT is now possible. Co-located multi-modality imaging is<br />

crucial in cases <strong>of</strong> diagnostic challenge (e.g. PCV vs. central serous chorioretinopathy,<br />

and in PDT planning. Illustrative cases will be discussed.<br />

IS-IMG-FR 114 (2)<br />

Advances in Fundus Aut<strong>of</strong>luoresence<br />

Sadda SriniVas (1)<br />

1. University <strong>of</strong> Southern California, Doheny Eye Institute<br />

Fundus aut<strong>of</strong>luoresence (FAF) imaging has become an important tool in the<br />

diagnosis and monitoring <strong>of</strong> a variety <strong>of</strong> disorders including inherited retinal<br />

dystrophies and age-related macular degeneration. Recent advances in FAF<br />

imaging, such as the availability <strong>of</strong> alternative wavelengths and widefield<br />

imaging, have further expanded the scope and importance <strong>of</strong> FAF. Peripheral<br />

FAF abnormalities may be observed in over 2/3 <strong>of</strong> eyes with retinal disease<br />

and may be diagnostic for certain diseases. Improved understanding <strong>of</strong> these<br />

findings is <strong>of</strong> clinical importance.<br />

IS-IMG-FR 114 (3)<br />

Interpreting OCT Images: “The Fine Points”<br />

Costa Rogerio<br />

Abstract not available<br />

IS-IMG-FR 114 (4)<br />

Future OCT Technologies<br />

Kiss Szilard (1)<br />

1. Weill Cornell Medical College<br />

Due to its ability to visualize ocular structures with high-resolution and high<br />

precision, optical coherence tomography (OCT) has become an indispensable<br />

tool in the diagnosis, management and follow-up <strong>of</strong> patients with retinal<br />

disorders. Forthcoming innovations in OCT technologies include volumetric<br />

three-dimensional reconstruction <strong>of</strong> retinal structures, swept-source OCT,<br />

longer wavelength imaging, adaptive optics OCT, polarization-sensitive<br />

OCT, and OCT systems for surgical guidance as well as intraoperative use.<br />

Translating these techniques from the laboratory to the clinic has already<br />

begun.<br />

137

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