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Table of Contents - WOC 2012

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IS-VID-FR 130 (2)<br />

Phaco-trabeculectomy: The Combined Separate Approach for<br />

Managing Co-existing Cataract and Glaucoma<br />

Khalil Ahmad (1)<br />

1. Research Institute <strong>of</strong> Ophthalmology<br />

Surgical techniques for managing co-existing cataract and glaucoma abound,<br />

starting from cataract surgery alone to performing the cataract and glaucoma<br />

surgeries in the same eye either in separate sessions or combined together. In<br />

the combined approach, the type and site <strong>of</strong> glaucoma surgery as well as the<br />

phaco incision site vary and can affect the outcome. Presented is a combined<br />

procedure performed through totally separate sites, giving optimum conditions<br />

for the success <strong>of</strong> both the cataract and glaucoma surgeries.<br />

IS-VID-FR 130 (3)<br />

Intraocular Lens Exchange<br />

Gabric Nikica (1)<br />

1. Eye Clinic Svjetlost<br />

Intraocular lens exchange (ILE) is basically cataract surgery procedure in order<br />

to provide refractive errors correction. Generally enables elderly patients who<br />

are not suitable candidates for corneal refractive procedures and patient with<br />

special needs such as correction <strong>of</strong> both far and near distance vision at once<br />

to achieve high rate <strong>of</strong> spectacle independence. We will present former results<br />

in patients who underwent ILE in Eye Hospital Svjetlost with accent on ILE<br />

followed by implantation <strong>of</strong> different types <strong>of</strong> multifocal IOLs.<br />

IS-VID-FR 130 (4)<br />

Bag in the Lens<br />

Neuhann Tobias<br />

This special technique makes posterior capsular opacification practically<br />

impossible. An anterior and posterior capsulorhexis is made, a special IOL<br />

with no haptics but rather grooves on its edge, is placed that the two rhexes<br />

fit snuggly in the grooves, suspending this remarkable IOL designed by<br />

M.Tassignon. This IOL is the new state-<strong>of</strong>-art intraocular lens for babies, young<br />

and elder children avoiding secondary cataract formation in any case. The<br />

surgery comes from the Augenklinik Marienplatz in Munich, Germany.<br />

IS-VID-FR 130 (5)<br />

Glued IOL Surgery<br />

Agarwal Amar (1)<br />

1. Dr. Agarwal›s Eye Hospital<br />

The glued IOL technique will be described via surgical videos. The technique<br />

for foldable glued IOL and the handshake technique for successfully transferring<br />

haptic from one hand to another will be described.<br />

IS-VID-FR 130 (6)<br />

Presbia Refractive Surgery<br />

Pallikaris Ioannis (1)<br />

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

The purpose <strong>of</strong> this presentation is to describe the surgical technique <strong>of</strong><br />

presbyopia treatment using the intracorneal inlay Flexivue Micro-Lens<br />

(Presbia). The inlay is a transparent hydrogel-based refractive which is<br />

implanted into the corneal stroma <strong>of</strong> the non-dominant eye. An intrastromal<br />

pocket is implanted using a femtosecond laser. After the creation <strong>of</strong> the pocket,<br />

the inlay is implanted using an appropriate inserter. Then it is centered in the<br />

line <strong>of</strong> sight using as a guide-point the first Purkinje reflex <strong>of</strong> the centration<br />

system <strong>of</strong> the excimer laser. The technique is safe, reversible and has an easy<br />

learning curve.<br />

IS-VID-FR 130 (7)<br />

Femtosecond in Cataract<br />

Nagy Zoltan (1)<br />

1. Department <strong>of</strong> Ophthalmology, Semmelweis University<br />

During the Live Surgery video course the principle <strong>of</strong> femtolaser in cataract<br />

refractive surgery will be presented such as: capsulorhexis, fragmentation /<br />

liquefaction <strong>of</strong> the crystalline lens, creation <strong>of</strong> corneal wound and reduction<br />

<strong>of</strong> corneal astigmatism with the femtolaser. The importance <strong>of</strong> in-built OCT<br />

will be shown, how it helps the surgery for the treating ophthalmologist. At the<br />

end <strong>of</strong> the presentation participants will be able to understand the advantages,<br />

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

indications and contraindications <strong>of</strong> femtosecond laser lens surgery.<br />

IS-VID-FR 130 (8)<br />

Small Pupil Management<br />

Malyugin Boris (1)<br />

1. S.Fyodorov Eye Micrsurgery Complex<br />

In patients with insufficient mydriasis observed at the beginning <strong>of</strong> the<br />

procedure, we prefer to follow a step-wise approach starting with intracameral<br />

injection <strong>of</strong> unpreserved epinephrine, followed by posterior synechiolysis,<br />

gentle iris stretching and then decide regarding the use the mechanical pupil<br />

expander. The Malyugin ring (MST) is an iris expander having a square<br />

shape and 4 circular curls. In this presentation, we describe different surgical<br />

techniques with the Malyugin ring in variable clinical situations.<br />

Management <strong>of</strong> Normal Pressure Glaucoma: New Concepts and Approaches<br />

Fri 17 Feb 15:30 - 17:00 Hall 11<br />

IS-GLA-FR 131 (1)<br />

Sleep Apnea Syndrome: Incidence and Significance<br />

Nordmann Jean-Philippe (1)<br />

1. Hôpital Quinze-Vingts<br />

Obstructive: Sleep apnea syndrome (OSAS) is associated with systemic<br />

morbidity. OSAS has been reported in association with POAG or NTG. It<br />

can be assessed by simplified polysomnography. The prevalence <strong>of</strong> OSAS<br />

in glaucoma patients who snore could reach up to 44%. This finding implies<br />

that ophthalmologists should keep this association in mind for the purpose<br />

<strong>of</strong> screening for vascular risk factors liable to aggravate glaucomatous optic<br />

pathology. OSAS can be treated successfully even though no direct effect on<br />

the visual field <strong>of</strong> glaucoma patients has yet been established.<br />

IS-GLA-FR 131 (2)<br />

Corneal Hysteresis: A New Target in Glaucoma Progression?<br />

Radcliffe Nathan (1)<br />

1. Weill Cornell Medical College<br />

Evidence suggests that corneal hysteresis (CH) is more than an IOP correction<br />

factor. CH is independently associated with glaucoma progression. CH is<br />

correlated with glaucoma damage. Additionally, baseline CH is related to the<br />

IOP lowering response to topical PGA drops. Finally, CH can be increased with<br />

IOP lowering therapy, making CH a new modifiable glaucoma risk factor along<br />

with ocular perfusion pressure. Therefore, it may be time to consider whether<br />

CH could represent a novel target in glaucoma.<br />

IS-GLA-FR 131 (3)<br />

New Approach for NPG Pathogenesis – Structure and Function<br />

Sugiyama Kazuhisav (1)<br />

1. Kanazawa University, Department <strong>of</strong> Ophtalmology<br />

We developed simultaneous structure and function evaluation technique<br />

combining spectral-domain (SD) OCT and fundus-oriented perimeter for<br />

detection <strong>of</strong> visual field abnormalities in retinal nerve fiber layer defect (RNFLD)<br />

area. We superimposed the ganglion cell complex map by SD-OCT on the<br />

fundus-oriented perimeter image. We observed very early or preperimetric<br />

normal pressure glaucoma and also disc hemorrhage site located adjacent<br />

to the border <strong>of</strong> RNFLD. The borderline <strong>of</strong> RNFLD seemed to be the thinnest<br />

RNFL and the lowest retinal sensitivity.<br />

IS-GLA-FR 131 (4)<br />

Disc Hemorrhage: The Incidence and Significance<br />

Ho Park Ki (1)<br />

1. Seoul National University College <strong>of</strong> Medicine<br />

Disc hemorrhage (DH) is a well-known risk factor for glaucoma progression.<br />

Our recent study including 387 NTG patients and 205 POAG patients has found<br />

that the period prevalence and incidence rates <strong>of</strong> glaucomatous DHs were<br />

33.3 % and 0.46 ± 0.18 times/year in NTG, and 17.6 % and 0.34 ± 0.23 times/<br />

year in POAG, respectively. This reflects the existence <strong>of</strong> IOP independent risk<br />

factor in the pathogenesis <strong>of</strong> DH. The chance to detect DH increases up to 5<br />

151

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