Table of Contents - WOC 2012

WOC2012 Abstract Book
IS-OCP-FR 135 (4)
Blind Painful Eyes - To Enucleate or Eviscerate?
Sundar Gangadhara (1)
1. National University Health System
Blind painful eyes not amenable to conservative management or minimally
invasive cyclodestructive procedures; pose a challenge, not just medically
but psychologically as well. Most anophthalmic patients worry not just about
postoperative pain but appearance and motility of the ocular prosthesis. The
inherent advantages of evisceration including brevity of procedure, less orbital
tissue trauma from dissection, utilization of patients› own sclera as wrapping
material coupled with better motility with a customized prosthesis, all lend to
Evisceration as a much better procedure for Blind Painful and Blind disfigured
eyes. A cost-benefit analysis will also be presented.
IS-OCP-FR 135 (5)
Enucleation is Safer
Mazzoli Robert (1)
1. DoD-VA Vision Center of Excellence
When contemplating removing the eye, both enucleation and evisceration
have advocates and critics. While each has its benefits and drawbacks,
controversy still exists whether one technique is ‹better› than the other. This
seminar focuses on the arguments for and against each technique, with this
talk highlighting advantages of enucleation over evisceration.
IS-OCP-FR 135 (7)
Autologous Fascia is Still the Gold Standard for Frontalis
Suspension
Silkiss Rona (1)
1. California Pacific Medical Center
Autologous Fascia is Still the Gold Standard for Frontalis Suspension Rona Z.
Silkiss, MD, FACS Sutures, slings and silicone have come and gone over the
years as the material “du jour” for frontalis suspension. Autologous fascia has
stood the test of time for longevity, hypoallergenicity, infection control and
cost containment. This lecture will review patient selection and the techniques
involved for the time efficient harvest of fascia lata with a minimal post-surgical
scar. A scar free method of sling placement will be presented as well.
IS-OCP-FR 135 (8)
Silicone is a Better Option Michael Migliori
Migliori Michael (1)
1. The Warren Alpert Medical School of Brown University
Frontalis suspension is indicated for the correction of ptosis with poor levator
function. Several different materials have been described to ‘sling’ the upper
lid. Most of these materials have very little elasticity so that postoperative
lagophthalmos can be a significant problem in patients with poor ocular
protective mechanisms. Silicone rods stretch so that patients with good
orbicularis strength can close their eyes with minimal effort and they are easily
adjustable even many years after surgery.
IS-OCP-FR 135 (10)
When is CT Scan Preferred
Naik Milind (1)
1. LV Prasad Eye Institute
Imaging is indispensable for the diagnosis and management of most orbital
disorders. While plain radiography and B-scan ultrasonography have limited
roles to play, CT scan is the workhorse for orbital evaluation. This presentation
discusses various indications for CT scan of the orbit, in the management of
orbital disorders.
IS-OCP-FR 135 (11)
When Is MRI Better?
Sullivan Timothy (1)
1. Royal Brisbane and Women›s Hospital
Abstract not available
154
IS-OCP-FR 135 (13)
Orbital Fracture Repair - It is Go Time
Grover Ashok (1)
1. Sir Ganga Ram Hospital
Fractures of orbital floor results in restriction of ocular motility, enophthalmos
and hypo-ophthalmos: These problems are aggravated and their management
becomes more complex if the repair is delayed beyond a reasonable period.
This talk brings out the merits of an early intervention in the light of the personal
experience of the surgeon, with the help of photographs and video films.
IS-OCP-FR 135 (14)
Orbital Fracture Repair - Not so Fast!
Kikkawa Don (1)
1. UCSD Department of Ophthalmology
Orbital fractures can cause extraocular muscle restriction, enophthalmos and
globe malposition. Indications and timing of surgical repair are controversial.
Urgent repair should be performed in selected cases. These include fractures
that cause an oculocardiac reflex due to extraocular muscle entrapment and the
so called ‹white eyed› blowout fracture in children. If untreated urgently, these
fractures can cause significant morbidity. For other fractures, recent studies
have no difference in results in two groups of fractures divided into repair at
0-14 days after trauma and repair at 14-29 days after trauma. The majority
of fractures do not need to be repaired within two weeks as recommended in
prior studies.
Presbyopic Lens Surgery
Fri 17 Feb 15:30 - 17:00 Hall 10
IS-CAT-FR 136 (1)
Intraocular Surgery for Presbyopia: Comparison Between Multifocal
IOLs versus Monovision
Badoza Daniel (1)
1. Instituto de la Visión
Summary: Multifocal IOL is the preferred option for presbyopia intraocular
surgery. However, these IOLs are not suitable for some patients with many
ocular problems and/or with inadequate personality or expectations. Other
good candidates for multifocal IOLs can›t afford their costs. Other alternative
is monovision with monofocal IOLs aiming for -1.25 D in the second eye to
be operated on. We compared these 2 approaches for presbyopia surgery
regarding their postoperative results in uncorrected visual acuity and the
need for glasses. Even if uncorrected visual acuity in the eye with the induced
myopia was J2 in over 70% of cases, complete spectacle freedom was achieve
in only 25% of patients. Ninety-five percent of patients with multifocal IOL were
free from spectacles. In conclusion, multifocal IOLs are the best approach to
achieve independence from spectacles, but monovision is a good alternative
in patients in whom multifocals IOLs can›t be implanted.
IS-CAT-FR 136 (2)
New Emerging IOL Technologies: New Monofocal Achromatic
Presbyopic IOL
Alio Jorge (1)
1. Vissum Corporation
Modern development of intraocular lens technology is focusing on three
different areas: vision quality, near vision restoration, MICS (sub 1.8mm)
IOL implantation. During this presentation, the different innovations that are
appearing in these three different areas of IOL development are going to be
sound. Quality of vision is mainly targeted by the control of total eye aberrations
and refraction correcting the preoperative condition of the patient. Near
vision restoration is being achieved by improvement in IOL accommodative
capabilities, multifocality and new presbyopic non-accommodating nonmultifocal
IOLs. MICS IOLs are an emerging topic by improvements in the
design and increasing in the index refraction of the biomaterials. The most
promising technologies based on resent clinical data will be highlighted, with
special attention in the emerging area of achromatizing non-multifocal nonaccommodative
presbyopic IOLs.