Table of Contents - WOC 2012

WOC2012 Abstract Book
IS-RET-SA 159 (6)
Diabetic Vitreopathy a New Classification
Dubey Arvind (1)
1. Dr. Dubey›s Retina Centre
Diabetes Mellitus causes changes in vitreous before, during and after
retinopathy. Complicated forms of diabetic retinopathy and indications for
surgery are largely due to changes in vitreous. Vitreous changes have not
been classified in existing classifications of diabetic retinopathy. Additionally,
anti VEGF and OCT have changed indications and outcomes of vitreous
surgery. This classification for vitreopathy incorporates the same and provides
for instant correlation of pathological process, treatment and likely outcome in
any given situation of vitreopathy.
IS-RET-SA 159 (7)
Cystoid Macular Oedema and Diabetic Maculopathy -Post Cataract
Extraction
Bandello Francesco (1)
1. Department of Ophthalmology, Universirty Vita-Salute, Scientific Institute San
Raffaele
DME severity can worsen after cataract extraction. No RCT has been expressly
designed to address the effects of a specific treatment in this condition. Practical
management is generally based on the results of small, non-randomized, case
series. Treatment algorithm can include topical NSAID or steroids as first line
therapy, followed by intravitreal anti-VEGF or steroids injections. In particular,
Ozurdex, a sustained-release dexamethasone delivery system, has shown
favorable results. Further studies are warranted to ascertain the best timing
and treatment approach.
IS-RET-SA 159 (8)
Retinal Navigated Laser (Navilas): Technology for a Standardized
Laser Treatment for Macular Edema
Neubauer Aljoscha (1) , Kernt Marcus (1) , Kampik Anselm (1)
1. Department of Ophthalmology, Ludwig-Maximilians University
While pharmacological interventions gain importance in macular edema
(CSME) improvements in laser technology have become available with
Navilas (OD-OS GmbH). Questionnaires with >100 sample plans showed very
diverse treatment plans by ophthalmologists regardless of experience level.
Consistently, treatment plans executed with Navilas were also heterogeneous.
Navilas allows digital planning and accurate execution of treatment enabling
for the first time highly standardized focal laser treatment. Once achieved,
we can optimize treatment of CSME when combining with pharmacologic
interventions such as anti-VEGF.
Pediatric Neurophthalmology
Sat 18 Feb 8:30 - 10:00 Hall 9
IS-PED-SA 160 (1)
Congenital Eye Movement Abnormalities
Beisse Christina (1)
1. University of Freiburg
Congenital eye movement abnormalities or congenital cranial dysinnervation
disorders (CCDDs) are responsible for 1-2% of infant strabismus cases.
Insufficient innervation and misinnervation of aberrant nerve fibres lead to
motility restrictions and synkinesis. The most common CCDDs are presented
and pathogenesis, genetics and resulting clinical features are explained.
Emphasis is placed on essential diagnostic steps and treatment possibilities.
The main learning outcome is to know their pathomechanism and to be able to
distinguish them from acquired eye movement disorders to avoid unnecessary
diagnostic work-up.
174
IS-PED-SA 160 (2)
Sudden Onset of Diplopia in Childhood
Repka Michael (1)
1. Johns Hopkins University
Diplopia (binocular double vision) is a symptom that warrants serious attention
in all age groups. In this presentation, the differential diagnosis of diplopia
among children and teenagers will be presented. In addition the visual acuity
and motor outcomes will be presented for those patients with incomitant
and comitant forms of sudden onset strabismus. A suggested algorithm for
treatment will be discussed with the participants.
IS-PED-SA 160 (3)
Diagnostic Workup of Childhood Nystagmus
Gottlob Irene (1)
1. University of Leicester
The importance of accurate clinical assessment and diagnosis of nystagmus is
increasing with advances in genetics and treatment. Besides ophthalmologic
examination eye movement recordings, electrodiagnostics and optical
coherence tomography are very helpful. Understanding of compensatory
mechanisms such as abnormal head positions is essential for surgical
treatment. Genetic tests are available for several nystagmus types.
IS-PED-SA 160 (4)
The Swollen Optic Nerve in Childhood
Beisse Flemming (1)
1. University Eye Hospital
In the clinical setting of suspected optic disc swelling, frequently, the first
decision to be made is whether there is true swelling. Pseudoswelling is
present in crowded disc or oblique optic nerve insertion. History, visual function
testing, detailed fundoscopy, fluorescence angiography, OCT and follow up
will help determine true swelling. Differential diagnosis includes primary optic
neuropathies, papilledema and secondary swelling due to uveitis, retinopathy
or ocular hypotension. In children, a systemic disease can often be revealed
as the underlying cause.
IS-PED-SA 160 (5)
Management of Children with Cortical Visual Impairment
Bowman Richard (1)
1. Great Ormond Street Hospital
Cortical (cerebral) visual impairment is the commonest cause of visual
impairment in children in the developed world. Affected children often also
have other disabilities which can make communication and assessment of their
visual problems challenging. This paper presents strategies for approaching
assessment, habilitation and also discusses potential treatment interventions.
Controversies in Cataract Surgery: Which Approach is Better?
Sat 18 Feb 8:30 - 10:00 Hall 10
IS-CAT-SA 161 (1)
Cataract Surgery in Patients with Fuchs Endothelial Corneal
Dystrophy: Combined DSEK and Cataract Surgery
Vaddavalli Pravin (1)
1. LV Prasad Eye Institute
Numerous guidelines exist regarding the management of cataract with Fuchs
dystrophy but these have their origins in the era of penetrating keratoplasty.
Now with endothelial keratoplasty, the post -operative keratometry of the
cornea and the expected refractive change can be predicted much more
accurately, justifying a combined DSEK and cataract surgery. This coupled
with incremental endothelial cell loss and increased chances of rejection in
sequential surgery clearly make combined surgery a good choice.