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Table of Contents - WOC 2012

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FP-COR-SA 196 (9)<br />

Study <strong>of</strong> Nomogram for Management <strong>of</strong> Keratoconus<br />

Veluri Himabindu (1) , Shetty Rohit (1) , Malhotra Chintan (1) , Bajaj Manisha (1) ,<br />

Nagaraja Harsha (1)<br />

1. Narayana Nethralaya Superspeciality Eye Hospital<br />

Purpose: To formulate a nomogram for management <strong>of</strong> keratoconus.<br />

Methods: A three year prospective observational study <strong>of</strong> 527 patients with<br />

keratoconus. Patients were categorized into 6 groups: 1 - 125 eyes managed<br />

with contact lenses (CLs). 2 - 175 eyes treated with collagen crosslinking<br />

(C3R). 3 - 107 eyes treated with INTACS + C3R. 4 - 25 eyes treated with ICL.<br />

5 - 45 eyes treated with TopoPRK + C3R. 6 - 57 eyes underwent keratoplasty.<br />

Results: Nomogram was designed based on progression, centration, and<br />

grade <strong>of</strong> keratoconus. Non progressive keratoconus (Group 1) was managed<br />

with CLs and younger patients treated with ICL (Group 4). >95% showed<br />

>2lines improvement in BCVA. Progressive keratoconus with central cone<br />

(Group 2) were managed with C3R followed by CLs <strong>of</strong> which 20 patients<br />

underwent ICL. In decentered keratoconus (Group 3), Intacs was done initially<br />

and C3R after one month. Advanced decentered keratoconus (Group 5) were<br />

treated with TopoPRK + C3R. Corneas with scarring (Group 6) underwent<br />

lamellar keratoplasty, 22 eyes underwent intralase enabled keratoplasty.<br />

Outcomes, safety, efficiacy, and complications in each group were analyzed.<br />

Conclusions: Our study provides a nomogram for management <strong>of</strong> keratoconus.<br />

Taking into consideration various factors, it provides a simple algorithm for<br />

management.<br />

Free Paper: Retina - Medical<br />

Sat 18 Feb 10:30 - 12:00 Conference Room B4<br />

FP-RET-SA 197 (1)<br />

Intravitreal Dicl<strong>of</strong>enac Versus Intravitreal Triamcinolone Acetonide in<br />

the Treatment <strong>of</strong> Diabetic Macular Edema<br />

Shahin Maha (1) , Elbendary Amal (1)<br />

1. Mansoura University, Faculty <strong>of</strong> Medicine, Ophthalmology Department<br />

Purpose: To compare the efficacy and safety <strong>of</strong> Intravitreal dicl<strong>of</strong>enac versus<br />

Intravitreal triamcinolone acetonide in the treatment <strong>of</strong> diabetic macular edema.<br />

Methods: Thirty two eyes with clinically significant diabetic macular edema<br />

were included. Eyes were randomly allocated to either: intravitreal injection <strong>of</strong><br />

4mg/0.1ml <strong>of</strong> triamcinolone acetonide (IVTA) (group 1; N = 16): or intravitreal<br />

injection <strong>of</strong> 500µ /0.1ml <strong>of</strong> diclophenac (group 2; N = 16).<br />

Results: A statistically significant reduction in retinal thickness (0.01 and<br />

p

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