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Table of Contents - WOC 2012

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

IS-COR-SA 230 (2)<br />

Refractive Surgery-Induced Dry Eye<br />

Barabino Stefano (1)<br />

1. Clinica Oculistica, University <strong>of</strong> Genoa<br />

Post-refractive surgery dry eye is a term used to describe a spectrum <strong>of</strong><br />

disease including aqueous tear deficiency, tear film instability, and neurotrophic<br />

disease which can determine significant symptoms and ocular surface<br />

changes. This presentation covers current theories <strong>of</strong> post-refractive surgery<br />

dry eye disease, risk factors, pathophysiology, diagnosis and management<br />

options in our hands.<br />

IS-COR-SA 230 (3)<br />

Penetrating Kearatoplasty-Induced Dry Eye<br />

Jarade Elias (1)<br />

1. The Dubai Mall Medical Center<br />

Dry eyes status after corneal graft (full or penetrating) is clinically evident and<br />

may be mediated by neurotrophic, neuroparalytic, inflammatory and anatomical<br />

factors. Most <strong>of</strong> the dry eye conditions after corneal graft are attributed to the<br />

conditions which precipitated the corneal disease and lead to corneal graft.<br />

It is very imperative to corneal surgeons to distinguish the origin <strong>of</strong> dry eye<br />

status after corneal graft in order to adequately treat it and avoid potentially<br />

devastating clinical conditions after corneal graft.<br />

IS-COR-SA 230 (4)<br />

Ocular Plastic Surgery-Induced Dry Eye<br />

Geerling Gerd (1)<br />

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

Oculoplastic surgery may be utilized to alleviate cases <strong>of</strong> exposure or<br />

mechanically induced ocular surface disease. Surgeons rarely include dry eye<br />

as a potential complication <strong>of</strong> any form <strong>of</strong> surgery. However, patients do report<br />

symptoms and show signs <strong>of</strong> ocular surface disease not only after adnexal,<br />

but virtually all ocular procedures. This correlation has been debated to be<br />

causative or coincidental. In oculoplastic surgery dry eye has been observed<br />

following otherwise uncomplicated blepharoplasty with and without face lift or<br />

ptosis surgery. As pathomechanisms removal <strong>of</strong> glandular secretory tissue,<br />

postoperatively increased tear film evaporation due to a widened palpebral<br />

aperture or an altered blink pattern have been proposed. While the incidence<br />

is low with appropriate surgical technique, patients with preoperative signs<br />

or symptoms <strong>of</strong> DE should be carefully examined. In addition to established<br />

methods such as Schirmer-Test, break-up-time and surface staining new<br />

options such as tear film osmolality may be considered in the preoperative<br />

work-up. In cases <strong>of</strong> more advanced surface disease any procedure potentially<br />

further altering tear film dynamics should be avoided. All other patients should<br />

be appropriately consented about this unwanted side effect <strong>of</strong> oculoplastic<br />

surgery.<br />

IS-COR-SA 230 (5)<br />

Cataract Surgery-Induced Dry Eye<br />

Barabino Stefano (1)<br />

1. Clinica Oculistica, University <strong>of</strong> Genoa<br />

It is well known to many surgeons that dry eye-like symptoms can occur<br />

secondary to cataract surgery. The aim <strong>of</strong> this presentation is to analyze<br />

symptoms, tear film stability and ocular surface epithelia changes in a<br />

population <strong>of</strong> patients after cataract surgery, and to describe the possible<br />

treatments to improve patients› satisfaction after surgery.<br />

228<br />

Management <strong>of</strong> Advanced Diabetic Retinopathy/Glaucoma<br />

Sat 18 Feb 15:30 - 17:00 Hall 2<br />

IS-RET-SA 231 (1)<br />

New Retinal Imaging Techniques for Visualizing the Wide-Angle<br />

Picture at a Cellular Level in Diabetic Retinopathy<br />

Stanga Paulo (1)<br />

1. Manchester Royal Eye Hospital<br />

New retinal imaging techniques such as Fundus Aut<strong>of</strong>luorescence to assess<br />

the RPE functional status and its interaction with photoreceptors, Adaptive<br />

Optics (AO) to visualize photoreceptors, high-resolution Spectral-Domain<br />

Optical Coherence Tomography (OCT) to visualize the photoreceptor inner/<br />

outer segment line (IS/OS), Oxymap to visualize retinal oxygenation and<br />

200-degree Optos Wide-Angle Fundus Fluorescein Angiography (WA-FFA) to<br />

visualize the extreme peripheral vascular perfusion can change management<br />

<strong>of</strong> this retinopathy. PASCAL laser Minimally Traumatic (MT) and Targeted<br />

Retinal Photocoagulation (TRP) results will also be presented.<br />

IS-RET-SA 231 (2)<br />

Is There Still a Place for Intravitreal Steroids in the Anti-VEGF Era?<br />

Karacorlu Murat (1)<br />

1. Istanbul Retina Institute<br />

In the early 2000›s intravitreal steroids were very popular in the treatment <strong>of</strong><br />

different retinal pathologies including diabetic retinopathy, retinal vein<br />

occlusions and CME due to different disease. Cataract and glaucoma were<br />

the main complications <strong>of</strong> intravitreal steroids injection. After the usage <strong>of</strong><br />

intravitreal antiVEGF, their popularity was decreased. In this session the author<br />

will try to answer the indication <strong>of</strong> intravitreal steroids injection in the antiVEGF<br />

era.<br />

IS-RET-SA 231 (3)<br />

Combination Therapy for Intractable Macular Oedema<br />

Ishaq Mazhar (1)<br />

1. National University <strong>of</strong> Sciences and Technology (NUST)<br />

This ongoing study included 30 patients with intractable diabetic macular<br />

edema treated with a combination <strong>of</strong> Intravitreal Bevacizumab and Triamcinolone<br />

Acetonide followed by laser photocoagulation. BCVA and macular thickness on<br />

OCT were noted pre-injections as baseline measures and were repeated 1,<br />

2 and 3 months post-injections to see outcome. Moreover, current relevant<br />

literature review in treatment <strong>of</strong> intractable DME will also be discussed.<br />

IS-RET-SA 231 (4)<br />

Case Selection and Surgical Treatment <strong>of</strong> DME<br />

Iqbal Mustafa (1)<br />

1. Khyber Medical College<br />

Diabetic Macular Oedema is the leading cause <strong>of</strong> visual loss in patients with<br />

Non Proliferative Diabetic Retinopathy. Standard treatment for DME is laser<br />

photocoagulation. Therapies, e.g. anti VEGF treatment, have shown great<br />

promise in the treatment <strong>of</strong> DME. However DME due to traction <strong>of</strong> posterior<br />

hyaloid on macula represents a subset <strong>of</strong> DME which is resistant to medical<br />

treatment. In this presentation the identification with the help <strong>of</strong> OCT <strong>of</strong> cases<br />

<strong>of</strong> DME suitable for Pars Plana Vitrectomy is discussed.

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