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Table of Contents - WOC 2012

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IS-RET-SU 281 (5)<br />

Beneficial <strong>of</strong> Direct-view for Submacular Surgery<br />

Ma Zhizhong (1)<br />

1. Peking University Eye Center, Peking University Third Hospital<br />

Beneficial <strong>of</strong> direct-view submacular surgery is introduced. Temporal half-circle<br />

peripheral retinotomy is performed and flipped toward the nasal side to create<br />

direct-view surgical field for submacular manipulations. The technique is<br />

aiming to maximal preservation <strong>of</strong> retinal pigment epithelium, precise removal<br />

<strong>of</strong> choroidal neovessel, and tissues transplantation with avoiding injury<br />

<strong>of</strong> Bruch›s membrane and macular. Better specimen could be obtained for<br />

histopathological analysis. Other utilities such as delivery <strong>of</strong> pharmaceutical<br />

agents, transplantation <strong>of</strong> cultured tissues, mounting <strong>of</strong> visual prothesis are<br />

perspective.<br />

IS-RET-SU 281 (6)<br />

The Regulatory Effect <strong>of</strong> Notch Signaling in Ocular Angiogenesis.<br />

Yusheng Wang (1)<br />

1. Department <strong>of</strong> Ophthalmology, Xijing Hospital<br />

Ocular angiogenesis is characterized by the formation <strong>of</strong> neo-vessels in the<br />

eye. This process is orchestrated by interactions between vascular cells and<br />

multiple signals. To date, while VEGF is identified as the most critical angiogenic<br />

agent with remarkable therapeutic potential, Notch signaling appears to be<br />

another important regulator. Recent progress highlights the involvement <strong>of</strong><br />

Notch signaling in retinal vasculature development and ocular pathological<br />

angiogenesis, and <strong>of</strong>fers the possibility <strong>of</strong> modulation on Notch signaling in the<br />

treatment <strong>of</strong> pathological ocular angiogenesis.<br />

New Trends in Orbital and Eyelid Reconstructive Surgery<br />

Sun 19 Feb 10:30 - 12:00 Hall 9<br />

IS-OCP-SU 282 (1)<br />

Topical Therapy <strong>of</strong> Conjunctival Neoplasm<br />

Hintschich Christoph (1)<br />

1. Department <strong>of</strong> Ophthalmology, Ludwig-Maximilians-University Munich<br />

Conjunctival neoplasias are a heterogeneous entity <strong>of</strong> conjunctival lesions,<br />

including pigmented and non-pigmented epithelial lesions <strong>of</strong> different<br />

malignancy. The management is based on the histopathologic diagnosis, the<br />

therapy <strong>of</strong>ten combines different approaches, like surgery, cryo and topical<br />

chemotherapy. Up to now, no effective standard therapy without side effects has<br />

been established. Most commonly used substances are anti-metabolites like<br />

5-Fluoruracil and Mitomycin C, both being effective, however, with significant<br />

side-effects. More recently, Interferon alpha-2b (1 Mio IU/ml IntronA® 5 drops/<br />

day for 6 weeks) showed promising results in conjunctival neoplasia.<br />

IS-OCP-SU 282 (2)<br />

Sebaceous Gland Carcinoma <strong>of</strong> the Eyelid - The Silent Killer<br />

Mukherjee Bipasha (1)<br />

1. Medical Research Foundation<br />

Sebaceous gland carcinomas (SGC) have been conventionally described as a<br />

rare lid tumor (less than 1%) in Western literature. However, studies from<br />

various parts <strong>of</strong> Asia have proved SGC to be one <strong>of</strong> the commonest malignant<br />

lid tumors. It is imperative to recognize and treat this aggressive lesion without<br />

delay because <strong>of</strong> its propensity for extensive local involvement frequently<br />

necessitating exenteration and distant metastasis with 30% mortality rate<br />

reported in the literature.<br />

IS-OCP-SU 282 (3)<br />

New trends for Lacrimal Gland Tumors Treatment<br />

Strianese Diego (1)<br />

1. University <strong>of</strong> Naples ‹Federico II›<br />

Treatment <strong>of</strong> a lacrimal gland tumor include local and distant control <strong>of</strong> the<br />

disease and maintaining the vision <strong>of</strong> the patient, when possible. Improvements<br />

have been made in the understanding these neoplasms since the use <strong>of</strong><br />

the classification <strong>of</strong> salivary gland tumors has been applied to epithelial<br />

lacrimal gland tumor. Adjuvant intensity modulated radiation therapy (IMRT),<br />

Radioimmunotherapy, proton beam therapy and intra-arterial chemotherapy<br />

may constitute the most promising advancement for management <strong>of</strong> malignant<br />

carcinoma <strong>of</strong> lacrimal gland.<br />

IS-OCP-SU 282 (4)<br />

Use <strong>of</strong> Hy Drogels in Orbital Surgery<br />

Guth<strong>of</strong>f Rudolf F.<br />

1. University <strong>of</strong> Rostock, Eye Department<br />

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

Self inflating osmoexpanders (co-polymers based on methyl methacrylate and<br />

n-vinyl pyrrolidone) are increasing their volume by water uptake 8 to 10 folds.<br />

They are included in the treatment <strong>of</strong> congenital clinical anophthalmus as<br />

socket expanders (half spheres), orbital expanders (spheres) and pellets. The<br />

latter can be also applied in any kind <strong>of</strong> volume deficiency after enucleation.<br />

They are directed in the target tissue area minimal-invasively via tocar-canulas<br />

<strong>of</strong> 2 mm in diameter.<br />

IS-OCP-SU 282 (5)<br />

My Choice for Orbital Decompression Today<br />

Baldesch Lelio<br />

Abstract not available<br />

IS-OCP-SU 282 (6)<br />

Strabismus and Graves Disease<br />

Schittkowski Michael (1)<br />

1. University Medicine Goettingen<br />

Strabismus in thyroid ophthalmopathy is based on contractility and distensibility<br />

loss <strong>of</strong> external ocular muscles. Recession <strong>of</strong> the restricted inferior or<br />

internal rectus muscle is precise, safe and effective in patients with thyroid<br />

ophthalmopathy. In selected cases a fadenoperation might be helpful to further<br />

improve the fusional visual field. If an orbital wall decompression is indicated it<br />

should be performed before strabismus surgery. Lid surgery should be the last<br />

step in surgical therapy.<br />

IS-OCP-SU 282 (7)<br />

Surgery <strong>of</strong> Lagophthalmos<br />

Adenis Jean-Paul (1)<br />

1. Chu Dupuytren<br />

Various techniques can be used as ‹ static ‹ procedures in long standing facial<br />

palsy with lagophthalmos and in cases <strong>of</strong> failure <strong>of</strong> nerve anastomosis:<br />

• Inner canthoplasty<br />

• Outer canthoplasty or both<br />

• Upper eyelid lenghthening<br />

• Brow lift<br />

• Gold weight implants<br />

• Tarsorraphy<br />

In case <strong>of</strong> failure <strong>of</strong> the previous techniques or in ICU patients indications and<br />

associations <strong>of</strong> the techniques will be discussed.<br />

IS-OCP-SU 282 (8)<br />

How to Avoid Redo in DCR Surgery<br />

Ntountas Yannis (1)<br />

1. 1st Eye Clinic University <strong>of</strong> Athens<br />

The prevention <strong>of</strong> complications in Dacryocystorhinostomy begins before the<br />

actual surgery, during the presurgical examination and diagnosis <strong>of</strong> the patient.<br />

Preoperative dacryocystography, excision <strong>of</strong> scar tissue in the area <strong>of</strong> common<br />

canaliculus, rhinostomy large enough, the use <strong>of</strong> traction sutures in the anterior<br />

flaps and as well as <strong>of</strong> anti-metabolites and even the correct patient/ surgeon<br />

positioning during surgery avoiding post-operative sump syndrome, are some<br />

<strong>of</strong> the tips in aim to avoid to redo a DCR surgery.<br />

271

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