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Table of Contents - WOC 2012

Table of Contents - WOC 2012

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New Therapeutic Approaches in Glaucoma<br />

Sun 19 Feb 13:30 - 15:00 Hall 11<br />

IS-GLA-SU 303 (1)<br />

Mitochon Drial Medicine<br />

Olarte Marcelo<br />

Abstract not available<br />

IS-GLA-SU 303 (2)<br />

Treating the Central Nervous System<br />

Gupta Neeru (1)<br />

1. University <strong>of</strong> Toronto/St. Michael›s Hospital<br />

Glaucoma is a neurodegenerative disease <strong>of</strong> the visual system. In addition to<br />

the loss <strong>of</strong> retinal ganglion cells in the eye, there is injury to major visual<br />

pathways <strong>of</strong> the brain. These central visual system changes are critical<br />

to understanding human glaucomatous neural degeneration and disease<br />

progression. Compelling evidence suggests that in addition to lowering<br />

intraocular pressure, targeting central visual system degeneration is an<br />

opportunity to slow disease progression and prevent vision loss in glaucoma.<br />

IS-GLA-SU 303 (3)<br />

Targeting the Lymphatics in Glaucoma<br />

Yucel Yeni<br />

Abstract not available<br />

IS-GLA-SU 303 (4)<br />

Nanomedicine for the Delivery and the Stabilization <strong>of</strong> Therapeutics<br />

to the Eye and Central Nervous System<br />

Ellis-Behnke Rutledge (1)<br />

1. Medical Faculty Mannheim <strong>of</strong> the University <strong>of</strong> Heidelberg<br />

Drug delivery in a time-release fashion is difficult to achieve in the eye and the<br />

central nervous system (CNS). We have previously described a synthetic<br />

polypeptide that self-assembles in the presence <strong>of</strong> physiological solutions.<br />

Several proteins and chemicals have been used to assemble the highlycharged<br />

self-assembling peptide (SAP) and the release characteristics have<br />

been defined biochemically. In this study, the characteristics <strong>of</strong> the SAP, for<br />

delivery <strong>of</strong> large and small molecules, were explored in vitro. We chose to<br />

model time-release Drug delivery by trapping a variety <strong>of</strong> molecules in the<br />

SAP: from a large and complex protein, a secondary antibody conjugated with<br />

Alexa 488 (75 Kd), to a small dye, (0.7 Kd). All <strong>of</strong> the molecules tested were<br />

retained within the SAP from a 1-hour to a 72-hour time point. Given these<br />

data, we believe that the SAP will be able to deliver therapeutically relevant<br />

molecules over an extended time period. Additionally, due to the nature <strong>of</strong> the<br />

breakdown products (e.g. amino acids) <strong>of</strong> the SAP complexes, by-product<br />

toxicity in the CNS should be avoidable. Thus, the SAP appears to <strong>of</strong>fer a<br />

new means <strong>of</strong> time-release delivery <strong>of</strong> therapeutic agents to the eye and the<br />

CNS. We have also found that the materials will stabilize the three dimensional<br />

structure <strong>of</strong> the target therapeutic and thus will remain viable for over 9 weeks<br />

at body temperature.<br />

IS-GLA-SU 303 (5)<br />

Regeneration <strong>of</strong> the Visual System in Glaucoma<br />

Martin Keith (1)<br />

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

As no current treatments can restore vision lost to glaucoma, effective<br />

regeneration <strong>of</strong> the optic nerve remains a key challenge. An important<br />

barrier is the limited regenerative capacity <strong>of</strong> retinal ganglion cells, but recent<br />

research has revealed a number <strong>of</strong> macrophage and glial-derived factors<br />

that can enhance RGC regeneration. The inhibitory nature <strong>of</strong> the optic nerve<br />

environment for regeneration is another key challenge, but again the barriers<br />

are being identified and overcome.<br />

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

IS-GLA-SU 303 (6)<br />

Rho-Kinase Inhibitors and Other Treatments in the Glaucoma<br />

Pipeline<br />

Kaufman Paul (1)<br />

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

Myosin light-chain kinase inhibitors, rho kinase inhibitors, caldesmon and<br />

marine macrolides (e.g. latrunculins) increase outflow facility in non-human<br />

primates by inhibiting contractility <strong>of</strong> the trabecular meshwork. Several such<br />

compounds in clinical trials reduce IOP in ocular hypertensive patients. Others<br />

in the glaucoma therapeutics pipeline include prostanoid EP receptors, nitric<br />

oxide, adenosine and Wnt signaling agonists.<br />

Ptyergium<br />

Sun 19 Feb 13:30 - 15:00 Hall 1<br />

IS-COR-SU 304 (1)<br />

Update: Pathogenesis <strong>of</strong> Pterygium: Lessons from Genome-Wide<br />

Expression Analysis<br />

Beuerman Roger (1)<br />

1. Singapore Eye Research Institute<br />

Pterygium is a common fibrovascular ocular surface disease. The mechanism<br />

<strong>of</strong> pterygium formation remains ambiguous, and current treatment is surgical<br />

excision, with a significant risk <strong>of</strong> recurrence. Gene expression studies have<br />

shown that aberrant DNA methylation and upregulation <strong>of</strong> genes associated<br />

with inflammation are characteristic for pterygial tissues.<br />

IS-COR-SU 304 (2)<br />

Update: Modern Concepts <strong>of</strong> Pterygium Surgery<br />

Murube Juan (1)<br />

1. Spanish Society <strong>of</strong> Ophthalmology<br />

Despite a plethora <strong>of</strong> existing surgical strategies in pterygium surgery, which<br />

include simple bare sclera surgery, the use <strong>of</strong> adjunctive treatments such as<br />

intraoperative or postoperative mitomycin C and beta-irradiation, amniotic<br />

membrane transplantation, and more experimental forms <strong>of</strong> application <strong>of</strong> antiangiogenic<br />

agents, modern pterygium surgery still pivots on the conjunctival<br />

autograft as the gold standard for pterygium removal. Recent variants <strong>of</strong><br />

conjunctival autografting include the extensive PERFECT technique <strong>of</strong> Hirst,<br />

and the use <strong>of</strong> fibrin adhesives.<br />

IS-COR-SU 304 (3)<br />

Limbal Stem Cell Deficiency in Pterygium: Current Treatment<br />

Concepts<br />

Gomes Jose (1)<br />

1. Department <strong>of</strong> Ophthalmology, Federal University <strong>of</strong> Sao Paulo<br />

The etiopathogenesis <strong>of</strong> pterygium is multifactorial and may be related to<br />

chronic injury <strong>of</strong> the limbus and conjunctiva by solar UV radiation, actinic<br />

keratoconjunctivitis, inflammation, viral infection and genetical factors. All<br />

these factors may induce partial stem cell deficiency and progression <strong>of</strong> the<br />

vascularized progressive lesion over the cornea. In this presentation, the<br />

relation between limbal stem cell deficiency and pterygium will be reviewed.<br />

Based on this review, current treatment options will be presented and<br />

discussed.<br />

291

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