Table of Contents - WOC 2012

IS-TEC-SU 311 (6)
New Developments in OCT
Schmetterer Leopold
Optical coherence tomography has become a standard tool in imaging the
retina, the optic nerve head and the anterior segment of the eye. The
introduction of Fourier Domain systems over Time Domain systems has brought
improvements in acquisition speed as well as in resolution. The present talk
discusses new approaches including ultra-high speed OCT systems, systems
using ultra-broadband light sources, use of wavelengths in the near infrared
and assessment of functional data.
IS-TEC-SU 311 (7)
Advances in the Treatment of Diabetic Retinopathy
El-Asrar Ahmed Abu (1)
1. King Saud University
Strict metabolic control, tight blood pressure control, laser photocoagulation
and vitrectomy remain the standard care for diabetic retinopathy. Focal/grid
photocoagulation is a better treatment than intravitreal triamcinolone acetonide
in eyes with diabetic macular edema. Anti-vascular endothelial growth factor
agents result in temporary improvement of visual acuity and short-term
reduction of central macular thickness in patients with refractory diabetic
macular edema and effective adjunctive treatment to laser photocoagulation.
Vitrectomy with removal of posterior hyaloid seems effective in eyes with
persistent diffuse diabetic macular edema, particularly in eyes with associated
vitreomacular traction.
Main Causes of Irreversible Blindness: Diabetic Retinopathy and
Glaucoma - Diagnostic and Therapeutic Challenges
Sun 19 Feb 13:30 - 15:00 Conference Room A4
IS-EPI-SU 312 (1)
Diabetes Retinopathy Screening - The Kenya Experience
Kibata Amos
A screening program for diabetic retinopathy was initiated in central Kenya a
year ago by Upper Hill Eye and Laser Centre (UHEAL), a private eye clinic in
Nairobi, Kenya. To date close to 3000 diabetics patients have had a dilated
eye examination with over 200 laser procedures performed using a state of
the art mobile laser unit. The challenges faced in setting up the program will
be discussed. In addition a summary of the ocular and systemic findings from
this program will be made. Finally, experiences learnt in the past year will be
outlined.
IS-EPI-SU 312 (2)
New Drugs in the Treatment of the Diabetic Retinopathy
Lazic Ratimir (1)
1. Eye Clinic Svjetlost
Until recently laser photocoagulation was mainly used in the treatment of DR
to control neovascularization (NV) and diabetic macular edema (DME). If
the disease progressed to proliferative stage, pars plana vitrectomy was
required. However in the new anti-VEGF era, anti-VEGF drugs have become
increasingly used in treatment of DME, as adjunct therapy to laser for NV and
vitreal haemorrhage and to facilitate pending vitrectomy. Also new sustain
release dexamethasone implant has shown to be effective in prolonged control
of DME.
IS-EPI-SU 312 (3)
Minimally Invasive Vitrectomy in Diabetic Retinopathy Treatment
Tomic Zoran (1)
1. University Eye Clinic Svjetlost
Pars plana vitrectomy has mainly been used in treatment of advance
proliferative diabetic retinopathy (P DR) cases. However with the development
of new minimally invasive approach using 25 and 23 gauge instruments,
early vitrectomy has shown to be very effective in early control of disease
progression and in achieving good functional results. Anti-VEGF treatment
prior to vitrectomy has facilitated the membrane peeling and offered better
control of intraoperative hemorrhage. The author will show a video of selected
cases.
IS-EPI-SU 312 (4)
Glaucoma after Silicone Oil Tamponade
Kuljaca Zoran (1)
WOC2012 Abstract Book
1. Milos Eye Hospital
The use of silicone oil, when managing retinal detachments, could be
encountered with chronic elevation of intraocular pressure. Risk factors
to developing include preexisting glaucoma, aphakia, oil in the anterior
chamber, early postoperative pressure spikes, diabetes, trauma and iris
neovasularisation. Inferior peripheral iridotomy during the surgery reduced
the incidence of acute angle closure glaucoma. Removal of the silicone oil
may not resolve the problem and aqueous suppressants should be prescribed.
Glaucoma drainage surgery should be preferably performed simultaneously
with the oil removal, also combined with optional AntiVEGF therapy or
cycloablative procedure.
IS-EPI-SU 312 (5)
Practical Approaches to the Management of Glaucoma
Damji Karim (1)
1. University of Alberta
A practical framework for approaching glaucoma management will be
presented:
• Establish a good baseline (diagnosis, structure and function) and categorize
the risk of progression
• Set therapeutic goal (s)
• Stage eye (s) and set target IOP range
• Decide with the patient whether to treat or not
• Individualize treatment utilizing the best available science (evidence) as well
as art (patient empowerment and ‘biopsychosociospiritual’ perspective).
IS-EPI-SU 312 (6)
Establishing a Diabetic Retinopathy Screening Service in Sub
Saharan Africa: The Kilimanjaro Region Experience
Hall Anthony (1)
1. Newcastle Eye Hospital
The Kilimanjaro Diabetic programme was started in response to an increasing
burden of diabetic patients blinded by untreated retinopathy. The programme
sought to introduce a camera based screening programme for retinopathy
through a comprehensive approach of educating health care workers and
patients about diabetes complications. District hospitals were encouraged to
start diabetic clinics. A regional register of known diabetic patients was created.
Photographers and graders were trained. 2673 patients have been registered.
3.8% have proliferative retinopathy and 15.2% treatable maculopathy.
IS-EPI-SU 312 (7)
RAAB+ Dr Surveys in Assessing the Prevalence of Blindness from
Diabetic Retinopathy
Yorston David (1)
1. Tennent Institute of Ophthalmology
RABID surveys are a relatively inexpensive method for assessing the
prevalence of diabetes, diabetic retinopathy, and blindness, as well as the
major avoidable causes of visual impairment. Recently completed surveys in
Latin America, Africa and the Middle East show a high prevalence of diabetic
retinopathy in people over 50 years old. Only a small proportion of those who
need treatment have evidence of previous laser. The survey methodology will
be described and the results of the surveys will be presented.
IS-EPI-SU 312 (8)
Glaucoma and the Anterior Segment (Siagnosis and Treatment)
Nagy Zoltan (1)
1. Department of Ophthalmology, Semmelweis University
Undiagnosed glaucoma might be a limiting factor in achieving good visual
function following ophthalmic surgeries. The importance of pachymetry, visual
field testing, papillary morphology, topography and other modern testing will
be discussed. At the end of the session participants should be able to identify,
diagnose and treat early glaucoma cases in order to achieve the best visual
results during their patient management.
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