Table of Contents - WOC 2012

WOC2012 Abstract Book
FP-COR-SU 318 (7)
The Outcome of Autograft Technique Using Fibrin Glue in Pterygium
Surgery
Supartoto Agus (1) , Nindiasari Mandiri (1)
1. Department of Ophthalmology, Faculty of Medicine, Universitas Gadjah
Mada, Dr. Sardjito General Hospital
Purpose: To evaluate the outcome of fibrin glue for attaching conjungtival
autograft in pterygium surgery.
Methods: A prospective clinical trial at Dr.YAP Eye Hospital, on January-
October 2010. This study involved 88 patients (88 eyes), consisted of 48
men and 40 women, age between 28-71 years old (average 46.03-8.57). 66
eyes were operated for primary nasal pterygium and 22 for secondary nasal
pterygium. Autologous conjungtival graft at the superior limbal was used to cover
the sclera after pterygium excision with a fibrin tissue adhesive (Beriplast-P)
after MMC application. Surgical time was noted from the first injection of
anesthetic liquid until application of the eye ointment. The complications and
objective signs were noted.
Results: Average surgical time was 17.50-5.0 minutes (range: 8.5-34 minutes),
17.06-5.52 minutes in primary group and 18.47-3.69 minutes in secondary
group. Conjungtival autografts were successfully attached in all eyes (100%).
Granuloma appear on 2 eyes (2.5%) and simblepharon on 1 eye (1.2%) as
surgical complications. recurrence on 1 eye (1.2%) was found in secondary
group, but none in primary group after 6 months follow up.
Conclusion: The use of fibrin glue is a safe and effective tool to attach
conjunctival autograft in pterygium surgery.
FP-COR-SU 318 (8)
Use of Tibial Autograft Keratoprothesis. Our Experience
Ribas Veronica (1) , Temprano Jose (1) , Martinez-Grau Gorka (1) , De la Paz
María (1) , Nadal Jeroni (1)
1. Centro de Oftalmologia Barraquer
Purpose: To describe our experience on use of tibial keratoprothesis autograft:
indications, complications as well as surgical technique.
Methods: A 30 patient’s retrospective study of the last 20 years use of tibial
autograft keratoprothesis is presented.
Results: Most common indications of this surgical technique are: chemical and
physical burns, trauma, muco-sinequiant syndromes and severe cases of
xerophthalmia. Most frequent complications are: giant papillary conjunctivitis,
cataract, secondary glaucoma and expulsion of the keratoprothesis.
Conclusion: Tibial autograft keratoprothesis is an appropriate surgical
technique for those patients with corneal alterations and possibility of visual
recovery when other simple procedures could not be performed.
304
FP-COR-SU 318 (9)
Krumeich Ring in High-Risk Penetrating Keratoplasty
Alvarez de Toledo Juan (1, 2) , de la Paz Maria Fideliz (1, 2) , Quilendrino Mary
Ruth (1) ,
1. Institut Universitari Barraquer - Universitat Autonoma de Barcelona
2. Centro de Oftalmologia Barraquer
Purpose: To describe the clinical outcomes of penetrating keratoplasty with
Krumeich intrastromal corneal ring implantation in high-risk corneas.
Methods: We reviewed the charts of 27 eyes of 26 patients who were
considered high-risk recipients and who underwent penetrating keratoplasty
with Krumeich intrastromal corneal ring implantation. Main outcomes studied
were visual acuity, astigmatism, corneal transparency, vessel in-growth into the
graft, occurrence of immune reactions and complications.
Results: Mean follow-up time was 16 months. Postoperative uncorrected and
best corrected visual acuities significantly improved from preoperative values.
No significant changes in astigmatism were observed during the follow-up
period. Graft transparency was maintained in 17 eyes (63%) all throughout
follow-up. Vessels growing into the graft were deflected by the presence of the
Krumeich ring in almost all cases (88.9%). Immune rejection developed in 6
eyes (22.2%) with only 1 eye progressing to graft failure. Other complications
included 2 graft decompensations, 2 graft infections, 1 herpes simplex virus
recurrence in graft and 1 ring extrusion.
Conclusion: Krumeich intrastromal corneal ring implantation is a safe and
effective adjunct in high-risk penetrating keratoplasty that can potentially
increase graft survival by reducing immune reactions and inhibiting graft
neovascularization.
FP-COR-SU 318 (10)
Role of Topical Fluconazol in Treating Fungal Keratitis
Qayyum Irfan (1) , Hussain Mumtaz (1) , Moin Muhammad (1) ,
1. King Edward Medical University, Mayo Hospital
Purpose: To evaluate the efficacy of fortified Fluconazol eye drops in fungal
keratitis.
Material and Methods: Retrospective analysis of 15 patients treated for fungal
keratitis from June 2009 to March 2011 was done at the institute of
ophthalmology, Mayo Hospital, Lahore. All patients underwent slit lamp
examination and anterior segment photographs were taken. Corneal scraping
was done and slides sent for gram stain and KOH stain. Culture and sensitivity
was sent on agar plate. Visual acuity on presentation was recorded. Patients
were admitted in the ward and empiral treatment with broad spectrum
antibiotics started. After confirmation of fungal hyphae on KOH stain, intensive
treatment with fortified Fluconazol eye drops was started. Response was
recorded in terms of ulcer healing, hypopyon disappearance, vascularization,
scar formation and final visual acuity at 1,2,3,4 weeks and 3 months period.
Results: All patients responded well to Fluconazol in terms of early hypopyon
disappearance, vascularization at one month and complete scar formation at 3
months period with final visual acuity ranging from 6/60 to HM.
Conclusion: Fluconazol is highly effective as first line treatment in treating
fungal keratitis. This prevents loss of eyes due to progressive endophthalmitis.