Table of Contents - WOC 2012

Complex and Difficult Management Decisions in Oculoplastics
Sun 19 Feb 15:30 - 17:00 Hall 9
IS-OCP-SU 331 (1)
Planning for Challenges In Lid Reconstruction
Islam Zafar (1)
1. Kabir Medical College
Eyelid reconstruction depends on size and site of defect and vascularity and
availability of surrounding tissue. It becomes challenging when: 1.
Both eyelids need reconstruction 2.
Medial Canthal defect 3.
Previous unsuccessful reconstruction 4.
Not enough surrounding tissue for making flap In such cases proper planning
is crucial as such preset procedures may not be found in the literature. In this
presentation, author describes few of his challenging and difficult cases and
different tricks and tips to handle such cases. Eyelid reconstruction depends
on size and site of defect and vascularity and availability of surrounding tissue.
It becomes challenging when:
1. Both eyelids need reconstruction
2. Medial Canthal defect
3. Previous unsuccessful reconstruction
4. Not enough surrounding tissue for making flap.
In such cases proper planning is crucial as such preset procedures may not be
found in the literature. In this presentation, author describes few of his
challenging and difficult cases and different tricks and tips to handle such
cases.
IS-OCP-SU 331 (2)
How to Salvage an infected Orbit
Moin Muhammad (1)
1. Quaid-e-Azam Medical College
To salvage an infected orbit is important to prevent the life of a patient.
Aggressive antimicrobial treatment and early intervention for pus formation
will produce the best outcome with least complications. In this presentation
46 cases of orbital infections managed at our institution will be discussed.
This will include the treatment strategies for paranasal sinus mucoceles,
panophthalmitis, Mucormycosis, Aspergillosis, tuberculosis and hydatid cyst.
The investigation and treatment strategies will be discussed in detail with the
latest updates in literature.
IS-OCP-SU 331 (3)
Topical Therapies for Eyelid Tumors
Shields Carol (1)
1. Wills Eye Institute
Purpose: To discuss topical therapies for eyelid tumors.
Methods: Literature review.
Results: Some eyelid tumors can be treated with topical medications. These
include Propranolol for capillary hemangioma of infancy, Imiquimod for basal
cell carcinoma (BCC), squamous cell carcinoma (SCC), Mitomycin C for
sebaceous carcinoma, and Imiquimod for lentigo maligna. Interferon injection
is very effective in the management of SCC, some cases of BCC, and Kaposi
Sarcoma. Lastly, aspiration and injection of tissue glue can be useful for
lymphangioma.
Conclusion: Topical therapies can be beneficial for eyelid tumors.
IS-OCP-SU 331 (4)
Advanced Decisions in Orbital Fractures
Kamal Sidiqui Zahid (1)
1. Lahore General Hospital
WOC2012 Abstract Book
Author aims to raise awareness amongst the ophthalmologists regarding need
of accurate pre-operative assessment, correct decision about surgical
intervention and post-operative management. One should request CT scan and
give antibiotics. Surgery would be done if intractable diplopia, enophthalmos
and a fracture > 30%. Pure OBF can be operated by Ophthalmic Surgeon.
Porous, teflon or X-Ray film plates can be used. A few complications like
pyogenic granuloma, diplopia and migration of the implant are encountered.
IS-OCP-SU 331 (5)
Mastering Jaw Winking Ptosis
Grover Ashok (1)
1. Sir Ganga Ram Hospital
Jaw winking ptosis presents the challenge of abolishing jaw winking and
correcting ptosis without creating asymmetry in any direction of gaze. The talk
will present an evaluation of all available techniques. It will bring out the merits
of bilateral levator excision with bilateral fascia lata sling surgery in the light of
experience in over 150 cases.
IS-OCP-SU 331 (6)
Orbital Decompression Surgery in TED: Customising and Minimising
Chee Chew Yip (1)
1. Khoo Teck Puat Hospital Singapore
Modern orbital decompression can be performed via hidden or small incisions.
The orbital floor can be accessed trans-conjunctivally, the medial orbital wall
via a trans-caruncular incision and the lateral wall via skin crease incision
or lateral canthotomy approach. The number of and which orbital walls to
be decompressed depends on the severity of proptosis, the preference
of the orbital surgeon and the status of the paranasal sinuses. Orbital fat
decompression can be performed alone (in some patients) or in combination
with bone decompression trans-conjunctivally.
IS-OCP-SU 331 (7)
Innovations in Socket Reconstruction
Sahaf Imran (1)
1. Lahore General Hospital, Lahore
Orbital surgery is a complex procedure needing combination of multiple
procedures including implants, fornix formation and lid surgeries. In our
study we discuss innovative indigenous PMMA orbital implants designed and
manufactured in Pakistan for filling up empty sockets. Its unique design and
shape help in cosmetic rehabilitation. In addition another innovation regarding
complex fornix formation is being presented which provides a unique, effective
and easy method for 360 degree fornix formation using superglue technique.
The method is cheap, practical and easily learnt.
Dry Eye, Trachoma, Keratoconus, Corneal Scarring and Repair
Sun 19 Feb 15:30 - 17:00 Hall 10
IS-COR-SU 332 (1)
Dry Eye: Is it a True Inflammatory Disease of the Ocular Surface
Barabino Stefano (1) ,
1. Clinica Oculistica, University of Genoa
The traditional approach to treat dry eye that focuses on tear replacement with
artificial tears can be considered palliative in that it does not address the
immuno-inflammatory process which underlies the disease. The aim of this
presentation is to analyze data on the inflammatory process affecting the
lacrimal gland-ocular surface functional unit, how to diagnose inflammation in
tears and epithelia, and the role of an integrated approach to treat dry eye
including new anti-inflammatory treatments.
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