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Table of Contents - WOC 2012

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

IS-ONC-MO 359 (2)<br />

Brachytherapy<br />

Singh Arun (1)<br />

1. Cole Eye Institute<br />

Brachytherapy is the most frequently used treatment for uveal melanoma. The<br />

presentation will include surgical technique (video), data regarding tumor<br />

control, and complications. Recent innovation in plaque design and dosimertry<br />

will also be presented.<br />

IS-ONC-MO 359 (3)<br />

Surgery<br />

Damato Bertil (1)<br />

1. Royal Liverpool University Hospital<br />

Methods <strong>of</strong> local resection <strong>of</strong> uveal melanoma include: iridectomy; iridocyclectomy;<br />

trans-scleral choroidectomy; trans-scleral cyclo-choroidectomy;<br />

and trans-retinal endoresection. Primary local resection is indicated when<br />

the tumour is considered unsuitable for radiotherapy and/or phototherapy.<br />

Secondary tumour resection is useful for recurrence after radiotherapy and<br />

for exudation from an irradiated tumour (‹toxic tumour syndrome›). Tumour<br />

resection is a valuable addition to the current range <strong>of</strong> therapeutic modalities,<br />

<strong>of</strong>ten providing the best or the only method <strong>of</strong> conserving the eye with useful<br />

vision.<br />

IS-ONC-MO 359 (4)<br />

Proton Beam Radiotherapy<br />

Gragoudas Evangelos (1)<br />

1.<br />

Uveal melanoma is a rare intraocular malignancy. The current standard <strong>of</strong> care<br />

for most tumors is radiotherapy. Proton irradiation <strong>of</strong>fers the advantage <strong>of</strong> highly<br />

localized and uniform dose distributions, which may optimize local control and<br />

minimize complications. Long-term outcomes in a large series <strong>of</strong> patients<br />

treated with proton irradiation for uveal melanoma at the Massachusetts Eye<br />

and Ear Infirmary will be reviewed, and data to assist the ocular oncologist in<br />

making recommendations for treatment will be presented.<br />

IS-ONC-MO 359 (5)<br />

Screening for Metastases<br />

Pe’er Jacob<br />

Uveal melanoma is the most common primary intraocular tumor in adults, and<br />

the liver is the main target organ <strong>of</strong> metastases. The traditional methods <strong>of</strong><br />

screening for metastases have been liver imaging, chest X-ray, and liver<br />

function tests. The yield <strong>of</strong> the latter two was proven to be very low; thus, liver<br />

imaging such as ultrasound, CT and MRI are commonly used. Recently, PET-<br />

CT was suggested as a means <strong>of</strong> imaging. Some centers have begun using<br />

serum biomarkers for early detection <strong>of</strong> metastatic disease.<br />

IS-ONC-MO 359 (6)<br />

Disseminated Disease<br />

Seregard Stefan (1)<br />

342<br />

(1)<br />

1. Hadassah-Hebrew University Medical Center<br />

1. Department <strong>of</strong> Vitroretinal Disease, St Eriks Eye Hospital<br />

Nearly half <strong>of</strong> patients with uveal melanoma develop disseminated disease. In<br />

an early stage tumour seeding may be confined to the liver making this an<br />

interesting target for treatment. Clinical effects have so far been minimal, but<br />

preliminary results from new research avenues suggest that this may change<br />

in a not too distant future. This overview will outline what may come ahead.<br />

Tissue Bioengineering and Regeneration<br />

Mon 20 Feb 8:30 - 10:00 Conference Room B2<br />

IS-TEC-MO 360 (1)<br />

Applications <strong>of</strong> Nanotechnology in Ophthalmology<br />

Leary James (1)<br />

1. Purdue University<br />

This general overview talk will introduce nanotechnology developments<br />

applicable to ophthalmology. Nanotechnology is being developed for a wide<br />

variety <strong>of</strong> applications in ophthalmology, including controlled drug delivery<br />

both within the eye using nanoparticles and through nanopore channels using<br />

contact lenses for steady-state drug delivery, nanomedical approaches to<br />

reducing oxidative stress damage to the retina and the optic nerve, implants for<br />

artificial vision, and light-activated nanowires for treatment <strong>of</strong> retinal ischemia.<br />

IS-TEC-MO 360 (2)<br />

Fundamental Issues in Stem Cell Transplantation <strong>of</strong> the Ocular<br />

Surface<br />

Kruse Friedrich (1)<br />

1. Department <strong>of</strong> Ophthalmology, University <strong>of</strong> Erlangen-Nuremberg<br />

Abstract not available<br />

IS-TEC-MO 360 (3)<br />

Epithelial Corneal Dystrophy<br />

Moore Johnny (1,2)<br />

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

2. University <strong>of</strong> Dundee<br />

Meesmanns corneal dystrophy is a relatively benign rare corneal disorder<br />

confined to the anterior epithelium. We use this as a model to determine the<br />

specificity and potency <strong>of</strong> treatment with siRNA designed to knock down the<br />

mutant allele, while allowing the normal allele to restore a healthy ocular surface.<br />

This is a particularly tractable model for the application <strong>of</strong> gene therapy for<br />

other corneal dystrophies with similar dominant negative pathomechanisms.<br />

IS-TEC-MO 360 (4)<br />

Transplantation <strong>of</strong> Retinal Pigment Epithelium Derived from iPS Cells<br />

Okamoto Satoshi (1)<br />

1. RIKEN Center for Developmental Biology<br />

Age-related macular degeneration (AMD) is a disease caused by the<br />

senescence <strong>of</strong> retinal pigment epithelial (RPE) cells. However, currently there is<br />

no effective therapy for RPE damage. We have succeeded to induce RPE from<br />

human ES/iPS cells that can be used for regenerative therapy. Transplantation<br />

<strong>of</strong> RPE will improve the symptom or repress the progression <strong>of</strong> the disease. In<br />

this presentation, I will introduce our latest research and development <strong>of</strong> RPE<br />

transplantation therapy for AMD patients.<br />

IS-TEC-MO 360 (5)<br />

The Use <strong>of</strong> Induced Pluripotent Stem Cells (iPS) in Corneal Tissue<br />

Engineering<br />

Shimmura Shigeto (1)<br />

1. Keio University School <strong>of</strong> Medicine<br />

Induced pluripotent stem cells (iPS cells) are a new source <strong>of</strong> stem cells. We<br />

successfully induced stratified epithelial cells from mouse iPS cells by coculture<br />

with PA6 feeder cells and BMP4. We cloned cytokeratin 14 and p63<br />

double-positive stratified epithelial progenitor cells from iPS-derived epithelial<br />

cells, and engineered stratified epithelial sheets consisting <strong>of</strong> 5 to 6 layers<br />

<strong>of</strong> polarized epithelial cells. Electron microscopy revealed microvilli on the<br />

surface <strong>of</strong> epithelial sheets that were similar to murine corneal epithelial cells.<br />

When these clonal cells were cultured on denuded mouse corneas, a robust<br />

stratified epithelial layer was observed with high levels <strong>of</strong> E-cadherin, p63<br />

and K15 expression in the basal layer. Studies to produced similar cells from<br />

human iPS cells are underway.

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