Table of Contents - WOC 2012

WOC2012 Abstract Book
IS-PCM-MO 388 (4)
Oculoplastic Surgery in an Outpatient Center
Charonis Georeg (1)
1. Athens Vision Eye Institute
Modern Oculoplastic surgery can be safely and efficiently performed in oneday
outpatient setting when strict criteria are met. This presentation addresses
all pertinent issues e.g. equipment, anesthesia, personnel, organization and
safety issues for providing the highest level of quality and patient satisfaction.
Procedures such as aesthetic and reconstructive eyelid surgery, all aspects
of lacrimal surgery including dacryocystorhinostomy and Jones tubes and
selected cases of orbital surgery have been performed during this time.
IS-PCM-MO 388
How to Manage Your Own Facility (ESOPES)
Bovet Jerome (1) , Perez Arturo (2) , Mitsui Iwane (3) , Baumgartner Jean-Marc (4) ,
Georgariou Gregory (5)
1. OnO Clinique de l›Oeil
2. Centro Oftalmologico Tlalnepantla
3. Mitsui Medical Clinic
4. OnO Clinique de l›Oeil
5. Athens Vision Eye Institute
Purpose: With current developments, we have more and more ambulatory
surgery centers. We will analyze the management of these centers.
Summary of Content: We will explain how to build an efficient outpatient eye
surgery center.
• Introduction
• How to start your own facility, Jerome Bovet
• Six cataract surgeries in one hour with a 3 people team, Arturo Perez
• Outpatient management on the Orthokeratology and CXL (Corneal Collagen
Crosslinking) practice, Iwane MitsuI
• Posterior vitrectomy in an outpatient clinic, Jean-Marc Baumgartner
• Oculoplastic surgery in an outpatient center, Gregory Georgariou
Target Audience: General ophthalmologists
Educational level: Beginning, intermediate, advanced
Free Paper: External Eye Disease, Cornea, Eye Banking
Mon 20 Feb 10:30 - 12:00 Capital Suite 13
FP-COR-MO 389 (1)
Deep Anterior Lamellar Keratoplasty in Children
Ashar Jatin (1) , Pahuja Shivani (1) , Ramappa Muralidhar (1) , Garg Prashant (1) ,
Vaddavalli Pravin (1)
1. L V Prasad Eye Institute
Purpose: To evaluate outcomes of deep anterior lamellar keratoplasty (DALK)
in children.
Method: Retrospective analysis of pediatric DALK from 2001 – 2010.
Result 26 eyes of 26 children, 7.82+4.64 years, m: f 13:13, underwent DALK
for keratoconus (8),microbial keratitis (6), corneal scar (6), corneal keolid (3),
chemical injury with limbal stem cell deficiency (2) and dermoid (1). Big bubble
achieved in 5, while manual dissection done in 21. Patients followed up for
30 days-6 years. Final vision ranged from counting fingers to 20/30 (mean
sphere 2.32D, mean cylinder -2.5D). Complications were graft infiltrate (3),
graft dehiscence (3), and Descemet’s detachment (2).
Conclusion: DALK is feasible in children but does not offer advantage over PK
in terms of complications.
380
FP-COR-MO 389 (2)
Deep Anterior Lamellar Keratoplasty for Congenital Corneal Keloid
Pahuja Shivani (1) , Ashar Jatin (1) , Ramappa Muralidhar (1) , Chaurasia Sunita
(1) (1)
, Vemuganti Geeta
1. L V Prasad Eye Institute
Purpose: To evaluate the safety and efficacy of deep anterior lamellar
keratoplasty (DALK) in cases Congenital corneal keloids.
Design: Retrospective, descriptive interventional case series.
Methods: We studied 3 eyes of 3 patients with congenital corneal keloids,
which were characterized by glistening, chalky white elevated corneal lesions
involving up to mid-deep stromal level, with healthy underlying endothelium.
They underwent deep anterior lamellar keratoplasty. Clinical outcomes were
assessed based on visual acuity, ocular manifestations, and clinical course
during the follow up period and histopathology.
Results: All the patients underwent an uneventful surgery using manual
dissection of the stroma. Histopathology of the resected tissue revealed
features suggestive of corneal keloid in the form of presence of thickened
epithelium, absence of Bowman’s layer, fibro vascular hyperplasia and loss
of stromal collagen arrangement. All the grafts remained clear throughout the
period of follow up and there was no recurrence of the disease. We did not
observe any untoward complication till the last follow up.
Conclusions: Deep anterior lamellar keratoplasty is a very safe, effective
modality in the management of congenital corneal keloid.
FP-COR-MO 389 (3)
Tear Film Osmolarity in Patients with Meibomian Gland Dysfunction
Messmer Elisabeth M. (1) , Drillisch Jennifer (1) , Kampik Anselm (1)
1. Department of Ophthalmology, Ludwig-Maximilians-University
Purpose: To study tear film (TF) osmolarity in patients with obstructive MGD.
Methods: 27 normal probands (17 female, 21-48 years, mean age 29 years)
and 30 patients with MGD (15 female, 31-80 years, mean age 60 years)
underwent VA testing, OSDI questionnaire, slit lamp examination, ocular surface
staining, TF-BUT measurements, and Schirmer testing with anesthesia. Prior
to all invasive procedures, TF osmolarity was determined in both eyes using
the TearLab® osmometer. Maximal / mean TF osmolarities were recorded.
Statistics were performed using Chi-Square- and Mann-Whitney-U-tests.
Results: In patients with MGD, mean and maximal TF osmolarities were 298.6
(+/-17.6) mOsmol/L and 303.5 (+/-18.8) mOsmol/L, respectively. In probands,
mean TF osmolarities of 289.7 (+/- 7, 5) mOsmol/L, and maximal values of
293.4 (+/-10.1) mOsmol/L were measured. Maximal as well as mean TF
osmolarities significantly differentiated between normal probands and patients
with MGD (p=0.018 and p=0.03, respectively), TF osmolarity correlated to
TF-BUT (p=0.007), Schirmer test (p=0.004), conjunctival (p=0.016) as well as
corneal (p=0.05) staining. No correlation was evident to OSDI, percentage of
obstructed meibomian gland orifices, quality of meibom, and age.
Conclusion: TF osmolarity as measured with the Tearlab® osmometer is
significantly increased in patients with MGD and correlates with some clinical
tests.