Table of Contents - WOC 2012

FP-OCP-MO 391 (8)
Fat Transfer for Periorbital Rejuvenation
Ben Said Ahmed
1. Les OAT
Purpose: The graft of adipocytes become a mainstay of facial rejuvenation by
its volumetric qualities and its action on skin trophicity.
Methods: The knowledge of the middle third anatomy of the face, the periorbital
area, the superficial and deep facial fat distribution enable surgeons to a
more accurately defined facial region and fat compartment. We describe the
technique. After 15 years of the lipofilling practice, we have better control of
the technique.
Results: With autologous fat transplantation we can restore the atrophy of
periorbital tissue, the superior sulcus hole and the tear trough deformity. We
can also repair enophtalmos or compensate loss of volume after enucleation
or dermo fat graft.
Conclusion: Surgeons performing cosmetic and reconstructive surgery should
reconsider their approach to the periorbital region and enhance their results
through autologous fat transplantation.
FP-OCP-MO 391 (9)
Inferior Fornix Reconstruction for Contracted Socket: A New
Technique Without External Bolster
Haider Golam (1) , Mitra Mukti (1) , Rabbi Sanyaat (2) , Islam Rajibul (1) , Rasul
Golam (1)
1. National Institute of Ophthalmology and Hospital
2. Lions Eye Institute and Hospital
Purpose: To compare the cosmetic outcome of the new technique with the
conventional one for fornix reconstruction and also to compare the relative
fitting of prosthesis after reconstruction.
Methods: Twenty six patients with contracted sockets were operated in
National Institute of Ophthalmology Hospital and Harun Eye Hospital from
2003 to 2010. Twenty patients were operated with fornix deepening suture by
applying external bolster and in six patients fornix was deepened internally by
fixing the conjunctiva with the periorbita under direct visualization by the lower
lid swinging technique.
Result: Patients with the new technique had no visible scar in addition to better
prosthesis fitting compared to the conventional method.
Conclusion: Management of a contracted socket due to shallow inferior fornix
is a difficult job for the oculoplastic surgeons and good fitting of prosthesis in
an anophthalmic socket is a challenge. This new technique without external
bolster may be an excellent one.
WOC2012 Abstract Book
FP-OCP-MO 391 (10)
Comparative Evaluation of Reconstruction of Blowout Orbital Floor
Fracture with Corticocancellous Bone and Aloplastic Material
Haider Golam (1) , Hasan Habibul (2) , Mitra Mukti (1) , Rabbi Sanyaat (3) , Islam
Rajibul (1)
1. National Institute of Ophthalmology and Hospital
2. Dhaka Dental College and Hospital
3. Lions Eye Institute of Ophthalmology and Hospital
Purpose: To evaluate the surgical outcome of blowout fracture reconstruction
with corticocancellous bone and compare with aloplastic material.
Methods: The study was conducted at Oculoplastic Clinic, National Institute of
Ophthalmology and Department of Oral and Maxillofacial Surgery, Dhaka
Dental College Hospital among 21 patients with orbital blow out fracture.
Aloplastic material (Titanium mesh) was used in 9 cases and autogenous
material (Corticocancellous iliac bone) in 12 cases. Follow up visit at 3 and 6
months were done.
Results: Mild enophthalmos was 11.1% in aloplastic group and 8.3% in
autogenous. Extrusion of the graft occurred 11.1% in Aloplastic group and
none in Autogenous group, which was not statistically significant (P> 0.05).
Aloplastic group had more infection but the difference was not statistically
significant (P>0.05). No significant difference in mean muscle limitation and
diplopia score in the two groups (P>0.05).
Conclusion: In reconstruction of blowout orbital fracture, corticocancellous iliac
bone is comparable to aloplastic material; it shows fewer complications and
relatively better alleviation of symptoms of a blowout fracture.
FP-OCP-MO 391 (11)
STAR - or Okihiro-Syndrome?
Atili Abed (1) , Rakenius Anneta (2) , Kohlhase Juergen (3) , Hoerauf Hans (1) ,
Schittkowski Michael (1)
1. Georg-August-University of Goettingen, Department of Ophthalmology
2. Georg-August-University of Goettingen, Department of Neuropediatric
3. Center for Human Genetics Freiburg
Background: STAR and Okihiro syndromes are rare. STAR syndrome
(Syndactyly, Telecanthus, Anogenital and Renal malformations) was first
described in 2008. Okihiro/Duane-radial ray syndrome has been known since
the 1960s.
Case Report: A 17-year-old female patient presented with several striking
features of both syndromes. Features such as severe syndactyly, telecanthus,
Radioulnar synostosis, external genital anomalies, and unilateral renal
vesicoureteral reflux were present. Nephrectomy was performed at the age of
three due to nephroblastoma. Ophthalmic exam findings were consistent with
Duane›s retraction syndrome. Moreover, bilateral congenital grouped albinotic
Retinal Pigment Epithelium spots (CGARPES) with pigmented parapapillary
cone were detected. CGARPES are rare congenital RPE abnormalities
characterized by several yellow-white spots of various sizes at the RPE level.
Optical coherence tomography (OCT) showed RPE-Atrophy localized in those
spots.
Diagnostic Results: The molecular genetic tests showed a deletion of 115.054
bp:Exon 1-4 from the FAM58A Gen consistent with STAR syndrome.
Conclusions: The mixed clinical features in our patient indicate the presence of
a clinical correlation. At the molecular genetic level, there was no evidence of
correlation between both syndromes. Moreover, the retinal changes identified
in our patient (CGARPES), have never been reported in the literature in both
syndromes. Further Genetic testing is recommended.
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