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Table of Contents - WOC 2012

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

Free Paper: Retina - Medical<br />

Thu 16 Feb 13:00 - 14:30 Conference Room A4<br />

FP-RET-TH 22 (1)<br />

Morphological and Functional Correlation <strong>of</strong> Macular Pathology in<br />

Idiopathic ERM Using Spectral Domain Optical Coherence<br />

Tomography<br />

Bashir Yasfir (1) , Kumar Yadav Naresh<br />

1. Narayana Nethralaya Eye Institute<br />

Purpose: To study the relationship between retinal thickening and visual acuity<br />

in the macula in eyes with idiopathic epiretinal membrane. To comment on the<br />

status <strong>of</strong> photoreceptor inner and outer segment (is/os) junction.<br />

Methods: 54 eyes <strong>of</strong> patients with idiopathic erm and 54 eyes <strong>of</strong> normal control<br />

subjects were examined. Retinal thickness was measured at fovea (within a<br />

circle <strong>of</strong> diameter 1mm), parafovea (within a circle <strong>of</strong> diameter between 1 to<br />

3 mm ) and perifovea (within a circle <strong>of</strong> diameter between 3 mm and 6 mm)<br />

using sd-oct.<br />

Results: the mean retinal thickness <strong>of</strong> foveal region (p< 0.000004), parafoveal<br />

(p< 0.00008) and perifoveal (p< 0.0005) regions in the macula was found to be<br />

significantly greater in eyes with idiopathic erm than in the normal eyes. Logmar<br />

<strong>of</strong> visual acuity (mean=o.33) was worse in eyes with disrupted photoreceptor<br />

junction. Retinal thickness was significantly more in eyes with disrupted is/os<br />

junction (p < 0.05). Conclusion: Disruption <strong>of</strong> photoreceptor junction in eyes<br />

with idiopathic erm can have an influence on the post operative vision, thus,<br />

having a prognostic significance.<br />

FP-RET-TH 22 (2)<br />

A Novel Optical Coherence Tomographic Predictive Factor for<br />

Macular Hole Closure<br />

Rajendran Anand (1) , Patwardhan Aditi (1) , Kanakamedala Ashok (1) , Ramasamy<br />

Kim (1)<br />

1. Aravind Eye Hospital<br />

Purpose: To evaluate a novel optical coherence tomographic (OCT)<br />

mathematical factor to predict type <strong>of</strong> macular hole (MH) closure post<br />

vitrectomy.<br />

Methods: A review <strong>of</strong> 78 eyes with idiopathic MH that underwent pars plana<br />

vitrectomy, internal limiting membrane peeling and gas tamponade were<br />

included. Pre- and postoperative clinical, OCT features and acuity gains<br />

were analyzed. The type <strong>of</strong> MH closure was assessed. A novel mathematical<br />

parameter, the Macular Hole Coefficient (MHC), ratio <strong>of</strong> the internal diameter<br />

(shortest distance between the edges <strong>of</strong> the macular hole) to the vertical height<br />

<strong>of</strong> the MH on OCT, was compared to MH closure type and clinical outcome.<br />

Results: Of the 78 eyes, 69 had type 1 (closed without defect); 9 had type 2<br />

(closed with defect) closure. Average MHC for type 1 was significantly lesser<br />

[1.73 (SD=0.52)] than those with type 2 closure [3.20 (SD=0.88)] [p< 0. 001]<br />

.Statistical analysis was done using STATA s<strong>of</strong>tware (version 8.1). Visual acuity<br />

gain was more significant for type 1 (p

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