Table of Contents - WOC 2012

FP-TRA-MO 399 (3)
Role of Ophthalmic Endoscope Assisted Pars Plana Vitrectomy in
Severe Ocular Trauma
Sabti Khalid (1,2) , Raizada Seemant (2)
1. Faculty of Medicine, Kuwait University
2. Vitreo Retinal Unit, Al Bahar Eye Center
Purpose: To report the results of pars-plana vitrectomy (PPV) with the help of
Ophthalmic Endoscope (OE) in severe ocular trauma cases which are
unsuitable for PPV through the conventional viewing systems due to media
haze and disorganized anterior segment.
Methods: Prospective, non-comparative, consecutive, interventional case
series. Major outcome measured (a) anatomic status of the retina, and stability
of scleral fixated Intra ocular lens (SFIOL); (b) functional status regarding vision,
intraocular pressure (IOP), control of inflammation in cases of endophthalmitis.
Results: Fifty seven trauma cases were included in the study. Out of these, 43
cases were open globe injuries, seven were closed globe injuries (dislocated
crystalline lens or intraocular lens) and seven cases were of post-traumatic
endophthalmitis. Attached retina and improvement in visual status was seen
in 36 of the open globe injury cases, 7 cases developed recurrent retinal
detachment. All closed globe injury eyes showed stable SFIOL. Out of seven
endophthalmitis cases, 6 eyes showed improvement in vision.
Conclusion: OE provided an excellent view to conduct PPV in trauma cases
where delay in surgery due to hazy media or due to non availability of
donor cornea for simultaneous penetrating keratoplasty can lead to severe
proliferative vitreoretinopathy changes.
FP-TRA-MO 399 (4)
Children›s Corneal Abrasion Patching Study (CAP Study). Results of
a Randomized Clinical Trial Comparing Patching versus No Patching
in Treating Traumatic Corneal Abrasion in Children
Elghonemy Ayman (1) , AbdelMaksoud Ahmed (2) , Mousa Ahmed (3)
1. Magrabi Eye and Ear Hospital
2. Dr. Yousef Abualfain Eye Center
3. King Saud University
Purpose: To compare the patching to no patching approach in treating traumatic
corneal abrasions in children regarding healing and relieve of symptoms.
Methods: A randomized, clinical trial on 80 consecutive patients, from 3 to 14
years old, presenting with acute traumatic corneal abrasion. Patients were
randomized to 2 groups; 40 patients each. Patients in the no-patch group
received medical treatment only, while in the patch group received in addition
a double patch. Patients were followed daily till healing, documenting days
needed till healing, defect size, visual acuity, pain and photophobia.
Results: Sixty two patients completed the daily follow up. Average time till
healing for the no-patch group was 1.45 days which was significantly faster
than the patch group (1.79 days) (P=0.020). Mean pain (in scale of 10) in
no-patch group in the initial visit, first and second days were 4.8, 1.81, 0.15
respectively, while in patch group were 6.35, 2.68, 0.78 and in the third day
0.67.
Conclusion: CAP study is the biggest study concerning the number of patients
in children with traumatic corneal abrasion. We recommend not patching
traumatic corneal abrasions in children, as without patching there was faster
healing time, while patching did not provide less pain or photophobia.
WOC2012 Abstract Book
FP-TRA-MO 399 (5)
A Rare Case of Propionibacterium Acnes Endophthalmitis Post
Penetrating Trauma
Hazarika Manali (1) , BS Shailaja (1) , Kamath Yogish (1) Shashidhar (1) ,
Rao Lavanya (1)
1. Kasturba Medical College and Hospital, Manipal University
Purpose: To report an interesting case.
Methods: Interventional case study.
Results: A 53 yr old male with no systemic illness presented with injury to (RE)
with a tree branch 3 days back. Best corrected Vision in (RE) CF2m,