Table of Contents - WOC 2012

FP-REF-MO 400 (11)
The KAMRA Intracorneal Inlay for the Correction of Presbyopia: 3
Years Follow-up
Dexl Alois (1) , Seyeddain Orang (1) , Hohensinn Melchior (1) , Rückl Theersa (1) ,
Grabner Günther (1)
1. PMU Salzburg, University Eye Clinic
Purpose: To report the 3-year postoperative safety and efficacy outcomes with
the 3rd generation KAMRA corneal inlay (ACI7000).
Methods: Monocular inlay implantation in the non-dominant eye of 32 naturally
emmetropic presbyopic patients was performed. Refraction, uncorrected near
(UNVA), intermediate (UIVA), distance visual acuity (UDVA), best corrected
distance visual acuity (CDVA), and patient satisfaction was evaluated.
Results: Three years postoperative, mean UNVA and UIVA in the implanted
eyes improved from J6 and 20/40 preoperatively to J1 and 20/25 postoperatively,
respectively. After 3 years 97% of the implanted eyes had UNVA of J3 or better,
and 91% achieved UIVA of 20/32 or better. Mean UDVA was 20/20 with 100%
of eyes achieving 20/32 or better. Within the 3-year follow-up, no inlay was
explanted nor were any inflammatory reactions observed. None of the patients
experienced severe glare problems, light sensitivity, dryness, blurry vision
and pain. At 36 months 6.3% of patients reported to be dependent on reading
glasses compared to 87.5% preoperatively.
Conclusions: These 3-year results support the safety and efficacy of the
KAMRA intracorneal inlay for the surgical correction of presbyopia in
naturally emmetropic presbyopic patients.
Free Paper: Oculoplastics, Lacrimal System and Orbit
Mon 20 Feb 13:30 - 15:00 Hall 9
FP-OCP-MO 401 (1)
Normal Proptosis and Comparison of Hertel Exophthalmometry and
Ruler Measurements in Normal Population in Tehran
Rahimi Abolfazl (1) , Bayat Bayatani Soudeh (1)
1. Eye Department, Bouali Hospital, Islamic Azad University-Tehran Medical
Branch
Purpose: To measure and compare normal exophthalmometry values in adult
population by two methods, ruler and Hertel measurements.
Methods: Exophthalmometry measurements of 1012 eyes (506 persons) were
conducted in two primary health care centers in Tehran with two methods
including ruler and Hertel measurements. Age, sex, and birth place were
evaluated for their impact on obtained sizes.
Results: Mean Hertel reading was 17.56 mm for males and mean ruler reading
was also 17.56 mm. Mean Hertel reading was 17.23 mm for females and
mean ruler reading was 17.23 mm for females. Mean Hertel reading was 17.36
mm for right eye and 17.32 mm for left eye. Mean ruler measurement was
17.36 mm for right eye and 17.32 mm for left eye. There was not a significant
difference between obtained measurements in the two groups for each eye (p
> 0.05). Lower age, male sex, and having a birth place in southern Iran were
contributing factors for having a greater size in both measurements.
Conclusions: Regarding the lack of significant difference between two methods
including Hertel exophthalmometry and ruler measurements, it is recommended
to use the ruler as a convenient and non-expensive tool for exophthalmometry
in clinical settings.
FP-OCP-MO 401 (2)
Surgical Types of Osteoma of Orbit in Pakistan
Afghani Tayyab (1)
1. Al-Shifa Trust Eye Hospital
WOC2012 Abstract Book
Objective and Purpose: To describe the types of orbital osteomas in relation to
surgical technique.
Methods: A retrospective analysis of patients with Orbital Osteomas.
Results: Out of 512 orbital tumors, 2.34% were osteomas of orbit. 43% of
osteomas were ethmoidal, 43% frontal in origin and only 14% were from the
lateral wall of orbit. On the basis of surgical approach 50% were “sessile”-
broad base attached to parent bone, 35% “pedunculated” with selender stalk
and another 15% were mixed in nature. Out of pedunculated, one third were
“dumbbell shaped” with one end in nasal cavity and the other one in orbital
cavity. The pedunculated ones were the easiest to remove, while the sessile
type were technically difficult to remove and fraught with some complications.
Another classification was also made on the basis of naked or wrapped
osteomas. The “naked” ones were projecting into orbit without any overlying
normal bone, while the wrapped ones had a thin layer of normal bone covering
the projected portion. 80% were “naked” while only 20% were “wrapped”.
Conclusion: Pedunculated osteomas of orbit are easier to remove as compared
with sessile type of orbital osteomas. The dumbbell shaped osteomas are a
rare entity.
FP-OCP-MO 401 (3)
Effectiveness of Periocular Triamcinolone Injections in the Treatment
of Graves Orbitopathy Moderate to Severe
Colombo Rengel Fernando Luis, Gutierrez Garcia Ana Alexandra
1. HGO Magallanes de Catia
Objective: To evaluate effectiveness of periocular injections of triamcinolone
acetonide (TA) for treatment of Graves› orbitopathy (GO) moderate to severe.
Methods: Prospective interventional study, which evaluated active GO [Clinical
Activity Scale (CAS) ? 4] in the presence or absence of thyroid disease
controlled between June 2008 and June 2009. Received 1 injection of 20 mg of
peribulbar TA, for 4 weeks. Ophthalmologic examination was performed (CAS,
automated perimetry and computed tomography).
Results: We studied 16 patients, 10 with moderate disease and 6 with
compressive optic neuropathy (CON) and were followed an average of
12 months. The initial half of the EAC was 7.62 ± 1.59 points, which was
reduced to 2.94 ± 1.84 points after treatment. Patients with CON improved
inflammatory symptoms but had to undergo decompression surgery. After 6
months of treatment applied, there was recurrence of inflammatory symptoms
in 5 patients.
Conclusions: Injections of TA appears to be effective in reducing inflammatory
symptoms (CAS ? 4) of GO without the side effects of oral/iv corticosteroids and
without local complications. It was useful in relieving inflammatory symptoms
but not the recovery of CON, so its use is limited to the time between the onset
of symptoms and definitive surgery.
401