Table of Contents - WOC 2012

WOC2012 Abstract Book
FP-CAT-MO 402 (3)
Confoscan Aided Epithelial Debridement as an Adjunctive Curative
Procedure in Acanthamoeba Keratitis
Al-Khrousi Nadiya (1) , Wali Upender (1)
1. Department of Ophthalmology, Sultan Qaboos University Hospital
Objectives / Purpose: Acanthamoeba keratitis is a protozoal infection of the
eye, mainly due to use of contaminated contact lenses. This case highlights
the importance of corneal epithelial debridement in resistant cases of
acanthamoeba keratitis.
Methods: A 27 year old female soft contact lens wearer (monthly-disposable)
presented with history of pain, photophobia, foreign body sensation and
redness in right eye. Corneal scraping was sent for cytology and culture.
Corneal epithelial debridement was done after confoscan confirmed the
presence of acanthameoba cysts in the epithelium.
Results: Epithelial debridement removed the infected and necrotic epithelium,
thereby reducing the microbial load and helped better penetration and
effectiveness of the topical therapy. A combination of corneal confoscan and
epithelial debridement played a crucial role in the diagnosis and treatment of
this patient. This cured her disease without any corneal scaring with reduction
in frequency and duration of the topical medication.
Conclusion: Acanthamoeba keratitis continues to be a great mimic, and
challenging in terms of diagnosis, laboratory investigations and management.
Under such demanding circumstances, confoscan proves to be a very useful
tool in diagnosis and epithelial debridement as a very useful adjunct to the
success of the treatment.
FP-CAT-MO 402 (4)
Earlier Visual Rehabilitation in Pediatric Cataracts -Role of Cataract
Surgery with Primary IOL Implantation
Deshmukh Seema (1) , Mahatme Vikas (1) , Pande Chitra (1)
1. Mahatme Eye Bank Eye Hospital
Methods and Materials: 70 eyes underwent primary IOL implantation in age
group 1month-15 yrs between April 2007 and March 2008. All types of pediatric
cataracts were included in this study. The follow up post-operative period was
for 11/2 years. Clear corneal temporal approach cortical aspiration was the
method of cataract extraction.
Result: Out of 60 children 50 were unilateral and rest 10 were bilateral. Out of
70 (n) eyes, 62(88.5%) were non-traumatic and rest 8 (11.4%) were traumatic.
Out of 62, undermined and idiopathic were 46(74.1%) and 24(38.7%) has
known factor for cataract. Pre-operative and post-operative visual acuity was
divided in two groups as follows: Group 1-V/A > 6/60 Preoperative no. were 9
(12.8%) Postoperative no. were 55 (78.5%) Group 2 – V/A < 6/60 Preoperative
no. were 61 (87.1%) Postoperative no. were 15 (21.4%) We observed significant
improvement in visual acuity after primary IOL implantation (p