Table of Contents - WOC 2012

WOC2012 Abstract Book
FP-STR-MO 412 (7)
Distance Esotropia in the Elderly
Godts Daisy (1)
1. Antwerp University Hospital
Purpose: To describe the clinical findings of small esodeviation with horizontal
diplopia on distance fixation, seen in elderly patients and not associated
with lateral rectus underaction or with any currently known neurological
abnormalities.
Methods: Seventy elderly patients, age 62 till 89, with permanent or intermittent
horizontal diplopia at distance were prospectively evaluated from February
2008. Ocular alignment, fusion amplitudes and horizontal eye movements
were measured at distance and near.
Results: Distance esodeviation varied from 2 prism diopters (PD) esotropia
(ET) to 16 PD ET. At near fixation, the deviation ranged from 10 PD exophoria
to 10 PD esophoria. Divergence fusional amplitude at distance ranged from 0
PD to 10 PD while the divergence fusional amplitude at near ranged from 2PD
to 18 PD. Horizontal ductions and versions were full in all patients. All patients
were successfully treated with prisms, ranging from 2 PD base out to 12 PD
base out.
Conclusion: Our findings indicate that elderly patients with distance esotropia
may have a slight increase in their distance esodeviation over time, with slow
decrease of fusional divergence amplitude and with normal ocular motility,
being successfully treated with prisms for many years.
FP-STR-MO 412 (8)
Therapeutic Potential of Fluoxetine for Amblyopia in Older Patients
Syed Imran (1) , Dwivedi Premchand (1) , Lakhtakia Sujata (1) , Chalisgaonkar
Charudatt (1) , Dwivedi Anamika (1)
1. S.S. Medical College Rewa (M.P.)
Objective: To assess the efficacy and safety of Fluoxetine in amblyopes
between 14 to 22 years.
Material Method: Fluoxetine a widely prescribed antidepressant has been
found to restore neuronal plasticity and promote visual recovery in adult
amblyopic animals. Fifty amblyopes between 14 to 22 years were randomized
to either part time occlusion plus 20 mg/day of fluoxetine or part time occlusion
plus placebo and seen monthly for four months. Patients with any psychiatric
or major systemic disorder were excluded. At each visit visual acuity, tolerance
and compliance was assessed. Ten patients had poor compliance (2 Log MAR lines were considered responders.
Results: Responders in occlusion plus fluoxetine and occlusion plus placebo
group were 16(80%) and 9(45%) respectively (p=0.02). Among the responders
the mean Log MAR line of improvement was 4.53(2-6) and 3.2(3-4) in the two
groups respectively. Tolerance was similar in both groups.
Conclusion: Fluoxetine combined with occlusion was found to be well tolerated
and efficacious in improving visual acuity in older amblyopes. Further
prospective, multicenter, controlled trials are needed to study the long-term
effects and side effects of fluoxetine.
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FP-STR-MO 412 (9)
Relevance of Age in Success of Part-time Occlusion Therapy- A
Prospective Cohort Study
Syed Imran (1) , Dwivedi Premchand (1) , Lakhtakia Sujata (1) ,
Choudhary Pankaj (1) , Dwivedi Anamika (1)
1. S.S. Medical College Rewa (M.P.)
Objective: To compare effectiveness of part time occlusion for amblyopes of
various age groups.
Material Method: 212 amblyopes divided into 4 Group-A, B, C and D with age
5-8, 9-12, 13-17 and 18-22 years respectively. Optical correction and occlusion
2hours/day prescribed to all. Visual acuity and compliance assessed monthly
for six months. Patients with poor compliance (2 Log MAR lines considered
responders.
Result: Responders in Groups A, B, C and D were 26(93%), 18(86%), 13(54%)
and 5(21%) respectively. Difference in responders between Groups A and B
was not significant (p=0.414).Groups C and D when compared to each other
and to Group A and B had significant decrease in response with increasing
age.
Conclusion: Given compliance, age does not adversely affect the success of
occlusion up to 12 years. Although the success of occlusion progressively
decreases after 12 years, patients over 12 years may still gain a significant
improvement in visual acuity. This is in conflict with the traditional belief
that amblyopia cannot be successfully treated after critical period of visual
development. Hence amblyops even after 12 years of age should be tried with
part time occlusion.
Management of Challenging Cataract Cases with Micro-Incisional
Technology (Micro-Coaxial and Micro-Biaxial)
Mon 20 Feb 13:30 - 15:00 Capital Suite 2
CO-CAT-MO 413
Management of Challenging Cataract Cases with Micro-Incisional
Technology (Micro-Coaxial and Micro-Biaxial)
Perez-Arteaga Arturo (1) , Agarwal Amar (2) , Bovet Jerome (3) ,
Vejarano L. Felipe (4) , Mehta Cyres (5)
1. Centro Oftalmologico Tlalnepantla
2. Agarwal Eye Centres
3. Clinique de I Oeil SA
4. Fundacin Oftalmologica Vejarano
5. Cyres Eye Institute
Objective: To demonstrate the state of the art in techniques of micro-incisional
lens extraction (less of 1 mm), applied to challenging cataract surgery cases.
Summary: Each Professor will show videos of cataract surgeries, containing
frequent complications, and showing the way they were solved, through
the application of micro-incisional technology. It is a video based course,
completely interactive with the audience in each and every demonstrated case,
where an open forum will be open to discuss all surgeries. Each surgeon will
point new features developed lately during his surgical practice.
Target audience: General Ophthalmologists and Subspecialists
Educational level: Intermediate to Advanced