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Table of Contents - WOC 2012

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VI-CAT-76<br />

Primary Posterior Capsulorhexis in a Child with Posterior Lenticonus<br />

Pollock Travis (1) , Al Ali Abeer (1)<br />

1. Sheikh Khalifa Medical City<br />

Posterior lenticonus is a rare condition causing the posterior lens capsule to<br />

bulge due to intrinsic weakness and thinning. It is associated with refractive<br />

myopia and astigmatism, partial cataract and amblyopia. Management<br />

options include spectacle correction, pupil dilation and amblyopia therapy.<br />

Cataract surgery is considered when conservative options are unsuccessful.<br />

We present a surgical video demonstrating anterior complete curvilinear<br />

capsulorhexis, bimanual lens washout, primary posterior complete curvilinear<br />

capsulorhexis followed by single-piece acrylic intra-ocular lens implantation inthe-bag<br />

without optic capture.<br />

Contact Lens and Refractive Error<br />

VI-CLR-01<br />

Rose K lens for better visual outcome in patients with Keratoconus<br />

SATHYAN PADMA (1) , NARENDRAN KALPANA (1)<br />

1. ARAVIND EYE HOSPITAL, COIMBATORE<br />

Objective To describe the good fitting <strong>of</strong> Rose K lenses in all grades <strong>of</strong><br />

Keratoconus Summary <strong>of</strong> content Keratoconus manifest with irregular<br />

astigmatism which is best corrected with rigid lenses. The disadvantages <strong>of</strong><br />

rigid gas permeable (RGP) lenses include limited wearing time and dislocation<br />

in general and restricted base curves in particular. There are numerous<br />

advantages with the Rose K system <strong>of</strong> lenses. The main advantage <strong>of</strong> this lens<br />

system is that it has a flxible peripheral system and a 26 lens diagnostic fitting<br />

set. These lenses help in reducing the chair time for fitting, attains good fit and<br />

better visual acuity because <strong>of</strong> the custom design and with better comfort zone<br />

due to the boston material. This video will demonstarte the fitting <strong>of</strong> Rose K<br />

lenses in all grades <strong>of</strong> keratoconus.<br />

External Eye Disease, Cornea, Eye Banking<br />

VI-COR-01<br />

Expulsive Haemorrhage live video.<br />

Shah Mehul (1) , Shah Shreya (1) , Gupta Ashish (1) , Kalyani Parth (1)<br />

1. Drashti Netralaya<br />

There are many sight threatening complications <strong>of</strong> Open globe surgeries.<br />

Expulsive is relatively less common complication. Method: We have<br />

documented live expulsive haemorrhage and auto evisceration live, during<br />

penetrating Keratoplasty<br />

VI-COR-02<br />

Successful removal <strong>of</strong> a conjunctival myxoma<br />

AlGhadeer Huda (1) , AlAssiri Abdullah (1)<br />

1. King Khaled Eye Specialist Hospital<br />

2. King Khaled Eye Specialist Hospital<br />

Purpose:<br />

To describe excision <strong>of</strong> conjunctivial myxoma using a mixture <strong>of</strong> trypan blue<br />

and (Healon) 2.3% sodium hylaluronate solution 10mg. Method: A 45-year-old<br />

woman was referred for management <strong>of</strong> conjunctival swelling. To achieve a<br />

complete removal a mixture <strong>of</strong> Healon and trypan blue solution 0.06mg was<br />

injected through a 27- gauge needle into the conjunctiva to delineate the cyst.<br />

Results: This technique achieved excellent visualization with an easy and<br />

complete excision <strong>of</strong> the conjunctival myxoma.<br />

Conclusions: This technique is effective in delineating the capsule while<br />

preserving its integrity during removal. It may also have a role in facilitating<br />

visualization and excision <strong>of</strong> other cystic conjunctival lesions.<br />

VI-COR-03<br />

Live filarial worm removal in post-operative patient a rare<br />

presentation<br />

Lakshmipathy Srinivasan (1)<br />

1. VasanEye Care Hospital<br />

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

Human eye infections with filariae <strong>of</strong> man and animals have been reported<br />

from many countries, in the present case, a live, adult worm <strong>of</strong> dir<strong>of</strong>ilaria, was<br />

removed from the sub-Conjunctival space <strong>of</strong> a post operative patient in an<br />

area where human and animal infections with species <strong>of</strong> this genus is not very<br />

common. A live dir<strong>of</strong>ilaria worm was removed from sub Conjunctival space <strong>of</strong> a<br />

three weeks post-operative cataract patient who was absolutely asymptomatic.<br />

Though the previous dir<strong>of</strong>ilarial reports documented ocular symptoms which<br />

were absent in our patient a rare thing to notice. The purpose <strong>of</strong> presentation<br />

<strong>of</strong> this video is for its rarity and to create awareness <strong>of</strong> one among the various<br />

ocular manifestations <strong>of</strong> filarial worm.<br />

VI-COR-04<br />

Infantile Infectious Keratitis : A Systematic Approach<br />

Ashar Jatin (1) , Pahuja Shivani (1) , Ramappa Muralidhar (1) , Chaurasia Sunita<br />

(1) (1)<br />

, Garg Prashant<br />

1. L V Prasad Eye Institute<br />

Objective:Childhood blindness is an important component <strong>of</strong> the vision 2020<br />

program. A large proportion <strong>of</strong> this in developing countries is due to corneal<br />

diseases. Among children, infants form a separate group being unique as<br />

they are protected from trauma, which is a common predisposing factor for<br />

keratitis in children. Infantile keratitis and neonatal keratits vary in terms <strong>of</strong><br />

predisposing factors, clinical presentation, microbiology, management options<br />

and outcomes. A systematic approach can help arrive at an accurate diagnosis<br />

and appropriate management with good outcomes.<br />

Summary <strong>of</strong> <strong>Contents</strong>: In this video presentation we highlight the important<br />

aspects <strong>of</strong> the diagnosis and step wise management <strong>of</strong> infantile infectious<br />

keratitis in general and neonatal keratitis in particular<br />

VI-COR-05<br />

corneoscleral Autograft<br />

Kirat Omar (1)<br />

1. King Khaled Eye Specialist Hospital (KKESH)<br />

Objective: a video presentation <strong>of</strong> a corneoscleral autograft surgery in an<br />

elderly patient with recurrent melt <strong>of</strong> multiple penetrating keratoplasties to<br />

his right eye. The patient had bilateral dry eyes with conjunctival shrinkage.<br />

The right eye had total stem cell deficiency, and the left eye was blind due to<br />

absolute glaucoma with a good cornea and limbus. The video demonstrates<br />

the important precautions and anatomical considerations in such procedures.<br />

The autograft became totally integrated in his right eye, and the conjunctival<br />

shrinkage improved. The left eye received a large corneoscleral allograft which<br />

subsequently failed as expected.<br />

Summary Of Content: the presentation consists <strong>of</strong> a pre operative picture <strong>of</strong><br />

the affected eye, with a brief pre operative history, a video showing the surgery,<br />

followed by post operative pictures <strong>of</strong> the right eye and a brief post operative<br />

history. All with audio commentary.<br />

VI-COR-06<br />

Big Bubble - No trouble<br />

Fogla Rajesh (1)<br />

1. Apollo Hospitals<br />

Purpose - To demonstrate surgical technique to consistently achieve separation<br />

<strong>of</strong> descemet membrane (DM) from stroma in big bubble technique <strong>of</strong> deep<br />

anterior lamellar keratoplasty (DALK) Summary - big bubble technique <strong>of</strong> dALK<br />

originally described by Anwar, currently gives the best results comparable to<br />

penetrating keratoplasty. however using the sharp needle, big bubble cannot<br />

be achieved consistently in all cases which makes the learning curve very<br />

steep. In this video I shall demonstrate modified technique <strong>of</strong> DALK using<br />

newer instruments which makes it possible to achieve big bubble separation<br />

<strong>of</strong> the DM from stroma in a consistent manner in all cases. this technique<br />

minimizes complications & makes the learning curve easier.<br />

443

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