Table of Contents - WOC 2012

VI-COR-14
A video demonstrating retro-iridial placement of an iris-clip lens, at
the time of penetrating keratoplasty.
Khan Mohammad Irfan (1) , Muhtaseb Mohammed (1)
1. Singleton Hospital Abertawe Bro Morgannwg University NHS Trust
PURPOSE To demonstrate a technique of securing the Verisyse iris clip
intraocular lens to the posterior surface of the iris. METHODS A male 86 year
old patient had complicated cataract surgery and placement of an anglesupported
anterior chamber lens (AC IOL) 14 years prior to developing corneal
decompensation. He had penetrating keratoplasty and exchange of the AC
IOL for an iris-clip model. After initially doing well, the graft failed 2 years later.
He underwent a repeat penetrating keratoplasty, the AC IOL was flipped and
placed in the posterior chamber and clipped to the posterior surface of the
iris. The aim of this technique was to keep the intraocular lens (IOL) as far as
possible from the endothelium of the new keratoplasty. RESULTS There were
no intraoperative or post-operative complications, the IOL remained central
and stable on examination, and the vision improved markedly. CONCLUSION
Retro-iridial placement of an iris-clip lens is a safe method of ensuring maximal
clearance of the lens from the corneal endothelium when there is significant
risk of endothelial decompensation. This method avoids the need for suturing
of the lens to the sclera or iris.
VI-COR-15
Cell based therapy for Ocular Surface Reconstruction in Limbal Stem
Cell Deficiency (LSCD)
Reddy Jagadesh (1) , Sangwan Virender (1)
1. Cornea and Anterior Segment Services, L V Prasad Eye Institute, Kallam Anji
Reddy Campus
The cornea is unique in being avascular and transparent. A regular corneal
epithelium with regular resurfacing of tear film provides a smooth optical
surface . Limbal stem cells are responsible for corneal epithelial renewal and
regeneration. They function as a barrier, preventing conjunctival epithelium
from growing onto the cornea. Damage to these cells from various causes lead
to LSCD resulting in conjunctivalisation and chronic inflammation ,hampering
visual function. This video provides an overview of the concepts of limbal
stem cells and features of LSCD. Various techniques of limbal stem cell
transplantation using invitro culture of limbal stem cells , oral mucosal epithelial
cells and direct invivo limbal stem cell transplantation are shown .
VI-COR-16
Therapeutical intraductal Probing of the Meibomian Glands
Handzel Daniel M. (1) , Aral Hueseyin (2)
1. Augenaerztliche Gemeinschaftspraxis Dres. Goebels und Handzel
2. Lidmed.de
Objective/Purpose To demonstrate the effect of intraductal Meibommian Gland
Probing in patients with obstructive gland dysfunction (OGD) and
hyperevaporative dysfunctional tear syndrome. Summary of Content Patients
with Obstructive Meibomian Gland Dysfunction (OGD) were identified by
typical clinical signs. After topical anesthesia probing was done with the upper
and lower lid. Special probes make a stepwise probing possible for a length
of 1, 2, 4 and 6mm. Obstructions of the ducts by Meibum or fibrovascular
tissue due to chronic inflammation could be overcome. The treatment was
done without any complications and well tolerated in all cases. After 4 weeks
objective and subjective parameters improved.
VI-COR-17
Pterygium with conjunctival autograft using fibrin glue under topical
anaesthesia
Kothari Sonia
1. Bombay City Eye Institute & Research Centre
Objective: To demonstrate the most preferred technique of pterygium excision
under topical anaesthesia.
Summary Of Content: The video shows the technique of pterygium excision
with conjunctival autograft using fibrin glue performed under topical
anaesthesia.
WOC2012 Abstract Book
VI-COR-18
Technique for permanent and complete dsek disc adherence
Cherne Scott (1)
1. ClearVision Eye Institute
Descemet›s Stripping Endothelial Keratoplasty (DSEK) has become the
popular technique for the treatment of advanced corneal endothelial disease.
The most frequent complication associated with DSEK is disc non-adherence
in the form of either complete or partial dislocations. The incidence of reported
dislocations is often greater than 20%. A dislocation causes the need for
additional surgical manipulation, increasing the risk for disc failure, infection,
and reduced best corrected visual acuity. This temporary four-suture technique
results in complete and permanent disc adherence in all quadrants every time.
There is no need to further manipulate the disc or to wait months for aqueous
clefts to resolve. All four sutures are removed at six weeks and optimal vision is
consistently achieved. This video describes in detail my temporary four-suture
DSEK technique.
VI-COR-19
A Journey through Pterygium Surgery
Kodur Satyamyrthy (1)
1. M.M.Joshi Eye Institute
Purpose : To demonstrate the surgical steps in various types of pterygium
surgery. Synopsis : This educational video demonstrates the surgical approach
to a primary pterygium , a recurrent pterygium and a double head pterygium.
The video displays all the approaches meant to prevent recurrence and to be
cosmetically effective.
VI-COR-20
Combined procedure - different approaches in penetrating
keratoplasty surgery.
Toshniwal Navneet (1)
1. Navneet Hospital
Purpose -Indication of penetrating keratoplasty(PK) is of wide variety. It means
corneal lesion associated with Cataract & Glaucoma which are observed prior
or during surgery .Purpose of this procedure to show different approaches of
combined procedure. Method - Procedure done under general anesthesia.
Keratoplasty in conventional way and closed chamber penetrating keratoplasty
procedure along with cataract extraction with or without IOL implantation
depend upon situation. Some time procedure is associated with Glaucoma
Surgery. Setting Venue - Navneet Eye Institute, Solapur (Maharashtra - India)
Result - Corneal Lesions associated with cataract & Glaucoma many times
.In fact these conditions are interlinked to each other so combined surgeries
are needed in single sitting and having encouraging results. Conclusion - One
should be ready in operation theatre to tackle corneal lesions with combined
procedures.
VI-COR-21
Give them chance to see the world - by eye donation
Toshniwal Navneet (1) , Toshniwal Sham
1. Navneet Hospital
Objective/ Purpose : Corneal Blindness is one of the important cause of
blindness in the world. In India maltutrition(Vita A deficiency) injuries, post
operative cases, conjunctivitis and infectious disease are factors responsible
for corneal blindness. Eye donation and then kertoplasty is solution for
this condition Summary of Contents : Method :. Smt. Misribai Gulabchand
Toshniwal Eye Bank Trust And Research Foundation , Solapur situated 450
KMs from Mumbai(Bombay). Main aim of Eye Bank to promote people for Eye
Donation. For eye donation campaign , we are showing this video in gathering
of people , during festivals, in different NGO like Rotary Club, Lions Club etc .
Result : This film motivating the people in our area for Eye Donation and they
are encouraged to donate eyes.
Conclusion : Restore sight to the blind Please donate your eyes. This video
really helps for campaigning of eye donation .
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