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Table of Contents - WOC 2012

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

VI-COR-22<br />

Removal <strong>of</strong> Cysticercosis in total from Subconjuctival Space at the<br />

Rectus Muscle Insertion<br />

Chandra Abhishek (1) , Yadav Ishan (1) , Maurya OmPrakash (1) , Rai Amit (2) , Dixit<br />

Abhishek (1)<br />

1. Dept. <strong>of</strong> Ophthalmology, Institute <strong>of</strong> Medical Sciences, BHU<br />

2. Centre for Genetic Disorders, BHU<br />

Purpose: To report two cases <strong>of</strong> sub-conjuctival cysticercosis present at<br />

muscle insertions which were removed in total.<br />

Summary: A sixteen year and a thirteen year female presented with a large<br />

swelling in upper fornix and medial canthus respectively. Ultrasonography<br />

revealed presence <strong>of</strong> cysticercosis at recti insertion in both patients. Surgical<br />

excision <strong>of</strong> both the cyst was done en sac. In the first case a ‹No-touch<br />

technique› was used to remove the live cysticercosis. It was a large cysticercus<br />

with a diameter <strong>of</strong> 3cm. The second case was a dead cyst with presence <strong>of</strong><br />

fibrotic tissue surrounding it. Microbiological examination showed presence <strong>of</strong><br />

live cyst in the first and dead cyst in the other.<br />

Result: Both the cases showed no postoperative recurrence with good<br />

extraocular motility.<br />

Conclusion: Subconjuctival cysticercosis at muscle insertion can be completely<br />

and safely removed without impairing the function <strong>of</strong> extraocular muscles.<br />

VI-COR-23<br />

Boston Keratoprosthesis: A hope for the future<br />

Othman Ihab Saad (1)<br />

1. Ophthalmology Department, Cairo University<br />

Purpose: To demonstrate the use <strong>of</strong> Boston K-Pro in managing a variety <strong>of</strong><br />

severe corneal opacity inculding recurrent graft failure, chemical burns, silicone<br />

keratopathy, well controlled autoimmune condition.<br />

Summary Of Content: the video shows the technique used in different ocular<br />

conditions, including anterior segment reconstruction, silicone-filled eyes. Pre<br />

and postoperative results are demonstrated in 15 cases with one year follow<br />

up<br />

VI-COR-24<br />

Dancing with Cornea (DALK)<br />

Samaha Majdy (1)<br />

1. St. John Eye Hospital<br />

Purpose: Showing visco buble combined by air buble technique in DALK<br />

(Deep Anterior Lamellar Keratoplsty) accomplished successfully for the first<br />

time by a Palestinian doctor in Palestine) .. Abberviation: 1-Exchanging air<br />

big bubble by viscoelastic is safer and easier to separate between layers <strong>of</strong><br />

cornea. 2-Advantages comparing to Penetrating Keratoplasty<br />

VI-COR-25<br />

DSEK with secondary IOL- walk on the moon<br />

Sengupta Jayangshu (1) , Pal Dipanjan (1)<br />

1. Priyamvada Birla Aravind Eye Hospital<br />

Purpose: To describe 2 cases <strong>of</strong> aphakic bullous keratopathy where secondary<br />

posterior chamber IOL fixation was combined with manual DSEK.<br />

Summary <strong>of</strong> <strong>Contents</strong>: The video highlights surgical pearls and early postoperative<br />

outcome <strong>of</strong> manual Descemet Stripping Endothelial Keratoplasty<br />

(DSEK) combined with implantation <strong>of</strong> IOL in the posterior chamber in absence<br />

<strong>of</strong> capsular support in 2 eyes <strong>of</strong> bullous keratopathy resulting from improperly<br />

placed anterior chamber IOL.The first case demonstrates the steps <strong>of</strong> manual<br />

DSEK in a same sitting after implantation <strong>of</strong> a multipiece acrylic IOL with haptic<br />

exteriorization under scleral flaps (Glued IOL).The second case shows the<br />

technique <strong>of</strong> iris fixation <strong>of</strong> IOL with 10-0 prolene suture in a straight needle<br />

followed by DSEK.<br />

446<br />

VI-COR-26<br />

Cystic Epithelial Ingrowth in a Case <strong>of</strong> Deep Anterior Lamellar<br />

Keratoplasty<br />

Sengupta Jayangshu (1) , Pal Dipanjan (1)<br />

1. Priyamvada Birla Aravind Eye Hospital<br />

Purpose: To describe the surgical management <strong>of</strong> a case <strong>of</strong> cystic epithelial<br />

ingrowth in a post DALK eye<br />

Summary Of Content: A 27 year old male underwent Deep Anterior Lamellar<br />

keratoplasty(DALK) for corneal scar in his right eye followed by cataract<br />

surgery after 6 months.After 2 years <strong>of</strong> initial surgery he presented with a<br />

whitish growth in the anterior chamber involving 6 to 9 clock position which was<br />

diagnosed as a cystic epithelial ingrowth clinicallly and with histopathological<br />

examination.This video demonstrates the diagnostics and surgical technique<br />

involved in the management <strong>of</strong> this yet unknown complication in DALK with<br />

understanding <strong>of</strong> the probable mechanisms in its pathogenesis along with<br />

improvised usage <strong>of</strong> 25 G vitrectomy instruments to tackle the situation.AT the<br />

end <strong>of</strong> 1 year there is no evidence <strong>of</strong> recurrence with maintained best corrected<br />

visual acuity<br />

VI-COR-27<br />

Tectonic Corneal Graft in 10 months old infant<br />

Al Ghamdi Ismael (1)<br />

1. King Khaled Eye Specialist Hospital<br />

objectives Video showing technique <strong>of</strong> performing Large Penetrating Kerato-<br />

Plasty (PKP) and how to deal with it›s difficulties - Summary <strong>of</strong> Content Edited<br />

video summarized condition <strong>of</strong> infant had exposure keratopathy secondary to<br />

a condition named neonatal tetanus Neonatal tetanus usually occurs through<br />

infection <strong>of</strong> the unhealed umbilical stump Most infants who get the disease die<br />

Video showing operative steps, postoperative management and course<br />

VI-COR-28<br />

Descemet Stripping Automated Endothelial Keratoplasty in a Child<br />

for Management <strong>of</strong> Failed Penetrating Keratoplasty<br />

Kankariya Vardhaman (1) , Kymionis George (1) , Diakonis Vasilios (1) , Pallikaris<br />

Ioannis (1)<br />

1. Institute <strong>of</strong> Vision and Optics, University <strong>of</strong> Crete<br />

Purpose : To demonstrate use <strong>of</strong> Descemet Stripping Automated Endothelial<br />

Keratoplasty in a Child for Management <strong>of</strong> Failed Penetrating Keratoplasty<br />

Summary <strong>of</strong> content : Use <strong>of</strong> descemet stripping automated endothelial<br />

keratoplasty (DSAEK) has been reported in management <strong>of</strong> corneal endothelial<br />

diseases adult and old population. Utility <strong>of</strong> DSAEK has been reported in<br />

pediatric patients for treatment <strong>of</strong> postoperative endothelial decompensation<br />

and descemet membrane break after forceps delivery. Rapid visual recovery<br />

and minimally induced postoperative astigmatism make DSAEK a preferable<br />

option to penetrating keratoplasty (PK) for management <strong>of</strong> isolated endothelial<br />

disorders in this amblyogenic age group. To our knowledge, DSAEK for the<br />

management <strong>of</strong> full thickness graft failure has not been previously reported<br />

in pediatric patients. We demonstrate a case <strong>of</strong> DSAEK in a 4-year-old child<br />

for the management <strong>of</strong> irreversible endothelial rejection after PK. Selection <strong>of</strong><br />

case; operative technique and variation in steps will be displayed.<br />

VI-COR-29<br />

Pterygium pearls:surgical management and complications<br />

Calvo Ramon (1) , Domenech Nuria (1) , Montero Javier (1) , Ramirez Pilar (1) ,<br />

Garcia Carolina (1)<br />

1. Hospital General Universitario de Valencia<br />

Objective: to show surgical tips and tricks <strong>of</strong> the different surgical techniques.<br />

Summary Of Content: This video describes the various types <strong>of</strong> pterygium<br />

along with its etiopathogenesis, differential diagnosis, and management. We<br />

describe different surgical techniques: - Simple suture with MMC - Amniotic<br />

membrane graft - Conjunctival autograft - Oral mucosa autograft Indications,<br />

surgical tips and complications,how to avoid and manage them.

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