Table of Contents - WOC 2012

WOC2012 Abstract Book
VI-RET-19
Curse of the White pearl.. Pirates of the vitreous
Pillai Gopal (1)
1. Amrita Instittute of Medical Sciences
The world was teeming with great cataract surgerons who got 6/6 unaided in
all their surgeries, and the Gods got envious. They set a terrible curse on
the all the phaco surgeons- A dark and sinister curse- the Curse of the White
pearl. The lens fell into the hands of the pirates of the vitreous. Only the retinal
surgeon can help them fight the pirates and retrieve the lens. In this short
video, we show the process of nucleus drop during cataract surgery and its
problems, management and complications.
VI-RET-20
Small gauge vitrectomy- chalenges and complications
Edakhlon Sreeni (1) , Pillai Gopal (2)
1. Comtrust Eye Hospital
2. Comtrust Eye Care Hospital
Objective: to show the challenges and complications assocated with small
gauge vitrectomy in different clinical situations.
Summary Of Content: To show the different Maneuvers used when one is
operating on retinal conditions with a small gauge instrument. it is important
that the cutter acts as a multifunctional tool. The different surgical situations
covered are PDR, TRD, Retinal detachment, macular surgery, nucleus drop
and endophthalmitis. the challenges and possible complications of small
gauge surgery are shown
VI-RET-21
vitrectomy for intense vitritis, A boon?
Shanmugam Mahesh P (1) , Ramanjulu Rajesh (1) , Tekwani Pradeep (1)
1. Sankara Eye care institutions
Objective-Intense vitritis can be associated with several intra-ocular lesions
and may lead to very low vision. In this video we present a case of toxocara
ganuloma mimicking a ruptured cysticercosis with inaccurate projection of
rays. Vitrectomy helped in the resolution of the vitritis with vision improvement
to 5/60. Summary -Vitrectomy can be beneficial in selected patients with
intense vitiritis.
VI-RET-22
Transconjunctival 20 G Sutureless Vitrectomy
McGowan Gerry (1) , Awan Amer (1) , Koshy Zac (2)
1. Tennent Institute of Ophthalmology
2. Ayr Hospital
Modified sutureless technique provides: increased post-op comfort, faster
healing, minimal conjunctival scarring, reduced surgical time. 20G fluidics
possibly superior to 23/25G. Video demonstrates: funnel shaped scleral
tunnel for superior entry sites, cannula under tension and taped to cheek,
simultaneous closure and massage of entry sites, subconjunctival injection of
antibiotics to create blebs at entry sites. We will provide 1 day and 1 month
post-op clincal and OCT images.
460
VI-RET-23
Acute suprachoroidal haemorrhage(SCH) during PK procedure . Is
really everything lost?
Cesare Forlini (1) , Adriana Bratu (1) , Matteo Forlini (2) , Paolo Rossini (1)
1. Department of Ophthalmology, Hospital S. Maria delle Croci
2. Department of Ophthalmology, Policlinico di Modena
Purpose: suprachoroidal hemorrhage is a rare but dangerous complication of
corneal graft surgery. We report a case a management of expulsive
haemorrhage with the extrusion of intraocular contents during PK procedure
in an eldery woman.
Summary Of Content: A 78 year old woman hypertensive with corneal
decompensation following cataract surgery with AC-IOL implantation and
myopia, underwent PK surgery with locoregional anesthesia. During the
surgery, a suprachoroidal hemorrhage occurred and the first step was the
immediate closure of the globe with corneal graft sutured tightly and immediate
suprachoroidal drainage with 23g trocars. After 2 weeks the second step was
performed with ‹open sky› surgery: drainage with 23G and vitrectomy with
reopening of funnel-shaped retinal detachment, heavy silicone oil tamponade
and apposition of the corneal graft. This case study highlights the strategy of
adequate management and the good anatomical result.
VI-RET-24
MANAGEMENT OF PIGGYBACK INTRAOCULAR LENSES WITH A
THIRD IOL FIXED INTRASCLERALLY BY SUTURELESS TECHNIQUE
Babu Naresh (1) , Limbad Poonam (1) , Ramasamy Kim (1)
1. Aravind Eye Hospital
PURPOSE: Video presentation of an unusual case demonstrating the removal
of piggyback intraocular lenses (IOLs) in SC and vitreous followed by sutureless
intra scleral fixation of new posterior chamber IOL.
Methods: A 60 year old male presented with implanted piggyback IOLs in his
left eye consisting of a stable anterior chamber IOL and an unstable posterior
chamber IOL with inferior haptic subluxating in the anterior vitreous face. Best
corrected visual acuity was 5/60. The video demonstrates author›s technique
of the explantation of the two IOLs after vitrectomy followed by sutureless intra
scleral fixation of three piece posterior chamber IOL.The IOL was well centered
and the pupil was round at the end of the surgery. On postoperative day one
the patient regained visual acuity of 6/18 with well centered IOL.With expertise,
sutureless fixation of posterior chamber IOL maybe an excellent alternative to
standard suture fixation procedure in cases without capsular support especially
after IOL explantations
VI-RET-25
Initial experience using the 27-gauge sutureless vitrectomy system
under topical anesthesia for vitreoretinal surgery - a pilot study.
Oficjalska Jolanta (1,2) , Adamiec-Mroczek Joanna (1) , Golebiowska Bozena (1,2)
1. Medical University Wroclaw, Department of Ophthalmology
2. Lexum
Objective: To present the initial experience and to evaluate the safety and
feasibility of using the 27-gauge sutureless vitrectomy system under topical
anesthesia for a variety of vitreoretinal procedures.
Summary Of Content: 3 eyes of 3 patients underwent vitreoretinal procedures
using the 27-gauge transconjunctival sutureless vitrectomy system under
topical anesthesia (Proxymetacaine Hydrochloride eye drops and Lidocaine
gel 2%). The indications for surgical intervention were diabetic vitreous
hemorrhage (1eye), tractional retinal detachment (1 eye) and vitreous
opacities (1eye). The pain score was assessed by the visual analogue pain
scale (VAPS) which ranged from 0 (no pain) to 10 (worse possible pain). Used
topical anesthesia was effective in preventing pain and improving patient and
surgeon comfort during vitrectomy. We achieved ultimate anatomic and visual
success . The concept of transconjunctival 27-gauge surgery has the potential
to increase the efficiency of selected vitreoretinal surgeries and possibly hasten
the postoperative recovery and outcomes by minimizing surgically induced
trauma, simplifying the surgical procedure, decreasing the operating time and
the convalescence period. Furthermore the topical anesthesia avoids the risk
of globe perforation, retrobulbar hemorrhage, and prolonged postoperative
akinesia of the eye.