Table of Contents - WOC 2012

Eye Trauma and Emergencies
VI-TRA-01
Surgical approach to globe penetration by barbed Hooks
Griess Michael (1) , Stone Jeremy (2)
1. Department of Ophthalmology, University of Nebraka Medical Center
2. College of Medicine, University of Nebraska Medical Center
Objective/Purpose: --Present the surgical management of a patient with globe
penetration of a barbed fishing hook. --Discuss various techniques which can
be used to safely remove barbed hooks in the ophthalmic setting. Content
Description: Fishhook injuries of the eye, while uncommon can be especially
challenging and carry significant risk to the patients› vision. This video presents
the features, treatment, and outcome of ocular perforation by a barbed
fishhook in a 13-year-old female. The fishhook was impaled through the left
upper eyelid, and entered the eye through the left lower quadrant of the cornea
with the barb located near the limbus. Video footage of the surgery juxtaposed
with animation is used to demonstrate the techniques used to free the fishhook
in this case. The patient was able to gain spectacle corrected acuity of 20/25
after surgery. Two other techniques for barbed hook removal are discussed
including hook advancement with barb cutting as well as the needle cover
technique.
VI-TRA-02
Penetrating Keratoplasty with Coreoplasty and Posterior Iris Claw
IOL Implantation
Elwan Sheriff (1,2)
1. Ain Shams University
2. EEC
OBJECTIVE: Presenting the surgical treatment of a case of post-traumatic
corneal scarring, aphakia, and pupillary distortion SUMMARY OF CONENT:
technique of Penetrating keratoplast, with open-sky pupilary reconstruction
followed by implantation of a retro-pupillary iris claw lens implantation.
VI-TRA-03
Repair of an Orbital Floor Fracture - Bridge or Wedge
Fairooz PM (1) , G Honavar Santosh (1) , Naik Milind (1) , Javed Ali Mohammed (1) ,
Mocherla Shobha (1)
1. LV Prasad Eye Institute
Orbital floor fracture is the most common type of fracture of the orbital walls,
the thin bone of the floor being most vulnerable to a blowout in the event of a
blunt trauma. Managing an orbital floor fracture and simultaneously addressing
cosmetic as well as functional implications can be challenging. Successful
orbital floor reconstruction involves good clinical evaluation, appropriate
imaging, optimal timing, thoughtful planning, meticulous dissection, and choice
of an implant. Surgical repair of orbital floor fracture is rewarding. Various
implants are available to bridge the gap with or without volume augmentation.
This video illustrates the clinical evaluation, diagnosis, timing and simplified
surgical repair of an orbital floor fracture, step-by-step. The goals of surgery
are to release the prolapsed tissue and to span the bony defect with an implant
that provides for barrier effect and also restores volume. Be it a bridge or a
wedge as the choice of a floor implant, the aim is to restore appearance and
alleviate diplopia. Minimal access surgery by the conjunctival approach and
use of tissue adhesive to stabilize the implant are the recent advances, which
is shown in this video.
VI-TRA-04
Cyanoacrylate Glue- An Eye Saver
Agarwal Ashu (1)
1. Perfect Sight Centre
WOC2012 Abstract Book
PURPOSE: To describe the utility and application of cyanoacrylate glue, a
potential eye saver, in cases of impending and frank corneal perforations.
Summary Of Content: Corneal perforation constitutes an ophthalmic
emergency. Early restoration of ocular integrity can make the vital difference.
Cyanoacrylate glue application is done in corneal perforations of up to 2 to
3 mm and descemetocoeles. Various application techniques and applicators
are available. We describe a simple but elegant technique that works in most
cases. The plastic handle of cellulose spears is used to apply a thin layer of
glue at the site of perforation. This is followed by placement of a bandage
contact lens. Immediate restoration of structural integrity with good long term
stability of glue is obtained by our technique. Our film describes cyanoacrylate
glue application, a simple procedure that should be in the armamentarium of
every ophthalmologist to deal with such emergencies.
VI-TRA-05
Healing Hand of Nature: One that needs to be seen to be believed
Das Jayanta Kumar (1) , Bhattacharjee Harsha (1) , Bhattacharyya Jiten (1) , Das
Chandana Ray (2) , Deori Nilotparna (1)
1. Sri Sankaradeva Nethralaya
2. GMCH
Purpose: To provide a rare glimpse of the healing hand of nature.
Summary: The role of modern orbital and neurosurgery has revolutionized the
surgical outcome is undisputed. Though advancement of surgical technique,
outcome and safety often widely discussed, the role of nature is often
forgotten. Author presents a video presentation of 60 years old unique case of
Intra cranial penetrating orbital injury with retain foreign body. A twig entered
the superior aspect of the right orbit, without disturbing the globe integrity; one
end embedded while the other end remained external. A CT Scan confirmed
extension of the foreign body into the most of the right frontal lobe. He was
put on broad spectrum antibiotic and anti-inflammatory analgesic composition,
the gentleman pulled out the foreign body himself in the influence of altered
sensorium, before entering in the OT, cured and discharged. Though the
purpose of this report is by no means to suggest that this may be an acceptable
mode of managing such a case, it provides a rare glimpse of the healing hand
of nature.
Prevention of Blindness/VISION 2020
VI-WFS-01
Project ‹Nayantara› : New outreach Program for Diabetic Retinopathy
Sharma Mohita (1) , Rathi Pavan (1) , Chakrabarty Anindya (1) , Goel Pratibha (1)
1. Tirupati Eye Centre
Objective: The prevalence of diabetes in adults in rural India is 13.2% .To
prevent blindness due to diabetic retinopathy(DR) health care needs to reach
rural India where 70% of the population lives. Project ‹Nayantara› has adopted
this strategy of reaching out to the community using a mobile unit for treatment
of DR patients.
Summary of Contents: This video demonstrates how Project Nayantara
functions. This mobile unit runs in five districts of rural India on a predetermined
route for 25 days of the month. It is equipped with a slit lamp, visual field
analyser, digital fundus camera and retinal laser. The team on the mobile unit
consists of an ophthalmologist and allied staff. They not only examine and
treat patients, but also help to build capacity locally by training the participating
ophthalmologists. This strategy has been found to be highly effective for
compliance of DR patients in receiving treatment as well as for long term
tackling of the problem of DR by capacity building.
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