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Table of Contents - WOC 2012

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

Poster<br />

Cataract<br />

PO-CAT-01<br />

Art or Artefact - The Impact <strong>of</strong> Cataract on the Later Paintings <strong>of</strong><br />

Claude Monet<br />

Scholtz Sibylle (1) , Rabsilber Tanja (1) , Auffarth Gerd (1)<br />

1. IVCRC,University <strong>of</strong> Heidelberg<br />

Purpose: The change in Monets later paintings can be interpreted as effect <strong>of</strong><br />

proceeding cataract as well as the fact that he repainted some <strong>of</strong> his paintings<br />

he completed after he underwent cataract surgery. This poster shows the<br />

influence <strong>of</strong> cataract progression in Monets later work.<br />

Methods: Investigation <strong>of</strong> primary and secondary source material. Examination<br />

<strong>of</strong> work by the artist for evaluating the influence <strong>of</strong> cataract in his later art work.<br />

Results: Monet died in 1926 aged 86 then. He had undergone cataract surgery<br />

three years before. It is known that Monet destroyed, respectively repainted<br />

some <strong>of</strong> his pieces finished shortly before, as he was appalled by the colours<br />

he had used, estimating these as “cold†then. Progression in loss <strong>of</strong><br />

details and changing <strong>of</strong> colours used due to proceeding cataract are tracked<br />

down in a selection <strong>of</strong> Monets paintings <strong>of</strong> water lilies.<br />

Conclusion: In later paintings <strong>of</strong> Claude Monet the impact <strong>of</strong> cataract can easily<br />

be observed: A loss in details and the preference for yellow and brown colours<br />

can be seen. As Monet was a very prolific painter we have the chance to notice<br />

cataract progression influencing a great painters perception.<br />

PO-CAT-02<br />

Comparative Study <strong>of</strong> Final Visual Outcome between Open and<br />

Closed Globe Injuries Following Surgical Treatment <strong>of</strong> Traumatic<br />

Cataract.<br />

Shah Mehul (1) , Shah Shreya (1) , Shah Shashank (1) , Patel Chintan (1) , Patel<br />

Utsav (1)<br />

1. Drashti Netralaya<br />

Objective: To compare final visual outcome in cases <strong>of</strong> surgically treated<br />

traumatic cataract amongst Open globe and Closed globe groups classified<br />

according to Birmingham Eye Trauma Terminology System.<br />

Methods: We enrolled patients with specific inclusion criteria, examined their<br />

eyes to review the co-morbidities due to trauma, performed surgery for<br />

traumatic cataracts, and implanted a lens. The patients were re-examined 6<br />

weeks postoperatively. We divided the cases <strong>of</strong> traumatic cataract into two<br />

groups, the ‘open (Group 1) and ‘closed (Group 2) groups, according to the<br />

ocular trauma based on the Birmingham Eye Trauma Terminology System<br />

(BETTS) and compared the determinants <strong>of</strong> visual acuity.<br />

Result: Our cohort <strong>of</strong> 687 eyes with traumatic cataracts included 496 eyes in<br />

Group 1 and 191 in Group 2. Six weeks postoperatively, the visual acuity in the<br />

operated eye was >20/60 in 298 (58%) and 75 (39.1%) eyes in Groups 1 and 2,<br />

respectively (p = 0.000, ANOVA). At follow-up, >20/60 vision was significantly<br />

higher in Group 1 than in Group 2 (OR = 1.61; 95% CI, 0.85–3.02). Overall 373<br />

(54.3%) eyes gained final visual acuity >20/60.<br />

Conclusions: Open globe injury has a favorable prognosis for satisfactory<br />

(>20/60) visual recovery after management <strong>of</strong> traumatic cataracts.<br />

464<br />

PO-CAT-03<br />

TriMics: A New MICS Method to Control the Astigmatism<br />

Bovet Jerome (1)<br />

1. OnO Clinique de l›Oeil<br />

Purpose: To demonstate the surgical induction <strong>of</strong> corneal astigmatism after<br />

TriMICS and CoMics.<br />

Methods: Micro incision cataracte was done with the triMICS technique through<br />

a 1.1 mm incision and an Akreos MI60 (Bausch and Lomb) was implanted<br />

though a 1.9 mm incision in a corneoscleral technique. Compare to a CoMICS<br />

technique through a 1.7 mm incision and an Akreos MI60 (Bausch and<br />

Lomb) was implanted though a 1.7 mm incision in a dock technique Pre- and<br />

postoperative astigmatism was evaluated with the Pentacam AR and pre- and<br />

postoperative UCVA and BCVA was documented.<br />

Results: The first results suggest that the triMICS technique does not induce<br />

any astigmatism and is therefore able to improve the predictability and precision<br />

<strong>of</strong> Microincision catracte surgery according to our ACVA and BCVA results.<br />

Conclusion: TriMICS seem to be a perfect match to not induce astigmatism<br />

surgery.<br />

PO-CAT-04<br />

Predictors <strong>of</strong> Vision in Macular Diseases<br />

Srinivasan Renuka (1) , Venkatraman Aarthi (1) , Babu Ramesh (1)<br />

1. Dept <strong>of</strong> Ophthalmology JIPMER<br />

Objectives: To correlate Vision with Clinical and Fluorescein Angiogram<br />

pictures in macular disorders.<br />

Methods: Consecutive patients <strong>of</strong> Macular disorders were recruited. Visual<br />

function tests, fundus evaluation by indirect ophthalmoscope and slit lamp<br />

biomicroscopy using +90D lens, and fluorescein angiography (FFA) was done.<br />

Results: 129 eyes <strong>of</strong> 101 patients with macular disorders were included . All<br />

eyes with Central serous retinopathy (CSR), Macular edema and macular hole<br />

eyes had vision <strong>of</strong> 6/60 or better. 77% <strong>of</strong> eyes with CSR, 63.7% <strong>of</strong> Cystoid<br />

macular edema(CME), had abnormal Amslers. Abnormal Photo stress was<br />

recorded in CSR, CME and Macular Edema patients. In 32.1% <strong>of</strong> eyes<br />

with visual acuity <strong>of</strong> 6/18 or better macular edema was detected by slitlamp<br />

biomicroscopy. 64.3% <strong>of</strong> the eyes in which edema was not detected had vision<br />

less than 6/60. 90% <strong>of</strong> eyes with better visual acuity (>6/18) had abnormal FFA<br />

compared to 69.2% with abnormal FFA in eyes with vision <strong>of</strong> less than 1/60.<br />

Statistically significant correlation (p

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