Table of Contents - WOC 2012

PO-TRA-08
Epidemiology of Canalicular Laceration in Patients Presenting to a
Tertiary Eye Care Center in the Middle East
Al-Sulaiman Sulaiman (1) , Chaudhry Imtiaz (2) , Alsuhaibani Adel (3) , Alfaky Yassir
(3)
1. Resident, King Saud University, King Khaled Eye Hospital Ophthalmology
Program
2. Oculoplastic and Orbit Division, King Khaled Eye Specialist Hospital
3. Department of Ophthalmology, King Saud University
Purpose: To evaluate the functional as well as the anatomical success of
surgically repaired canalicular lacerations in patients presenting to a tertiary
eye care center (TECC).
Methods: Retrsopective case studies of 108 patients who underwent repair of
their canalicular lacerations at tECC were studied for their anatomical success
as well as functionasl success with a minimum of 6 months follow-up period.
Results: Among the 108 patients (75% male), most inujuries (81 patients) were
among male children, 55.6% being by a sharp object. Over 92.6% had
monocanlicular laceration and lower eyelid laceration took place in 65.7%
ptients. Most (80%) presented within 24 hours of their injury and surgical repair
was performed within 72 hours in 88%; by oculoplastic surgeons in 54%, by
fellows in 38% and by a resident in 8% of cases. Bicanicular silicone stents
were used in 60% and Minimonoka monocanalicular stent in 35% of cases. At
an average F/U period of 9 months, 81% of patients were free of symptoms,
15% had intermittent epiphora and 4% had continous epiphora.
Conclusion: Canalicular lacerations in patients presenting to a tECC in the
middle east occurs in young male children with relatively acceptable anatomical
and functional outcome.
PO-TRA-09
Outcome of Surgical treatment for iridodialysis after closed globe
injuries
Thu Thi Nguyen Yen (1) , Xuan Vu Tuyen (1)
1. Tuyen Xuan Vu
Purposes To describe clinical characteristic and outcome of surgical for
iridodialysis after closed globe injuries Methods A protrospective study of 38
eyes of iridodialysis were reviewed at the Trauma department of Vietnam
National Institute of Ophthalmology from 1/2010 to 9/2010. Results Of 38 eyes
(38 patients), 34 were man ( 89,5%). Mean age: 29,63 ( range from 10 to 57
years). Work related trauma: 36,8%. Degree of iridodialysis: < 90 ¨¨: 50%, 90
¨ - 210 ¨: 47,4%, > 210 ¨: 2,6%. Combined lesion: cataract: 63,2%, cornea
edema: 63,2, hyphema: 55,3%, lens subluxation:78,9%, vitreous hemorrhage :
55,3%. Post- traumatic angle recession: 62,8%. High IOP: 28,9%. Twenty eyes
were peformed iridoplasty by double- straight needle sutures in closed anterior
chamber (Mc Cannell method). After iridoplasty: Prevalence of VA better than
0.05 at 3 months post-op is significantly higher than that before treatment (75%
vs 15%). 90% iris well positioned. 55% ( 11 eyes) pupil was round. No severe
complication, only 5% was lesion in the anterior capsule.
Conclusions: The closed chamber technique for repair iridodialysis is effective.
The technique can be used in phakic eye and aphakic eyes to preserver the
iris diaphragm.
WOC2012 Abstract Book
PO-TRA-10
Prognostic Factors, Visual Outcomes and Interventions in
Intraocular Foreign Body Injuries
Malhotra Sumeet (1) , Agarwal Deepshikha (1)
1. MGM Eye Institute
Purpose: Determine prognostic factors and visual outcomes in patients with
intraocular foreign body (IOFB) injuries.
Methods: Retrospective analysis of 50 patients with IOFB injuries from 2005-
2009 for prognostic factors and visual outcomes after surgical interventions.
Results: 47(94%) eyes of 50 patients with IOFB injuries underwent pars plana
vitrectomy and remaining 3(6%) eyes had anterior segment interventions for
IOFB removal with median iOFB removal time of 12.5 days.Visual acuity at
1 year follow-up after IOFB removal was >20/400 in 70% and ?20/40 in 34%
patients. Good visual outcome (>20/400) was associated with