Table of Contents - WOC 2012

PO-GLA-78
Efficacy of needling with 5FU versus 5FU and Avastin injection in
vascularised, failing filtering blebs
Biswas Suman (1) , Paul Anita (1)
1. Queens Hospital
Objectives : To compare the efficacy of needling of filtering blebs with combined
5FU and Avastin and with 5FU alone
Methods: 15 patients who developed highly vascular, failing blebs within 6
months after trabeculectomy surgery underwent needling with injection of
5Fluorouracil (5FU) alone in 12 patients and both 5FU and Avastin injection in
3 patients. Postoperatively, the IOP control and vascularity was noted.
Results: The IOP control was good in 6 patients with 5FU injection (less than
21mmHg without medication) while the other 6 patients from this group
underwent a further needling with 5FU and Avastin. Of the 3 patients treated
primarily with 5FU and Avastin, 2 needed another needling with 5FU and Avastin
for successful IOP control. There was significant decrease of vascularity in
patients treated with Avastin. While the 5FU group alone achieved a final IOP
lowering at 6 months of 37%, the primary 5FU and Avastin group lowered by
41% and the group with 5FU followed by further needling with 5FU and Avastin
decreased by 48% from the initial pre-needling level.
Conclusion: Needling with Avastin and 5FU is desirable for a better outcome in
vascularised, failing blebs occurring within 6 months following trabeculectomy
surgery.
PO-GLA-79
Correlation between spectral domain OCT measurements and axial
length in myopic and non-myopic eyes
Babighian Silvia (1) , Tavolato Marco (1) , Galan Alessandro (1)
1. Ospedale Sant› Antonio
Purpose: To analyze the retinal nerve fiber layer thickness and neuroretinal rim
parameters in myopic and non-myopic eyes and evualuate a correlation of
these measurements with axial length.
Methods: In this cross-sectional study, 30 myopic and 30 non-myopic eyes
were randomly submitted to a Spectral Domain OCT analysis by one
experienced operator. Highly myopic eyes with atrophic peripapillary area,
were excluded.
Results: In both groups of eyes, there was not a significant correlation between
nerve fiber layer thickness and axial length or between neuroretinal rim
parameters and axial length (P>0.05).
Conclusions: There is not a linear correlation between OCT parameters and
axial length.
PO-GLA-80
Long-term Outcome of Ahmed Glaucoma Valve Implantation in
Children with Primary Congenital Glaucoma
Al-Shahwan Sami (1) , Barakat Walid (1)
1. King Khaled Eye Specialist Hospital
ABSTRACT Purpose: To evaluate the long-term efficacy of intraocular pressure
reduction and complications of Ahmed glaucoma valve (AGV) implantation
in children with primary congenital glaucoma. Design: Retrospective chart
review. Method: The medical records of patients with primary congenital
glaucoma (2 years at time of implantation
(P = .318) were associated with longer survival time with insignificant P values
. Conclusions AGV implantation is an effective treatment for PCG, although
patients frequently require antiglaucoma medications. However, a high rate
of potentially sight threatening postoperative complications warrants ongoing
close follow-up
WOC2012 Abstract Book
PO-GLA-81
Presumed sympathatic ophthalmia following diode transscleral
cyclophtocoagualation
Al-Shahwan Sami (1) , Al-Qarni Awad (1)
1. King Khaled Eye Specialist Hospital
abstract a 35 years old known case of renal failure on dialysis who was
succfully treated by transscleral diode cyclophocoagualtion on march 2011 for
uncontrolled intracular intracular pressure secondary to aphakic glaucoma in
the left eye after he had therapeutic penetrating keratoplasty for corneal ulcer in
july 2005> five weeks later,he developed gradual decrease of vision in the right
eye associated with headache. He had keratic precipitate, anterior chamber
cellsK disc hyperemia and area of retinal elevation. A presumed dignosis of
symphetic ophthalmia was made, which was confirmed by characteristics
finding on flurescien and indocyanine green angiography
PO-GLA-82
Transscleral diode laser cyclophotocoagulation for refractory
glaucoma secondary to Juvenile Idiopathic Arthritis
Dastiridou Anna (1) , Androudi Sofia (1) , Praidou Anna (2) , Brazitikos Periklis (2) ,
Tsironi Evangelia (1)
1. Department of Ophthalmology, University Hospital of Larissa
2. 1st Department of Ophthalmology, Aristotle University, University Hospital
AHEPA
Purpose: To evaluate the success rates of transscleral diode
cyclophotocoagulation (TD-CPC) for refractory secondary glaucoma in a
paediatric patient with juvenile idiopathic arthritis (JIA).
Methods: Report of a case of a 6 year-old boy suffering from severe uveitis,
and secondary open angle glaucoma. The patient had undergone bilateral
cataract surgery, and prior trabeculectomies. He was under systemic
immunomodulation with methotrexate and cyclosporine. He presented with
medically uncontrolled glaucoma, under maximal topical antiglaucoma therapy
and acetazolamide per os, with no signs of active inflammation. TD-CPC was
performed under general anesthesia, including a total of 20 spots in the right
and 34 in the left eye (2000mW, 2sec) applied in one session 1 mm posterior
to the inferior half corneoscleral limbus.
Results: VA remained stable in the right eye and deteriorated in the left eye
from 0.1 to no light perception. Postoperative hypotony was present one month
post op and IOP was 14 and 17mmHg in the six month follow up with a topical
b-blocker. The anterior chamber was quiet in both eyes.
Conclusion: TD-CPC can be an alternative therapeutic option for pediatric
patients with refractory uveitic glaucoma.
PO-GLA-83
Collar-Stud Hema Glaucoma Filtering Implant: A 4 Year Follow-Up.
Mehta Keiki (1) , Mehta Cyres (1)
1. Mehta International Eye Institute
Purpose: To reproducibly manage glaucoma using a simple Hema Collar Stud
implant under superficial scleral window as filtration mechanism.
Methods: Over a period of 4 years 118 collar stud implants were placed in
glaucomatous eyes in both regular patients and those in which the
trabeculectomy had failed including some cases of rubeotic glaucoma. The
collar stud implant a larger extrascleral segment subconjunctival, its narrower
part locks into the a/c. Twin incisions when dissected fold the implant like a bow
tie, securely with no sutures.
Results: In 68% of the cases (the IOP stayed at below 16+/- 3 mmHg. In 11%
of the cases it stayed at 19+/-0.2 mmHg and in 7% of the cases remained
below the 20mmHg stabilization mark with the addition of mono drug therapy. It
did not function in 11% of the cases and failed to control the IOP. In four cases
(3%) the implant shifted out of position and had to be removed.
Conclusion: An efficient easy method to control glaucoma with a simple
inexpensive device. The follow up shows that, perhaps this simple device may
prove to be the long term simple answer for Glaucoma surgery
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