Table of Contents - WOC 2012

PO-OCP-19
Surgical Outcomes of Pediatric Endonasal Dacryocystorhinostomy
Oe Masako (1) , Fukuoka Sachiko (1) , Tano Ryotaro (1) , Chang Kuo-Chung (1) ,
Mano Tomiya (1)
1. Tane Memorial Eye Hospital
Purpose: To evaluate the surgical outcomes of endonasal dacryocystorhinotomy
(DCR) for pediatric patients with nasolacrimal duct obstruction.
Methods: Six eyes of 5 patients (4 girls, 1 boy; mean age of 5.8 +/- 2.2 years)
underwent endonasal DCR under general anesthesia. Diagnosis was chronic
dacryocystitis for 4 eyes, acute dacryocystitis for 1 eye and iatrogenic
obstruction of canaliculus for 1 eye.
Results: Although there was a difficulty of the surgery due to small nasal
cavities, 5 in 6 eyes had successful results and no recurrence over 3 years.
There was no impact for the facial growth in all patients.
Conclusion: Endonasal DCR is a good option for pediatric patients with
nasolacrimal duct obstruction. To confirm if bone resection gives an impact on
the facial growth in children, longer follow-up should be required.
PO-OCP-20
Fishtail skin resection with modified Hotz procedure for Asian
patients with congenital entropion accompanied by epiblepharon
Takashi Araki (1) , Kazuaki Nakauchi (1) , Tomohiro Ikeda (1) , Osamu Mimura (1)
1. Ophthalmology, Hyogo College Of Medicine
Introduction: Epiblepharon is one of the structural causes of congenital
entropion in Asian people, because it causes traction of the lower eyelid to the
upper eyelid. In this study, we developed a method of more easily designing
the flap, then performed surgery in several cases. Cases: During 2010, one
surgeon used this method to treat 12 eyes in 6 patients with lower lid entropion
accompanied by epiblepharon (including 3 boys and 3 girls, average age is 6.3
years old.) Surgical method; Firstly, the skin design were drawn with a markerpen.
At the horizontal edge of the subciliary orbicularis of lower eyelid, a 2mm
wide fusiform-shaped skin resection was designed from the inner canthus to
the outer half of lid. Then, on the epiblepharon, a small triangle shape ‘fishtail›
was added. After performing a Hotz procedure, the triangle skin flap was
sutured to the triangle edge.
Result: The triangle skin flap diminished the tension of the orbicularis. After a
minimum of 6 months, the shape of medial canthus was opened widely, and
the direction of cilia was stable.
Conclusion: This blepharoplasty approach is easy to design and facilitates
performance of the Hotz procedure, allowing effective correction of congenital
entropion.
WOC2012 Abstract Book
PO-OCP-21
Exophthalmometry Values in Upright and Recumbent Positions in
Bandar-Abbas Population
Pakdel Farzad (1) , Pirmarzdashty Niloofar (1) , Bahmani Kashkouli Mohsen (2) ,
Boushehri Elham (1)
1. Hormozgan University of Medical Sciences
2. Rassoul Akram Hospital Eye Research Center,Tehran University of Medical
Sciences
Purpose: To determine normal values of Hertel exophthalmometry in upright
and recumbent position in resident population of south of Iran in Bandar-Abbas.
Methods: In a population-based epidemiological study, ocular protrusion was
measured in 459 randomly selected normal residents of Bandar-Abbas. Hertel
exophthalmometry was performed in all by a single ophthalmologist in both
upright and recumbent positions.
Results: 459 normal subjects were examined. The age range was 19 month-85
years (19.41+/- 14.88 year). Two hundred and thirty two (50.5%) of subjects
were male. Considering both eyes, mean absolute exophthalmometric values
were significantly different between upright and recumbent positions, 12.22
mm (+/-1.92) in upright position and 12.01 mm (+/- 1.88) in recumbent position
respectively (p