Table of Contents - WOC 2012

PO-OCP-68
ANOPHTALMIA -ABOUT three CASES- and literature revue
Rqibate Souad (1) , khtibari zineb (1) , Benhmidoune Laila (1) , El Belhadji Mohammed
(1) , Amraoui Abdelwahed (1)
1. UHC Ibn Rochd 20 August Hospital
Objective/Purpose:Anophtalmia is a Congenital lack of eyeball.True form is
related to an interruption of development or degeneration of primary optic
bladder.Obvious form is extreme microphtalmia related to an interruption of
development of secondary optic bladder.main of work is epidemiological and
therapeutic difficulties of this congenital anomaly
Methods: Three cases, who consulted in Department of Ophthalmology,
Hospital August 20;Casablanca.
Results:First observation is a new born 20 days,Allowed for absence of
eyeballs. Antecedant:intermarriage,non consistent pregnancy.Normal lids
regaining rudiments of eyeballs.Biologic maternal examination :Latent
syphilis. Paediatric somatic examination:normal.Ocular US: transsnores
ocular rudiments.second observation 5 years old,Inbreeding 1°,no consistent
pregnancy.Normal lids.Reduced left orbital cavity and zygomatic bone
prominence.Ocular US : transsnores ocular rudiments.Ocular CT : orbital
tissular material with calcifications, muscles ocular motors and optic nerve
are present. third observation is 18 years old,inbreeding 1°,2 sisters have
an anophtalmia,non consistent pregnancy,normal lids,regaining rudiments of
eyeballs;ocular US :transsonores ocular rudiments.Surgical treatment was
practicated by adaptation of orbital prosthesis for proper growthand reduce
facial disfigurement.DISCUSSION:Anophtalmia is Unilateral++,rarely bilateral.
Etiologies are varied:Chromosomal aberrations, gene mutations;Toxic and
infectious causes.Diagnosis is Clinical.The anophtalmia is associated to other
anomalies which determines the prognosis.
Conclusion:anophtalmia is rare,management is difficult.Interest research of
associated malformations that conditions the forecast
PO-OCP-69
Acute Orbital compartment syndrome, a series of three cases by
extraocular cause
Perez-Roca Fernando (1) , Valero Marcos Almudena (2) , Alfaro Juarez Ana (2) ,
Rodrigo Morales Esther (2) , Carmona Hernandez Maravillas (2)
1. Hospital La Inmaculada
2. Hospital Virgen de las Nieves
Objective: To show the importance of lateral canthotomy and cantholysis in
acute orbital compartment syndrome
Methods: Next cases presented acute orbital compartment syndrome: Case 1:
68 years old patient suffered a retrobulbar hemorrhage due to a complication
of nasal polyps surgery. It was indicated urgent orbital surgery. Despite the
treatment current VA is hand motion. Case 2: 32 years old woman that required
urgent liver transplant. After the surgery presented orbital compartment
syndrome secondary to hemorrhage due to lack of coagulation factors.
Urgent canthotomy and cantholysis was performed at bedsise. Final VA was
20/40. Case 3. 70 year old woman with a severe thrombocytopenia presented
spontaneous retrobulbar hemorrhage and phacolytic glaucoma. Surgery
was impossible because of the bad state of the patient and was treated with
corticosteroids. Visual results were poor.
Results: The patient treated with lateral canthotomy and cantholysis got better
VA due to more rapid and effective decrease of intraocular pressure.
Conclussions: Orbital compartment syndrome is an ocular emergency and
treatment must be performed immediately. Lateral canthotomy with cantholysis
is a fast and effective treatment in this pathology.
WOC2012 Abstract Book
PO-OCP-70
6.5 YEAR EXPERIENCE WITH TRANSCANALICULAR LASER-
ASSISTED DACRIOCYSTORHINOSTOMY (TCL-DCR)
Drnovsek Brigita (1) , Beltram Matej (1)
1. Eye Hospital, University Medical Centre
Objective & Purpose: To present 6.5 years of experience with minimally
invasive TCL-DCR with a 980 nm diode laser.
Methods: We performed 250 consecutive TCL-DCR procedures with mono- or
bicanalicular silicone stent intubation, under general or local anaesthesia. The
approach to osteotomy is via the anatomical pathway of tears, and a 980 nm
diode laser is used with a power of 10 W. Irrigation with saline solution is used.
The silicone stents have been removed on average 4 months postoperatively
and patency of the nasolacrimal duct has been assessed at up to 48 months
follow-up.
Results: 161 out of 194 patients had a patent nasolacrimal duct after removal
of the silicone stents yielding a success rate of 83%.
Conclusion: The 980 nm diode laser is an effective tool for TCL-DCR, with a
success rate higher than other endoscopic DCR procedures. This minimally
invasive procedure has a steep learning curve and is well tolerated by the
patients. It is performed as an outpatient procedure if local anaesthesia is used.
PO-OCP-71
Efficacy of adjunctive use of Autologous Serum with Fornix
Deepening Sutures
Ganapathi Chinnappa (1) , Prasad Krishna (1) , Jain Vikram (1)
1. Prasad Netralaya
Purpose: The outcome and safety of the adjunctive use of autologous serum in
fornix deepening sutures in mild cases of contracted socket. Materials:
Prospective, nonrandomized, case series of 6 cases of Mild contracted socket
underwent fornix deepening sutures for reconstruction of the lower fornix.
Methods: All patients underwent a standardized procedure, a large needle was
used to pass ‘three’ 4-0 nylon sutures. The needle was passed from the depths
of the fornix out to the skin, being careful to include the periosteum of the orbital
rim. The autologous serum was injected around the sites where the sutures
were passed. Sutures removed after 8 weeks. Outcome measures: Success of
the surgery, ability to retain prosthesis and absence of complications.
Results: Fornix deepening sutures with adjunctive autologous serum showed
success in all 6 cases. Prosthesis was placed successfully in all cases.
The group was compared with a historical control group of 8 patients (6 of
8 successful (85%)). The ability of the serum to cause excessive soft tissue
reaction seemed to be the reason why the adhesions were better. A study with
a larger group of patients is necessary to quantify the amount of serum to be
injected.
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