Scientific Program

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Scientific Program Day 1

Day :

  • Ophthalmology and Optometry

Session Introduction

Amol Y Ganvir

Unit of medical research foundation ,Chhaya Shinde (Professor and Head of Department)

Title: Congenital Orbital Cyst with Anophthalmos and its Management
Biography:

My name is Dr.Amol Y. Ganvir. I completed my Bachelor of Medicine, Bachelor of Surgery from Government medical college, Kolhapur accredited under Maharashtra university of health sciences, Nashik (Medical council of India recognized).
I pursued my Diploma in ophthalmology and residency training at Department of Ophthalmology, Lokmanya Tilak Muncipal Medical College And General Hospital Sion,Mumbai ,India 
Currently I am pursuing residency in sankara netralaya ,Unit of medical research foundation,Chennai,Tamilnadu for National board certification(DNB).
 I am well versed in English and have full knowledge about Slit lamp examination techniques, Applanation tonometry, Gonioscopy ,Indirect ophthalmoscopy, Refraction, Ultrasonography and Keratometry,Can independently perform cataract surgeries –Small incision cataract surgery, Extracapsular cataract surgery and combined cataract and Trabeculectomy surgeries.

Abstract:

Purpose- To describe rare congenital clinical Anophthalmos with Orbital cyst in right eye and its surgical management
Method- Case report and review of literature
Result- We described case of 17year old male of congenital clinical anophthalmos orbital cyst in right eye with no other congenital defect. Cyst size increased since last 3years.Case underwent surgical and prosthetic management. The cyst was punctured and aspirated with excision of cystic wall. No ocular remnants were found .The specimens were fixed in formalin for Histopathological analysis. Socket formation done with conformers implanted in it. Postoperative wound healing was uncomplicated .Cosmetic outcome was achieved by artificial prosthesis in right eye. Histological examination revealed simple cyst without rudimentary ocular structures.
Conclusion
Congenital orbital cyst which is rare manifestation can be manage with surgical intervention and visual rehabilitation by orbital implant which is desirable to increase patient acceptance in society. 

Neebha Anand

Professor, Regional Institute Of Ophthalmology, PGIMS ,Rohtak, Haryana, India

Title: Limbus Sparing Limbal Incision ---A New Modified Conjunctival Incision Technique In Strabismus Surgery
Biography:

I am Dr. Neebha Anand an MBBS graduate from PGIMS Rohtak and a Post-Graduate in Ophthalmology from PGIMER Chandigarh. Currently I am working as a professor in Ophthalmology at PGIMS, Rohtak, India since the past 12 years with a total of 23 years of post PG teaching experience. I have a special interest in Squint, Oculoplasty and Paediatric Ophthalmology and am involved in Teaching, Research and as a clinical guide to Post Graduate Ophthalmology Students. I am also actively involved in various academic activities including PG teaching, Seminar Presentation and Case Discussions. I have more than 150 publications in National and International Journals and  have presented more than 40 papers in National and International conferences. I have  authored multiple chapters in ophthalmology books.

Abstract:

Aim:  To introduce a newer technique of conjunctival incision called ‘Limbus Sparing Limbal Incision (LSLI)’ for horizontal rectus muscle  strabismus surgeries.                     Methods: 20 patients were randomly divided into two groups of 10 each. In group 1, the conventional limbal incision was given in the conjunctiva and in group 2, a modified limbal incision, Limbus Sparing Limbal Incision (LSLI) was given. Each patient was followed post operatively on first post op day, 7th post op day and at the end of six weeks. Symptoms like pain, discharge, foreign body sensation, conjunctival congestion, excessive watering and lid swelling were noted. A record was also made of the conjunctival hyperaemia/chemosis, gaping in conjunctival incision, conjunctival retraction/coiling, thickened conjunctival flap, suture granuloma, corneal abrasion, dellen formation, other signs of ocular surface disorders, need for suture removal and need for resuturing.                                                                     Results: The mean pain score in group 1 was 1.30 ± 0.68 a while it was 2.10 ± 0.57 in group 2 (p=0.010). Mean foreign body sensation score in group 1 was 1.10 ± 0.32, while it was more i.e. 2.30 ± 0.68 in group 2 (p<0.001). In 20% of patients in group 2, re-suturing of the wound had to be done. Dellen formation was seen in 10% of patients in group 1 and none in group 2 (p=1.0). Conclusion:  Though, the new modified conj incision spares the damage to perilimbal tissue and stem cells ,hence saving stem cells for future , the post op discomfort and delayed healing limited its use.  However, large scale studies are needed which can compare the two techniques in terms of outcomes, complication rates, and patient satisfaction. 

Abir Dey

Bsc in Optometry, Institute of Community Ophthalmology, University of Chittagong, Bangladesh.

Title: Assessments of Ocular Morbidity, Knowledge & Barriers to Access Eye Care Services among the Children live in Offshore
Biography:

Abir Dey is an Optometrist at Institute of Community Ophthalmology, University of Chittagong. He has completed his B.Sc in Optometry from Institute of Community Ophthalmology, University of Chittagong. His Research is interested on Paediatric Optometry, Community Eye Health, Low Vision, Contact lenses and Orthoptics.

Abstract:

Offshore Island is the remote and isolated area from the terrestrial mainland. They are deprived from their needs. The children from an offshore island are usually underserved in the case of health care because it is a remote area where the health care systems are quite poor comparing to mainland. So, the proper information is required for appropriate planning to reduce underlying causes behind visual deprivation among the surviving children of the Offshore Island. 
PURPOSE: 
The purpose of this study was to determine ocular morbidities, knowledge and barriers of eye care services among children in an Offshore Island.
METHODS:
The study team visited and all data were collected from different rural communities at Sandwip upazilla, Chittagong district for screening the children aged 5-16 years old by doing spot examination. The whole study was conducted in both qualitative and quantitative methods. To determine ocular status of children, examinations were done under skilled Ophthalmologists and Optometrists. A focus group discussion was held. Sample size was 490. It was a community based descriptive study and the sampling method was purposive sampling.
RESULTS:
In total 490 children, about 56.90% were female and 43.10% were male. Among them 456 were school going children (93.1%) and 34 were non school going children (6.9%). In this study the highest ocular morbidity was Allergic Conjunctivitis (35.2%), Refractive error (27.7%). Other mentionable ocular morbidities were Blepharitis (13.8%), Meibomian Gland Dysfunction (7.5%), Strabismus (6.3%) and Amblyopia (6.3%). Most of the non school going children was involved in different types of domestic work like farming, fishing etc. About 90.04% children who had different ocular abnormalities could not attend to the doctor due to various reasons.

Katerina Vyhnalkova

Department of Ophthalmology, St Helens and Knowsley Teaching Hospitals NHS Foundation Trust, Merseyside, UK

Title: 18 Month Outcome of XEN45â„¢ Implant in Primary Open Angle Glaucoma and Normal Tension Glaucoma with IOL Implantation
Biography:

Dr Katerina Vyhnalkova completed her undergraduate medical studies at Masaryk University School of Medicine in Brno, Czech Republic in 2017. During this time she undertook training in paediatric LASIK and strabismus preocdures at The Children’s Hospital Department of Ophthalmology, Brno. She is a junior doctor in the North West of the UK where she continues to develop a research profile through collaboration with the Whiston Hospital Department of Ophthalmology, UK, and will continue her training in paediatric ophthalmic surgery in the UK and abroad.

Abstract:

Introduction: The aim was to support evidence on the safety and efficacy of XEN implant.
Methods: Subjects were 16 patients, 19 eyes with POAG (Primary Open Angle Glaucoma) and 2 with NTG (Normal Tension Glaucoma) treated with PhacoXEN or XEN implant. Outcome data for this study were collected retrospectively from EDMS (Electronic Document Management System) used as a main source. The implant insertions were performed by one surgeon in one hospital followed by a check-up after one week, one month, three months, six months, 12 months, and 18 months. The study focused on IOP reduction and the number of medications used before and after XEN45™ Implant insertion. IOP reduction of ≥20% at 18 months and complete elimination of medications was deemed to be successful.
Results: IOP dropped from 21.00 ± 5.33mmHg pre-operatively to 16.22 ± 5.18mmHg (19.54%), 15.65 ± 4.32mmHg (23.60%) and 15.54 ± 4.77mmHg (29.71%) in 6 months, 12 months and 18 months, respectively. There was a statistically significant reduction in IOP in 56% of eyes at 18 months. Mean number of medications decreased from 3.06 pre-implant to 0.80, 1.00 and 0.50 post implant in 6, 12 and 18 months respectively. 
Discussion: This subconjunctival device provides a safe and efficient treatment of POAG by long-term IOP lowering. It significantly reduces the need for topical medication.