29^th International Conference on Insights in Ophthalmology June 17-18, 2020 London, UK

Biography:

Jerry Katzman is the Company’s Chief Executive Officer, President, and Chairman of the Board of Directors. Katzman has always been an entrepreneur, scientist, and pioneer in medical science. His focus has targeted various biotechnology companies, biopharma, and Wall Street. Upon completion of his medical training, Katzman joined a multi-specialty group practice in Brandon, FL where he founded and established the group’s department of ophthalmology. Katzman graduated from Boston University with a B.S. in Biomedical Engineering in 1974 and thereafter earned his M.D. from the Universidad de Guadalajara in Jalisco, Mexico.

Abstract:

Diabetes is the most common cause of blindness, worldwide.  Early diagnosis allows prompt treatment and prevention of Diabetic Maculopathy (DM).  The earliest signs of diabetes are detectable by an examination of the vasculature of the peripheral retina.   Long before the onset of Diabetic Maculopathy (DM) and central vision loss the peripheral retina harbors the ominous diagnosis.  Routine exam with a hand ophthalmoscope only reveals a 60 degree view.  Early diagnosis and diabetic control will prevent ultimate blindness.  Current examination of the peripheral retina is performed in the ophthalmologist's office with pupillary dilation and imaging accessed by an expensive retinal camera with periodical office visits.  This is time consuming and inconvenient for the patient.

 

As the scarcity of trained specialist prevent adequate coverage for the massive global need, mass screening would lighten the load.  There are 200,000 ophthalmologists and 200,000 optometrist worldwide.   In the US there are 30 million people with diabetes and  7 million undiscovered.   It is estimated that by that by 2030(10 years) there will be 100 million in the US and 500 million diabetics worldwide.  The inexpensive retinalcam is able to screen masses through an undilated pupil with a 200 degree view and send a high resolution image to a consultant.  Artificial Intelligence is in the process of development to further enhance the technology.

Biography:

Abstract

Purpose: To assess the outcome of eyes that underwent hydroexpulsion and instantaneous anterior ‎vitrectomy for nuclear fragments dislocated during phacoemulsification. ‎

Patients and methods: retrospective assessment of case series. The study included 21 cases ‎complicated with dropped nuclei during phacoemulsification that underwent instantaneous ‎hydroexpulsion of the dislocated nuclei and anterior vitrectomy. Patients' demographic data, ‎preoperative and postoperative vision and intraoperative and postoperative complications were ‎recorded. The study was conducted in Cairo University Hospital (Kasr El Eini) between January 2010 ‎and April 2018. Immediately when the nucleus passed through the posterior capsule into the vitreous ‎cavity, the surgeons were instructed not to inject any fluid or air into the anterior chamber to avoid ‎further pushing the nucleus backward in the vitreous cavity and to postpone anterior vitrectomy after ‎nuclear fragment expulsion. Infusion cannula was applied 3.5 mm from the limbus in the inferior ‎temporal quadrant. The infusion was opened and the corneal incision was opened by pressing its ‎posterior lip to create fluid stream from the vitreous cavity to the anterior chamber. Once the nucleus ‎appeared through the pupillary plane, the wound was widened with the keratome enough to ‎accommodate the expressed nucleus (Video 1). Following nucleus extraction, triamcinolone was ‎injected into the anterior chamber according to surgeon preference to enhance visualization of the ‎vitreous. Anterior vitrectomy was done to clear the anterior chamber and pupillary plane. Sulcus Pc IOL ‎was implanted in 17cases, Ac IOL was implanted in 4 eyes due to deficient capsule. Follow up period ‎ranged from 8 to 24 months. ‎

Results: Sixteen cases (76.2%) were operated by residents and fellows, 5 eyes by senior staff. Six eyes ‎were myopic with axial length above 26 mm. Nuclear cataract grade 3 (LOCSIII classification) was ‎recorded in 17 eyes, 4 eyes had nuclear grade 4 and cortical cataract. The ages of the patients ranged ‎from 58 to 78, 12 cases were females and 9 were males. This technique succeeded in expression of 19 ‎‎(90.4%) dropped nuclei, 2 cases required pars plana vitrectomy. One myopic eye (4.8%) with axial ‎length 28 mm developed retinal detachment 3 weeks later. Another case (4.8%) developed ‎intraoperative suprachoroidal hemorrhage during anterior vitrectomy after nucleus expression, which ‎was aborted by immediate closure without intraocular lens implantation. Fundus examination ‎revealed localized temporal suprachoroidal hematoma that was absorbed within 6 weeks and anterior ‎chamber intraocular lens was implanted 2 weeks later.  Two cases (9.5%) developed self-limiting ‎hyphema related to transient hypotony. Transient corneal edema developed in 4 eyes (19%) that ‎resolved within 1 week. Transient rise of IOP below 30 mmHg developed in 2eyes (9.6%) that were ‎controlled with anti-glaucoma drops that were discontinued within 1 week. No case developed ‎endophthalmitis.‎

Conclusion: Primary hydroexpulsion can spare the patient a second vitrectomy operation. It can be ‎done by the anterior segment surgeon without special training

Abstract:

Khaled G Abu Eleinen is a renowned Ophthalmology Professor. Khaled G Abu Eleinen is working in Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, ‎Egypt and Department of Ophthalmology, Fayoum eye hospital, Fayoum, Egypt . He publishes many articles in reputed journals.

Biography:

Moemen Al Reefy is a renowned ophthalmology surgeon in Bahrain. He is working in Department of Ophthalmology, Smile Baharain Experience, Bahrain. He publishes many articles in reputed journals

Abstract:

Abstract

24 yrs old Bahraini gentleman who had bilateral lasik operation with ACS microkeratom for -6.00 & -5.75 /-0.50X110’  in 1999

He was glasses free till 2019 when he was 44 years of age  , he started to use -1.75 DS in each eye for driving

All eye tests & pentacam findings computable with further lasik surgery to the right dominant eye.

On 6/1/2020 he underwent lasik flap gentle separation & further smooth photoablation  by ZEISS MLE 90

Postoperation recovery was un eventful

Now he is enjoying 20/20 distance vision with N 4.5 mono vision for near without glasses.

 

Biography:

Sara Shuaib graduated from University College London  Medical School in 2019. She conducted her intercalated BSc research under the uveitis division at Moorfield’s Eye Hospital, London

Abstract:

Abstract

Statement of the problem: Of all complications of chronic uveitis, cataract formation is the most frequent. Visual outcomes after surgery in these patients can vary greatly depending on type of uveitis, aetiology, method of cataract extraction surgery and whether or not a replacement intra-ocular lens was implanted.

The purpose of this study was to compare visual outcomes and secondary complications in paediatric and adult patients with uveitis who had undergone cataract surgery. Methodology & theoretical orientation: Retrospective case study analysing clinical notes of 75 patients (108 eyes) with non-infectious uveitis who had undergone cataract surgery via phacoemulsification, 57 adults and 18 children were identified from a database of 1254 subjects. Follow-up ranged from the pre-operative period to 12 months following surgery, as well as last visit. Findings:Post-operative visual acuity improved significantly post-surgery in both groups; this improvement was maintained at 1 year (by a difference of 0.63±0.08 LogMAR in adults and 0.77±0.18 LogMAR in children) and at final follow-up. Time to cataract diagnosis and cataract surgery was shorter in children.

Most common post-operative complications were posterior capsular opacification (PCO) and cystoid macular oedema (CMO) in both groups. Incidence of PCO was greater in children (69.2% versus 28% in adults), and time to PCO from date of surgery was shorter (6.3 versus 24.6 months, p=<0.001). Most common cause of vision loss across both groups was chronic CMO. Conclusion & significance: Children can achieve visual outcomes post-cataract surgery in uveitis at least as good as those seen in adults, which does not seem to be affected by the higher rate of PCO. More research needs to be done into the long-term effects of secondary capsular opacification on visual acuity post-surgery, especially in children.

Biography:

Damaris Hodelin Fuentes, MD, Ophthalmology Researcher on General Hospital “Dr. Juan B.Zayas Alfonso”, Cuba, received the “Award to Scientific Worthy”2016 and has a long career as investigator engaged in 24 research projects, most of them as leader, about General Ophthalmology, Neurophthalmology, Bioethics, and Nutrition to the ocular health. Due to her investigations, she has been awarded with the Future Builder Commemorative Stamp (2015 and 2018), and was nominated to the Sciences Academic of Cuba as a Younger Member. She has many publications in national and international journals, and is on the reviewer board of Ophthalmology Research: An International Journal, where has been received the Certificate of Excellence in Reviewing. She is also Associate Editor of Peer Research Nest, and member of the Editorial Board in International Journal of Ophthalmology and Visual Science. She has presented papers in various conferences and has received many awards for the same.

Abstract:

Abstract

Nutrition has influence in vision. Important nutrients, such as vitamins A, C, D and E, lutein and zeaxanthin have essential function on visual health. The objective of this study is to demonstrate the nutrition´s influence in the beginning or prevention of visual diseases like dry eye syndrome, cataracts and age-related macular degeneration. A search was made in PubMed, Infomed, EBSCO, HINARI, Scielo; using as key words: nutrition, visual diseases, vitamin. Were used 32 articles in Spanish and English languages. The 60% corresponds to the last five years. Trials have reported a prevalence of dry eye syndrome twice higher in females than in males; it´s related with vitamin D deficiency. Trials with vitamin D and omega-3 supplements have shown relief of the illness. Cataract, the principal cause of reversible blindness on the world, it´s related with vitamin C and E deficiency. Vitamin A, lutein and zeaxanthin have influence in age-related macular degeneration. As conclusions, this study gives information about the actual stated of nutrition and its relationship with the beginning or prevention of some visual diseases.