Volume 16_Vienna Supplement by EUROTIMES

ESCRS

EUROTIMES

™

A EUROPEAN OUTLOOK ON THE WORLD OF OPHTHALMOLOGY

VIENNA 2011 PREVIEW

your comprehensive guide to

Vienna 2011 2nd EuCornea Congress

17-21 September

16-17 September www.escrs

Preview

Vienna 2011

ALL EYES ON VIENNA

Vienna to host the XXIX ESCRS Congress and the 2nd EuCornea Congress in September by José Güell, president ESCRS

Young Ophthalmologists’ Resource Centre Visit our new website

http://youngophthalmologist.escrs.org to ﬁnd out more about the new

ESCRS Observership Programme. n The

ESCRS has developed a grant programme to support European trainee ophthalmologists who wish to observe clinical practice in a hospital or university setting. society is currently seeking interest from centres willing to offer observerships of one-to-two weeks’ duration in cataract and/or refractive surgery.

very year the ESCRS Congress offers new possibilities and challenges and this year is no different. As well as hosting the XXIX ESCRS Congress this year, Vienna will also be the venue for the 2nd EuCornea Congress and the inaugural ESCRS Glaucoma Day. Our main goal for the ESCRS Congress every year is to improve the scientific programme and I would like to thank the Programme Committee for all of the work they have done in preparing what promises to be a very exciting five days of discourse and discussion. This is also the first time that we have combined the ESCRS Congress with the EuCornea Congress and this will give cornea and ocular surface specialists the opportunity to meet with cataract and refractive surgeons. I am also very pleased that we will be holding the first ESCRS Glaucoma Day with a scientific programme organised by the European Glaucoma Society. I would also like to take this opportunity to encourage delegates registering for the ESCRS Congress at: www.escrs.org to make a donation to projects organised by ORBIS and Oxfam which are being supported by ESCRS. More information on these projects is available in this issue of EuroTimes and also on the EuroTimes website: www.eurotimes.org. Our work in supporting these charities has been one of the highlights of my presidency which ends after our congress in Vienna. I would like to take this opportunity

n The

n Those

centres wishing to participate will be added to a database of centres available on this website.

“

I hope that delegates attending the XXIX Congress will enjoy both our scientific sessions and the other activities at the congress, but also the sights and attractions of this historic city

José Güell, president ESCRS

The statue of Athena in front of the Austrian Parliament

to say it has been an honour for me to have served as president. The ESCRS has been, and will continue to be in the future, the most important ophthalmological society in Europe because of its willingness to offer both leadership and education to its members. I have also had the privilege to work with so many great friends and colleagues in the ESCRS and in Agenda which administers the society. I will no longer be president after this congress but I will continue to be very much involved in its work. Our major challenge, in my opinion, is to continue the work that we started a long time ago which is improving the quality of ophthalmology and to help our members and also those attending our meetings to improve their practical and theoretical skills. Vienna is a wonderful venue, as have been the other venues which have hosted our congresses, and I hope that delegates attending the XXIX Congress will enjoy both our scientific sessions and the other activities at the congress, but also the sights and attractions of this historic city. Finally, I would like to give my best wishes to our incoming president Peter Barry and I am sure that he will continue the excellent work done by all of our past presidents.

contact José Güell - guell@imo.es

contact

Marie-Jose Tassignon - Marie-Jose.Tassignon @uza.be

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Vienna 2011

iol advances

Bag-in-the-lens IOL performing well by Roibeard O’hEineachain

How did you feel when you learned you were to deliver the Binkhorst Medal Lecture?

I was very happy and of course for me it represents a kind of recognition from my colleagues for having achieved something in my career as an ophthalmologist.

Do you have any memories of your own of Cornelius Binkhorst?

Although I did not know him and although he died before I had finished my training as an ophthalmologist he was quite often in Belgium presenting his research findings and for trainees like myself at the time he was someone we wanted to emulate and achieve the same level of expertise. He was among the giants of ophthalmology at that time and he inspired a lot of young ophthalmologists. It therefore seems very appropriate that his name has been given to this medal lecture so people will not forget his achievements.

Tell us a little bit about the topic of your lecture.

As its title, “To bag or not to bag”, suggests it has the accent on the capsular bag, which is a very complex tissue not very well known or understood. That is because it is difficult to study histologically and anatomically. So, for example, we don’t know how large the bag is when we put in the intraocular lens. Generally, the only consideration is

that the lens will fit well enough so as not to decentre or become dislodged. That’s okay, but it would be better if we could know how large the bag is and what the angle of natural lens is, because the angle and the width of the capsular bag is a factor which determines the accommodative effect on the natural lens. But today we don’t know it even with modern technology. Neither do we know how it changes over time with age, while we do know that the lens will change in size and shape.

Example of a toric bag-in-the-lens implantation

Is that also true of elasticity of the bag?

Yes, and I have developed the bag-in-thelens concept based on the principle that the lens epithelial cells should be preserved. That is because I believe they are essential for maintaining the elasticity of the capsular bag. That is also what we observe in clinic. If we perform an IOL exchange and the lens being exchanged was the accommodative type, the posterior capsulorhexis will be difficult because you will have a layer of fibrotic tissue lying on the capsular bag because of a foreign body reaction to the intraocular lens. That makes the capsular bag stiff, so I doubt that accommodative IOLs based on the mechanical effect will work in the long term.

How does preserving the lens epithelial cells prevent the stiffness?

Once you open the capsule, the lens epithelial cells transform into fibroblasts and myofibroblasts and that means they are able to manufacture quite a lot of fibrotic collagen and that raises the possibility of contraction. Furthermore, the cytokines that are liberated from the ciliary body will transform those cells. In addition, some types of intraocular lens' biomaterial can induce a huge fibrotic reaction, manifested as a combination of the proliferation and transformation of the cells. The proliferation leads to Elschnig pearls and the transformation leads to fibrosis. This is why, with mechanical approaches to restore accommodation, you will always depend on how your capsular bag reacts to the material or not. That is why I’ve developed a different approach, where the LECs cannot

Courtesy of Marie-Jose Tassignon

At this year’s annual ESCRS congress in Vienna, Marie-Jose Tassignon will be presenting the Binkhorst Medal Lecture. In an interview with EuroTimes contributing editor, Roibeard O’hEineachain, she provided a preview of her presentation and discussed her research and theories on IOL design.

Example of a spheric, monofocal bag-in-the-lens implantation

transform because they are not in contact with the biomaterial and therefore it will not matter which biomaterial you use.

What has your experience been with the bag-inthe-lens IOL so far, and how frequently do you implant it?

We have a paper under review for publication in which we followed the ISO standards, which are similar to the FDA standards and we have not seen PCO in any of the patients after follow-ups reaching 11 years, and it is now my routine lens for adults and children.

How does the bag-inthe-lens IOL perform in terms of the stability of its position and rotation in the eye?

Before we started with the toric lens we wanted to try to see if it was stable in its

position once implanted and that is an advantage of the lens in addition you can easily re-rotate the lens in a second procedure, in case it has not lined up accurately enough along the correct meridian. I currently use the light of the microscope to position the lens along the optical axis, which may not be optimum, but it does not differ too much from the line of sight.

Are there other versions of bag-in-the–lens on the horizon?

Together with Morcher we have developed a nice system to implant the lens even in the absence of a capsular bag, in patients who are aphakic because they were operated on many years ago or when they were children for congenital malformation of the lens as in the case of Marfan’s disease. I am also working on the design for an accommodative version of the lens.

contact

Preview

Vienna 2011

Clinical research symposia

This year’s symposia look into the future of anterior segment surgery by Roibeard Ó hÉineacháin

HE Clinical research symposia at the upcoming XXIX Congress of the ESCRS in Vienna will be showcasing a range of revolutionary new concepts and technologies in the restoration and improvement of vision in patients with cataracts, refractive errors or corneal disease, said Philippe Sourdille MD, France, who founded the symposia in 1993 and who is also a member of the organising committee. “From their inception nearly 20 years ago the clinical research symposia have provided a prospective view on what kinds of things might clinically be available in a few years. Most of the main programme apart from the main symposia is retrospective, we review what has been done but are not looking forward to the same degree concerning what may be done in the future. Therefore, we have wanted, especially for the last few years to have some continuity of research about refractive surgery, optics, IOLs, accommodation and so on that might be clinically relevant in a few years. I think we have at least partially succeeded in that,” he told EuroTimes in an interview. The first of the symposia, chaired by Thomas Olsen, Denmark, and Marie-José Tassignon, Belgium, will commemorate the awarding of the Nobel Prize to Allvar Gullstrand 100 years ago for his pioneering work on the optics of the eye. It will include presentations of particular relevance to cataract and refractive surgeons from Douglas Koch, US, Susanna Marcos,

ESCRS

EUROTIMES

Spain and Michael Belin, US, and Jens Einighammer, Germany. There will also be reports from Michiel Dubbelman, the Netherlands, and Jos Rozema, Belgium. Dr Rozema is the chairman of Project Gullstrand, a European Project for the Determination of Average Biometric Values of Human Eyes, Dr Sourdille noted. “I think the most important advance in ophthalmology over the last 10 years has been to consider the optic problems of the eye for clinicians. The Gullstrand project is of utmost importance to bring new and more objective knowledge of the eye optics. It will clarify the most relevant factors to improve patients’ real needs,” he said. The second symposium, ESCRS/EuCornea Clinical Research Symposium, chaired by Jorge Alió, Spain, and Francois Malecaze, France, will focus on the Biotreatment of the Cornea. The session will include a presentation from Hannah Levis, UK, on the regeneration of the ocular surface, another from W Bruce Jackson, Canada, on pioneering work into recombinant collagen for corneal substitution and another by Francisco Arnalich, Spain on stromal stem cell therapy for regeneration of corneal stroma. In addition, Shigeru Kinoshita will query the possibility of regenerating the corneal endothelium, Dr Alió, Spain will examine the clinical evidence for biological activation of the cornea with platelet rich plasma and Dr Malecaze will discuss gene therapy of the cornea.

“

From their inception nearly 20 years ago the clinical research symposia have provided a prospective view on what kinds of things might clinically be available in a few years Philippe Sourdille MD

The third symposium, chaired by Daniel Gatinel, France and Joaquin Murta, Portugal, continues on the cornea theme, but from a surgical point of view. Eberhard Spoerl, Germany, will discuss the different approaches to collagen crosslinking for keratoconus, Sonia Yoo, US will describe corneal surgery with femtosecond technology, and Massimo Busin will discuss his latest findings with ultra-thin DSAEK. In addition, P Rama, Italy will discuss the role of limbal stem cell therapy in long-term corneal regeneration and Katrin Engelmann, Germany, will discuss corneal endothelial cell transplantation, the session will conclude with an update from Per Fagerholm, Sweden, on the bioengineered human cornea. “Dr Busin is a pioneer in endothelial

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keratoplasty so this will cover both new surgery of the cornea and new approaches to potential regeneration of different parts of the cornea. All of this is changing rapidly and there is a lot of research going on worldwide especially concerning endothelial cell culture which is extremely promising. Here we are once again right in the middle of what will happen in a very few years,” Dr Sourdille said. The final symposium focuses on capsular bag transparency; Do you think that PCOprevention has gained greater priority in IOL lens design and surgical style? Pavel Stodulka, Czech Republic, will describe early capsule changes affecting anatomy and visual function, M Wormstone, UK, will discuss TGF Beta and bag fibrosis, Thomas Van den Berg, The Netherlands, will examine PCO’s affect of light scatter and stray light, Oliver Stachs, Germany will discuss pharmacological control of LEC proliferation for bag refilling. In addition, Ioannis Pallikaris, Greece, will describe the novel concept of capsule bag reconstruction and Liliana Werner, US, will conclude the symposium with a discussion of preventing IOL by maintaining the separation between the posterior and anterior capsule. “This symposium will both update and renew our thoughts about PCO consequences, treatment and prevention. Today’s figures of PCO rates, especially with so-called small incision IOLs, are too high and we must reconsider some of our approaches: Dr Werner will illustrate a fascinating new concept of capsular fibrosis prevention. For 20 years we have relied on the capsular bending system. Now we have another approach that is completely the opposite: the open bag concept to better prevent lens epithelial cell proliferation without drugs, and to keep the whole bag transparent. This final presentation of our symposium will be one of the ESCRS 2011 highlights”, he added.

EuroTimes Blog is posted by our team of journalists who break the news from the major international meetings as they happen from Bangalore to Boston and from Russia to Rome www.myeurotimes.blogspot.com

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Scientif iﬁc Programme preview 17-21 SEPTEMBER HIGHLIGHTS BINKHORST MEDAL LECTURE

Sunday 18 September 08.15 – 17.45

Sunday 18 September

WORKSHOP ON VISUAL OPTICS*

10.15 – 10.45

Chairpersons:

M.J. Tassignon

I. Pallikaris GREECE M.J. Tassignon BELGIUM

Antwerp University Hospital, Belgium

‘To bag or not to bag’

14.00 – 16.00

JOURNAL OF CATARACT & REFRACTIVE SURGERY SYMPOSIUM Controversies in Cataract and Refractive Surgery 2011

Saturday 17 September

Chairpersons:

T. Kohnen GERMANY E. Rosen UK

08.30 – 17.00

REFRACTIVE SURGERY DIDACTIC COURSE*

14.30 – 16.30

Part 1

AUSTRIAN OPHTHALMOLOGY SOCIETY SYMPOSIUM

Moderators:

D. Epstein SWITZERLAND G. Kymionis GREECE

Part 2 Moderators:

R. Nuijts THE NETHERLANDS C. Roberts USA

Chairpersons:

O. Findl VIENNA G. Grabner SALZBURG

Monday 19 September

09.00 - 16.00

YOUNG OPHTHALMOLOGISTS PROGRAMME* Chairpersons:

Improving Outcomes of Cataract Surgery

O. Findl AUSTRIA C. Zetterstrom SWEDEN

08.00 – 10.00

COMBINED SYMPOSIUM OF CATARACT & REFRACTIVE SOCIETIES New Options in Evaluating and Correcting Astigmatism

16.15 – 17.45

VIDEO SYMPOSIUM ON CHALLENGING CASES

Monday 19 & Tuesday 20 September

Chairperson:

14.00 – 16.00

R. Osher USA

*EBO Accredited Course

SURGICAL VIDEO SYMPOSIA

INSTRUCTIONAL COURSES - FREE OF CHARGE

MAIN SYMPOSIA The 2nd EuCornea Congress will take place from 16–17 September at the Reed Messe in conjunction with the ESCRS Congress. A joint Symposium will take place on Saturday. For full details of the EuCornea programme please go to www.eucornea.org

Saturday 17 September 14.00 – 16.00

ESCRS/EUCORNEA SYMPOSIUM CATARACT AND THE ENDOTHELIUM Chairpersons:

H. Dua UK (EuCornea) J. Güell SPAIN

Sunday 18 September

Tuesday 20 September

11.00 – 13.00

FEMTOSECOND CATARACT SURGERY

DECISION-MAKING IN PRESBYOPIA

Chairpersons:

G. Grabner AUSTRIA R. Nuijts THE NETHERLANDS

11.00 H. Lubatschowski GERMANY Technological requirements of femtosecond lasers in cataract surgery

11.00 H. Burd UK Why we become prebyopic: finite element analysis modelling - the engineer’s approach

11.15 Discussion

11.15

11.22 Z. Nagy HUNGARY My experience with femtosecond laser cataract surgery with the LenSx laser

G. Barrett AUSTRALIA Monovision: does it still have a place?

11.30

Discussion

11.34

S. Pieh AUSTRIA Multifocal IOLs: optics, options and outcomes

11.49

D. Spalton UK Accommodating IOLs: do they work?

12.04

Discussion

12.08

G. Grabner AUSTRIA The corneal approach: presbylasik and inlays; are they realistic options?

12.23

G. Gerten GERMANY The femtosecond approach: procedures on the cornea and crystalline lens

12.38

Discussion

12.42

O. Nishi JAPAN Lens refilling – the holy grail

12.57

Discussion

13.00

End of session

11.37 W. Culbertson USA My experience with femtosecond laser cataract surgery with the OptiMedica laser 11.52 Discussion 11.59 R. Krueger USA My experience with femtosecond laser cataract surgery with the LensAR laser

14.00 S. Patel USA The endothelium: physiology, preoperative evaluation and post-surgical evolution

12.14 G. Auffarth GERMANY My experience with femtosecond laser cataract surgery with the Femtech laser

14.15 Discussion

12.29 Discussion

14.18 F. Kruse GERMANY Surgical approaches and the timing of cataract extraction in the presence of endothelial disease

12.36 P. Rosen UK Femtosecond laser cataract surgery: will it become a cost-effective technology in the European health care environment?

14.33 Discussion

O. Findl AUSTRIA P. Rosen UK

14.36 R. Bellucci ITALY Endothelial protection during cataract extraction in normal and grafted eyes

12.51 Discussion

14.51 Discussion

Monday 19 September

11.00 – 13.00

APHAKIA AND ANTERIOR SEGMENT RECONSTRUCTION

14.54 S. Hannush USA The triple procedure: classical vs modern approach 15.09 Discussion 15.12 S. Kinoshita JAPAN Future non-surgical techniques for endothelial enhancement: mitotic stimulations and gene therapy

13.00 End of session

REFRACTIVE ADJUSTMENTS AFTER OCULAR SURGERY Chairpersons:

B. Cochener FRANCE M.J. Tassignon BELGIUM

Wednesday 21 September

Chairpersons:

P. Barry IRELAND S. Binder AUSTRIA

11.00 O. Findl AUSTRIA Failed IOL implantation: implications and prevention

15.27 Discussion

11.00 S. Morselli ITALY Refractive surprises after monofocal cataract surgery

15.30 F. Larkin UK Posterior lamellar keratoplasty in pseudophakic and aphakic bullous keratopathy

11.15 M. Knorz GERMANY Enhancement after LASIK: custom or standard; on or under the flap

15.45 Discussion

11.30 Discussion

16.00 End of session

11.37 P. Rozot FRANCE Management of unsatisfied patients with multifocal IOLs

11.37 R. Steinert USA Reconstruction of other anatomy: iris, cornea, and vitreous

11.52 Discussion

11.59 R. Nuijts THE NETHERLANDS Optimizing vision after penetrating or lamellar corneal surgery

11.59 J. Güell SPAIN Secondary IOL implantation: iris claw is best?

11.15 G. Jakobsson SWEDEN Late dislocation of IOLs: what is causing this new epidemic and how do we re-locate or replace these lenses? 11.30 Discussion

12.14 M. Amon AUSTRIA How effective are the add-on IOLs?

12.14 G. Scharioth GERMANY Secondary IOL implantation: scleral fixation is best?

12.29 Discussion

12.36 B. Dick GEMANY Is there a place for light adjustable IOLs?

12.36 H.R. Koch GERMANY Aphakia and aniridia: how is it best managed?

12.51 Discussion

13.00 End of session

CLINICAL RESEARCH SYMPOSIA Saturday 17 September 08.30 – 10.30

13.30 – 15.30

ADVANCED OPTICS OF THE EYE, GULLSTRAND ANNIVERSARY

NEW CORNEAL SURGICAL TREATMENTS

Chairpersons:

T. Olsen DENMARK M.J. Tassignon BELGIUM

D. Gatinel FRANCE J. Murta PORTUGAL

13.30 E. Spoerl GERMANY Cross-linking for KC: different approaches

08.30 D. Koch USA Post-LASIK corneas and IOL power calculation

13.45 S. Yoo USA Advanced corneal surgery with FS technology

08.45 J. Rozema BELGIUM Project Gullstrand: normal biometry variation

14.00 M. Busin ITALY Posterior lamellar corneal transplantation: ultrathin DSAEK vs DMEK

09.00 M. Dubbelman THE NETHERLANDS Normal asphericity of the anterior and posterior corneal surface

14.15 P. Rama ITALY Limbal stem-cell therapy and long-term corneal regeneration

09.15 S. Marcos SPAIN Quantitative anterior segment imaging and ocular aberrations: measurement, relationship and clinical significance

14.30 K. Engelmann GERMANY Corneal endothelial cell transplantation

09.30 M. Belin USA Topography vs tomography of the cornea

14.45 P. Fagerholm SWEDEN Bioengineered human cornea

09.45 J. Einighammer GERMANY Ray tracing used for IOL modelling

15.00 Discussion 15.30 End of session

10.00 Discussion 10.30 End of session 11.00 – 13.00

15.30 – 17.30

ESCRS/EUCORNEA SYMPOSIUM BIOTREATMENT OF THE CORNEA

CAPSULAR BAG TRANSPARENCY

Chairpersons:

J. Alio SPAIN F. Malecaze FRANCE (EuCornea)

P. Sourdille FRANCE D. Spalton UK

11.00 H. Levis UK Regeneration of the ocular surface

15.30 P. Stodulka CZECH REPUBLIC Early capsule changes affecting anatomy and visual function

11.15 W.B. Jackson CANADA Recombinant collagen for corneal substitution

15.45 M. Wormstone UK TGF beta and bag fibrosis

11.30 F. Arnalich SPAIN Stromal stem cell therapy for regeneration of corneal stroma

16.00 T. Van den Berg THE NETHERLANDS Light scatter and straylight from PCO 16.15 O. Stachs GERMANY Pharmacological control of LEC proliferation for bag refilling

11.45 S. Kinoshita JAPAN Endothelial cell regeneration in the human: is it possible?

16.30 I. Pallikaris GREECE Peripheral capsule reconstruction

12.00 J. Alió SPAIN Biological activation of the ocular surface with platelet rich plasma: clinical evidence

16.45 L. Werner USA Open bag devices

12.15 F. Malecaze FRANCE Gene therapy of the cornea

17.00 Discussion 17.30 End of session

12.30 Discussion 13.00 End of session

ALSO AVAILABLE AT WWW.ESCRS.ORG: n

Registration

Hotel Bookings

XXIX Congress of the ESCRS

vienna

LUNCHTIME SYMPOSIA SATURDAY 17 SEPTEMBER 13.00 – 14.00

LEADING THE WAY FOR VISION REJUVENATION Room: Strauss 1 Moderator: M. Tetz

GERMANY

17-21 September 2011

13.00 – 14.00

ZIEMER’S FEMTO LDV: LEADING FEMTOSECOND TECHNOLOGY FOR REFRACTIVE AND CORNEAL SURGERY

TAKE YOUR PRACTICE TO A NEW LEVEL WITH THE ZEISS MICS PLATFORM

Sponsored by:

Speaker TBC BLUEMIXS Injector for Preloaded MICS IOLs New Perspectives for Todays Modern Cataract Surgery

13.00 – 14.00

Speaker TBC: MICS and Astigmatism-Correction - A Winning Combination for Perfect Outcomes

Room: Lehar 4

Welcome D. Spalton UK Refining Quality of Vision: A New Glistening-Free Material • Development of a New, Glistening-Free, Hydrophobic Material for IOL’s • Benefits This Will Offer to Patients G Altman (BAUSCH + LOMB) In Pursuit of Excellence: Designing a New Toric Lens • The R&D Processes Behind a New Toric Lens E. Mertens BELGIUM Changing the Face of Cataract Surgery: The Next Generation of Procedures

Room: Schubert 4

LUMENIS LASERS IN OPHTHALMOLOGY SATELLITE SYMPOSIUM Room: Stolz 1

M. Goggin AUSTRALIA Mics & Visthesia for a High Level of Patients’ Satisfaction

Sponsored by:

P. Lévy FRANCE Multifocality And Astigmatism - Evaluation of the at Lisa Toric and Restor Toric Iols

13.00 – 14.00

Speaker TBC: First Experience with the ZEISS VISALIS 500 Phaco Machine

CATARACT SURGERY  WHERE EVERY COMPONENT DELIVERS

• A New Approach to Cataract Surgery

Room: Stolz 2

• Looking to the Future with Laser Phacoemulsification

Moderator: A. Brezin

FRANCE,

O. Findl

Sponsored by:

AUSTRIA

Q&A

A. Brézin FRANCE Advances in Micro Implantation Cataract Surgery

Sponsored by:

O. Findl AUSTRIA Toric IOL Technology – When Spherical Correction is not Enough

13.00 – 14.00

K. Petermeier GERMANY Maximizing Patient Satisfaction in Multifocal IOL Surgery

Room: Strauss 1

THE FUTURE STARTS NOW: FEMTOCATARACT SURGERY AND PRESBYOPIA SOLUTIONS

SUNDAY 18 SEPTEMBER INNOVATIONS IN CATARACT SURGERY Moderator: D. Allen UK

E. Marques PORTUGAL Long-term Experience with the Synchrony Dual Optic Accommodating IOL

M. Knorz GERMANY

Moderator: S. Daya UK

Sponsored by:

G. U Auffarth GERMANY First European Experience with the CUSTOMLENS Femto-Cataract Procedure

13.00 – 14.00

Room: Strauss 3

K. Prasad Reddy INDIA Use of the CUSTOMLENS Femto-Cataract Procedure in Challenging Cases D. Pietrini FRANCE SUPRACOR - 1 year European Results and Personal Experiences S. Göker TURKEY Evaluation of New SUPRACOR Indications C. Albou-Ganem FRANCE INTRACOR - Results, Enhancements and New Techniques Sponsored by:

CHALLENGES IN CATARACT SURGERY TORIC IOL AND POST LASIK PATIENTS WITH LENSTAR LS 900

R. Braga-Mele CANADA A. Vasavada INDIA

BROMFENAC, A NEW POTENT TOOL IN INFLAMMATION CONTROL POST CATARACT SURGERY

Room: Stolz 3

Room: Strauss 3

Speakers:

Moderator: E. Donnenfeld

W.E. Hill USA

Welcome and Introduction

H.J. Shammas USA Sponsored by:

USA

Ocular Inflammation After Cataract Surgery – Still an Issue? Optimal Control of Inflammation with NSAIDs Post Cataract Bromfenac: A New Standard in NSAID Efficacy E. Donnenfeld USA Concluding Remarks Sponsored by:

SATELLITE EDUCATION PROGRAMME 13.00 – 14.00

MGD: THE MOST COMMON OCULAR SURFACE DISEASE AND ITS SURGICAL IMPLICATIONS

AMAZING ADVANCES IN OCULAR EXCELLENCE Room: Stolz 1

Room: Lehar 1

Moderator: L. Schmetterer AUSTRIA

Moderator: J. McCulley USA

J.M. Bosc FRANCE Experiences with a Hydrophobic One-Piece Blue-Light Filtering IOL

G. Geerling GERMANY E. Messmer GERMANY J.M. Benitez del Castillo SPAIN Sponsored by:

13.00 – 14.00

RAYNER IOLS: PAEDIATRIC PIONEERS FOR 60 YEARS

P.J. Pisella FRANCE The Mucin Layer of the Eye and Dry Eye Syndrome

Moderator: K. Greenberg

USA

J. Stevens UK High Definition Wavefront Measurement K. Greenberg USA Myths and Realities of Excimer Lasers G. Grabner AUSTRIA How Far You can go with Your Femtosecond Laser – New Applications B. Jackson CANADA First Clinical Results with the iDesign iLASIK Procedure Sponsored by:

Moderator: T. Shaarawy SWITZERLAND S. Gandolfi ITALY E. Dahan ISRAEL

13.00 – 14.00

INNOVATIONS IN PATIENT CENTRIC PROCEDURES Room: Strauss 2 Moderator: B. Malyugin

RUSSIA

Welcome

Room: Stolz 2

R. Bellucci ITALY MICS: The Next Steps

Sponsored by:

• Future Innovations for MICS and IOL’s • IOL’s for a 1.4mm Incision

13.00 – 14.00

Room: Lehar 4

Room: Strauss 1

Sponsored by:

LEADING TECHNOLOGY IN REFRACTIVE SURGERY

HIGH DEFINITION LASER VISION CORRECTION  WAVEFRONT AND BEYOND

INNOVATIONS IN GLAUCOMA SURGERY: IMPROVING PREDICTABILITY IN FILTRATION SURGERY

Sponsored by:

13.00 – 14.00

G. Garhöfer AUSTRIA Preclinical and Clinical Results with New Chitosan-N-Acetylcysteine Eye Drops

Room: Lehar 3 Sponsored by:

MONDAY 19 SEPTEMBER

THE LATEST WAVEFRONT TECHNOLOGY Room: Stolz 3

B. Dick GERMANY Weighing the Advantages of Combined Surgery • Results of Literature Review on Post-Surgery Cataract Formation

Moderator: P. M. Buscemi USA

R. Packard UK Bromfenac: A New NSAID

Sponsored by:

• Eifficacy of Bromfenac In Reducing Inflammation

13.00 – 14.00

INNOVATIVE SURGICAL DEVELOPMENTS IN ANTERIOR SURGERY

• Which Patients are Suitable for Treatment with Bromfenac • Under Which Circumstances Would Bromfenac be Used? Q&A

Room: Schubert 1 & 2 Speakers: F. Price USA DMEK A. Mohr GERMANY Posterior Instruments for Anterior Specialties G. Scharioth GERMANY Glaucolight Assisted Canaloplasty G. Melles THE NETHERLANDS DMEK M. Klekas POLAND Glaucolight Dr. Klabe GERMANY Glaucolight Sponsored by

Sponsored by:

13.00 – 14.00

NEW & INNOVATIVE REFRACTIVE TECHNOLOGIES Room: Strauss 3 Sponsored by:

13.00 – 14.00

CATARACT WORKFLOW EFFICIENCY Room: Lehar 1 Moderator: W. Haigis Sponsored by:

GERMANY

vienna

13.00 – 14.00

LUNCHTIME SYMPOSIA

EVENING SYMPOSIA

vienna

LUNCHTIME SYMPOSIA 13.00 – 14.00

13.00 – 14.00

NEW PERSPECTIVES TO UTILIZE CORNEAL BIOMECHANICAL PROPERTIES THE NEW CORVIS® ST

NANOPULSE LASER REVOLUTION: FROM GLAUCOMA TO RETINA

Visualization and Measurement of the Corneal Deformation Response to a Symmetrically Metered Air Pulse with an Ultra-High-Speed Scheimpflug Camera Room: Lehar 2

Room: Stolz 3 Moderator: J. Marshall UK

• Basics of Corneal Biomechanics • Potential of measuring the true IOP, corneal thickness and biomechanical properties at the same time with the Corvis ST • Influence of intraocular pressure (IOP), biomechanical properties, thickness and curvature on corneal deformation characteristics R. Ambrosio Jr. BRASIL Corneal Biomechanics in Ectasia • Influence of corneal ectasia on the corneal deformation characteristics

18.00 – 20:30

INNOVATIONS IN ADVANCED TECHNOLOGY IOLS AND LASER SYSTEMS Room: Imperial Palace Hofburg

Sponsored by:

18.15 – 19.00 - Registration Heldenplatz Entrance 19.00 – 20.00 - Symposium

Moderator: S. Reisdorf GERMANY C. Roberts, USA Corneal Biomechanics of IOP Measurement”

SUNDAY 18 SEPTEMBER

EVENING SYMPOSIA SATURDAY 17 SEPTEMBER

20.00 – 21.00 - Reception Faculty Moderators: T. Seiler SWITZERLAND & M. Knorz GERMANY A. Cummings IRELAND B. Henderson USA Z. Nagy HUNGARY

18.30 – 21.00

LIVE SURGERY: PRESENTING ADVANCING TECHNOLOGIES FOR ADVANCING TECHNIQUES Room: Main Hall A1 Messe Wien Congress Center

R. Shetty INDIA Ground transportation from the Messe Wien Congress Center to the Imperial Palace will be provided at 18:00hrs Visit the Alcon booth (B410) for more details

Sponsored by:

• Effect of corneal crosslinking on the corneal deformation characteristics and on the biomechanical properties

18.00 –18.30 - Registration

P. Vinciguerra ITALY IOP-Measurements with the Corvis® ST

Surgical Faculty:

VISION TECH SATELLITE MEETING

Host Surgeon: Z.Z. Nagy HUNGARY

Room: Stolz 3

• Comparison Study of the IOP measurements with the Goldmann Applanation Tonometer (GAT) and the Pascal Dynamic Contour Tonometer (DCT)

18.30 – 21.00 - Live Surgery Broadcast from Semmelweis University

I. Ahmed CANADA F. Carones

Sponsored by:

ITALY

P. Crozafon K. Tija

Sponsored by:

FRANCE

THE NETHERLANDS

Faculty Panel: Moderator: D.N. Serafano

13.00 – 14.00

E.J. Holland USA

RELEX® SMILE: FLAPLESS. ALLFEMTO. SINGLESTEP. LASER VISION CORRECTION BEYOND LASIK.

M. Knorz GERMANY

Room: Stolz 1 Moderator: W. Sekundo GERMANY O. Ibrahim EGYPT The Femtosecond Laser VisuMax® Comparison of Femto-LASIK and ReLEx smile Procedure R. Shah INDIA Minimally-Invasive ReLEx® Smile Procedure in Low, Medium and High Myopia – My Experiences in the Treatment of more than 1000 ReLEx® Eyes

FROM 18.00

USA

O. Moraru ROMANIA R. Nuijts THE NETHERLANDS R. Osher USA Learn from world-renowned surgeons as they manage challenging cases using the latest advancements in Alcon’s Cataract, refractive and glaucoma surgery technologies. Featured technologies will include:

MONDAY 19 SEPTEMBER FROM 18.00

UPDATE IN CORNEAL REMODELING WITH INTRACORNEAL RING SEGMENTS. KERARING GLOBAL USER GROUP MEETING Room: Stolz 2 Sponsored by:

• LenSx® Laser • INFINITI® Vision System with OZIL® Intelliegent Phaco (IP) and ULTRACHOPPER™ Tip • EX-PRESS® Glaucoma Filtration Device • AcrySof® CACHET™ Phakic Lens

J.Hjortdal DENMARK ReLEx® Smile My New Clinical Standard Procedure

• Advanced Technology IOL’s including

E. Chansue THAILAND The Importance of ReLEx® in current Laser Vision Correction Business

• AcrySof® IQ Toric

• AcrySof® IQ ReSTOR +3.0 D • AcrySof® IQ ReSTOR Multifocal Toric

Sponsored by:

EUROTIMES

™

SATELLITE EDUCATION PROGRAMME

Preview

Vienna 2011

a nice overview

Programme will not disappoint young ophthalmologists who come to Vienna by Dermot McGrath

uilding on the groundwork laid at the successful congress in Paris last year, the 2011 Young Ophthalmologists’ Programme (YOP) in Vienna promises to be the most comprehensive and dynamic programme to date. “We are very excited about this year’s YOP and believe that we have put together a wide-ranging and lively programme that should prove of direct benefit to ophthalmologists looking to get a good grounding in key aspects of anterior segment surgery,” said Oliver Findl MD, chairman of the ESCRS Young Ophthalmologists’ Forum. Reflecting on the enthusiastic reception to the Young Ophthalmologists’ Programme, Dr Findl believes that there are a number of factors underpinning its popularity. “One of the appealing aspects is that we try to offer a very compact programme over the course of a day that covers both cataract and refractive elements. We have also noticed that the YOP tends to be very well attended by local young ophthalmologists and I think they get the information that they want in a nutshell,” he said. Dr Findl added that the feedback from delegates on previous programmes has been largely positive, although there is no question of allowing complacency to take root. “There are always some aspects that can be improved on and we are receptive to the suggestions we receive from the participants. We are trying to cater to the different needs of our audience, but the focus has to remain on the young ophthalmologists and those who are just starting out in their career,” he said. This guiding principle is reflected in the format of the day’s programme, said Dr Findl, beginning with more basic cataract content in the morning, before progressing to greater detail and more specialised and technical aspects of both cataract and refractive surgery as the day progresses. “We have opted to have two speakers on each topic, which we have found is a more interesting way to present different aspects of a particular theme. It also corresponds more to real-world practice because it is important for young ophthalmologists to appreciate that there is not only one valid approach and that there are many different paths to the same goal,” he said. Wrapping up the day’s programme, the guest lecture by Donald Tan MD will help participants to make sense of the alphabet

PRAGUE 2012 16 ESCRS WINTER MEETING TH

3-5 February 2012

Hilton Hotel, Prague, Czech Republic

www.escrs.org

“

There are a lot of interesting developments starting to come together

Oliver Findl MD soup of lamellar surgery – DALK, DSEK, DSAEK – and all the other confusing acronyms that have appeared over the years. In terms of the goals of the YOP, Dr Findl is optimistic that the programme will not disappoint the young ophthalmologists who come to Vienna in September. “I think at the end of the day they will have a nice overview of anterior segment surgery as it stands today, starting from basics and looking at some of the more common problems they might encounter starting out in surgery,” said Dr Findl. He noted, also, that an increasing percentage of more experienced ophthalmologists are dropping in during the course of the day as well. “This is nice to see, because they obviously derive some benefit from the basic but thorough approach of the programme. Sometimes it’s nice to have a reminder of the fundamental principles and perhaps to gauge how far things have advanced since they started out in their own careers,” he said. Overall, Dr Findl said that it is encouraging to see so many aspects of the Young Ophthalmologists’ Forum now starting to take shape. “There are a lot of interesting developments starting to come together. The e-learning platform will be launched this summer and it should be an excellent resource for young ophthalmologists. We have also launched the Eye Chat podcasts and we have a Facebook page and an online forum which are also attracting a lot of interest. The ESCRS Observership Programme, offering 40 grants of €1000, has also been established to support European trainee ophthalmologists who wish to observe clinical practice in a hospital or university setting,” he said. Further information on the ESCRS Young Ophthalmologists’ Forum can be accessed at: http://www.escrs.org/youngophthalmologist.

EUROPEAN SOCIETY OF CATARACT & REFRACTIVE SURGEONS

Preview

Vienna 2011

a key role

Second EuCornea conference looks to build on last year’s success by Dermot McGrath

ESCRS Membership See the benefits! n Reduced Congress Fees n Journal of Cataract & Refractive Surgery n EuroTimes n Members’ Area on www.escrs.org n Membership Certificate n Voting Rights

To find out more, visit www.escrs.org

ollowing on from the highly successful inaugural Congress in Venice in 2010, the organisers of EuCornea are looking forward to building on this momentum in Vienna on 16 and 17 September, immediately preceding the XXIX Congress of the ESCRS. “It has been a busy year for EuCornea,” said Harminder Dua MD, president of EuCornea. “After a very successful first congress in Venice in 2010, we were able to forge formal collaborations with the Asia Cornea Society and we hope to sign a similar collaboration with The Cornea Society (US). We organised a very successful cornea session at the Subspecialty Day of the ESCRS in Istanbul this year and have put together a great programme for our 2nd annual congress in Vienna in September,” he said. The fact that this year’s EuCornea meeting will coincide with the annual congress of the ESCRS represents a valuable opportunity for EuCornea to reach out to new members, said Prof Dua. “We hope to get more delegates and expose them to the EuCornea vision. We have received over 240 abstracts for free papers and 75 for posters. This is very encouraging as they were from delegates from all over Europe including Russia, and also from the US, Middle East and India. The European Eye Bank Association, The Cornea Society (US) and the Asia Cornea Society are each organising a symposium,” he said. The strong international dimension of the forthcoming congress is a particular source of satisfaction for Prof Dua and other members of the EuCornea Board. “The field of cornea and ocular surface has made tremendous strides in the recent past,” said Prof Dua. “Many of the innovations that have changed corneal surgery in particular have come from Europe. I see EuCornea as a platform not only to showcase these strengths but also to draw into its fold colleagues from less privileged parts of Europe and the world. With the support of our members and industry, we hope to facilitate the participation of delegates from most of Eastern Europe, and help to organise visits of personnel between developed and developing European centres so that the benefits of the advances in our field can be passed on to patients across all of Europe and beyond,” he said. EuCornea also has a key role to play in levelling the playing field for

“

The field of cornea and ocular surface has made tremendous strides in the recent past Harminder Dua MD,

ophthalmologists across the European region, said Prof Dua. “From my experience, travelling across centres in Europe and speaking to junior and senior ophthalmologists from different countries it is clear to me that standards of education, training, examination and eye care delivery are non-uniform and fragmented. This reflects ultimately on the service offered to patients. Proper training and access to modern equipment are the key issues that we hope to emphasise and bring to the attention of key stakeholders in different countries,” he said. Looking forward to this year’s congress, Prof Dua mentioned the EuCornea Medal Lecture, to be given by Prof Peter Laibson of the Wills Eye Hospital, Philadelphia, as one of the highlights of the programme. “I am honoured to say that he was my mentor and I had the privilege of doing my cornea fellowship under his able guidance. He is an excellent clinician and teacher. I am also looking forward to the free papers that will be presented by mostly junior and trainee ophthalmologists. They are our future and it is always a tremendous experience to feel and see their excitement as they present their work,” he said. Prof Dua emphasised the teamwork that underpins the organisation and he paid tribute to the EuCornea Board and Executive, and also Jose Guell, president of the ESCRS, for their tireless efforts and enthusiasm. Looking forward to Vienna, Prof Dua urged delegates and the industry to support the meeting and enable the fledgling EuCornea organisation to “stand firmly on its feet and deliver the vision of its founding directors”.

contact Harminder Dua - profdua@gmail.com

Preview

Vienna 2011

EUREQUO European Registry of Quality Outcomes for Cataract & Refractive Surgery

GLAUCOMA DAY

This year’s ESCRS Congress will feature the first-ever Glaucoma Day by Dermot McGrath

EUREQUO is a European Quality Registry for visual outcomes of cataract and refractive surgery

cheduled to take place on Friday 16 September immediately preceding the XXIX Congress of the ESCRS, the ESCRS Glaucoma Day programme will give delegates a comprehensive overview of all aspects of glaucoma surgery. While the annual ESCRS congress has included glaucoma sessions in recent years, this is the first time the organisation has devoted an entire day to the subject. “I think it is a recognition of the increasing importance of glaucoma in general and shows that there is now a much greater appreciation of the overlap between so many ophthalmic subspecialties,” said Anton Hommer MD, a senior consultant at Hera Hospital in Vienna and a member of the Executive Committee of the European Glaucoma Society (EGS), who will co-moderate the day’s programme along with Keith Barton MD, consultant ophthalmologist, and glaucoma service director of Moorfields Eye Hospital in London. Dr Hommer believes that the inaugural Glaucoma Day underscores the importance of adopting a crossdisciplinary approach to ophthalmic care and remaining open to techniques and developments that may lie outside one’s own particular specialty area. “We are learning more about these associations over time. For instance, corneal thickness and the biomechanics of the eye are altered due to laser refractive surgery, which may lead to an erroneous low IOP reading later on. We also know that the presence of a cataract can affect the ability to detect glaucoma, and cataract surgery can affect both IOP control and the effectiveness of previously performed glaucoma surgery,” he said. Dr Hommer said that the Glaucoma Day programme should appeal to cataract and

ESCRS Glaucoma Day programme will give delegates a comprehensive overview of all aspects of glaucoma surgery

What is EUREQUO?

“

The project aims to:

We have tried to be as comprehensive as possible in drawing up the programme, looking at more traditional glaucoma surgical techniques as well as more recent innovations in the field Anton Hommer MD

refractive surgeons as well as glaucoma specialists. “We have tried to be as comprehensive as possible in drawing up the programme, looking at more traditional glaucoma surgical techniques as well as more recent innovations in the field. We usually start each session with an overview of the topic under discussion before moving into more detailed examination of different techniques,” he said. The Glaucoma Day will include sessions on topics such as laser procedures and new devices, tubes and shunts, canaloplasty, deep sclerotomy and cataracts and angle closure, among others. One of the highlights of the day will be the Dimmer Lecture, named in honour of the renowned Austrian ophthalmologist Friedrich Dimmer (1855-1926), and given by Prof Wolfgang Drexler in recognition of his ground-breaking work in OCT imaging techniques. “Dr Dimmer made some very important advances in the development of fundus photography and he was a recognised leader in the field of ophthalmoscopy. We believe that Dr Drexler is the appropriate person to give this particular lecture, as he is well known for his research and publications in imaging today, so it’s a nice way of linking the past and the present of imaging technologies,” he said.

contact Anton Hommer - a.hommer@aon.at

1 2 3

Improve treatment and standards of care for cataract and refractive surgery Develop evidence-based guidelines for cataract and refractive surgery across Europe Make significant impact on the exchange of best practice between practitioners in relation to patient safety

Join the network EUREQUO gives a unique opportunity to monitor and compare results Quality registries create a sufficient basis for studying rare diseases, treatments and complications Collecting data will support you to make an audit report The collection of your data will facilitate the analysis of surgical outcomes and the development of evidencebased European Quality Guidelines

See www.eurequo.org for more information with the kind contribution of

contacts

Preview

Vienna 2011

SUPPORTING CHARITIES

Delegates attending the ESCRS congress are being asked to donate to two worthy causes

s a result of a new initiative launched by the ESCRS, urgent funding is being raised to support projects sponsored by ORBIS and Oxfam. The first of these projects, sponsored by ORBIS, is the Gondar University Referral Hospital in Ethiopia. Ethiopia has one of the highest blindness prevalence rates in the world, around twice that of other developing countries, with 1.2 million blind people out of a population of 82 million. Gondar is located 725km north west of Addis Ababa in Amhara regional state. Like the rest of Ethiopia, the main causes of blindness in Amhara are cataract, trachoma and refractive error. There are an estimated 6,300 blind children in Amhara, and another 31,500 children with low vision. The government-funded Gondar University Hospital is located 725km north of Addis Ababa, in the town of Gondar, servicing an estimated population of around 14 million in the region and 3-4 million in the project area. ORBIS partnered with Gondar University from December 2004 until December 2010 to implement an innovative and cost-effective approach to increasing levels of eye care in rural areas. The project was designed to train midlevel health professionals, such as nurses or optometrists, to effectively treat cataract blindness in the rural setting, to screen and prescribe eye glasses and to prevent

blindness caused by the late effects of trachoma. The deployment of newly-trained eye care workers to the rural areas has significantly improved access to and use of services. The ORBIS partnership with Gondar University Referral Hospital concluded at the end of 2010. However, following on from the strong success of this project, ORBIS has committed to work with Gondar University Hospital to establish a Child Eye Health Tertiary Facility (CEHTF) for North West Ethiopia. “The goal of this project is to support the development of a paediatric eye care service at Gondar Referral Hospital. This will provide children with access to high-quality eye care, which in turn will contribute to a decrease in childhood blindness and low vision in North West Ethiopia,” Allan Thompson of ORBIS told EuroTimes.“It is very important to stress the fact that we are identifying and recruiting training doctors from the region to work on the project,” said Mr Thompson. “Training is a key component of the ORBIS programme and we want to establish projects that are sustainable by ensuring that local doctors receive the best possible instruction. As part of our training programme, we are also sending these doctors on fellowships to centres of excellence in Europe and other international centres.” Over the next four years, with the support

of the ESCRS, the ORBIS Gondar Project aims to establish a fully equipped CEHTF with a trained paediatric eye care team at Gondar University Referral Hospital to ensure delivery of high-quality eye care. It is hoped this will strengthen the referral network and follow-up system within North West Ethiopia to ensure that children have access to eye care, and will ultimately increase awareness amongst adults, parents, guardians and the wider community, of the importance of seeking prompt medical advice for children’s eye conditions to ensure early detection and treatment.

Oxfam in Uganda After more than 20 years of conflict between rebels and government forces in Uganda, the victims of the conflict who were forced to flee their homes and live in camps are slowly starting to rebuild their lives. As a result of a new initiative launched by the ESCRS, urgent funding is being raised to support an Oxfam project to bring clean, safe drinking water to the people in the Kitgum district. “A lack of clean, safe drinking water and proper sanitation facilities, together with a general lack of knowledge about the importance of good hygiene, leads to unnecessary illnesses and preventable deaths from water-borne diseases such as cholera and diarrhoea,” said Peter Anderson, head of fundraising, Oxfam Ireland.

Support ORBIS and Oxfam by pledging a donation when you register for the XXIX ESCRS Congress in Vienna Visit www.escrs.org

Allan Thompson - athompson@orbis.org.uk Deirdre Miller - deirdre.miller@oxfamireland.org

“Lack of water for bathing also facilitates the spread of ‘water-washed diseases’ that affect the eyes, such as trachoma and conjunctivitis. "The security situation has significantly stabilised in Uganda and many people are returning to their home villages. Average access to latrine and sanitation facilities in Kitgum district is just 31 per cent in the villages that people are returning to. Oxfam will be working to set up water facilities in these villages and then teach the community how to maintain the facilities and to promote safe hygiene practices,” Mr Anderson said. While the communities have emphasised the need for latrines, the actual construction of these facilities has been relatively low due to lack of knowledge and skills and the materials for construction. To meet this need Oxfam has helped establish Community Water Management committees in the villages of Kitgum. The local people in these committees are being taught the skills needed to maintain water sources and sanitation facilities in the long term. Motorised water pump systems are also being repaired and modified to provide a water supply to the local communities. Oxfam is also coordinating communitybased sanitation and hygiene promotion to educate villagers about the importance of safe hygiene practices which will help reduce incidences of intestinal diseases. An important part of this campaign is the support for School Health Committees which are helping to educate school children in the importance of safe hygiene practices. “I am delighted that the ESCRS has decided to support these very important projects,” said José Güell MD, president of ESCRS, "and I would urge members and delegates attending our XXIX Congress to pledge a donation to support ORBIS and Oxfam.”

ESCRS GLAUCOMA DAY Scientific programme organised by European Glaucoma Society

Immediately preceding the XXIX Congress of the ESCRS

Friday 16 September 2011

Reed Messe Vienna, Austria

Programme Chairpersons: Keith Barton, UK, Anton Hommer, Austria WELCOME & INTRODUCTION

TUBES AND TRABS

DS CANAL PROCEDURES

08.00 REGISTRATION

10.50 – 12.35

13.35 – 14.50

08.30 K. Barton UK Welcome

Moderators: F. Goni SPAIN K. Barton UK

Moderators: T Shaarawy SWITZERLAND N. Anand UK

08.32 A. Hommer AUSTRIA Introduction

10.50 K. Barton UK Tubes vs trabs

13.35 B. Reinhardt GERMANY Overview

PREOPERATIVE PREPARATION

11.05 F. Goni SPAIN Trabeculectomy-the procedure

13.50 A. Mermoud FRANCE Deep scelerectomy

15.40 T. Zehen BELGUIM Combined vs separate filtration and lens procedure

11.20 F. Grehn GERMANY Trabs-postoperative care

14.05 M. Tetz GERMANY Canaloplasty

15.55 J.P. Nordmann FRANCE IOL selection in glaucoma patients

14.20 G. Baerveldt USA Trabectome

16.10 G. Sunaric-Megevand SWITZERLAND Glaucoma surgery in the young adult

14.35 Questions and answers

16.25 G.Gazzard UK Angle closure

08.35 S. Duch SPAIN Patient selection and preoperative preparation 08.48 J. Thygeson DENMARK Evaluation of the angle before surgery

LASERS AND NEW DEVICES 09.00 – 10.30 Moderators: A. Hommer AUSTRIA R. Hitchings UK

11.35 S. Duch SPAIN Tubes 11.50 I. Stahlmans BELGIUM Avastin and trabeculectomy 12.05 C. Traverso ITALY Express 12.35 BREAK

DIMMER LECTURE

10.00 S.Gandolfi ITALY Pigment dispersion syndrome and laser 10.15 Questions and answers 10.30 BREAK

Moderators: C. Traverso ITALY F. Grehn GERMANY

16.55 Questions and answers 17.10 SUMMARY AND FEEDBACK

15.10 – 15.40 15.10 A. Hommer AUSTRIA Introduction to dimmer lecture

09.15 D. Spiegel GERMANY Laser gonioplasty/iridoplasty

09.45 S.Lim UK New devices

15.40 – 17.10

16.40 S. Vernon UK Cyclophotocoagulation

14.50 BREAK

12.20 Questions and answers

09.00 A.Hommer AUSTRIA SLT/ALT

EUROTIMES

ESCRS

09.30 S. Kaminiski AUSTRIA Laser refractive surgery and glaucoma

14.50 End of session

CATARACTS AND ANGLE CLOSURE

™

SATELLITE EDUCATION PROGRAMME

Satellite Education Programme

15.15 W. Drexler AUSTRIA Dimmer lecture

IOP HOME MONITORING FRIDAY 16 SEPTEMBER 12.35 – 13.35 Room: Lehar 4 Sponsored by:

* Please note that this is a preliminary programme and is subject to change

Vienna

16–17 September 2011 Vienna, Austria

2nd EuCornea Congress

EUCORNEA MEDAL LECTURE HERPES SIMPLEX KERATITIS: A FIFTY YEAR RETROSPECTIVE DR. PETER R. LAIBSON

INVITED SESSIONS

Moderators: C. Liu

M. Belin

UK,

G. Grabner

AUSTRIA

Donald Tan SINGAPORE KEYNOTE: The future of keratoprosthesis

Corneal Imaging HUNGARY,

www.eucornea.org

Keratoprosthesis

FRIDAY 16 SEPTEMBER Moderators: L. Modis

Immediately preceding the XXIX Congress of the ESCRS

USA

G. Grabner AUSTRIA Keratoprostheses - why, when and which?

10.30 FRIDAY 16 SEPTEMBER 2011

M. Belin USA KEYNOTE: 3D corneal topography/tomography in corneal diseases

S. Hannush USA The nuts and bolts of the Boston Type 1 KPro. A surgical snap shot

Dr. Peter R. Laibson is an attending surgeon and director emeritus of the Cornea Service at Wills Eye Institute and professor of ophthalmology at Jefferson Medical College. He graduated medical school from State University of New York, Downstate Medical Center. He completed his residency in ophthalmology at Wills Eye Hospital and a cornea fellowship at the Massachusetts Eye and Ear Infirmary of (MEEI) Harvard Medical School. Dr. Laibson’s expertise lies in his knowledge of corneal diseases, particularly corneal dystrophies and degenerations, viral diseases of the eye, particularly herpes simplex, herpes zoster and adenovirus, as well as corneal transplantation. He was involved in research on the first anti-viral drug used for herpes in the eye.

M. Rolando ITALY Diagnostic tools in ocular surface disorders

J. de la Cruz USA The rise and rise of the Boston Type 1 KPro. Innovations, indications and patient selection

J. Szaflik POLAND Anterior segment OCT in anterior segment disorders R. Guthoff GERMANY Confocal microscopy, an inner vision of the cornea Z. Gatziofas GERMANY Ocular response analyser and corneal bio mechanics L. Modis HUNGARY Corneal endothelial imaging

New Research in Cornea Moderator: T.A. Fuchsluger

GERMANY

C. Cursiefen GERMANY KEYNOTE: Novel translational strategies to promote graft survival by anti(lymph)angiogenic therapy S. Kinoshita JAPAN Innate immunity of the ocular surface

FREE PAPER SESSIONS 

Keratoconus and Corneal Cross Linking



Ocular Surface



Endothelial Keratoplasty



DALK and PK



Imaging



Inflammation and Infection



Lens and Corneal Refractive Surgery



Keratoprosthesis



Miscellaneous

T. Fuchsluger GERMANY Gene transfer to corneal cells to improve graft survival L. Schmetterer AUSTRIA Efficacy and safety of chitosan-N-acetylcysteine in the treatment of dry eye syndrome J. Mehta SINGAPORE Human corneal endothelial cell expansion for corneal endothelium transplantation

n n

Registration Hotel Bookings

M. Belin USA Boston Type 1 KPro in the developing world. Particular challenges - infection, inflammation, follow up and economics A. Bussutil UK Psychological assessment and support for KPro patients.The role of the clinical psychologist and patient self help groups TBC A Tooth for an Eye: Demystification of the Osteo-odonto-keratoprosthesis (OOKP) TBC Strategies for edentulous patients requiring a mucous membrane covered epi-corneal device. Allograft, tibia or Boston Type 2 KPro. F.C. Lam UK OOKP Complications: Highlights of ongoing work on resorption and extrusion, and glaucoma C. Hull UK Optical considerations in artificial cornea

Amniotic Membrane/ Ocular Surface Surgery Moderators: J. Güell

SPAIN,

M. Nubile ITALY

EUROTIMES

J.L. Güell SPAIN KEYNOTE: Amniotic membrane: Current indications

SATELLITE EDUCATION PROGRAMME

P. Rama ITALY Ex Vivo expanded limbal stem cell transplantation: clinical outcomes.

™

SATELLITE EDUCATION PROGRAMME

FRIDAY 16 SEPTEMBER

Available at www.eucornea.org:

S. Cortina USA Boston Type 1 KPro complications.Prevention, recognition and management

18.00

OSMOPROTECTION IN 2011 Room: Lehar 1 & 2 Sponsored by:

E. Holland USA Limbal transplantation update M. Nubile ITALY Management of deep corneal ulcer, descematocele and corneal perforations D. Tan SINGAPORE Current concepts and techniques in pyterigium surgery

Anterior Lamellar Keratoplasty

Posterior Lammellar Keratoplasty

Moderators: F. Malecaze FRANCE, R. Nuijts THE NETHERLANDS, L. Laroche FRANCE

Moderators: F. Kruse GERMANY, G. Van Rij THE NETHERLANDS, F. Larkin

Conjunctival and Limbal Disorders The Cornea Society UK

V. Sarnicola ITALY KEYNOTE: Management of complications

F. Kruse GERMANY KEYNOTE: Evolution of posterior lamellear keratoplasty: The thinner the better

P. Vinciguerra ITALY ALK: Optical and functional considerations

B. Bachman GERMANY Fundamental issues in DMEK

L. Mastropasqua ITALY, M. Nubile ITALY ALK: Femtosecond assisted

F. Price USA DMEAK: Technique and results

D. Tan SINGAPORE DALK: Indications

F. Larkin UK Emerging understanding of the impact of rejection on lamellae transplants and vice versa

S. Hannush USA DALK Standard technique P. Toro ITALY DALK: Functional results, incidence of complications and long term survival

Managing Corneal Ectasias Moderators: F. Malecaze FRANCE, T. Seiler SWITZERLAND T. Seiler SWITZERLAND KEYNOTE: Remodeling the cornea F. Malecaze FRANCE What do we know today about the pathogenesis 5 mm M. Yancov SERBIA Photoablation and crosslinking M. Muraine FRANCE DALK versus penetrating keratoplasty B. Cochener FRANCE Intracorneal ring segment surgery: Decision tree J.F. Alfonso SPAIN Intracorneal ring segment surgery: Customization F. Hafezi SWITZERLAND Crosslinking in children E. Spoerl GERMANY New developments in crosslinking

P.J. Pisella

FRANCE

P.J. Pisella FRANCE KEYNOTE: Dry eye syndrome and visual disturbance FRANCE

E.M. Messmer GERMANY Tear osmolority, myth or reality V. Profazio ITALY Eye drops from blood of umbilical cord

B. Cochener FRANCE Dry Eye: not to misjudge J. Colin FRANCE Interface complications: Has the femtosecond solved our problem F. Malecaze FRANCE Secondary ectasia : the fear in photoablation R. Nuijts THE NETHERLANDS Endothelial damage: the fear in phakic implantation R. Doyle Stulting USA U.S. long term evaluation of post LASIK ectasia

DENMARK,

I. Dekaris

CROATIA

J. Armitage UK KEYNOTE: Impact of donor factors on graft survival I. Dekaris CROATIA The European Eye Bank Association I. Claerhut BELGIUM EU legislation: harvest, testing, quality control P. Maier GERMANY Principles of organ culture and cold storage J. Hjortdal DENMARK Pre-cutting of grafts for posterior lamellar keratoplasty P. Fagerholm SWEDEN Synthetic corneal grafts M. Claesson SWEDEN, J. Armitage UK European quality registers on corneal grafting D. Tan SINGAPORE Challenges of eye banking in Asia

* Please note that this is a preliminary programme and is subject to change

J.AP Gomes USA Mucus membrane pemphigoid E. Holland USA Stevens-Johnson Syndrome and toxic epidermal necrolysis

EuCornea-EVER SymposiumThe Neurotrophic Cornea Moderators: H. Dua

UK,

P. Hossain

H. Dua UK KEYNOTE: Microarchitecture of corneal nerves in health and disease

Corneal Diseases and Corneal Research in Asia

B. Cochener FRANCE News in dry eye and surgery

Peripheral Ulcerative Keratitis

Moderators: B. Cochener FRANCE, R. Nuijts THE NETHERLANDS

D. Glasser USA Peripheral corneal degenerations

D.G. Said UK Surgical management of non healing ulcers

P.S. Larmo FINLAND Oral sea buckthorn oil

Moderators: J. Hjortdal

Corneal Complications after Refractive Surgery

E. Akpek USA Conjuncticval involvement in systemic diseases

P. Rama ITALY Medical management of non healing ulcers

J. Duran SPAIN Enriched lubricant

Eye Banking for the Corneal Surgeon

GERMANY

B. Lee USA Management of limbal dermoids

P. Hossain UK Etiology and clinical features of non healing corneal ulcers

SATURDAY 17 SEPTEMBER Moderator: U. Pleyer

USA

J. McCulley USA Non-melanotic pigmented lesions of the ocular surface

J. Merayo SPAIN KEYNOTE: The sensation of Dry Eye. From Tear Disfunction Syndrome to disesthesia and neurophatic pain

J.J. Gicquel DES imaging

B. Lee

K. Colby USA Conjunctival melanoma and melanosis

Dry Eye - Whatâ&#x20AC;&#x2122;s New? SPAIN,

USA,

C. Karp USA KEYNOTE: Ocular Surface Squamous Neoplasia

G. Van Rij THE NETHERLANDS 9mm mushroom keratoplasty for very advanced keratoconus or in case of a large perforation during a DALK procedure

Moderators: J. Merayo

Moderators: D. Glasser

Asia Cornea Society Moderators: D. Tan

SINGAPORE,

L. Xie

CHINA

D. Tan SINGAPORE The changing roles of penetrating Keratoplasty, Lamellar Keratoplast and Kerstoprosthesis Surgery in Asia L. Xie CHINA Multicentre infectious keratitis study C.K. Joo KOREA Approach of hormone therapy for Corneal Wound Healing R. Tsai TAIWAN De-differentiation of corneal basal epithelial cells in altered basement membrane R. Vajpayee INDIA Automated Lamellar therapeutic keratoplasty J. Mehta SINGAPORE ASOCT imaging for DSAEK

Vienna

2nd EuCornea Congress

escrs on your time Symposia, free papers, videos and more from ESCRS Congresses in your home

XXVIII Congress of the ESCRS, Paris, France and 15th ESCRS Winter Meeting, Istanbul, Turkey Now Online

escrs on demand Visit www.escrsondemand.org

Preview

Vienna 2011

ROYAL OR RUSTIC?

Choose between two different worlds for an evening in Vienna by Maryalicia Post

elegates attending the ESCRS and EuCornea Congresses in Vienna will be spoiled for choice when they get free time to allow them to visit some of this historic city's cultural attractions. Empress Maria Theresa was the first to enjoy marionettes at Schloss Schönbrunn. Her son-in-law, Prince Esterhazy, introduced a miniature theatre to the palace in the late 18th century to amuse the court and distinguished guests. Composers such as Haydn devised operas especially for the marionette theatre. Marionettes once again entertain at the Palace since Christine and Werner Hierzer were permitted to install their awardwinning theatre in the renovated court wing of the Schönbrunn in 1994. The skillful company involves the audience thoroughly in the on-stage life of the marionettes. There is always an involuntary gasp when the curtains finally part, revealing the actual size of the “performers.” “It is a case of your eyes deceiving you,” Christine Hierzer explains. “It doesn't happen to everyone – a few manage to retain an image of the size of the marionettes. But most people can’t .We always hear that intake of breath when we take our bow alongside the figures.” While this optical illusion adds to the charm of the spectacle, the sets, costumes, and the marionettes themselves are worth seeing. For sheer lavishness, The Marionetten Theater’s production of Mozart’s The Magic Flute is the one to go for. An opera in two acts, the stage sets echo the gardens of Schönbrunn – its paths, zoo, Roman ruins. The costumes, by Christine Hierzer, are made of silk and hand-painted fabric. The music is the 1964 recording by the Berliner Philharmoniker conducted by Karl Böhm. Before the performance, Werner Hierzer briefly explains the making and manipulation of the marionettes, and how it takes three years of training to make a

St Stephen’s Cathedral

Marionette Theatre at Schönbrunn Palace

marionette “come alive.” You are welcome backstage after the final curtain for a closer look. Performance times and online booking: www.marionettentheater.at. For a more conventional Mozart evening, you won't have to search far for the first option. It will find you. As you approach St Stephen's Cathedral, you 're bound to notice young people in 18th century costume clustering like pigeons on the plaza. They are there to urge you to a performance of the Wiener Residenzorchester. Will you be sorry if you fork out over nearly €50 for a seat that very night? I wasn't. True, all my fellow concertgoers were tourists, but then so was I. The hour and a half programme delivered a generous sampler of what we'd come for - music, opera, dance - performed in period costumes. The venue was beautiful, a stylish yet intimate room in a grand Palais. If the person selling tickets to the Mozarthaus concert had found me first, I might have gone there instead. Mozart's house – where Mozart lived and worked in 1781 – is conveniently located a two-minute

Delegates attending the ESCRS and EuCornea Congresses in Vienna will be spoiled for choice when they get free time to allow them to visit some of this historic city’s cultural attractions

walk down a picturesque lane leading from the cathedral plaza. The building is now a convent; the concert takes place in a handsomely frescoed room – the oldest concert hall in Vienna – a room in which Mozart himself often performed. Other choices: a concert in the Hofburg Palace, where the Emperor entertained his guests, or in the Golden Hall of the Musikverein. A concert in the Konzerthaus, the home of the Vienna Symphony Orchestra, or the Vienna Opera House where Mozart’s Don Giovanni was first performed. For suggestions, browse www. viennaconcerts.com and www.mozart.co.at. All offer evenings of costumed Mozart performances in historic settings. If a Mozart concert represents Vienna at its most sophisticated, a visit to a Viennese Heuriger is the other side of the coin. “Heuriger” means both new wine and the inn in which it is served; as Vienna has some 700 hectares of vines inside the city limits, Heurigen abound. Since Emperor Joseph II allowed wine growers to sell their own produce from their homes, tax-free, the Heuriger has been a beloved institution. Traditionally a bush or branch of pine called a “Buschenshank” is hung outside the door to signify the inn is open. The practice gives rise to the alternate name of Buschenshank for a Heuriger. Days and hours vary with the whim of the owner. But if one Heuriger is closed, there will be another open nearby. To go with the wine, count on a bountiful self-service buffet of meats and cheese, bread, salads and desserts. Less traditionally, some offer hot dishes too. It is all enjoyed whenever possible in a garden under the trees. Music is often part of the ambience;

the producer of The Third Man film found the zither player Anton Karas, performing in a Heuriger, but these days it’s more likely to be sing-along accordion music. A Heuriger evening has become so popular with tourists that Heurigen in areas like Grinzing provide a themed entertainment along with parking space for buses. For a more authentic Heuriger experience, you might prefer one of these: A fifteen-minute taxi ride from the inner city takes you to Mayer am Pfarrplatz, 1190 Wien, Pfarrplatz 2. In the summer of 1817 Beethoven lived in rooms in this inn and worked on his Ninth Symphony. www.pfarrplatz.at/home-eng. Tram 2 stops in front of the Heuriger 10er Marie, 'the oldest wine tavern in Vienna', well known to artists and politicians. Ottakringer Str. 222-224, 1160 Wien. See: www.fuhrgassl-huber.at. One Heuriger in the inner city is the Gigerl-Blumenstockgasse, behind Kärtnerstrasse—Rauhensteingasse. Telephone: 43-1513-4431, with further details at: www.gigerl.at. Another inner-city inn is Weinstube Josefstadt, at Piaristengasse 27, 1080 Wien with its hidden garden. This one is hard to spot, situated as it is in a row of concrete buildings. You'll know the door by the lantern and the metal “Buschenshank” above it.

* The XXIX ESCRS Congress and 2nd EuCornea Congress take place in Vienna from 16-21 September 2011. Visit www.escrs.org for further details

SYMPOSIA TOPICS Cataract and Endothelium (escrs/EuCornea Symposium) n Femtosecond Cataract Surgery n Refractive Adjustments after Ocular Surgery n Decision-making in Presbyopia n Aphakia and Anterior Segment Reconstruction n

available at www.escrs.org: n preliminary

programme

n registration n hotel

bookings

17-21 SEPTEMBER REED MESSE VIENNA AUSTRIA

European Society of Cataract & Refractive Surgeons