THE BELGIAN OPHTHALMIC ASSOCIATIONS
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This abstract is assigned to session Academic session 25th anniversary
| Title | Of poison fornices, spiky cacti and friendly fat |
| Abstract Nr. | 2095 |
| Purpose | "Poison fornices": The Giant Fornix Syndrome, first described in 2004, occurs where an abnormally capacious upper conjunctival fornix harbours a coagulum of bacterial-laden protein, this toxic material resulting in a chronic, very severe keratitis. The cause of this keratitis is frequently missed and the chronicity can lead to corneal stromal vascularisation that reduces the visual acuity to <6/60 in three-quarters of patients, and spontaneous corneal perforation in nearly a half. The speaker will talk for 5 minutes about this blinding condition -- how to recognise, and how to treat it. "Spiky cacti": The Cactus syndrome, first described in 2007, describes the mechanisms by which orbital implants in sockets become exposed -- the mechanisms of extrusion. The speaker will illustrate the mechanism and -- more particularly -- the means by which to avoid this complication of enucleation. The best method for dealing with extruding ball implants will also be discussed. "Friendly fat": Fat provides one of the few mechanisms for relative movement of tissues, and the orbital fat is no exception. With orbital blowout fractures, one of the first tissues to be lost is the layer of fat lying between the fracture and the rectus muscle(s). In many cases this is not recognised and dealt with, this resulting in a marked adhesion syndrome with motility sometimes being much worse after fracture repair; in the past this worsening has -- almost certainly wrongly -- been attributed to muscular fibrosis due to ischaemia. The speaker will discuss the mechanisms of fat adherence syndromes after fracture repairs, with clinical cases to illustrate how to deal with this severe complication. |
| Conflict of interest | No |
Authors 1
| Last name | ROSE |
| Initials | G |
| City | London |