Instructional Courses

Instructional Courses

All Instructional Courses at the Vienna Congress will be Free of Charge.
It is not necessary to register for these courses.

• Saturday
• Sunday
• Monday
• Tuesday

• 22 September 2018
  10:30-12:30

• IC 6
• 
  Corneal cross-linking therapy Pre Requisite Course

  Leader: K. Mikek | Course Level: Intermediate

• Faculty:    T. Seiler   D. O'Brart   C. Koppen        

  This is a pre-requisite course for the wetlab(s):

  COURSE DESCRIPTION: : This course will provide principles of corneal cross-linking treatment. The course will cover the history and concept behind cross-linking, laboratory studies, pharmaceutical properties of riboflavin and the role of ultraviolet irradiation. Epidemiological data, aetiology, pathogenesis and diagnosis of keratoconus and other corneal ectasias will be discussed. The indications and contraindications for cross-linking therapy including details of different treatment protocols, dosage of riboflavin, and postoperative care will be covered. The result from different centers of corneal cross-linking treatment on its own and when combined with other corneal procedures will be presented. The complications of treatment, theories of corneal wound healing, indications for transepitheliall cross-linking, and finally new trends in the use of this technology will be discussed. An overview of the different technologies will be given. Corneal cross-linking therapy ﾖ wetlab. ?This course will allow participants to become familiar with cross-linking treatment. During the course the detailed information about the treatment procedure will be covered: how to make de-epithelization in different ways, installation of the riboflavin eye drops - particularly dosage, handling and testing of different UV radiation systems. ?
  
  COURSE OBJECTIVES: : This instructional course is a pre-requisite for the "hands-on" wetlab training session in the surgical skills transfer programme. The practical session will include:? ﾕ All delegates will given an opportunity to practice on the different types of cross-linking systems on the market? ﾕ "Hands-on" training with pig eyes and operating microscope for each station? ﾕ Two delegates per station? ﾕ Preoperative assessment protocols,? ﾕ Corneal anesthesia, instrumentation, steps of de-epithelization and riboflavin instillation (dosage, how many times, for how long, etc).? ﾕ Equipment - different types of cross-linking systems and physical properties of the irradiating laser machine? ﾕ Handling and storage of Riboflavin.? ﾕ Postoperative care and treatment, follow-ups (how often, what to measure), management of complications to be discussed as a group. ? ﾕ Discussions on the results of cross linking treatments.??
  
  COURSE SCHEDULE:
  
  1. Introduction: aim of the instructional course together with the wetlab and introduction of the presented speakers. Kristina Mikek, Slovenia ﾖ 5 min? 2. Corneal ectasias and corneal biomechanics: corneal ectasias - epidemiology, genetics, pathophysiology, clinical features, and overview of management options. Corneal biomechanics - corneal structure, possible measurement techniques in-vitro and in-vivo, limitations of current knowledge. Carina Koppen, Belgium ﾖ 20 min? 3. Principles of corneal collagen cross-linkage: principles of corneal collagen cross-linkage with the review of initial laboratory studies in relation to efficacy and safety. Operative technique. Kristina Mikek, Slovenia ﾖ 20 min? 4. Review of published clinical studies: Update on RCT in London, efficacy, safety, complications, and limitations of current knowledge. David O Brart, UK ﾖ 20 min? 6. Corneal cross-linking and refractive surgery. Theo Seiler, Switzerland ﾖ 20 min SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE: None