Index of authors for abstracts accepted at BOPSS 2018, Dublin. Click here for full abstract listings.
The numbers refer to abstracts of submitted free papers. First authors are indicated in bold.
Abstracts starting with number 1 are presented on Thursday, click here to view detailed schedule
Abstracts starting with number 2 are presented on Friday, click here to view detailed schedule
Abstracts starting with number 3 & 4 refer to ePoster presentations.
Please note that this list is auto-generated from the abstract submissions based on surnames, so differences in the initials entered can lead to duplicate entries and where authors share surnames then the abstract details should be checked by clicking on the abstract number to verify the exact author.
This is a list of accepted authors and presentations. It assumes that all accepted will attend and present
| Title | Orbital Mycoses in an Adult Subtropical Population |
| Submitted by | Tim Sullivan |
| Abstract ID | 18-150 |
| Review Result | rapid fire presentation |
| Abstract Number | 208 |
| Purpose | To report the spectrum of fungal infections involving the orbit encountered in an Australian subtropical population with respect to presentation, host risk factors, involved pathogens, treatment and outcomes. |
| Methods | A retrospective chart review was performed on all patients with orbital mycosis treated by the senior author (TJS) from 1986 to 2017 in a tertiary setting. |
| Results | A total of 29 cases of fungal infection involving the orbit were included in the study. Of these, 25 patients had invasive disease and 4 patients had non-invasive disease. Causative organisms included mucormycosis (16), Aspergillus (7), and other fungi (7). Common risk factors included haematological disorders or malignancy, neutropenia, corticosteroid use and diabetes mellitus. Mucormycosis in three immunocompetent patients was caused by Apophysomyces elegans. Orbital apex syndrome was observed in approximately one third of patients at initial ophthalmological assessment. Amphotericin B was used in most cases of mucormycosis, while there was a more varied spectrum of antifungal use in other fungal infections. Seven patients with mucormycosis proceeded to orbital exenteration with a survival rate of 43%. No patients with other orbital fungal infections were exenterated. |
| Conclusion | Orbital mycoses are not only opportunistic but true pathogenic infections. While initial symptoms may be varied, the development of orbital apex syndrome should raise suspicion for this condition, regardless of patient immune status or age. Survival and visual outcomes are often poor with invasive disease. Multidisciplinary team management with early orbital specialist involvement is essential. |
