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 | UK Prospective National Surveillance of the incidence of Emergency Canthotomy & Cantholysis |
| Submitted by | Jonathan Roos |
| Abstract ID | 18-184 |
| Review Result | rapid fire presentation |
| Abstract Number | 210 |
| Purpose | Acute orbital compartment syndrome is a potentially treatable cause of vision loss. Our prospective, national study sought to quantify the annual incidence of emergency lateral canthotomy and cantholysis (ELCC) & establish the presentation, aetiology and outcome following ELCC. |
| Methods | All UK consultant and associate specialist ophthalmologists were asked to report patients who had an ELCC performed over a 12 month period from April 2016 until March 2017. Cases were collected using the established British Ophthalmological Surveillance Unit reporting system Further demographic & clinical data were collected via questionnaire including one year follow up data. |
| Results | 53 confirmed cases were reported giving a UK population incidence of approximately 0.8 per million. Trauma was the most common antecedent (64%). Other causes included elective surgery, infection, neoplasm, orbital steroid injections & anticoagulation. Presenting signs included pain (29%), proptosis (32%), vision loss (32%) and raised intraocular pressure (36%). Only 26% of cases had an RAPD recorded. Surprisingly, CT imaging was performed in 50% of patients prior to ELCC – only 30% were treated within 2 hours of symptom onset. Outcomes suggest that 48% of patients gained at least one line of vision within one week of undergoing ELCC, with 60% of patients demonstrating visual improvement at last follow-up. |
| Conclusion | This study establishes a robust estimated population incidence for orbital compartment syndrome treated by emergency canthotomy and cantholysis. Although treatment can be rapid, for many patients there is a significant delay. This may, in part, be due to the reliance on imaging for what should be a clinical diagnosis. |
