Pearls and

pitfalls in

KPro surger y

Program

11 t h KPRO STU DY G RO UP M EET ING

C u a t re c a s a s a u d i to r i u m , A v. D i a g o n a l 1 9 1 , B a r c e l o n a

June 15th, 2018

BARCELONA

Pearls and pitfalls in K P r o s u r g e r y. June 15, 2018 Morning session Afternoon session

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8:30 am – 12:55 pm 2 pm – 7 pm

11th Kpro Study Group Meeting

D ea r c o l l ea gues , I t is w it h g re a t p rid e a n d j oy t h a t we we l co me yo u to t he 1 1 th K P ro S t ud y G ro up me e t in g in t h e mo d e rn ist cit y o f Ba rc elona . I t is t h e first t ime t h a t t h is me e t in g is o rg a n iz e d by t h e Ba rra q ue r E ye C e n te r a n d t h e first t ime to b e h e l d in Sp a in. Th e a im o f t h e me e t in g is to te a ch b e g in n in g o r a sp iring KPro surg e o n s o n h ow to ma ke in sig h t f ul d e cisio n ma kin g on w hen a n d w h e n n o t to d o K P ro surg e r y, to w ise l y ch o o se w h i ch k ind o f KP ro fo r in d iv id ua l ca se s, a n d to e ffe ct ive l y ma n a g e a s well a s p reve n t p o ssib l e co mp l ica t io n s. A n o t h e r a im is fo r ex p er t surg e o n s to imp a r t t h e ir l o n g - te rm ex p e rie n ce. We h ave ha d a n ove rw h e l min g re sp o n se f ro m mo re t h a n 1 6 co un t ries a nd p re se n ta t io n s a re o f h ig h scie n t ific l eve l . We h o p e t h a t yo u e n j oy t h e p ro g ra m, re n ew o l d t ie s a n d ma ke n ew a cq ua in ta n ce s. Bie nve n id o s!

M a r Ă­ a D e l a Pa z M D, P h D a n d V i c to r C h a ro en ro o k M D, PhD Lo ca l O rg a n iz e rs 1 1 th K P ro S tud y G ro up M eeti n g C e n t ro d e O f ta l mo l o g Ă­a Ba rra q ue r Ba rce l o n a , S p a in

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Sponsored by:

Program

1 1 t h Kp ro S tud y Group Meet i n g

MORNING SESSIONS 8 : 3 0

Pick u p o f b adg e s

8 : 4 5

O p e n in g R e m ar k s

PR OGRAM

re f. p. 8:50

1

10

1 .1

Ep ide m io lo g ic al st u die s a n d up d a tes o n p res en t K P ro s – Jo se d e l a C ruz M D Mode rator s: Mar ia de la Paz , Jos e de la Cruz, Chris topher Liu

1 1 O s teokeratop ros th es i s U sing T ib ial B one: Surg ic al Technique and Out c omes

V ic tor Charoe nrook 1 .2

1 2 O O K P a n d Ti bi a - K P : O utcome and clinic al details

Ge rd Ge r ling D isc ussion 9:30

2

13

2 .1

I nv ite d Sp e ake r : Me so p lan ts : w h ere a re we h ea d ed fo r ? – Je a n M a rie Pa re l P h D, FA RVO Mode rator s: Bor j a Salvador, Je an M arie Parel, Konrad Hille

1 4 Sh or t- Ter m Cl i n i cal an d H istopat holog ic al Result s of a Novel Ar t ific ial Cor nea

Ese n Akpe k 2 .2

15

2 .3

16

I n tra ocul a r L i gh t Sca tter in Eyes wit h B oston Type 1 Keratoprost hesis Far r is I Karas Wor k - i n - p rogres s : A n ew pre-Desc emet 's flex ib le t itanium keratoprost hesis

Ele fthe r ios Paschalis 2 .4 1 7 Lon g Ter m R es ul ts of a Fo ldab le Non-Penet rat ing Ar t ific ial Cor nea for Trea tm en t of N on - I n fl am mator y Cor neal B lindness Yichie h Shiuey D isc ussion 1 0 : 2 5 10:45 3

18

CO F F E E BREAK · C om p le m e n ta r y a t th e m e e ti n g ve nu e ·

Invited Speaker: When and Which KPro? – Christopher Liu MD, OBE FRCOphth FRCSEd FRCP CertLRS Mode rator s: V ic tor Charoe nroo k , Chris topher Liu, Geet ha Iyer

3 .1 1 9 Com p ar i s on of l on g- ter m result s b et ween osteo-odonto-keratoprost hesis and ti bi al bon e kera top ros th esis Ralph Michae l

3 .2

2 0 A com p ar i s on of l on g- ter m anatomic al sur v ival of OOKP, T iia-KPro and B oston

Konrad Hille 3 .3 2 1 O s teo- odon to, Ti bi a l bon e and B oston keratoprost hesis in anatomic ally c omparab le ca s es of ch em i ca l bur n and autoimmune disease

Mar ia D e la Paz

D isc ussion 1 1 : 3 0 4

22

4 .1

I nv ite d Sp e ake r : KPro s in p ed i a tr i c c a s es – Ka t h r y n C o l by M D, P h D Mode rator s: Mar ia de la Paz , Kat hr yn Colby, Giovanni Falcinelli

2 3 I n fan t a n d Ch i l dren K P ro

Jame s Aquave lla D isc ussion 1 2 : 0 0 5

23

Invited Speaker: The Boston KPro alternatives for end-stage corneal blindness – James Chodosh MD, MPH Mode rator s: Bor j a Salvador, James Chodos h, Jaime E t xebarria

5 .1 2 4 Prol on gi n g Bos ton typ e I Keratoprost hesis Retent ion in Steven's Johnson's Syndrome: th e P h i l i p p i n e E xp er i en ce

5 .2

25

Ming uita Padilla Cros s l i n k i n g of K Pro Cor neal Car r ier Donor T issue to Prevent Keratolysis

Jose ph Ciolino 5 .3 2 6 Prel i m i n ar y res ul ts of th e mult ic enter P3KPro st udy: “Keratoprost hesis as pr imar y p en etrati n g p rocedure” Andre a C. Ar te ag a D isc ussion

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1 1 t h Kp ro S tud y Group Meet i n g

EVENING SESSIONS

PR OGRAM

re f. p. 1 2 : 4 5

27

Me m o r ial L e c t u re : Pro fe ss o r Jo a q ui n B a r ra q uer – E l e n a Ba rra que r M D

1 2 : 5 5 - 1 4 :0 0

1 4 : 0 0 6

28

6 .1

L U N CH B REAK · C o m p le m e n ta r y a t th e m e e ti n g ve nu e ·

I nv ite d Sp e ake r : Preve n t io n a n d m a n a gem en t o f K P ro c o m p l i c a ti o n s – G e e t h a I yer MD Mode rator s: V ictor Charoe nroo k , Geet ha Iyer, Chris topher Liu

2 8 Al ter n a ti ve L am i n a cover ing in MOOKP

Giovanni Falcine lli 6.2 2 9 D i l ute PV P- I An ti - Bi ofi l m A c t iv it y: Could T his B e a Long -Ter m Prophylac t ic Ag ent in t he Setti n g O f Keratop ros th esis? Je sse Pe lle tie r 6.3 3 0 O utcom es of s urgi cal reconst r uc t ive techniques for c or neal nec rosis repair in B oston Keratop ros th es i s typ e 1 Car los Fe r nánde z - Ve g a 6.4 3 1 D rop p ed P i n tucci K Pro manag ement Qure sh Maskati D iscussion 14:55 7

31

Invited Speaker: Glaucoma and KPro: how to approach the dilemma – Mona Dagher MD, FRCSC Mode rator s: Mar ía de la Paz , M ona Dagher, Jos e De la Cruz

7.1 32

Preven ti on of gl a ucom a after KPro surg er y – t he role of inflammator y cytokines an d th ei r i n h i bi tors

Clae s D ohlman 7.2 3 3 The novo glaucoma in Boston keratoprosthesis type 1: patient characteristics and outcomes Andre a C. Ar te ag a D isc ussion 1 5 : 4 0 8

34

I nv ite d Sp e ake r : R e t ina an d K P ro : s urgi c a l tech n i q ues – Je ro n i N a d a l M D, P h D Mode rator s: Bor j a Salvador, Je roni N adal, Giovanni Falcinelli

8.1 3 5 Mul ti m odal I m a gi n g of Po ster ior seg ment - T he way for ward Rishi Ekta D isc ussion 16:05 9

36

Invited Speaker: Visual loss thru time: why and how? – Rafael I. Barraquer MD, PhD Mode rator s: V ictor Charoe nroo k, Claes Dohlman, M ona Dagher

D isc ussion 16:20 10

36

Invited Speaker: Struggling with the KPro, a rookie´s point of view – Mohammed Baghat MD Mode rator s: Mar ia de la Paz , M ohammed B aghat , E s en A k pek

10.1 3 7 Th e crea ti on a n d curren t stat us of t he nat ional OOKP Cent re in Japan Masahiko F ukuda D isc ussion 1 6 : 4 0

1 7 : 0 0

CO F F E E B REAK · C om p le m e n ta r y a t th e m e e ti n g ve nu e ·

Me m o r ial le c t u re – Pro f. Fa l c i n el l i - G iova n n i Fa l cin e l l i, M D

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1 1 t h Kp ro S tud y Group Meet i n g

EVENING SESSIONS

PR OGRAM

re f. p. 1 7 : 1 5 1 1

37

1 1 .1

V ide o sy m p o siu m 3- minute vide o pre se ntations wit h dis cus s ion by exper t Panel: M aria Fideliz de la Paz, Jos e d e l a C ru z , Jame s Chodosh, Ge e tha I ye r, Giovanni Falcinelli, Konrad Hille, R afael B arraquer

3 7 D er m al Fa t gra ft for extr uded T ib ial b one KPro

1 1 .2

Laura Fe r nande z de l Cotero

3 8 Surgical reconstructive techniques for corneal necrosis repair in Boston Keratoprosthesis

Bor j a Salvador- Culla 1 1 .3

3 9 Modi fi ed Bos ton Typ e I Keratoprost hesis Surg er y in Severe Oc ular Sur fac e Disease

Cannan A Utine 1 1 .4 4 0 Ocular Fornix Reconstruction prior to Combined Boston Keratoprosthesis and Glaucoma D rai n age I m p l a n t Surger y Thasarat Vaj aranant 1 1 .5

4 1 Dealing with sterile keratolysis: Glue, AMT, horse collar keratoplasty? None of them? All of them?

1 1 .6

He r nán Mar tíne z O sor io

4 1 How to m a n age th e back-plate ex posure of B oston KPro

Pinnita Tanthuvanit Prab has awat 1 1 .7

42

Th e fi rs t os teo- odon to- keratoprost hesis in t he Philippines Jimmy Jar vis Ge ne C. Lo

1 0 .8 4 3 “Ay Ay AY I I I I R I s !!!” I r i s removal in B oston KPro

1 1 .9

Jose de la Cr uz

4 3 Bos ton Kera top ros th es i s Type 2: ex per ienc e and out c omes

Anna O r ive 18:05 12

44

1 2 .1

“A sk t he Exp e r t s Se ssio n ” Mode rator s: Clae s D ohlman, Chris topher Liu, Victor Charoenrook

44

Pr i m ar y Bos ton K Pro, w hy not ?

Ese n Akpe k MD

1 2 .2

4 5

1 2 .3

4 5

Wh en to recon s tr uct th e Oc ular Sur fac e and when to do KPro Jose Luis Güe ll MD, PhD D i fferen t fol k s , di fferen t s t rokes: rec onst r uc t ing techniques for ex t r uded KPros

Jaime Etxe b ar r ia MD

Trea tm en t Strategi es to fig ht c or neal b lindness: let ´s g ive KPro a b reak

1 2 .4

4 6

Guille r mo Ame sc ua MD 1 8 : 4 5

Prof. Jose Te mprano Ac e do ( Sp ain) – T ibia B one Keratopros t hes is

1 9 : 0 0

Prof. Clae s H. D ohlman ( USA) - B os ton Keratopros t hes is

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L ife t im e A chieve m e n t Awa rd s

C lo sing R e m ar k s

Jos e de l a C ruz M D

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Organizer Centro de OftalmologĂ­a Barraquer KPro Study Group Date June 15, 2018 Venue Cuatrecasas Auditorium Av. Diagonal 191, Barcelona

1 1 th K PRO STUDY GR O U P M E E T IN G

Barraquer Institute Laforja 88, 08021 Barcelona TEL. (+34) 934 146 798 instituto@barraquer.com www.barraquer.com

S p o nsored by: