Program

         COURSE LOCATION:

                                                    School of Medicine, University of Zagreb
                                                    Address: 10 000 ZAGREB Salata 3, http://ww

COURSE TOPICS

BASICS:

Physics, Instrumentation, Standardization, State of the Art in Software, Automation

Examination Techniques:

Standardized A-scan < posterior & anterior eye segments, orbit & periorbital region >

B-scan (10 MHz, 20 MHz) < posterior & anterior eye segments, anterior orbit >
(50 MHz) < anterior eye segment >

                         BIOMETRY for Intra-ocular Lens Calculations
                                high-precision axial eye length measurements comparable to the precision of the IOL Master

DIFFERENTIAL DIAGNOSIS, Measurements and MANAGEMENT of:

1) INTRAOCULAR LESIONS

                       Vitreous Conditions:
                                       vitreous detachments (posterior, anterior), vitreo-schisis, adhesions, (sub) vitreal hemorrhages,
                                 posterior hyphemas, fibro-vascular membranes, asteroid hyalosis, foreign body tracts, inflammatory
                                 infiltrations, abscesses, luxated lens

                    Retinal Diseases:
                                          retinal detachments (rhegmatogenous, exudative, hemorrhagic, tractional), breaks, opercula,
                                 disinsertions, folds, cysts, retinoschisis, disciform lesions (dry, exudative, hemorrhagic), cystoid
                                          macula degeneration, edema, macular holes, Berlin's edema, tumors, automated - A₁:differentiation of
                                  retinal detachments from dense fibro-vascular membranes

                     Choroidal Diseases:
                                         detachments (exudative, hemorrhagic, kissing), folds, thickening (hyperemia, infiltration,
                                  calcifications, tumors

Trauma and Foreign Bodies

Inflammation / Endophthalmitis (early diagnosis)

                       Malignant Melanomas and Pseudo-melanomas:
                                    (elevated choroidal nevi, melanocytomas, metastatic carcinomas, choroidal hemangiomas,
                                     lymphomas, osteomas, etc.)

                        Retinoblastomas and Pseudo-gliomas (Leukokoria):
                                     PHPV, Coats' disease, endophthalmitis, ROP, toxocariasis, tuberous sclerosis, retinal dysplasia

Diseases of Ocular Wall :
staphylomas, colobomas, scleritis (anterior, posterior), panophthalmitis, phthisis

                        Lesions of Anterior Eye Segment:
                                     corneal conditions, synechiae, subluxated lenses, iris tumors, flat chamber, hyphaemas,
                                     glaucomatous changes, and many other conditions affecting the anterior eye segment

2) ORBITAL and PERIORBITAL LESIONS

Inflammation:
orbital cellulitis, sinusitis, orbital abscesses

Trauma and Foreign Bodies:
emphysema, sub-periosteal hematomas

                     Tumors:
                                    lymphomas, pseudolymphomas, metastatic carcinomas, adenoid-cystic carcinomas, cavernous
                                    hemangiomas (adult), infantile hemangiomas, rhabdomyosarcomas, benign mixed tumors of the
                                    lacrimal glands, cysts (dermoid cysts, serous cysts), muco- (pyo-) celes,sarcomas of orbital
                                    bones, meningiomas, carcinoid metastases,congenital dacryoceles, hematomas, etc.

                        Diseases of Extraocular Muscles, e.g.:
                                     Graves' Orbitopathy (diagnosis, measurement of muscle index, detection of optic nerve
                                                                                                                                        compression, management)
                                     myositis, tumors, pareses

                     Diseases of the Optic Nerve, e.g.:
                                      Optic Neuritis, Optic Atrophy, Tumors (gliomas, meningiomas, lymphomas, carcinosis, leucemic
                                      infiltrates), papilledema vs. papillitis, optic disc drusen, colobomas, optic nerve compression,
                                      Increased intra-cranial pressure (IIH, Tumors)

Diseases of Periorbital Sinuses:
sinusitis, tumors (carcinomas, sarcomas, muco(pyo)celes)

Clinical Value of Standardized Orbital Echography

Standardized Echography versus CT / MRI / MRA

        PROGRAM
                   Lectures 1-18 : systematic presentation of the Course Topics
                   Presentations A - I: special topics & reviews relating to the Course Topics
                   Discussions and Questions & Answers during the Lectures and Presentations

Wednesday, September 29, 2009

                   9:15                Registration
                   9:45                Welcome and Introduction
                   9:55                Lecture 1
                 10:55                Break
                 11:10                Lecture 2
                 12:10                Coffee Break
                 12:30                Lecture 3
                 13:30                Lunch
                 15:00                Lecture 4
                 16:00                Break
                 16:10                Lecture 5
                 17:10                Coffee Break
                 17:25 – 18:25    Lecture 6

Thursday, September 30

                   9:00                Lecture 7
                 10:00                Break
                 10:10                Lecture 8
                 11:10                Coffee Break
                 11:30                Lecture 9
                 12:30                Break
                 12:40                Presentation A
                 13:30                Lunch
                 15:00                Presentation B
                 15:50                Break
                 16:00                Presentation C
                 16:50                Coffee Break
                 17:10 - 18:10     Lecture 10

Friday, October 1

                   9:00                Lecture 11
                 10:00                Break
                 10:10                Lecture 12
                 11:10                Coffee Break
                 11:30                Lecture 13
                 12:30                Break
                 12:40                Presentation D
                 13:30                Lunch
                 15:00                Presentation E
                 15:50                Break
                 16:00                Presentation F
                 16:50                Coffee Break
                 17:10 - 18:10     Lecture 14

Saturday, October 2

                   9:00                Lecture 15
                 10:00                Break
                 10:10                Lecture 16
                 11:10                Coffee Break
                 11:30                Lecture 17
                 12:30                Break
                 12:40                Presentation G
                 13:30                Lunch
                 15:00                Presentation H
                 15:50                Break
                 16:00                Presentation I
                 16:50                Coffee Break
                 17:10 - 18:10     Lecture 18
                 20:00                COURSE DINNER

COURSE INSTRUMENTS:

                 1. Cine-Scan S (Quantel Medical, France), newest fully standardized, digital A & B scan
    instrument with analog screen display and digital processing, complete with cine-loops,
    sensitivity (gain) adjustments of frozen images, and newest software allowing for various
    automated settings (e.g., measurements, quantitative results, angle kappa) and automated
    diagnoses (e.g., retinal detachments, membranes).

   Standardized A-scans for (differential) diagnosis and biometry of anterior and posterior
                                                                                                      eye segments and entire orbit
             Standardized B-scans for topographic guidance and some measurements; low- frequency
      (10 MHz) & high-frequency (20 MHz) for diagnosis of anterior and posterior eye segments and
      anterior orbit

2. Aviso S (Quantel Medical, France), the latest and most advanced A-scan and
B-scan instrument (including anterior segement Ultrasound Biometry using 50 MHz frequency) for
(new software, all digitized)