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MEDITERRANEAN<br />

SOCIETY<br />

OF OPHTHALMOLOGY<br />

SOCIÉTÉ MÉDITERRANÉENNE<br />

D'OPHTALMOLOGIE<br />

SOCIETÀ<br />

MEDITERRANEA<br />

DI OFTALMOLOGIA<br />

UNIVERSITY<br />

OF ROME<br />

“ TOR VERGATA “<br />

ROME<br />

12<br />

9 th <strong>CONGRESS</strong> <strong>of</strong> <strong>the</strong><br />

th – 14<br />

April 2007<br />

th<br />

MEDITERRANEAN SOCIETY<br />

OF OPHTHALMOLOGY<br />

Congress Venue: Protomoteca Hall- campidoglio<br />

Scientific Secretariat<br />

Dott. F. RICCI<br />

Dott. C. NUCCI<br />

Chair <strong>of</strong> Ophthalmology<br />

Policlinico Tor Vergata<br />

e-mail: luciano.cerulli@ptvonline.it<br />

Organizing Secretariat<br />

Via Lucilio, 60 - 00136 Rome<br />

Tel. + 39.06.355301<br />

Fax +39.06.35530268<br />

e-mail: mediterranean2007@gruppotriumph.it<br />

ophthalmology<br />

HONORARY PRESIDENT<br />

OF THE <strong>CONGRESS</strong><br />

Pr<strong>of</strong>. G. SCUDERI<br />

PRESIDENT<br />

OF MEDITERRANEAN<br />

SOCIETY OF<br />

OPHTHALMOLOGY<br />

Pr<strong>of</strong>. L. ATMACA<br />

10 ECM CREDITS<br />

PRESIDENT<br />

OF THE <strong>CONGRESS</strong><br />

Pr<strong>of</strong>. L. CERULLI


PRESIDENTIAL ADDRESS<br />

The Mediterranean Society <strong>of</strong> Ophthalmology has always been a meeting<br />

point for eminent ophthalmologists with different backgrounds and diverse<br />

historical and cultural roots. In <strong>the</strong> spirit <strong>of</strong> friendship and collaboration that is traditional<br />

in this Society, I am pleased and honored to welcome all <strong>of</strong> you – speakers<br />

and participants alike – to <strong>the</strong> historical city <strong>of</strong> Rome, which has been famed for<br />

centuries as a cross-roads for different civilizations and cultures.<br />

The topics we will be analyzing during this meeting are related to <strong>the</strong> principal causes<br />

<strong>of</strong> blindness and low vision in <strong>the</strong> world, and while <strong>the</strong> presentations we will be<br />

hearing will undoubtedly increase our knowledge, our hope is that <strong>the</strong>y will also<br />

allow us to provide our patients with better, more effective healthcare, including<br />

<strong>the</strong> human support that is such an integral part <strong>of</strong> healing.<br />

My special thanks to <strong>the</strong> speakers who have so generously agreed to share <strong>the</strong>ir<br />

experiences with us. Some have travelled long distances to be with us today. We<br />

are also grateful for <strong>the</strong> generosity <strong>of</strong> our sponsors, who – in spite <strong>of</strong> <strong>the</strong> difficult<br />

times – have contributed so generously toward <strong>the</strong> realization <strong>of</strong> this Congress.<br />

With spring in <strong>the</strong> air, Rome is at its loveliest, and I hope all <strong>of</strong> you will enjoy your<br />

stays here in <strong>the</strong> heart <strong>of</strong> <strong>the</strong> Eternal City.<br />

With best wishes,<br />

Pr<strong>of</strong>. Luciano Cerulli<br />

1


MEDITERRANEAN SOCIETY OF OPHTHALMOLOGY<br />

PROGRAM<br />

THURSDAY 12 TH APRIL 2007<br />

Main Room<br />

15,00 – 17,00 Meeting <strong>of</strong> <strong>the</strong> Board - Mediterranean Society <strong>of</strong> Ophthalmology<br />

17,00 – 18,00 Opening ceremony<br />

18,00 – 18,30 AWARD LECTURE – Uveitis in <strong>the</strong> Mediterranean area: Behçet’s Disease<br />

L. Atmaca (Turkey)<br />

18,30 – 19,00 AWARD LECTURE – Recent <strong>the</strong>rapeutic strategies and follow up for exudative acquired<br />

macular degeneration<br />

G. Coscas (France)<br />

19,00 Visit to “Capitolini” Museum<br />

20,00 Welcome cocktail at <strong>the</strong> “Caffarelli” Terrace<br />

FRIDAY 13 TH APRIL 2007<br />

Main Room<br />

08,30 – 09,30 GLAUCOMA: UPDATE ON THERAPY<br />

Moderators: M.G. Bucci, D. Ben Ezra<br />

08,30 – 08,45 Medical Treatment: <strong>the</strong> issues from <strong>the</strong> European Glaucoma Society C. Sborgia (Italy)<br />

08,45 – 09,00 Modern Aqueous Shunt Implantation – Future Challenges K. Barton (U.K.)<br />

09,00 – 09,10 Selective laser trabeculoplasty G.L. Scuderi (Italy)<br />

09,10 – 09,20 Improving results <strong>of</strong> glaucoma surgery R. Carassa (Italy)<br />

09,20 – 09,30 Management <strong>of</strong> failing blebs after filtering surgery A. Ouertani (Tunisia)<br />

09,30 – 10,30 GLAUCOMA: UPDATE ON DIAGNOSIS<br />

Moderators: A. Ouertani, C. Sborgia<br />

09,30 – 09,45 Glaucoma risk factors documented in clinical trials G. Manni (Italy)<br />

09,45 – 10,00 Early diagnosis in glaucoma K. Andac (Turkey)<br />

10,00 – 10,15 Monitoring glaucoma progression P. Brusini (Italy)<br />

10,15 – 10,30 Pediatric cataract and glaucoma D. Ben Ezra (Israel)<br />

10,30 – 11,00 COFFEE BREAK<br />

11,00 – 12,15 NEUROPROTECTION: THE MECHANISMS OF NEURONAL DAMAGE IN GLAUCOMA<br />

Scientifically supported by <strong>the</strong> Neuroprotection Interdisciplinary Group<br />

Moderators: G. Bagetta, N.N. Osborne<br />

11,00 – 11,15 Retinal ischemia induces retinal ganglion cell (RGC) loss and alters retrograde and<br />

orthograde axonal transport in surviving RGCs: neuroprotective effects <strong>of</strong> alpha-2<br />

adrenergic agonists<br />

M. Vidal Sanz (Spain)<br />

11,15 – 11,30 Oxidative stress and retinal ganglion cell death in glaucoma N.N. Osborne (UK)<br />

11,30 – 11,45 The role <strong>of</strong> <strong>the</strong> excitotoxic cascade M.F. Cordeiro (UK)<br />

11,45 – 12,00 The role <strong>of</strong> <strong>the</strong> immune system M. Schwartz (Israel)<br />

12,00 – 12,15 Involvment <strong>of</strong> <strong>the</strong> endocannabinoid system in retinal ganglion cell death:<br />

implications for neuroprotection in glaucoma<br />

C. Nucci (Italy)<br />

FRIDAY 13 TH APRIL 2007<br />

Main Room<br />

12,20 – 13,00 NEUROPROTECTION: THE AVAILABLE TREATMENT<br />

Scientifically supported by <strong>the</strong> Neuroprotection Interdisciplinary Group<br />

Moderators: G. Carella, M.F. Cordeiro<br />

12,20 – 12,30 Citicoline V. Parisi (Italy)<br />

12,30 – 12,40 Memantine S. Gandolfi (Italy)<br />

12,40 – 12,50 Neurochemical and neuropathological features <strong>of</strong> retinal<br />

excitotoxicity associated with experimental glaucoma<br />

is minimized by Coenzyme Q10<br />

R. Russo (Italy)<br />

12,50 – 13,00 Epigallocatechin gallate M. Vetrugno (Italy)<br />

13,00 – 13,30 Discussion<br />

13,30 – 14,30 LUNCH<br />

14,30 – 16,00 UPDATE ON TREATMENT OF DIABETIC RETINOPATHY<br />

AND VENOUS OCCLUSIVE DISEASE<br />

Moderators: G. Coscas, B. Lumbroso<br />

14,30 – 14,40 Is laser treatment <strong>of</strong> diabetic macular oedema still indicated R. Brancato (Italy)<br />

14,40 – 14,50 Combined <strong>the</strong>rapy: laser and IVTA in CSME L. Atmaca (Turkey)<br />

14,50 – 15,00 Intra-vitreal steroids in <strong>the</strong> treatment <strong>of</strong> diabetic retinopathy :<br />

only a symptomatic <strong>the</strong>rapy<br />

15,00 – 15,10 Juxtascleral posterior infusion <strong>of</strong> a modified formulation<br />

<strong>of</strong> triamcinolone acetonide for <strong>the</strong> treatment<br />

<strong>of</strong> diabetic macular oedema<br />

J. Jonas (Germany)<br />

P. Lanzetta (Italy)<br />

15,10 – 15,20 VEGF inhibitors in <strong>the</strong> treatment <strong>of</strong> CSME U. Introini (Italy)<br />

15,20 – 15,30 Combined <strong>the</strong>rapy: laser and IVTA in PDR F. Bandello (Italy)<br />

15,30 – 15,40 VEGF inhibitors in <strong>the</strong> treatment <strong>of</strong> PDR A. Pece (Italy)<br />

15,40 – 15,50 VEGF inhibitors in <strong>the</strong> <strong>the</strong>rapy <strong>of</strong> macular oedema secondary<br />

to venous occlusive disease.<br />

15,50 – 16,00 May IVTA enhance <strong>the</strong> outcome <strong>of</strong> <strong>the</strong> surgical<br />

treatment <strong>of</strong> diffuse DME<br />

16,00 – 16,30 COFFEE BREAK<br />

G. Staurenghi (Italy)<br />

G. Lesnoni; L. Colecchia (Italy)<br />

16,30 – 17,40 UPDATE ON PHARMACOLOGICAL THERAPY <strong>of</strong> Macular Diseases /<br />

CNV / Chronic Epi<strong>the</strong>liopathy / Inflammatory disease (I)<br />

Moderators: J. Jonas, F. Bandello<br />

16,30 – 16,40 The actual role <strong>of</strong> PDT-V in <strong>the</strong> treatment <strong>of</strong> WET AMD M. Varano (Italy)<br />

16,40 – 16,50 Pegaptanib (Macugen) in <strong>the</strong> treatment <strong>of</strong> WET AMD U. Introini (Italy)<br />

16,50 – 17,00 Ranibizumab (Lucentis) in <strong>the</strong> treatment <strong>of</strong> WET AMD U. Menchini (Italy)<br />

17,00 – 17,10 Is <strong>the</strong>re room for Bevacizumab (Avastin)<br />

in <strong>the</strong> treatment <strong>of</strong> Wet AMD<br />

A. Giovannini (Italy)<br />

2<br />

3


MEDITERRANEAN SOCIETY OF OPHTHALMOLOGY<br />

PROGRAM<br />

FRIDAY 13 TH APRIL 2007<br />

Main Room<br />

17,10 – 17,20 Combined <strong>the</strong>rapy: intravitreal triamcinolone and photodynamic <strong>the</strong>rapy<br />

for <strong>the</strong> treatment <strong>of</strong> choroidal neovascularization<br />

in age-related macular degeneration<br />

J. Jonas (Germany)<br />

17,20 – 17,30 Combined <strong>the</strong>rapy: intravitreal ranibizumab (lucentis) and PDT-V for <strong>the</strong> treatment <strong>of</strong> choroidal<br />

neovascularization in age-related macular degeneration<br />

M. Tsilimbaris (Greece)<br />

17,30 – 17,40 Combined <strong>the</strong>rapy: triple <strong>the</strong>rapy A. Augustin (Germany)<br />

17,40 – 18,55 UPDATE ON PHARMACOLOGICAL THERAPY <strong>of</strong> Macular Diseases /<br />

CNV / Chronic Epi<strong>the</strong>liopathy / Inflammatory disease (II)<br />

Moderators: R. Brancato, U. Menchini<br />

17,40 – 17,50 RAP and age related maculopathy R. Axer Siegel (Israel)<br />

17,50 – 18,00 Therapeutic options in <strong>the</strong> management <strong>of</strong> RAP F. Bottoni (Italy)<br />

18,00 – 18,10 Therapeutic options for CNV secondary to inflammatory<br />

chorioretinal disease<br />

18,10 – 18,20 Polypoidal choroidal vasculopathy: angiographic<br />

characterization and <strong>the</strong>rapeutic options.<br />

M. Battaglia Parodi (Italy)<br />

S. Piermarocchi (Italy)<br />

18,20 – 18,35 Cost-benefits ratio <strong>of</strong> actual and ongoing <strong>the</strong>rapies <strong>of</strong> AMD G. Virgili (Italy)<br />

18,35– 18,45 Therapeutic options for diffuse retinal pigment epi<strong>the</strong>liopathy<br />

and chronic central serous chorioretinopathy<br />

F. Cardillo Piccolino (Italy)<br />

18,45– 18,55 The white dots syndromes: differential diagnoses and <strong>the</strong>rapy D. Ben Ezra (Israel)<br />

19,00 – 19,30 Test for Continuing Medical Education<br />

08,30 – 13,00 RETINA COURSES<br />

Courses in Room A<br />

08,30 – 10,30 BASIC DIAGNOSTIC PROCEDURES IN AMD PATIENTS<br />

Moderators: A. Pece, U. Introini, F. Ricci<br />

08,30 – 08,45 Kinetic confocal angiography with HRA2 G. Fasolino (Italy)<br />

08,45 – 09,00 HRA2 : <strong>the</strong> ART <strong>of</strong> angiography F. Ricci (Italy)<br />

09,00 – 09,15 Spectralis HRA+OCT<br />

Simultaneous Spectral Domain OCT and Angiography<br />

G. Staurenghi (Italy)<br />

09,15 – 09,30 Abnormal Fundus Aut<strong>of</strong>luorescence in AMD Patients A. M. Minnella (Italy)<br />

09,30 – 09,45 OCT in diagnosis and follow-up <strong>of</strong> AMD B. Lumbroso (Italy)<br />

09,45 – 10,00 Microperimetry in AMD M. Cesareo (Italy)<br />

10,00 – 10,15 Exudative age-related macular degeneration and submacular<br />

hemorrhage: <strong>the</strong> role <strong>of</strong> <strong>the</strong> echography<br />

10,15 - 10,30 Correlation between microperimetry and optical coherence<br />

tomography findings<br />

10,30 – 11,00 COFFEE BREAK<br />

C. Tamburelli (Italy)<br />

E. Midena (Italy)<br />

FRIDAY 13 TH APRIL 2007<br />

Courses in Room A<br />

11,00 – 12,45 ACTUAL AND ONGOING THERAPIES OF AMD<br />

Moderators: E. Midena, G. Staurenghi, C. Tamburelli<br />

11,00 – 11,15 Indications for PDT-V V. Gasparri (Italy)<br />

11,15 – 11,30 Indications for VEGF inhibitors U. Introini (Italy)<br />

11,30 – 11,45 Combined <strong>the</strong>rapy : rationale and timing A. Pece (Italy)<br />

11,45 – 12,00 How to perform an intravitreal <strong>the</strong>rapy F. Ricci (Italy)<br />

12,00 – 12,15 Management <strong>of</strong> <strong>the</strong> infective complications A. Cusumano (Italy)<br />

12,15 – 13,00 Clinical cases panel<br />

13,00 – 13,30 Discussion<br />

13,30 – 14,30 LUNCH<br />

14,30 – 17,00 GLAUCOMA COURSE<br />

MORPHOLOGICAL AND FUNCTIONAL MONITORING IN GLAUCOMA<br />

Moderators: S. Gandolfi, G.L. Scuderi<br />

14,30 – 14,45 Qualitative evaluation <strong>of</strong> <strong>the</strong> optic nerve head M.G. Uva (Italy)<br />

14,45 – 15,00 Standard automated perimetry M. Cesareo (Italy)<br />

15,00 – 15,15 Frequency doubling technology perimetry<br />

in <strong>the</strong> diagnosis <strong>of</strong> glaucoma<br />

P. Brusini (Italy)<br />

15,15 – 15,30 Blue-yellow perimetry L. Rossetti (Italy)<br />

15,30 – 15,45 Algorithms for monitoring progression A. Perdicchi (Italy)<br />

15,45 – 16,00 GDxvcc M. Cent<strong>of</strong>anti (Italy)<br />

16,00 – 16,15 HRT F. Oddone (Italy)<br />

16,15 – 16,30 OCT in glaucoma management M. Pagliara (Italy)<br />

16,30 – 16,45 Functional laser doppler flowmetry: physiological aspects<br />

and clinical applications<br />

16,45 – 17,00 Discussion<br />

SATURDAY 14 TH APRIL 2007<br />

Main Room<br />

B. Falsini (Italy)<br />

08,30 – 10,30 SYMPOSIUM: From <strong>the</strong> product concept to <strong>the</strong> pharmaceutical development<br />

Moderators: S.M. Recupero, A. Missiroli<br />

Physiopathology <strong>of</strong> corneal wound healing<br />

D. Giammaria (Italy)<br />

The current <strong>the</strong>rapeutical approach: pros, cons and needs<br />

M. Rolando (Italy)<br />

From <strong>the</strong> idea to <strong>the</strong> product<br />

M. G. Mazzone (Italy)<br />

Biopolimers and cellular signalling<br />

G. Milazzo (Italy)<br />

4<br />

5


MEDITERRANEAN SOCIETY OF OPHTHALMOLOGY<br />

PROGRAM<br />

SATURDAY 14 TH APRIL 2007<br />

10,30 – 11,00 COFFEE BREAK<br />

Main Room<br />

11,00 – 13,00 SYMPOSIUM: “CONTROVERSY IN THE SURGERY OF LACRIMAL SYSTEM ”<br />

Moderators: G. Boccassini, G. Bonavolontà<br />

11,00 – 11,15 Anatomy <strong>of</strong> <strong>the</strong> lacrimal apparatus A. Ducasse (France)<br />

11,15 – 11,30 The role <strong>of</strong> endoscopy in diagnosis and <strong>the</strong>rapy F. Bruno (France)<br />

11,30 – 11,45 New technique for lacrimal system intubation F. Serra (France)<br />

11,45 – 12,00 Lacrimal system and orbital diseases G. Bonavolontà (Italy)<br />

12,00 – 12,15 The injuries <strong>of</strong> <strong>the</strong> lacrimal apparatus J. Lagier (France)<br />

12,15 – 12,30 Traditional external dacryocystorhinostomy<br />

versus intranasal approaches<br />

12,30 – 13,00 Discussion<br />

13,00 – 14,00 LUNCH<br />

R. Mancino (Italy)<br />

14,00 – 16,00 OCULAR SURGERY: ANTERIOR SEGMENT - CORNEA<br />

Moderators: E. Balestrazzi, C. Balacco Gabrieli<br />

14,00 – 14,15 Amniotic membrane in eye surgery S. Ayed (France)<br />

14,15 – 14,30 Innovations in refractive surgery M. Kamoun (Tunisia)<br />

14,30 – 14,45 The treatment <strong>of</strong> pain after prk G. La Tegola (Italy)<br />

14,45 – 15,00 Advanced in corneal graft surgery V. Maurino (UK)<br />

15,00 – 15,15 Electrotransfer for prevention <strong>of</strong> graft rejection in complicated cases D. Ben Ezra (Israel)<br />

15,15 – 15,30 Cross linking in <strong>the</strong> <strong>the</strong>rapy <strong>of</strong> cheratoconus A. Caporossi (Italy)<br />

15,30 – 15,40 The <strong>the</strong>rapeutic use <strong>of</strong> steroid/antibiotic combinations in clinical<br />

and surgical ophthalmology.<br />

C. Bianchi (Italy)<br />

15,40- 16.00 Innovation in farmaco<strong>the</strong>rapy - new steroid/antibiotic combination:<br />

- formulative aspects;<br />

- pharmacokinetics and microbiological activity. M.G. Mazzone, A.R. Blanco (Italy)<br />

16,00 – 16,30 COFFEE BREAK<br />

16,30 – 18,30 ROUND TABLE ON OCULAR SURGERY: POSTERIOR SEGMENT<br />

Moderators: C. Villani, M. Nouri<br />

16,30 – 17,00 Award Lecture – Pathogenesis and treatment<br />

<strong>of</strong> macular hole in <strong>the</strong> high myopic eye<br />

M. Stirpe (Italy)<br />

17,00 – 17,15 Sutureless vitrectomy:23 and 25 gauge transconjunctival systems M. Oncel (Turkey)<br />

17,15 – 17,30 Advances in retinal detachment surgery M. Nouri (Algeria)<br />

17,30 – 17,45 Tractional retinal detachment in diabetic retinopathy R. Rekik (Tunisia)<br />

17,45 – 18,00 Heavy silicone oil in <strong>the</strong> treatment <strong>of</strong> complicated retinal detachment M. Oncel (Turkey)<br />

Room A<br />

08,30 – 10,30 Round Table on Prevention <strong>of</strong> Blindness, Low Vision, Visual Rehabilitation with<br />

support <strong>of</strong> italian section <strong>of</strong> IAPB.<br />

Session I<br />

■ PRESIDENT OF HONOUR: G. Castronovo (Italy)<br />

10,30 – 11,00 COFFEE BREAK<br />

■ CHAIRMAN: Prince Ahmed Abdulaziz (Saudi Arabia)<br />

■ CO CHAIR: A. Trabelsi (Tunisia), B. Lumbroso (Italy)<br />

■ SPEAKERS: L. Cerulli (Italy), A. Ouertani, S. Ayed, F. Hediah (Tunisia), A. Amar, Nouri,<br />

Timsiline (Algeria), C. Corbè (France), K. Zaghloul (Morocco), Rais (Morocco), Fituri<br />

(Lybia), C. SidiSidi (Maurwtania) A. Pece, R. Crouzet Barbati, P. Vadalà (Italy) S. (Mariotti<br />

WHO) O<strong>the</strong>r speakers, P. Iorio, C. Martinoli, M. Schmidt, E. Tedeschi, R. De Giuli<br />

11,00 – 12,00 Round Table on Prevention <strong>of</strong> Blindness, Low Vision, Visual Rehabilitation with<br />

support <strong>of</strong> italian section <strong>of</strong> IAPB.<br />

Session II<br />

■ PRESIDENT OF HONOUR: G. Castronovo (Italy).<br />

■ CHAIRMAN: Prince Ahmed Abdulaziz (Saudi Arabia)<br />

■ CO CHAIR: A. Trabelsi (Tunisia), B. Lumbroso (Italy).<br />

■ SPEAKERS: L. Cerulli (Italy), A. Ouertani, S. Ayed, F. Hediah (Tunisia), A. Amar, Nouri,<br />

Timsiline (Algeria), C. Corbè (France), K. Zaghloul (Morocco), Rais (Morocco), Fituri<br />

(Lybia), C. SidiSidi (Maurwtania) A. Pece, R. Crouzet Barbati, P. Vadalà (Italy) S. Mariotti<br />

(WHO) O<strong>the</strong>r speakers, P. Iorio, C. Martinoli, M. Schmidt<br />

12,00 – 13,00 Meeting <strong>of</strong> <strong>the</strong> Task force for Low Vision (West Mediterranean)<br />

■ PRESIDENT OF HONOUR: G. Castronovo (Italy)<br />

13,00 – 14,00 LUNCH<br />

■ CHAIRMAN: B. Lumbroso<br />

■ CO CHAIR: A. Trabelsi (Tunisia)<br />

■ GENERAL SECRETARY: L. Cerulli<br />

■ SCIENTIFIC COMMITTEE: A.Ouertani (Tunisia), C. Corbè (France)<br />

■ MEMBERS: S. Ayed (Tunisia), A. Ailem, Nouri, Timsiline (Algeria), K. Zaghloul, (Morocco),<br />

Fituri (Lybia), C. SidiSidi (Mauretania) A. Pece, R. Barbati Crouzet (Italy), P. Aragona, P.<br />

Vadalà (Italy)<br />

■ SECRETARIAT COMMITTEE: Rais (Morocco), F. Hediah (Tunisia), P. Vadalà (Italy)<br />

14,00 – 16,00 Course: The new OCTs<br />

Lumbroso B. (Italy)<br />

18,30 – 19,00 Test for Continuing Medical Education<br />

6<br />

7


MEDITERRANEAN SOCIETY OF OPHTHALMOLOGY<br />

PROGRAM<br />

SOCIETE MEDITERRANEENNE D’OPHTALMOLOGIE BOARD<br />

SPEAKERS AND MODERATORS<br />

INTERNATIONAL MEDITERRANEAN OPHTALMOLOGICAL SOCIETY BOARD<br />

President<br />

L. Amaca (Turkey)<br />

President elect L. Ceruli (Italy)<br />

Presidents <strong>of</strong> Honor G. Scuderi (Italy), G. Coscas (France)<br />

Past Presidents T. Daghfous (Tunisia), S. Ayed (Tunisia), D. Ben Ezra (Israel), J. Alio (Spain)<br />

Vice Presidents M.T. Nouri (Algeria), R. Brancato (Italy)<br />

General Secretary B. Lumbroso (Italy)<br />

Deputy Secretary L. Ceruli (Italy)<br />

Scientific Advisers D. Hartani (Algeria), M. Kamoun (Tunisia), A.L. Siam (Egypt), G. Soubrane<br />

(France), K. Zaghloul (Morocco)<br />

Board Members Aliem Amar (Algeria), A. Amraoui (Morocco), Akram S. Matter (Palestine<br />

Authority), C. Balacco Gabrieli (Italy), J. Barraquer (Spain), G. Bonavolontà (Italy),<br />

M. Djennas (Algeria), L. El Matri (Tunisia), B. Jovicevic (Yugoslavia), C. Kanawati<br />

(Palestine Authority), M. Khairallah (Tunisia), S. Latinovic (Yugoslavia), R.<br />

Mabrouk (Tunisia), Magid Ramadam (Palestine Authority), I. Milli Boussen<br />

(Tunisia), A. Ouertani (Tunisia), M. Rafi (Morocco), G.L. Scuderi (Italy), Suad El<br />

Fituri (Libya), G.P. Theodossiadis (Greece), M. Tiar (Algeria), P. Vadalà (Italy)<br />

H.P. Abdulaziz (Saudi Arabia)<br />

A. Ailem (Algeria)<br />

K. Andac (Turkey)<br />

P. Aragona (Italy)<br />

L. Atmaca (Turkey)<br />

A. Augustin (Germany)<br />

S. Ayed (Tunisia)<br />

G. Bagetta (Italy)<br />

C. Balacco Gabrieli (Italy)<br />

E. Balestrazzi (Italy)<br />

F. Bandello (Italy)<br />

R.C. Barbati (Italy)<br />

K. Barton (Uk)<br />

M. Battaglia Parodi (Italy)<br />

D. Ben Ezra (Israel)<br />

C. Bianchi (Italy)<br />

A.R. Blanco (Italy)<br />

G. Boccassini (Italy)<br />

G. Bonavolontà (Italy)<br />

F. Bottoni (Italy)<br />

R. Brancato (Italy)<br />

P. Brusini (Italy)<br />

M.G. Bucci (Italy)<br />

A. Caporossi (Italy)<br />

R. Carassa (Italy)<br />

F. Cardillo Piccolino (Italy)<br />

G. Carella (Italy)<br />

G. Castronovo (Italy)<br />

M. Cent<strong>of</strong>anti (Italy)<br />

L. Cerulli (Italy)<br />

M. Cesareo (Italy)<br />

S. Cheikh (Mauretania)<br />

L. Colecchia (Italy)<br />

C. Corbè (France)<br />

F.M. Cordeiro (Uk)<br />

G. Coscas (France)<br />

A. Cusumano (Italy)<br />

R. De Giuli (Italy)<br />

A. Ducasse (France)<br />

R. Dupeiron (France)<br />

B. Falsini (Italy)<br />

H. Farah (Tunisia)<br />

G. Fasolino (Italy)<br />

B. Fayet (France)<br />

M. Fituri (Lybia)<br />

S. Gandolfi (Italy)<br />

V. Gasparri (Italy)<br />

D. Giammaria (Italy)<br />

A. Giovannini (Italy)<br />

U. Introini (Italy)<br />

P. Iorio (Italy)<br />

J. Jost (Germany)<br />

M. Kamoun (Tunisia)<br />

G. La Tegola (Italy)<br />

J. Lagier (France)<br />

P. Lanzetta (Italy)<br />

G. Lesnoni (Italy)<br />

B. Lumbroso (Italy)<br />

R. Mancino (Italy)<br />

G. Manni (Italy)<br />

S. Mariotti (Switzerland)<br />

C. Martinoli (Italy)<br />

V. Maurino (Uk)<br />

M.G. Mazzone (Italy)<br />

U. Menchini (Italy)<br />

E. Midena (Italy)<br />

G. Milazzo (Italy)<br />

A.M. Minnella (Italy)<br />

A. Missiroli (Italy)<br />

M. Nouri (Algeria)<br />

C. Nucci (Italy)<br />

F. Oddone (Italy)<br />

M. Oncel (Turkey)<br />

N. Osborne (Uk)<br />

F. Ouechtati (Tunisia)<br />

A. Ouertani (Tunisia)<br />

M. Pagliara (Italy)<br />

S. Palma (Italy)<br />

V. Parisi (Italy)<br />

A. Pece (Italy)<br />

A. Perdicchi (Italy)<br />

S. Piermarocchi (Italy)<br />

L.A. Rais (Morocco)<br />

S.M. Recupero (Italy)<br />

R. Rekik (Tunisia)<br />

F. Ricci (Italy)<br />

M. Rolando (Italy)<br />

L. Rossetti (Italy)<br />

C. Sborgia (Italy)<br />

M. Schwartz (Israel)<br />

G.L. Scuderi (Italy)<br />

F. Serra (France)<br />

R. Siegel (Israel)<br />

G. Staurenghi (Italy)<br />

M. Stirpe (Italy)<br />

C. Tamburelli (Italy)<br />

E. Tedeschi (Italy)<br />

L. Timsiline (Algeria)<br />

A. Trabelsi (Tunisia)<br />

M. Tsilibaris (Grecee)<br />

M. Uva (Italy)<br />

P. Vadalà (Italy)<br />

M. Varano (Italy)<br />

M. Vetrugno (Italy)<br />

M. Vidal Sanz (Spain)<br />

C. Villani (Italy)<br />

G. Virgili (Italy)<br />

K. Zaghloul (Morocco)<br />

8<br />

9


MEDITERRANEAN SOCIETY OF OPHTHALMOLOGY<br />

PROGRAM<br />

GENERAL INFORMATION<br />

Protomoteca <strong>of</strong> <strong>the</strong> Campidoglio<br />

On Site Registration<br />

Congress Venue<br />

Registration Information<br />

12 th April 2007 from 03.00 to 05.00 pm<br />

13 th April 2007 from 08.00 am to 04.00 pm<br />

14 th April 2007 from 08.00 am to 04.00 pm<br />

Category<br />

Registration fees<br />

Ophthalmologists Euro 180,00<br />

Orthoptists Euro 120,00<br />

Opticians Euro 120,00<br />

*Residents and Orthoptic Students<br />

Free Admittance<br />

* On basis <strong>the</strong> related certification <strong>of</strong> <strong>the</strong> school and ID card<br />

Registration fee includes:<br />

– Admission to Congress<br />

– Congress Documentation<br />

– Opening Ceremony<br />

– Lunch<br />

– C<strong>of</strong>fee break<br />

Methods <strong>of</strong> payment<br />

Registration fees in EURO may be paid in one <strong>of</strong> <strong>the</strong> following methods: Credit Card (Visa, Mastercard)<br />

Cash or Cheque.<br />

Slide Center<br />

Only computer projection will be available during <strong>the</strong> congress and all projections will be managed by<br />

one single computerised system (Slide Center).<br />

The presentations must be given to slide centre unless 1 hour before speech timing.<br />

Opening Ceremony<br />

Will be held at <strong>the</strong> Campidoglio in <strong>the</strong> Protomoteca hall on April 12th at 05.00 pm. From 07.00 to 07.30<br />

pm. Musei Capitolini visit and at 08.00 pm. Welcome Cocktail at Terrace Caffarelli.<br />

Web site<br />

Update information related to <strong>the</strong> congress programme and fur<strong>the</strong>r details will be available on <strong>the</strong> web<br />

site: www.mediterranean2007.com<br />

HOW TO GET TO THE CAMPIDOGLIO:<br />

– From <strong>the</strong> main Railway station “Stazione Termini”: You need a normal metro-bus ticket, to go from<br />

Termini to <strong>the</strong> Campidoglio. From Termini take <strong>the</strong> bus n 84, outside <strong>the</strong> station, for 8 stops, and get<br />

<strong>of</strong>f at Piazza Venezia/Campidoglio<br />

– From Fiumicino (Leonardo da Vinci Airport): <strong>the</strong>re is a train service to <strong>the</strong> Train Station (Termini), <strong>the</strong>n<br />

you need a normal metro-bus ticket, to go from Termini to <strong>the</strong> Campidoglio.. From Termini take <strong>the</strong><br />

bus n 84, as above.<br />

Language<br />

The <strong>of</strong>ficial language <strong>of</strong> <strong>the</strong> Congress is English. Simultaneous translation in Italian and French will be<br />

available during <strong>the</strong> plenary session.<br />

Badge<br />

Your personal badge is your entrance ticket to all sessions. Please remember to always wear it, also for<br />

ECM credits attribution.<br />

Certificate <strong>of</strong> Attendance<br />

A certificate <strong>of</strong> attendance is given to all attending delegates at <strong>the</strong> end <strong>of</strong> <strong>the</strong> congress on badge presentation.<br />

ECM attendance with credits attribution will be send at <strong>the</strong> end <strong>of</strong> <strong>the</strong> congress.<br />

ECM<br />

This congress will <strong>of</strong>fer ECM credits for <strong>the</strong> three categories: ophthalmologists, orthoptists and opticians.<br />

All participants will receive detailed information on site.<br />

Course: only 50 places available.<br />

The 50 participants to <strong>the</strong> course will be granted on a first-come, first-served basis.<br />

10<br />

11


www.farmigea.it<br />

Dalla ricerca Farmigea<br />

Naflox ® 0,3%<br />

Collirio, soluzione<br />

S01AX12<br />

Norfloxacina<br />

Primo<br />

fluorochinolone<br />

in monodose<br />

senza<br />

conservanti<br />

RIASSUNTO DELLE CARATTERISTICHE DEL PRODOTTO<br />

1. DENOMINAZIONE DEL MEDICINALE Naflox 0,3% collirio, soluzione 2. COMPOSIZIONE QUALITATIVA<br />

E QUANTITATIVA Naflox 0,3% collirio, soluzione - flacone multidose. 100 ml di Naflox collirio<br />

contengono: Principio attivo: Norfloxacina 300 mg. Naflox 0,3% collirio, soluzione - contenitore<br />

monodose. Un contenitore monodose contiene: Principio attivo: Norfloxacina 1,5 mg. Per gli<br />

eccipienti, vedere 6.1 3. FORMA FARMACEUTICA Collirio, soluzione 4. INFORMAZIONI CLINICHE<br />

4.1 Indicazioni terapeutiche Naflox collirio è indicato per il trattamento di infezioni superficiali<br />

dell’occhio e dei suoi annessi, causate da batteri patogeni sensibili alla Norfloxacina. 4.2<br />

Posologia e modo di somministrazione La dose abituale è una o due gocce di Naflox collirio<br />

nell’occhio quattro volte al dì. A seconda della gravità dell’infezione, il dosaggio per il primo<br />

giorno di terapia può essere una o due gocce ogni due ore durante le ore di veglia. Un<br />

appropriato monitoraggio della risposta batterica alla terapia antibiotica topica, deve accompagnare<br />

l’impiego di Naflox collirio. 4.3 Controindicazioni Ipersensibilità al principio attivo, ad uno<br />

qualsiasi degli eccipienti o verso qualsiasi agente antibatterico chimicamente correlato ai<br />

chinoloni. 4.4 Avvertenze speciali e opportune precauzioni d’impiego Il flacone multidose<br />

contiene benzalconio cloruro come conservante: non usare mentre si indossano lenti a contatto.<br />

Nel caso di portatori di lenti a contatto, si consiglia di applicare le lenti 15-30 minuti dopo<br />

l’instillazione del prodotto. 4.5 Interazioni con altri medicinali ed altre forme d’interazione<br />

Non note. 4.6 Gravidanza ed allattamento. Gravidanza: Non essendoci adeguati studi clinici<br />

in donne in gravidanza e poiché l’uso sistemico di chinolonici ha causato artropatia in animali<br />

immaturi, si sconsiglia di usare il farmaco in gravidanza, sebbene la quantità di Norfloxacina<br />

richiesta per il trattamento delle infezioni superficiali dell’occhio sia sensibilmente inferiore a<br />

quella abitualmente impiegata per la terapia di infezioni sistemiche. Allattamento: Poiché<br />

non è noto se la Norfloxacina venga escreta nel latte materno dopo somministrazione oculare,<br />

è sconsigliabile l’uso del prodotto durante l’allattamento. 4.7 Effetti sulla capacità di guidare<br />

veicoli e sull’uso di macchine La sostanza non interferisce sulla capacità di guidare e sull’uso<br />

di macchinari. 4.8 Effetti indesiderati L’effetto indesiderato riportato più frequentemente è<br />

stato bruciore o dolore acuto. Altri affetti indesiderati riportati raramente, sono stati iperemia<br />

congiuntivale, chemosi, fot<strong>of</strong>obia e una sensazione di gusto amaro dopo l’instillazione. 4.9<br />

Sovradosaggio Non ci sono dati disponibili sul sovradosaggio. 5. PROPRIETÀ FARMACOLOGICHE<br />

5.1 Proprietà farmacodinamiche. Categoria farmacoterapeutica: <strong>of</strong>talmologici antimicrobici;<br />

Codice ATC: S01AX12. Naflox collirio (Norfloxacina) è una soluzione sterile allo 0,3% di<br />

Norfloxacina per uso topico oculare. La Norfloxacina è un fluorochinolone sintetico, agente<br />

antibatterico ad ampio spettro, con attività contro microorganismi aerobi Gram-positivi e Gramnegativi,<br />

incluso lo Pseudomonas aeruginosa gentamicino-resistente. Questo spettro include<br />

la maggior parte dei microorganismi che sono probabilmente coinvolti nelle infezioni superficiali<br />

dell’occhio e dei suoi annessi. Microbiologia: La Norfloxacina possiede attività in vitro contro<br />

un ampio spettro di batteri aerobi Gram-positivi e Gram-negativi ed anaerobi facoltativi. L’atomo<br />

di fluoro in posizione 6 fornisce un aumento di potenza contro i microorganismi Gram-negativi<br />

e l’anello piperazinico in posizione 7 è responsabile dell’attività anti-Pseudomonas. La Norfloxacina<br />

inibisce la sintesi batterica dell’acido desossiribonucleico ed è battericida. Nelle cellule dell’E.<br />

coli, a livello molecolare, vengono attribuiti alla Norfloxacina tre eventi specifici: (1) Inibizione<br />

delle reazioni di superavvolgimento (“supercoiling”) del DNA ATP-dipendente, catalizzate dalla<br />

DNA-girasi; (2) inibizione della distensione del DNA superavvolto (“supercoiled DNA”); (3)<br />

induzione della rottura del doppio filamento del DNA. Il verificarsi di una resistenza alla<br />

Norfloxacina dovuta a mutazione spontanea è un evento raro (range 10 elevato alla meno 9<br />

– 10 elevato alla meno 12). In genere la norfloxacina non possiede resistenza crociata con<br />

agenti antibatterici non correlati strutturalmente. Pertanto, la Norfloxacina ha generalmente<br />

dimostrato di essere attiva contro microorganismi indicati come resistenti agli aminoglicosidi<br />

(inclusa gentamicina), alle penicilline, cefalosporine, tetracicline, macrolidi e sulfonamidi (incluse<br />

associazioni come il cotrimossazolo). Inoltre, a motivo della sua struttura specifica, la Norfloxacina<br />

è generalmente attiva contro microorganismi che sono resistenti ad altri acidi organici, come<br />

gli acidi nalidixico, oxolinico e pipemidico, cinoxacina e flumechina. Microorganismi resistenti<br />

alla Norfloxacina in vitro sono anche resistenti a questi acidi organici. Altri studi suggeriscono<br />

che i microorganismi resistenti alla Norfloxacina sono anche in genere resistenti alle pefloxacina,<br />

<strong>of</strong>loxacina, cipr<strong>of</strong>loxacina, enoxacina ed amifloxacina. Studi in vitro hanno dimostrato la<br />

sensibilità dei seguenti microorganismi aerobi ed anaerobi facoltativi (i microorganismi con<br />

l’asterisco rappresentano quelli più frequentemente coinvolti nelle infezioni superficiali dell’occhio<br />

e dei suoi annessi). Batteri Gram-positivi: *Staphylococcus aureus (ceppi penicillinasi produttori,<br />

non penicillinasi-produttori e meticillinoresistenti), *Staphylococcus epidermidis, Staphylococcus<br />

saprophyticus, *Streptococcus sp. gruppo A e B, Streptococcus faecalis (enterococcus),<br />

*Streptococcus pneumoniae, Bacillus cereus, Micrococcus species. Batteri Gram-negativi:<br />

Acinetobacter calcoaceticus, Aeromonas species, Alcaligenes species, Campylobacter species,<br />

Citrobacter freundii, Edwardsiella tarda, Enterobacter aerogenes, Enterobacter cloacae, Escherichia<br />

coli, Flavobacterium species, Hafnia alvei, *Haemophilus influenzae, H. aegyptius (Koch-Weeks<br />

Bacillus), Klebsiella oxytoca, Klebsiella pneumoniae, Klebsiella rhinoscleromatis, *Moraxella<br />

species, Morganella morganii, *Neisseria gonorrhoeae, Proteus mirabilis, Proteus vulgaris,<br />

Providencia alcalifaciens, Providencia rettgeri, Providencia stuartii, *Pseudomonas aeruginosa,<br />

Salmonella typhi, Salmonella species, Serratia marcescens, Shigella species, Vibrio cholerae,<br />

Vibrio parahaemolyticus, Yersinia enterocolitica. La Norfloxacina non è attiva contro gli anaerobi<br />

obbligati. 5.2 Proprietà farmacocinetiche Nel liquido lacrimale e nell’umore acqueo dell’occhio<br />

di coniglio è stata ottenuta una correlazione di penetrazione della dose dopo una singola<br />

instillazione di Norfloxacina allo 0,15%; 0,25%; 0,3%; 1%; e 2%. Nel liquido lacrimale o<br />

nell’umore acqueo di conigli non è stato riscontrato nessun accumulo del farmaco dopo<br />

instillazioni multiple di Norfloxacina allo 0,3%. Le concentrazioni di Norfloxacina nell’umore<br />

acqueo furono più elevate dopo instillazione di Norfloxacina allo 0,3% in occhi di conigli privi<br />

di epitelio corneale che in quelli in cui l’epitelio corneale era intatto. In occhi di coniglio sottoposti<br />

ad ulcerazione corneale sperimentale, l’instillazione di Norfloxacina produsse effetti benefici<br />

superiori a quelli di altri agenti batterici quando i microorganismi infettanti erano lo Pseudomonas<br />

aeruginosa e lo Staphylococcus aureus. Per la Norfloxacina, con l’ultimo microorganismo è stata<br />

osservata una correlazione dose-risposta. 5.3 Dati preclinici di sicurezza L’instillazione oculare<br />

giornaliera di una formulazione all’1% di Norfloxacina a cani fino a 1 mese ed a conigli fino<br />

a 3 mesi non ha fornito prove di tossicità o irritazione oculare correlate al farmaco. 6.<br />

INFORMAZIONI FARMACEUTICHE 6.1 Elenco degli eccipienti Flacone multidose: Sodio acetato;<br />

benzalconio cloruro, sodio edetato; sodio cloruro; acqua per preparazioni iniettabili. Contenitore<br />

monodose: Sodio acetato; sodio edetato; sodio cloruro; acqua per preparazioni iniettabili. 6.2<br />

Incompatibilità Non sono note incompatibilità con altri farmaci. 6.3 Periodo di validità Flacone<br />

multidose: a confezionamento integro: 30 mesi; dopo la prima apertura del flacone: 30 giorni.<br />

Contenitore monodose: a confezionamento integro: 30 mesi; dopo prima apertura della busta<br />

di alluminio: 3 mesi; dopo apertura del contenitore: il prodotto va utilizzato subito dopo la<br />

prima apertura del contenitore che andrà eliminato anche se solo parzialmente utilizzato. 6.4<br />

Speciali precauzioni per la conservazione Nessuna in particolare. 6.5 Natura e contenuto<br />

del contenitore Contenitore multidose: Flacone da 10 ml. Flacone realizzato in polietilene a<br />

bassa densità con contagocce <strong>of</strong>talmico dello stesso materiale. Contenitori monodose: Scatola<br />

da 25 contenitori in polietilene da 0,5 ml a bassa densità in colore naturale. Stecche da 5<br />

contenitori monodose in bustina termosaldata in politene-alluminio-poliestere. 6.6 Istruzioni<br />

per l’uso e la manipolazione Per aprire, premere la capsula di chiusura e contemporaneamente<br />

svitare. Dopo l’uso richiudere avvitando a fondo. 7. TITOLARE DELL’ AUTORIZAZIONE ALL’IMMISSIONE<br />

IN COMMERCIO FARMIGEA S.p.A. - Via G. B. Oliva, 8 - 56121 Pisa 8. NUMERI DI AUTORIZZAZIONE<br />

ALL’IMMISSIONE IN COMMERCIO Naflox “0,3% collirio, soluzione” - Flacone da 10 ml. AIC<br />

n°036650012. Naflox “0,3% collirio, soluzione” - 25 contenitori monodose da 0,5 ml. AIC<br />

n°036650024 9. DATA DELLA PRIMA AUTORIZZAZIONE/RINNOVO DELL’AUTORIZZAZIONE 26<br />

giugno 2006 10. DATA DI REVISIONE DEL TESTO Giugno 2006<br />

DEPOSITATO PRESSO L’AGENZIA ITALIANA DEL FARMACO IN DATA 09/11/2006 1000084/00


MEDITERRANEAN SOCIETY OF OPHTHALMOLOGY<br />

PROGRAM<br />

NOTE<br />

Pagina pubblicitaria<br />

Visufarma<br />

14<br />

15


MEDITERRANEAN SOCIETY OF OPHTHALMOLOGY<br />

PROGRAM<br />

NOTE<br />

NOTE<br />

16<br />

III

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