37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF2-29 Management of Bilateral Posterior Polar Cataract With Slit-like Primary Posterior Capsule Dehiscence: Surgical challenges and innovative techniques

Tank GUNJAN India

We encountered a case of bilateral posterior polar cataract (PPC) with primary posterior capsule dehiscence. This video demonstrates managing such a case without a high-end phacoemulsification machine, while maintaining a stable anterior chamber. It highlights the use of a Simcoe two-way irrigation and aspiration cannula, employing controlled, slow aspiration to preserve the anterior hyaloid face, resulting in a favorable postoperative outcome. This approach is particularly beneficial in settings lacking advanced phacoemulsification equipment, offering a viable alternative for PPC cases with posterior capsule dehiscence. By utilizing meticulous manual techniques, surgeons can effectively manage

these challenging cases, ensuring patient safety and optimal visual recovery. FF2-30 Pioneering Visual Recovery: Aniridic lens implantation in pseudophakic post-traumatic anirdia

Neha SINGH JAT India

A patient presented to the eye OPD with a history of ocular trauma caused by a cow’s horn. On examination there were iris prolapse through an old SICS wound. The prolapsed iris was excised, and the primary wound was meticulously repaired with suture. During follow-up, the patient experienced severe photophobia, significantly affecting their quality of life. To address this, an aniridic intraocular lens (IOL) with zero power was implanted as a piggyback IOL. Postoperatively, a marked reduction in photophobia was observed, leading to improved visual comfort. This case underscores the importance of personalized surgical approaches and highlights the role of advanced interventions in enhancing visual rehabilitation and overall patient well-being. FF2-31 Refixing the Bug Sonu GOEL India Managing subluxated lenses is challenging, retaining the bag with transcleral fixation with in the bag implant is tricky and requires great expertise the 9.0 suture hydrolyses. We present an innovative modifies LASSO technique using goretex for the same. involving a modified curved long 26 gauze needle with etched bevel to lasso the goretex. FF2-32 The Unsung Heroes - Retinal tools to the rescue during cataract surgery Smruti SAVALE India Cataract surgeons often grapple with unseen challenges intraoperatively. We show how retinal tools help in overcoming these through surgical cases. Vitrectomy cutter: Can be used for anterior vitrectomy, for cortical removal in PCR, for shaving posterior capsular polyps & making circular rhexis. Endoillumintor: Can highlight the sulcus, localise the descemets in descemets membrane detachment, for capsulorhexis completion & as a second instrument during chopping of the nucleus. Endoscissors: Can be used to give a tangential nick to enlarge rhexis and to release fibrotic adhesions within the capsular bag in cases of IOL explantation. Endoforceps: Can be used to enlarge a small capsulorhexis, to grab IOL out of the bag in decentred IOL cases and in loosening and removing adherent cortex. FF2-33 “Crystal in the Eye”: Surgical management of nucleus drop Ashok TALATI India This video demonstrates surgical management of PCR with hard nucleus drop. Vitrectomy with nucleus or lens removal with or without secondary IOL has been shown. Hard cataracts have very much risks for PCRs with drop lens mater or dropped whole nucleus. This video shows vitrectomy with non-contact viewing system with advanced instrumentation for fine removal of dropped lens material in vitreous without causing any damage to retina. FF2-34 Two Battles, One Victory! Dhaivat SHAH India Managing cataract surgery complications in a one-eyed patient is challenging. We report a 50-year-old male with brown cataract, pseudoexfoliation glaucoma, and ischemic CRVO undergoing cataract surgery with planned anti-VEGF injection. Intraoperative zonular dialysis required CTR placement, but posterior capsule rupture led to CTR and three piece IOL dislocation into the vitreous. A three-port pars plana vitrectomy was performed, retrieving the CTR via a side port using a bimanual technique. The same 3 piece IOL was successfully scleral-fixated at 3 and 9 o’clock using the Max NIT technique. This case highlights the art of refixing a dropped 3 piece IOL to the sclera and surgical adaptability in complex scenarios.

100