37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF2-35 Aphakia Conquered: A breakthrough technique

Sudeep DAS India

This video presents an innovative approach to managing aphakia using sutureless scleral-fixated intraocular lenses (SFIOLs) with Hoffman pockets. We showcase the use of the CM-T Flex IOL in both phacoemulsification and small incision cataract surgery (SICS), highlighting its adaptability, ease of implantation, and long-term stability. Through surgical footage, this video underscores the benefits of our modified SFIOL technique in improving visual outcomes and minimizing complications across diverse aphakic cases. FF2-36 Breaking Through the Clouds - Completing an abandoned cataract surgery with compromised corneal clarity Sudhakar Naidu LAVETI India A 63 year old lady was referred after her small incision cataract surgery was abandoned suspecting a complete descemet’s membrane detachment while entering into the anterior chamber. Due to poor visibility, the patient referred for a combined procedure of cataract extraction and IOL implantation along with endothelial keratoplasty. The case was taken to surgery and successfully completed phaco without endothelial keratoplasty using trypan blue staining and external light source to aid in better visualisation. DM was reattached and patient regained good vision postoperatively. In cases with compromised corneal clarity staining of DM & external illumination can be useful tools augmented by epithelial debridement for better visualization. We can always try this before we rush for combined procedure and may be do a sequential endothelial keratoplasty when this attempt fails. FF2-37 Management of Traumatic Subluxated Cataract Tanmay GUPTA India Handling Traumatic cataracts has never been everyone's cup of tea, they come with their own set of challenges namely, imperfect CCC, inadequate capsular bag stability, floppy iris, PC defects, and vitreous disturbances. My video highlights all these challenges and different plans of action keeping given intraoperative surprises. I performed the surgery using the conventional phacoemulsification technique and the necessary supportive devices and maneuvers. FF2-38 Acute Intraoperative Rock-Hard Eye Syndrome (AIRES) Anand PURANIKMATH India Acute Intraoperative Rock-Hard Eye Syndrome (AIRES) can occur due to various causes such as Fluid Misdirection Syndrome, Capsular Block, Suprachoroidal Effusion, Suprachoroidal Haemorrhage, & Other External Factors. In this video I would like to demonstrate a case of fluid misdirection syndrome leading to acute onset intraoperative hard eye & how I was able to manage the case successfully. FF2-39 White Glow After Nucleus Emulsification in a Cataract Surgery Mukesh Kumar DHOLAKIA India Routinely as we crack the nucleus in a case of PE, (Phaco Emulcification), we get red glow from retina. This red glow helps us to delineate different structures of anterior chamber like CCC margin, Epinuleuc, Cortex fibres etc. Here in this video where whole bunch of cortical matter was hyper mature and white and gone in to vitreous and there was white glow from posterior segment instead of red glow, further steps of surgery became challenging, but with applying our presence of mind and timely proper decision we could manage the case well, surgery completed without any complication and IOL was implanted safely. FF2-40 A Surgical Masterpiece: Managing traumatic mature cataract with coexisting cyclodialysis Fabna MAHMOOD India A 60 year male presented with decreased vision in the right eye following blunt trauma eight years ago. He had an irregular pupil with 360-degree posterior synechiae, total cataract with phacodonesis, and 200-degree cyclodialysis. The IOP was normal. Trabecular outflow resistance post trauma was probably balanced by filtration through the cyclodialysis cleft. B scan revealed nasal choroidal detachment. Manual small incision cataract surgery (SICS) with intraocular lens implantation under local anaesthesia was successfully performed. This surgical video highlights the successful management of a complex traumatic cataract with extensive cyclodialysis, emphasizing the importance of careful preoperative evaluation, surgical planning, and intraoperative technique with adequate backup to avoid further damage and optimize visual outcomes.

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