37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF2-47 Phacoemulsification in a White Cataract With an Adherent Leucomatous Corneal Opacity

Agam BHANDARI India

We share a challenging case of a patient coming with a 4 mm paracentral Adherent leucoma with White Cataract. This offered limited access to anterior chamber with Iris adherent to one side, giving a smaller than usual capsulorhhexis. The adherent iris modifies the fludics in anterior chamber and restricting optimal visualisation during the phacoemulsification. Using divide and conquer technique by making 5 trenches, it was possible to complete the process with utmost patience. Small capsulorhexis posed a challenge to insert IOL and evidently got damaged at the time of IOL insertion. Despite the challenges, central visual axis is clear and patient has gained BCVA Snellen 6/9 from Pre operative vision of light perception. FF2-48 Managing Post Traumatic Corneal Scar and Cataract in a Pediatric Patient Jai KELKAR India An 8-year-old boy presented to the emergency department following a stone injury to his right eye, complaining of reduced vision. Examination revealed a corneal tear, hyphema and traumatic cataract, while B-scan showed normal posterior segment findings. Primary corneal tear repair was done. After 6 weeks, patient underwent a second surgery, involving optical penetrating corneal transplant, cataract extraction, anterior vitrectomy with posterior synechiae release, and iris claw lens implantation. This case underscores the complexities of traumatic corneal tears with cataracts in a pediatric patient, highlighting the challenges and surgical interventions required for optimal visual recovery. FF2-49 Navigating the Stuck Zone: Expert techniques for IOL challenges Amulya PUNATI India We often believe that mastering cataract surgery is the hardest part and that once accomplished, all our challenges are behind us. However, after successfully managing the nucleus, just when you think the procedure is almost complete— surprise! The intraocular lens (IOL) gets stuck. What should you do next? In our video, we demonstrate various scenarios where an IOL can become stuck—whether in the cartridge, the wound, or in the bag. We provide tips and tricks to help This video highlights cataract surgery in eyes with a shallow anterior chamber, focusing on the unique challenges posed by limited space. It demonstrates techniques for safe capsulorhexis, hydrodissection, and small-incision surgery to minimize risk and maintain chamber depth. With expert commentary and clear surgical footage, the video offers practical strategies to successfully navigate these cases, ensuring optimal outcomes in shallow anterior chamber cataract surgery. FF2-51 Mollis to Lentus: When cornea toughens you as a cataract surgeon Aishwarya S India As surgeons we want to operate well and see everything inside the eye. When cornea becomes a foe and doesn’t allow you to see where you are going and cataracts with difficult corneas go from soft (mollis) to lentus (tough), the journey of a cataract surgeons can be extremely stressful. This video will bring about challenges in such cases and how they were you handle these situations with ease and finesse. FF2-50 Deep Dive Into Shallow Anterior Chamber Sonia KOTHARI India

overcome, one impediment at a time. FF2-52 The Secret Is in the Chamber..!

Deepak MEGUR India

Intra operative anterior chamber depth fluctuations during phacoemulsification can have great clinical significance and consequences. Alterations in anterior chamber depth can indicate an underlying grave complication. Apart from demonstrating the above features, the film analyses the occurrences and associations between PC tear and anterior hyaloid rupture with vitreous prolapse. PC tear and anterior hyaloid rupture can be 2 independent entities. In this film we highlight strategies to prevent anterior hyaloid rupture even in the presence of a PC tear.

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