37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF2-58 Subluxated Bag Complexes and IOLs: Fixing it all

Shivani PATTNAIK India

This video will highlight managing subluxated IOLs and bag complexes. Scenarios are handled where different types of lOLs are explanted, flipped, re-implanted, glued. Ex-planting subluxated multifocal IOLs & refitting multifocal IOLs to ensure centration will also be discussed. This will help in treating such complex cases with ease. The aim is to be able to improve the management of surgical complications discussed in this video. FF2-59 Cliffhanger Rescue: Salvaging a subluxated IOL in a complex pediatric case Sonam YANGZES India This case presents the surgical management of a 10-year-old boy with a subluxated intraocular lens (IOL) in a post vitrectomy eye complicated by hypotony and inferior zonular loss. An initial attempt at optic capture resulted in unexpected capsular rupture, leaving the IOL precariously suspended at the anterior capsule margin, on the verge of dislocation into the vitreous cavity. Demonstrating rapid intraoperative decision-making, the haptic was secured at a critical moment, averting complete dislocation. The IOL was subsequently stabilized using the Yamane intrascleral fixation technique, followed by pupilloplasty to restore functional anatomy. This case highlights the importance of maintaining surgical composure, strategic adaptability, and precision in complex pediatric cataract management. FF2-60 A Novel Technique for IOL Refixation: Capsular-augmented scleral fixation Karishma TENDULKAR India When standard in-the-bag IOL implantation is compromised by extensive zonular dialysis or a posterior capsular rent, surgeons typically resort to secondary options like a backup three-piece IOL for sulcus fixation. However, what if we could salvage the planned IOL and place it in-the-bag? We introduce a hybrid technique that augments the compromised capsular bag, allowing secure fixation of the originally planned IOL to the sclera—right in the physiological plane of the bag. This modification not only enhances surgical outcomes but also gives a second opportunity to place the desired lens, be it toric, multi focal or any other premium lens, in the bag. This technique has a short learning curve, wherein bag stability is restored and surgical intent is preserved. FF2-61 Coloboma Demystified an Interactive Journey Purnima DHAND India Coloboma is derived from the Greek word Koloboma meaning mutilated, or with defect. It is a congenital anomaly that occurs due to incomplete closure of embryonic fissure characterized by a gap in eye structures such as eyelids, iris, lens, choroid optic nerve. This condition poses unique challenges in cataract surgery due to anatomical abnormalities that can affect the surgery’s approach. Special considerations include managing the potential for compromised capsular support, handling intraoperative complications, and selecting the appropriate IOL to optimize visual outcomes. This presentation will explore the intricacies of cataract surgery in patients with coloboma addressing the challenges, surgical technique, and tips for achieving successful outcomes, while emphasizing the importance of a tailored approach to each patient's unique needs. FF2-62 Unstappling the Retina From a Firecracker Injury Rohit AGRAWAL India In a very rare surgical case, a 12-year-old girl suffered an unfortunate accident while innocently watching a firecracker display, leading to a large (18 mm) metallic stapler pin becoming a foreign body lodged within her retina. This incident presented a unique challenge due to the delicate nature of the retina and the complexity involved in removing such a large, yet potentially vision-threatening, foreign object from a 12-year-old child. The surgery was meticulously planned and executed the removal procedure with precision. Utilizing chandelier and bimanual approach the stapler pin was internally rotated in the vitreous cavity and then successfully extracted from 3 mm corneal incision without causing further damage to the retina, preserving the child's vision. The girl's recovery was closely monitored with best corrected vision improving to 6/9.

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