37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF2-63 Management of Post-32 Cut RK Cataract

Tanmay GUPTA India

Whilst much focus is on getting the correct IOL calculation for post-RK cases, these cases need extensive pre-operative surgical planning and intraoperative atypical handling. This video demonstrates the steps to perform successful cataract surgery and achieve near emmetropia in eyes that have undergone 32-cut RK incisions. FF2-64 Phacoemulsification in Coexisting Corneal Opacity Anand PURANIKMATH India Performing cataract surgery especially phacoemulsification in a case with coexisting corneal opacity is challenging due poor visibility & risk of damage to the endothelium. This technique is preferred mainly in cases in which the opacity is less extreme or keratoplasty is not feasible because of high risk of graft failure. This video will highlight these challenges and how the case was managed successfully. FF2-65 Cataract Surgery in PHPV (Persistent Hyperplastic Primary Vitreous) Case in an Adult Mukesh Kumar DHOLAKIA India Persistent Hyper plastic primary vitreous in adult is rare occurrence. If present and associated with cataract formation it makes cataract surgery challenging. In this video we are presenting a case of a male adult of 55 years having PHPV and fibrous strand attached to posterior capsule and extending into the vitreous cavity. Cataract removal was challenging because posterior capsule might be very thin, fragile and probably may have preexisting PCR at the site of PHPV attachment. We managed the whole case very precisely and meticulously to avoid any complication and implanted the IOL safely. FF2-66 Handling an Iatrogenic Intralenticular Foreign Body: An unexpected incident Anargh V India A 64 year old diabetic with Macular Edema in left eye received an inadvertent Ozurdex injection into lens. This video demonstrates cataract management her, who had a pre-existing posterior capsular rent & a lenticular foreign body. After creating scleral tunnel & side ports, OVD was injected & capsulorhexis done. An anterior chamber (AC) entry was made. Following gentle hydrodissection, nucleus prolapsed into AC. With the implant, nucleus was divided using vectis and dialer & both pieces were delivered. Bimanual cortical wash & anterior vitrectomy performed. Subsequently the entry & exit openings of Ozurdex implant was noticed. A three-piece lens was placed in sulcus. Main wound was sutured with 10-0 vicryl. Post-operatively, patient was stable with a 0.18 LogMAR BCVA due to DME.

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