37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF3-07 Surgical Outcome, Pre and Post Impression Cytology After SLET in Unilateral LSCD: Case series

Jitendra SINGH India

PURPOSE: This study aimed to report the surgical outcomes of autologous Simple limbal epithelial transplantation (SLET) performed for unilateral limbal stem cell deficiency (LSCD) following chemical injury. METHODS: Pre operatively all patients will undergo general and ophthalmic evaluation which will include Slit lamp examination, Impression cytology, Anterior segment OCT. The study included the cases of Chemical injury (Acid and alkali injury) and excluded the cases of LSCD secondary to causes other than chemical injury or cases with dry eye. RESULTS: This study included 10 eyes of 10 patients with follow up of 6 months. Stable corneal surface was obtained clinically as well as pathologically in 8 cases and visual acuity gain seen in 6 patients. CONCLUSIONS: Autologous SLET is an effective and safe modality for the treatment of unilateral LSCD. FF3-08 Hyperinflation in Endothelial Keratoplasty: A breakthrough for optimal graft attachment Youngsub EOM South Korea We would like to introduce a novel hyperinflation technique for air bubble injection during DMEK and DSAEK. The hyperinflation technique was developed to enhance graft adherence and minimize postoperative detachments in endothelial keratoplasty. This approach involves a controlled gradual over-expansion of the anterior chamber using air to optimize graft positioning. By maximizing graft-host apposition, this technique ensures a stronger initial adhesion, expels excess fluid from the graft interface, and reduces the likelihood of early postoperative graft detachments. FF3-09 A Tale of Disappearing Cones Gaurav VERMA India This video presents a novel surgical approach for managing keratoconus which involves femtosecond assisted channel creation followed by insertion of dehydrated allogenic corneal segments (CAIRS). Forty eyes of forty patients underwent this transformative procedure which halted disease progression, dramatically flattened corneal cone and significantly improved uncorrected and best corrected visual acuity, the above-mentioned findings maintained over a period of one year follow up. Dehydrated allogenic implant offers enhanced bio mechanical stability like traditional PMMA implants, unparalleled ease of insertion and exceptional biocompatibility. This technique is a promising option for the treatment of keratoconus, offering both visual improvement and disease stabilization. FF3-10 The Tuck in Endo-implant Shelly SHARMA India The global shortage of human donor corneas, exacerbated by the COVID-19 pandemic, has driven the need to develop effective alternatives in endothelial keratoplasty. In this video we introduce the "Tuck in Endo-implant," a flexible device, made from a copolymer of hydroxyethyl methacrylate and methyl methacrylate with 1mm haptics, a 6.3mm optic, and 60µm thickness. The highlight of the device is its modified tuck-in configuration which ensures controlled insertion, maintains position and avoids the need for repetitive air injection. This device acts as a passive barrier, seals the posterior cornea centrally thereby reducing fluid penetration while allowing nutrients to reach peripheral cornea. This offers an alternative for endothelial dysfunction such as in pseudophakic bullous keratopathy, fuchs dystrophy. FF3-11 A Case of Epithelial Ingrowth Removal Post LASIK Surgery Vivek KOTHAWADE India Epithelial Ingrowth is a rare but serious complication post Lasik surgery, when epithelial cells grow in the Interface. This video highlights one such case affecting the vision, & requiring surgical intervention and difficulties encountered in separating the Flap badly adherent to the stromal bed due to the ingrowth, & also removing the islands of epithelium from the stromal bed and the undersurface of the flap was very challenging. But against all odds could manage to do it successfully without any buttonhole or tear in the flap.

108