37th APACRS Annual Meeting Final Program

FILM FESTIVAL

(FF4) FILM FESTIVAL – GENERAL INTEREST

TITLE

PRODUCER

FF4-01 Flatten, Fill, and Fix: A new era in giant retinal tear surgery

Dhaivat SHAH India

Giant Retinal Tears (GRTs), particularly those exceeding two quadrants, are a surgeon's nightmare. This video demonstrates a novel approach to managing a more than 300-degree GRT with a folded and torn retina in an 8-year old, one-eyed, intellectually disabled girl. The technique involves low vacuum vitrectomy with complete base excision with complete perfluorocarbon liquid (PFCL) fill, meticulous flattening of the torn and folded flap using a single instrument throughout the procedure, and a direct PFCL-to-heavy silicone oil exchange. By simplifying complex maneuvers and ensuring optimal retinal reattachment, this innovative method provides a reproducible solution for handling extensive GRTs. This video not only showcases a surgical breakthrough but also offers a valuable teaching tool for vitreoretinal surgeons, potentially setting a new standard for managing such challenging cases in the future. FF4-02 Hypoplasia of the Ciliary Processes and Ciliary Sulcus in Marfan Syndrome Takeshi SUGIURA Japan Lens dislocation is a major ophthalmological complication of Marfan syndrome, and is caused by rupture of the zonules of Zinn. We observed the ciliary sulcus with an intraocular endoscope during intraocular lens suture surgery in patients with lens dislocation due to Marfan syndrome. As a result, hypoplasia of the ciliary processes was found. Since the zonules of Zinn mainly originates from the ciliary processes, hypoplasia of the ciliary processes may be related to hypoplasia of the zonules of Zinn. Hypoplasia of the ciliary processes may be the main cause of lens dislocation in Marfan syndrome. FF4-03 Wet Lab Thermal Coagulation Kosei TOMITA Japan Porcine eyes are good in size for wet lab, but they are too young to mimic senile cataract in nature. Researchers have published various methods to reproduce cataracts, but have not been able to adequately. The microwave surgical device can generate thermal coagulation locally. Models of nuclear cataracts like mature and polar cataracts, can be created quickly using different probes. FF4-04 Tailored Visual Solutions Using Femtosecond Laser for Irregular Astigmatism Ya-Jung CHUANG Chinese Taipei Irregular astigmatism disrupts visual clarity with asymmetric corneal irregularities that challenge traditional treatments. Femtosecond laser-assisted arcuate keratotomy (FSAK) provides a customized treatment path, leveraging advanced corneal diagnostics and precise surgical techniques. Case studies demonstrate significant improvements in visual clarity and patient satisfaction, making FSAK a powerful tool for restoring confidence and enhancing quality of life. FF4-05 Take a Pause Bhavik PANCHAL India The surgical time-out is a critical yet often underestimated practice to verify the patient, procedure, and surgical site, especially in ophthalmology. Failure to perform an adequate time-out can lead to wrong-site or wrong-patient surgeries, posing significant health, legal, and emotional consequences. This video, recorded during simulated ophthalmic procedures at an academic eye institute, demonstrates best practices for time-outs, emphasizing effective communication and clarity. It highlights common pitfalls, particularly in busy clinical settings like those involving cataract surgery and intravitreal injections. Designed as an educational resource, the video equips ophthalmology professionals globally with standardized time-out skills, fostering a culture of safety and enhancing patient outcomes.

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