37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF5-06 Implantable Phakic Contact Lens (IPCL) For Pseudophakic Myopia: A piggyback technique

Devika JOSHI India

A 34-year-old male patient presented with complaints of diminution of vision in the left eye. He had undergone congenital cataract surgery in left eye in childhood, had good pseudophakia & high myopia. He received implantation of IPCL with a piggyback technique for the correction of high myopia (MRSE -14.5D) in pseudophakic left eye. BCDVA improved from 20/60 to 20/30 postoperatively. This video demonstrates the successful use of an IPCL in pseudophakic myopic patients by a piggyback technique, resulting in improved visual acuity. Implanting the IPCL methodically without disturbing quiet PCIOL is crucial. Ocular anatomy from previous surgery may make implantation challenging. Thus, IPCL offers a good alternative treatment option for pseudophakic patients with high refractive error. FF5-07 Labyrinthine Convalescence Achieved Utilizing Best Indian Innovations Arvind Kumar MORYA India Male patient RE – Pseudophakic, Monofocal IOL implant(+19 D), BCVA-6/6. LE – Cataracta Nigra, FC 1 mtr, +24.5 D. Phaco initiated with a central trench- high power & low vacuum. Phaco -2 direct vertical chopping done by 1.75 mm Sharp Mohan Rajan Chopper and full thickness crack achieved. Terminator chopper inserted and rest of the nucleus emulsified using step down phaco. Autofocus Pro IOL with no negative dysphotopsia, halos and glare implanted. Next day distance vision 6/18, clear cornea, CS-0.35, Stereo > 800 sec/arc and patient was very happy. But not us, we started Orthoptek Magnocellular Stimulator therapy to correct his anisometropic amblyopia that works on top down impulses. After 3 weeks Distance vision -6/6p, I-6, N-6, CS-1.25, Stereo 70 secs of arc. FF5-08 Zepto Maladies Maneck NICHOLSON India Anterior capsulotomy is a crucial step in achieving successful cataract surgery. Creating a consistently round, well centered rhexis can be challenging, especially in cases of total cataract, intumescent cataract, and small pupils. In this video, we demonstrate surgical tips and techniques for performing a successful capsulotomy using Precision Pulse Capsulotomy (PPC) technology. We showcase the application of a PPC device in complex cataract surgeries, including cases with small pupils and intumescent mature cataracts, performed with the phacoemulsification technique and IOL implantation. Additionally, we discuss the unexpected challenges encountered during the learning phase and strategies This is a mathematical realignment formula for toric IOL and toric ICL/IPC), providing the optimal realignment axis to minimize refractive surprises caused by toric lens misalignment. The formula employs two distinct approches, based on a fixed toricity ratio, similar to AstigmatismFix.com & incorporating effective lens position (ELP), like the Barrett Rx formula. This formula is more user-friendly, requiring fewer data inputs. Based on post-operative refraction, it provides: • Refractive surprise and steep axis rotation due to surgically induced astigmatism (SIA), errors in posterior corneal astigmatism (PCA), and their combined effect. • Evaluate accuracy of predicted or measured PCA. • Calculate perfect toric power of lens. for effectively managing them. FF5-09 Toric Error Analyzer Narendrasingh VERMA India

• Mobile based application to measure current axis of toric lens. • Results are displayed in form of graph for easy interpretations.

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