37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF5-10 Late White Hurdles!

Hridya MOHAN India

Phaco emulsification in Hypermature cataract has challenges abound at each surgical step. This video demonstrates the various hurdles and dilemmas encountered by the surgeon during surgery. It addresses the complexities in rhexis creation in morgagnian and sclerotic cataracts and validates the use of vitrector in creation of rhexis in calcified capsules. This video displays the hassles in emulsification of the leathery mobile nuclei and perils associated with weak zonules and floppy capsular bag. The author also sheds light on the use of different surgical techniques such as haptic fixation to iris and extra capsular cataract extraction with iris claw intra ocular lens in these complex cases. FF5-11 Small eyes - BIG challenge! Saumil KOTHARI India This video focuses on the unique challenges faced during cataract surgery in nanophthalmic eyes, which have a shorter axial length and shallow anterior chamber. It highlights intraoperative difficulties such as increased risk of zonular weakness, capsular rupture, and vitreous loss due to the small eye size. The video demonstrates the complexities of selecting and implanting intraocular lenses (IOLs), as traditional IOLs may not fit properly in these smaller eyes. It emphasizes the importance of using specialized surgical techniques to minimize damage to the lens capsule and surrounding structures. Through expert insights and detailed surgical footage, the video offers practical solutions to improve surgical outcomes in nanophthalmic eyes, providing cataract surgeons with essential strategies for these challenging cases. FF5-12 First, Do No Harm Haripriya ARAVIND India This video explores rare cases of wrong eye surgery in eye hospitals, highlighting incidents where surgical procedures were mistakenly performed on the incorrect eye and where incorrect intraocular lens (IOL) power or design was implanted. We delve into the causes behind these errors, including miscommunication, inadequate verification processes, and human error. The video showcases the hospital's rigorous efforts to prevent such occurrences. These measures include mandatory surgical checklists, enhanced staff training programs, and advanced technological systems for patient identification and procedure verification, such as barcode scanners for IOLs and direct export of biometry from the A-Scan to the Operation Theatre. This narrative serves as an informative and cautionary tale for medical practitioners and institutions worldwide. FF5-13 iStent Reloaded! Yugandhara PATADE India MIGS forms the crux of Interventional Glaucoma, requiring an elevated surgical skill set. In event of a complication, novelty of such procedures makes it imperative that operating surgeon possess a high degree of spatial awareness & quick thinking. This video demonstrates management of an intraoperative malpositioned iStent Inject W device. Variability in trabecular meshwork anatomy can sometimes lead to superficial implantation of iStent which may not be tightly secured and can get dislodged. This requires a complex surgical maneuver which involves extracting it from AC, reloading and re-implanting it with a modified technique. This video emphasizes value of a calm mind, quick decision making & innovative rescue techniques in the realm of complex surgical ophthalmology, thereby managing unexpected complications and optimizing patient outcomes.

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