37th APACRS Annual Meeting Final Program

FILM FESTIVAL

(FF1) FILM FESTIVAL – CATARACT/IMPLANT SURGERY

TITLE

PRODUCER

FF1-01 IOL Cutting Tip and Forceps

Neha DHOLAKIA India

To address challenges of IOL related complications we have developed an innovative tip utilizing ultrasonic power of a phaco machine for efficient IOL cutting which screws to the phaco probe on one end and other end is forked with sharp inner margins. Complemented by the use of ergonomically designed microforceps inserted through a side port to grasp the lens securely during cutting. FF1-02 Phacoemulsification in Soft Cataract Nikita MASHRU India Phacoemulsification in soft cataracts can be challenging due to the lack of rigid cleavage planes and the inability to crack. Here we describe various techniques of phacoemulsification. Soft cataracts present a unique challenge for a surgeon as it is difficult to perform a divide-and-conquer, stop-and-chop, or direct chop technique in these cases as the nucleus is very soft. In this video, we demonstrate how to tackle such cases during phacoemulsification by performing multiple hydrodelineations. Surgical steps: RAPID technique, Traditional carouselling technique, Endocapsular carouselling technique, Bowl and Snail technique Phaco chop technique. FF1-03 Four-Flanged Polypropylene 6-0 Refixation of a Dislocated en Vista MX60 IOL Bobbie Marie SANTOS Philippines Dislocated intraocular lenses can pose significant surgical challenges, particularly when prior fixation techniques fail. This video highlights the case of a 35-year-old man with an inferiorly displaced enVista MX60 IOL, initially secured transsclerally with 10-0 polypropylene, where one suture had broken. Using a pseudo-4-point fixation technique with 6-0 polypropylene sutures passed via 30-gauge needles, the IOL was successfully refixated for enhanced stability. This approach demonstrates a practical and reproducible solution to managing IOL dislocation effectively. FF1-04 IOL Implantation Techniques in Inadequate Capsular Bag Support - Nail technique Parth PALAN India In complicated cataract surgeries, the compromised capsular support does not allow the surgeon to place an intraocular lens (IOL) in the capsular bag. The choices for a secondary IOL implantation include angle-supported anterior chamber IOL (ACIOL), scleral-supported IOL, and iris-claw IOLs. In this video, all three techniques will be briefly described. We will also describe a technique of retropupillary implantation of iris-claw lenses which involves placing a 10-0 prolene straight needle from 3 o clock to 9 o clock of the cornea. The lens is then implanted in a retropupillary position. The needle serves as a guide for perfect centration and helps do away with the need for the second Manual SICS is a great and quick tool for Cataract in High Volume Centres. It is equally effective for all grades of cataract. It is extremely cheap and cost Effective as we don’t need any fancy machine and technology. In an experience hand the visual outcome and Results are comparable to Modern day Phacoemulsification. Spiral capshulorhexis is an effective way to prevent Argentinian flag in Milky cataract. FF1-06 Cataract Surgery Post-trabeculectomy: A tale of two blebs Zia PRADHAN India Cataract surgery in an eye which has previously undergone trabeculectomy requires meticulous planning in the pre-op, intra-op and post-operative period. Preferably defer phacoemulsification for at least 6 months following trabeculectomy. Pay attention to the pre-op biometry which can be erroneous in eyes with low intraocular pressure (IOP). Intra-operative steps to prevent bleb failure include placing incisions at least 1 clock-hour from the bleb, avoiding iris manipulation, and a thorough cortical and viscoelastic clean-up. Post-operatively, the IOP and bleb should be monitored carefully and the bleb may be modulated with intensive steroids, needling and anti-metabolites if required. The health of the bleb must be considered at every point during the cataract management and this video demonstrates the manoeuvres deemed to improve bleb survival. instrument, thus making this an extremely effective technique. FF1-05 Manual SICS - A great tool for high volume centres Gyanendra LAMICHHANE Nepal

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