37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF1-07 Implantation of Sulcus Fixation IOL in Rabbit’s Eye

Ravikumar P. India

Implantation of newer design Scleral fixation IOL in New Zealand rabbits to study the biocompatibility of its material by analysing tissue reactions in the eye. We have developed a technique to overcome the difficulties in implanting the IOL in the rabbits eye because of its narrow anterior chamber depth and low scleral rigidity. We did sclero tunnel incision, capsulorhexis, hydro dissection, Phacoemulsification of the nucleus and implanted newer design scleral fixation IOL successfully. FF1-08 X-NIT Technique of Scleral Fixated IOL (SFIOL) Asheesh BAJAJ India There is a wide spectrum of options available for Scleral Fixated IOLs with each one having its advantages and disadvantages. Some of the available procedures have a steeper learning curve and involve intraocular manipulation of the IOL haptics. This video showcases the simple X-NIT technique of SFIOL which is an "extra-ocular needle guided haptic insertion technique of SFIOL insertion. It is a relatively safe, simple and effective method for secondary IOL implantation in case of Aphakia due to several causes like post-surgical, trauma and subluxated cataracts having inadequate capsular bag support. Merits of the X-NIT technique are: 1. No Special or costly instrumentation/equipment is required. 2. Sutureless fixation of Haptics 3. Easier learning curve for Anterior Segment surgeons FF1-09 The Evolution of Peristaltic Pumps in Cataract Surgery Hisaharu SUZUKI Japan Anterior chamber stability is very important in ultrasonic cataract surgery. Many PhacoEmulsification and Aspiration (PEA) machines use peristaltic pumps. This video will review the history of pump systems in cataract surgery and examine how a new PEA machine has evolved dramatically using the established Slit Side View method. FF1-10 A Novel Surgical Approach for Training Young Cataract Surgeons Bryan Hung-Yuan LIN Chinese Taipei We propose a refined surgical approach emphasizing the removal of ophthalmic viscosurgical devices after intraocular lenses implantation first, followed by corneal incision and continuous curvilinear capsulorhexis techniques to enhance hand-foot coordination under the microscope. The key focus is on lens fragmentation using the Divide-and-Conquer method, which is incorporated as the final step in a structured training program with at least 100 cases. This approach provides an ideal framework for training young surgeons, ensuring proficiency in critical surgical maneuvers. FF1-11 Foldable Artificial Iris Implantation in Congenital Aniridia and Traumatic Iris Defects So-Hyang CHUNG South Korea We introduce cases of foldable silicone artificial iris implantation in congenital aniridia and traumatic iris defects. Two types were used: without fiber, designed for in-the-bag implantation, and with fiber, suited for suture fixation in the sulcus. Key surgical considerations included precise trephine sizing, proper injector loading, and intraoperative capsule measurement to optimize outcomes and reduce complications. In congenital aniridia, simultaneous cataract surgery and artificial iris implantation were performed, ensuring a stable IOL position. In trauma cases, suture fixation was required for structural support. Postoperative cosmetic and functional results were excellent, with stable intraocular pressure at follow-up. These artificial implants offer promising solutions for iris reconstruction. FF1-12 Hold and Rotate Tsung-Hsien CHOU Chinese Taipei Nucleus rotation is a critical preparatory step before nuclear fragmentation in cataract surgery. A fully rotatable nucleus minimizes stress transfer to the posterior capsule and zonules, reducing the risk of complications. However, in some cases, nucleus rotation remains challenging despite repeated hydro-dissection, often due to zonular weakness, high myopia, or pseudo-exfoliation. Traditional bimanual rotation using a 26-gauge cannula and a Sinskey hook is an option but may be difficult with a small capsulorhexis or for less experienced surgeons. A simpler "hold and rotate" approach offers an effective alternative by utilizing the phaco tip's vacuum to secure the nucleus while a chopper facilitates rotation. This technique eliminates the need for additional instruments and reduces zonular stress, making it a safer and more accessible solution for rescuing an unrotatable nucleus. Employing this approach can improve surgical outcomes and minimize complications, particularly in patients with compromised zonules.

90