37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF1-19 Unique Techniques for Intraoperative Release of Adherent Haptic to Optic in Alcon IOL’s

Harshavardhan PATIL India

Ideally Alcon IOL's haptics unfold immediately after insertion in capsular bag. But recently in preloaded IOL's the trailing haptic dors not unfold. It sticks to the optic and does not open even after 2 to 3 minutes. I am presenting here a unique technique of how to release such adherent haptics from the optic. One is by keeping irrigation and aspiration canulas on either side of the adhered haptic. So there is fluid wave which helps in release of the haptic by capillarity action. Other is nudging the haptic with sharp needle or mvr just below the terminal bulb of the haptic. FF1-20 B-OCTA, a Pupil Expander for the Children of a Lesser God Suven BHATTACHARJEE India While pupil expansion devices are available to combat a non-dilating pupil and intra operative small pupil during Phaco surgery, no effort has been made to address the same challenge for Manual Small-incision Cataract Surgery (MSICS or SICS). Patients undergoing MSICS seem to be the children of a lesser God. MSICS is faster, less expensive and less dependent on expensive technology, and yet, available Pupil Expanders fail to address the specific needs of MSICS. The ‘B-OCTA Pupil Expander’ addresses this unmet need in MSICS. The unique design has a ‘small resting size’ which allows easy, yet firm engagement to the pupil, and a ‘larger expanded size’ which allows delivery of the nucleus into the anterior chamber. FF1-21 The Curious Case of the Dead Bag – Unravelling the mystery Vaishali VASAVADA India This film puts the spotlight on dead bag syndrome, a cause of late IOL decentration. It differentiates two diseases causing late IOL decentration – one, a zonulopathy, and the other, dead bag syndrome, where pathology of the lens epithelial cells or capsule, leads to IOL decentration alone. It describes associations, clinical features, and surgical outcomes in the dead bag syndrome. FF1-22 Manual Small Incision Cataract Surgery (MSICS) Wound Construction: Tips, tricks, and troubleshooting Chandni SATANI India PURPOSE: To educate the novice surgeons on MSICS wound construction techniques, possible complications and rescue measures. METHODS: Demonstration of ideal MSICS wound construction and common complications including superficial tunnel, deep tunnel, button hole, premature entry and wound gape leading to late post-op complications. Tip to identify the complications early and rescue measures will be detailed. This film will also showcase a case of post MSICS wound gape leading to late post-op, secondary angle closure and its management. RESULTS: The film provides a clear understanding of optimal MSICS wound construction, highlighting techniques to minimize complications and manage them effectively. CONCLUSION: Mastering MSICS wound construction is crucial for successful outcomes. This film will serve as a valuable learning tool for the same. FF1-23 Buffer Cataract Surgery for Compromised Corneas in Iridocorneal Endothelial Syndrome Hridya MOHAN India This video demonstrates an ingenious surgical technique devised to avoid corneal endothelial damage during cataract removal in compromised corneas of Iridocorneal endothelial syndrome. Here, an opening is made in the posterior capsule and the cataract is emulsified through a posterior approach by the Vitreo Retinal surgeon. The intact anterior capsule acts as a shield and protects the corneal endothelium. A multi piece intra ocular lens is then implanted on the anterior capsule through a clear corneal incision, followed by the creation of a central opening in the capsule from the pars plana approach, to avoid the need for YAG Capsulotomy later. This technique has been employed in 7 patients with complicated ICE Syndrome with good surgical outcomes. FF1-24 Finessing the Fibrous Anterior Capsule Ronald YEOH Singapore Cataracts with fibrous anterior capsules challenge the cataract surgeon to make a complete continuous circular capsulorhexis. Failure to do so creates difficulties during surgery and to IOL positioning. This film comprehensively considers the surgical and structural aspects of fibrous anterior capsules, looks at associated novel biomarkers and considers how this information may help in minimising capsular fibrosis.

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