37th APACRS Annual Meeting Final Program

FILM FESTIVAL

(FF2) FILM FESTIVAL – CATARACT COMPLICATIONS/CHALLENGING CASES

TITLE

PRODUCER

FF2-01 Innovative Technique to Separate Iris and Lens Capsule in Total Posterior Synechiae With Cataract

Harshavardhan PATIL India

We are always in dilemma when we see an patients eye with chronic uveitis, which has pin point pupil, thick pupillary membrane, deep anterior chamber, vision of only perception of light. whether to operate the patient for visual prognosis or not. because you do not know the condition of cataract, the strength of the zonules etc. here I am presenting a similar case with an innovative technique to separate the total posterior synechiae from the anterior capsule of the lens. by creating a peripheral iridectomy and then doing viscosynaechiolysis, then doing membrane peeling and pupil stretching and further management of the case. FF2-02 Whole New Way to Clean Surgical Sight Santaro NOGUCHI Japan Current surgical sight disinfection is not perfect. Even if the sight is thoroughly rinsed with isodine, the field is soon contaminated with bacteria. We have developed a new concept in irrigation devices. The use of this device significantly reduced the number of bacteria detected in bacterial cultures. There was a reduction in drug-induced keratitis, which In this case of an abandoned cataract surgery, the patient presented with only hand movements vision and an elevated intraocular pressure (IOP) of 60 mmHg. Examination revealed superior iris chaffing with iridodialysis, retained lens matter, and posterior capsule rupture (PCR). This film documents the meticulous, step-by-step approach undertaken to restore the patient's vision, involving a lensectomy, pars plana vitrectomy (PPV), iridodialysis repair, and the placement of a secondary scleral-fixated intraocular lens (SFIOL). The film highlights the precision and advanced techniques required to address such complex ocular trauma, showcasing a powerful journey of surgical skill and patient recovery. FF2-04 IOL Scaffold for Supra Hard Cataract Sudhank BHARTI India High power and high vacuum settings are needed to successfuly emulsify the very hard (Grade 4+) cataract. These settings inrease the risk of posterior capsule rupture. To prevent this mishap multiple scaffolding methods have been propogated. All methods require the removal of scaffolding at completion of surgery. The IOL offers a device which need not be explanted thus making it a simple single step safety device. This video demonstrates the use of IOL as a Placement of foldable 3 piece IOL in the sulcus following posterior capsular rupture during phacoemulsification cataract surgery is a feasible option. However inability to identify the inadequacy of sulcus can lead to further complication of dislocation of IOL. In this video the learning point for identification of the inadequate sulcus is highlighted with challenge of explantation of a sinking IOL is shown. Case was completed by placement of a rigid iris claw with good post operative recovery. FF2-06 Pearls of Explanting Intraocular Lens (IOL) From Capsular Bag Yean Yaw CHOONG Malaysia A step-by-step approach to retrieve intraocular lens from capsular bag and simple method to remove foldable IOL from anterior chamber. resulted in better visual acuity. FF2-03 A Visionary Comeback Rohit AGRAWAL India scaffold for safety which is left in the bag. FF2-05 Inadequate Sulcus With Sinking IOL Divyalakshmi SURYA India

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