37th APACRS Annual Meeting Final Program

FILM FESTIVAL

FF2-23 Posterior Polar Cataract With Pre Existing Posterior Capsular Rent

Kiranjit SINGH India

In the tricky situation of ppc with pre existing rupture, 0val rhexis helps to bail out. The longer axis helps to make deep and long gutters which are easy to break and bring in anterior chamber for the purpose of emulsification. In the bag implantation of single piece intraocular lens is possible. If not shorter axis holds the 3piece intraocular lens as optic capture. FF2-24 A Severe Case of Aqueous Misdirection Melissa HY WONG Singapore Aqueous misdirection during cataract surgery can be seen in cases where there is zonular laxity. This video showcases a seemingly routine cataract surgery that didnt turn out quite the way it was supposed to be. With a simple technique to Conventionally, toric intraocular lenses (IOLs) are implanted within the capsular bag to correct corneal astigmatism. Managing aphakia with high astigmatism without capsular support is a surgical challenge. We present two post traumatic cases where scleral suture fixation of single-piece toric IOLs was performed for visual rehabilitation. Case 1 had 6D corneal astigmatism with prior retinal detachment surgery. Case 2 had a traumatic calcified cataract with 3.52D astigmatism. One month postoperatively, UCVA and BCVA were 0.3 and 0.18, respectively. The residual refractive cylinder was 1.58D in Case 1, with no astigmatism in Case 2. This technique provides significant visual improvement and offers a practical solution for surgeons using familiar fixation methods and readily available toric IOLs. FF2-26 Through the Eye of the Storm: A surgeon’s journey of the toughest trials Bhavana SHARMA India As surgeons we come across the toughest cases & surgical complexities. We present a series of ocular surface cases which were almost lost in complex surgical waters. But these challenging cases brought out the best in us to the marvel of patient. Through the Eye of the Storm, let’s go through the visionary triumphs, unravelling the toughest corneal challenges. 1. The lost limbal biopsy 2. Aspirated Mucous Membrane Graft for LMK 3. Optical PK and the ‘Iris Storm’ 4. DSEK through fibrosis in PK. 5. DM perforation in DALK. These cases highlight the unpredictability and the mandated adaptability for achieving optimal outcomes. Through precision & perseverance even the most formidable aspirate the loculations of fluid behind the lens, the surgery was able to proceed smoothly. FF2-25 Beyond the Bag: Innovative scleral-fixation of toric IOLs for complex post traumatic aphakic cases Raj Shri HIRAWAT India

challenges can be overcome, leading to restored vision and renewed hope. FF2-27 Managing Traumatic Aphakia With Modified Yamane Technique

Ajay MEHTA India

A patient who is aphakic after traumatic dislocation of the crystalline lens and traumatic mydriasis undergoes a two step procedure. In the first step undergoes pars plana vitrectomy for removal of the crystalline lens from the vitreous cavity. This video demonstrates the second step where a modified yamane fixation of the iol is done along with pupilloplasty

and also showing that traumatic cases are best managed in two steps giving excellent results. FF2-28 Capsular Tension Ring Engagement With the Ciliary Sulcus in Eyes With Weak Zonules

Takahiro SHIMOWAKE Japan

In cataract surgery for eyes with weak zonules, it is commonly assumed that a capsular tension ring (CTR) cannot prevent late subluxation or dislocation. But is this belief entirely accurate? Utilizing high-resolution intraocular endoscopy, we have shown that, in select cases, a CTR inserted into the capsular bag can engage with the ciliary sulcus, effectively stabilizing the capsule and IOL.

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