Final program | 33rd APACRS – SNEC 30th Anninversary Virtual Meeting

FILM FESTIVAL TITLE PRODUCER FF2-06 Simplifying the Simple – Feasibility of a modified 4-flange scleral fixation technique with a new design of foldable IOL Sheetal BRAR India The film demonstrates a new technique of scleral fixation, the “modified 4 -flanged technique” of fixation of a rigid IOL for management of aphakia. The technique is shown in a step by step manner and in a simplified way, to enable a clear understanding of the procedure. We also discuss our experience through an average of 9 months follow-up with this technique. The feasibility and initial experience with a new foldable IOL designed for this purpose has also been shown. We believe that the film would help many surgeons who wish to learn a simplified technique of scleral fixation which is safe, effective, and less complicated to perform. FF2-07 Lasso that Hard Cataract Sri GANESH India This film demonstrates the utility of miLoop for the management of hard brown cataracts, which are some of the toughest cataracts to tackle, even for an experienced cataract surgeon. This instrument is an ultrathin (300 microns) and superelastic filament made of Nitinol (alloy of nickel and titanium) with excellent shape memory, which can fold from a 10.5-mm to a 1.5-mm radius while maintaining integrity. It allows for complete fragmentation of the hard nucleus into two or four fragments (as desired), thus enabling safe phacoemulsification of these fragments. In our experience, it has reduced the cumulative dissipated energy (CDE) by up to 50%, leading to clearer corneas and reduced endothelial cell loss postop, making this an indispensable tool for management of such complex cases. FF2-08 Phacoemulsification of a Mature Cataract in a Patient with Traumatic Zonulysis Carlo Miguel GALANG Philippines Phacodonesis is shaking of the lens with eye movement. It usually happens when there is zonular weakness or dehiscence, causing the lens to have an unstable position. Presence of these problems make phacoemulsification challenging. With the development of new devices help with the stability of the lens during surgery. This video will focus on the phacoemulsification of a rock-hard nucleus in a patient who sustained blunt trauma and zonulysis. Capsular hooks and capsular tension ring were used to stabilize the capsule. FF2-09 Controlled Double Capsulorhexis under Viscoelastic Tamponade in the Management of Hypermature Dense Cataract Mahesh JAYAWEERA GAMAGE Sri Lanka This series of videos describe pearls and challenges in the management of hypermature dense cataract using duoble capsulorhexis under tight viscoelastic tamponade, a reliable and predictable technique. Initial small capsulorhexis of 3–4 mm in diameter is made, using cystitome inserted through 1.2-mm side port, while an assistant topping up viscoelastic through the other side port. Then lens is decompressed by aspirating cortical matter, partly dissolved, using bimanual irrigation-aspiration. Subsequently, a larger capsulorhexis is made of 5–6 mm in diameter using capsulorhexis forceps inserted through the main wound. Afterwards, phacoemulsification is done with direct chopping, burring the phaco probe into the hard nucleus and IOL implantation is done. Finally, viscoelastic removal and wound hydration is done to complete the surgery. FF2-10 Splitting and Nibbling Phacoemulsification for Hard Nuclear Cataracts Jong Joo LEE South Korea When phacoemulsification is chosen for the removal of dense cataracts, nuclear disassembly is always a challenge because techniques such as grooving or nucleofractis cannot be done easily. To replace sculpting with manual fracture led to the reduction in total ultrasonic power, minimizing the postoperative corneal edema. In case the initial complete bisection could not be accomplished due to dense posterior plates, the nucleus was split or cracked into small pieces one by one along the cleavage planes. Nibbling and aspirating the pieces smaller than the tip diameter with the aid of the chopper could be done minimizing the additional ultrasound power delivery. This video will show how to improve the safety during hard cataract surgery by splitting and nibbling phacoemulsification. 77