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

FILM FESTIVAL TITLE PRODUCER FF2-11 Intrascleral Polypropylene Fixation of Subluxed Toric Multifocal Lens Ainur Rahman ANUAR Malaysia Dr. Ainur Rahman demonstrates an intrascleral fixation technique to reposition a dislocated toric multifocal IOL (Lentis X MF30) in a 50-year-old man. Methodology: Polypropylene suture was used to fix a toric multifocal IOL (Lentis X MF30) using a modified Yamane technique with the aid of portable heat cautery. Results: At 2 weeks post surgery, patient’s unaided visual acuity was 6/9.5 (20/32) for far, 6/6 (20/20) intermediate and near N3. FF2-12 Taming the Polar Bear Mohan RAJAN India Posterior polar cataract (PPC) is always a bug bare for even experienced phaco surgeons. There is an increased incidence of posterior capsule rupture, preexisting dehiscence, and nucleus drop in PPC. This video highlights the various manifestation of PPC and the various phaco techniques for managing these types of difficult cataract with good results. FF2-13 Dwarfed Iris Hooks to Minimize Iris Trauma during Cataract Surgery in Small Pupil Jayaprasad BHASKARAN India Iris hooks are simple and versatile compared to all other pupil expanding devices. They are the most commonly used ones, the world over. The major contributors to sphincter and iris damage when using iris hooks for cataract surgery include: 1. overstretching of the pupil to the limbus; 2. repeated shallowing and deepening of the anterior chamber that produce stretch damage to the sphincter at the points of hooking; 3. repeatedly rocking the shaft of the iris hooks against the lid margins or medial canthus, transmitting the trauma to the other end of the hook inducing considerable trauma to the iris. We present modifications in technique of using iris hooks, which will minimize iridocyclitis and distortion of the pupil. FF2-14 Peripheral Anterior Capsulotomy to Prevent Capsular Distention Syndrome Smita NARAYAN India Sulcus fixation of a 3-piece IOL with optic capture by the rhexis in an intact capsular bag is the current gold standard for cataract surgery in pseudoexfoliation syndrome. However, this technique increases the potential flor capsular bag distention syndrome after surgery. We describe here a prophylatic needle capsulotomy in the peripheral anterior capsule to prevent this complication. This is the first description of this procedure and the technique; precautions and adjuvant steps are described. FF2-15 Application of Four-flanged Intrascleral Fixation Technique for Toric and Multifocal Intraocular Lens Sohee JEON South Korea We describe cases of premium intraocular lens implantation, after which the patients fully recovered their visual function after scleral fixation of premium IOLs using a 2.8-mm corneal incision and four-point fixation without sutures. In the first case, a monofocal toric hydrophobic lens consisting of two haptic plates with four holes for suturing was fixated with 5-0 polypropylene monofilament. In the second case, a bifocal hydrophobic lens with the same haptic design was fixated. No conjunctival or scleral sutures, glue, or flap formation was required during the surgery. There were no complications related to the surgical process. FF2-16 Singh’s Iris Prosthesis for Bridging an Iris Defect Kiranjit SINGH India We have known about the coloured iris segments for insertion into the capsular bag or the ciliary sulcus to block the extra light coming from big defects in the iris due to trauma or congenital colobomas. The authors have created a colored iris segment on an iris claw lens platform to stitch to the iris and block the extra light coming in and prevent visual and cosmetic effects. The time taken to fix such an iris segment is less compared to other modalities available. The author has performed 7 cases with very encouraging results as far as photophobia and quality of vision are concerned. 78