Final program | 33rd APACRS – SNEC 30th Anninversary Virtual Meeting
FILM FESTIVAL TITLE PRODUCER FF2-17 Scleral IOL Fixation in Combination with Pupilloplasty Florian KRETZ Germany Traumatic mydriasis in combination with aphakia or sublimated IOL are difficult cases to deal with. This video demonstrates a technique of transscleral IOL fixation in combination with pupilloplasty using intracameral suturing technique. A 3-piece IOL was transsclerally fixated using Yamane technique. Afterwards, a pupilloplasty with circular suturing of the inner iris was performed using a 10-0 nylon sure with a small needle. Results: IOL centered very well. Suturing needs a lot of time and chasing of the needle intracamerally with great care. 1 day postop CDVA was 0.4 logMAR and increased to 0.1 logMAR after 1 week. The patient was very satisfied with the cosmetic result after surgery. FF2-18 MYX to Fix Aphakia Nikunj TANK India This video demonstrates MYX technique of sclera-fixated IOL (SFIOL) in cases of traumatic subluxated cataracts or aphakia. MYX stands for Modified Yamane and XNIT technique of SFIOL. The haptic insertion is done using 26-G needles outside the scleral tunnel (similar to the X-NIT technique) and flanges are created in the exteriorized haptics (similar to the Yamane technique) using heat cautery. This is an easy and fast technique to learn for all eye surgeons. FF2-19 Iridodialysis Repair – A simplified approach Madhu SHEKHAR India Iridodialysis is commonly associated with traumatic cataract and can lead to glare and double vision. In this video, we present two videos of iridodialysis repair with phacoemulsification in traumatic cataract. Animation is added for better understanding of the technique. This is an easy and simplified technique of iridodialysis repair which will benefit many cataract surgeons and ultimately patients will benefit by good quality of vision. FF2-20 Multifocal IOL Late Centration Manuel DOMINGUES Portugal Purpose: A 68-year-old patient, with 2-year-old multifocal toric IOL implant, developed anterior capsular phimosis that was managed with YAG capsulotomy. This condition progressed with IOL tilt and decentration. Method: We planned to align the inferior temporal haptic by a loop fashioned 10.0 prolene suture line fixed to sclera, under a Hoffman pocket. Results: A balance of forces between rotator manipulator and loop strength under Hoffman pocket were critical for IOL centration. Continuous irrigation and anterior vitrectomy helps to stabilize anterior chamber during maneuvers. Conclusions: Prolene scleral fixation under Hoffman pocket may keep multifocality even in cases of post surgical complications. FF2-21 Multifocal IOL Explant Lucio BURATTO Italy A reduction in the use of glasses is the main benefit offered by multifocal IOLs. Most of the patients are very satisfied, but some may not tolerate these IOLs. Then, IOL explantation and replacement are needed. This video shows different techniques for the removal of the lens and that unexpected events can always be around the corner. FF2-22 Ten Commandments for Biometry in Tricky Situations Shruti KOCHAR MARU India The demand for a spectacle-free life after cataract surgery is higher than ever. To an ophthalmologist, the fruits of a good surgery are dependent largely on the skills. However, more importantly, the roots of good results of surgery are laid by a perfect IOL power calculation. To hit the bull’s eye as far as target refraction is concerned, it is necessary to understand the benefits and limitations of currently available cutting- edge technology and formulas and apply them to the cataract surgery practice. The aim of the video is to familiarize modern day ophthalmologists with these tricky situations and how to calculate IOL power in special scenarios. 79
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