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

FILM FESTIVAL TITLE PRODUCER FF2-23 Intralenticular Foreign Body Nina HANDAYANI Indonesia The purpose of this video was to demonstrate the surgery of patients with intralenticular foreign bodies and also to review the visual outcome. A 23-year-old male was referred to our hospital with decreased vision and intraocular FB. A fine metal was completely embedded in the lens and there was a posterior subcapsular cataract. The patient received elective extracapsular cataract extraction with phacoemulsification technique. A fine metal thread embedded in the lens was removed first after capsulotomy; the cataract was removed after that with the I/A setting. The posterior capsule was injured but the rigid intraocular lens was implanted safely in the capsular bag. First day post surgery, left-eye vision had returned to 1.0. FF2-24 Management of Difficult Situations during Pediatric Cataract Surgery Meenakshi RAVINDRAN India Pediatric cataract surgery can be challenging both in the operating room and after surgery with regards to its clinical management and close follow-ups. Unlike adult cataract surgery, pediatric cataract surgery requires a multidisciplinary approach that monitors and treats all aspects of vision and vision-related function in these growing children. We address three challenging intraoperative case scenarios of PHPV (persistent hyperplastic primary vitreous), optic–haptic capture of the IOL in the anterior chamber with low corneal endothelial cell counts, and ectopia lentis with Marfans syndrome. It can be stated that timely management with prompt visual rehabilitation is of utmost importance for an optimal visual outcome and to avoid amblyopia. FF2-25 Hide and Seek Vivekanadan VR India Complications can occur at any time during surgery, it’s very important to be prepared. Here we show a very strange problem at a very odd time. Don’t relax until surgery is over, because the struggle still might be turned around. It ain’t over till it’s over. Improper management of complications such as posterior capsular tear and vitreous disturbances can lead to poor visual outcomes, and even endophthalmitis, the prognosis is better if the complication is managed effectively. Many things can go wrong during or immediately after cataract surgery. The surgeon’s first responsibility is to prevent complications. However, despite our best efforts, they will occur, here we show a simple way of handling a complicated cataract in a safe manner. FF2-26 Bag – Half full half empty VN DEEPAK India Cataract is the leading cause of blindness, especially in developing countries. Despite tremendous technical and technological advancements in cataract surgery, intraoperative complications are inevitable. Iatrogenic aphakia is always a nightmare to the patient as well as surgeon. In eyes with large capsule tears or severe zonular loss, intraocular lens (IOL) implantation is a challenge. We present a single haptic iris suture fixation technique for a rigid poly (methyl methacrylate) (PMMA) IOL. This helps the surgeon to fix the posterior chamber IOL even in eyes with large capsular tears or severe zonular loss of 6-clock hours with fewer complications. FF2-27 Mission: Implausible Naveen Nischal GANGAPATNAM India Present-day cataract surgery is more of a refractive surgery. Emmetropia at distance and sometimes also at near are the ultimate goals. Many things can go wrong during cataract surgery. Management of a posterior capsular rupture and implantation of a foldable intraocular lens (IOL) is a challenge to the surgeon. Here we present various approaches to IOL implantation following PCR with special attention to in-the-bag implantation of single-piece IOL. We highlight tips and mistakes to avoid to achieve this task. FF2-28 Phacoemulsification in a Small Pupil with Dense Cataract TIONG Kiew Ing Malaysia Handling a small pupil with dense cataract is not a new norm, and yet it displays a spectrum of challenges while performing cataract surgery. Several extra steps need to be done while conducting the surgery. Early anticipation and preparation such as iris hook or Malyugin ring may be helpful in this situation. With proper handling and preparation, this case can be performed with ease without a pupillary expansion device. This video aims to demonstrate the progressively decreasing pupil size intraoperatively while handling dense cataract. 80