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

FILM FESTIVAL Film Festival FF3 – Refractive/Corneal Surgery TITLE PRODUCER FF3-01 Battle of the Bulge Sujatha MOHAN India Hydrops is an uncommon but sight-threatening complication which can occur in patients with advanced keratoconus. While most patients respond to conservative medical management, severe cases with large stromal vacuoles of cysts need surgical intervention. This video outlines the injection of C3F8 gas, use of venting incisions, and lastly even a near total DALK to overcome this often unrelenting problem. FF3-02 T.R.E.K. Topography Guided Removal of Epithelium in Keratoconus Followed by CXL: A novel tissue sparing customized ablation Sneha GUPTA India In early keratoconus (KC) with adequate thickness, topo-guided photorefractive keratectomy (TPRK) with crosslinking (CXL) improves visual quality and regularizes anterior corneal surface. A novel tissue saving approach, topo-guided removal of epithelium in keratoconus (TREK) was done in 100 keratoconic eyes with thinner corneas, higher grades of KC, and decentered cones, where stromal tissue ablation would be unacceptable to achieve a degree of regularization. Ablation was centered over the area of highest steepening rather than corneal apex and executed on PTK-CAM module of the Schwind Amaris followed by manual removal of surrounding epithelium and accelerated CXL. The visual, keratometric, and aberrometric outcomes were similar to TPRK. Thus, TREK is a safe, effective, and a novel tissue sparing treatment in KC. FF3-03 The CorNeat KPro – A novel, completely synthetic keratoprosthesis Gilad LITVIN Israel This film will first display an animated simulation of the surgical procedure developed in unison with the KPro. Following the animation, an edited surgical video of an implantation in a rabbit will be shown. FF3-04 Gore-Tex for Ocular Surface Reconstruction Anitha VENUGOPAL India Symblepharon after a chemical injury is a challenging problem that can result in tear film instability and extraocular motility restriction. A 10-year-old girl presented to us with progressive symblepharon and pseudopterygium encroaching the visual axis leading to defective vision, strabismus amblyopia, and motility restriction. The challenge, in this case, was the recurrence of symblepharon and fleshy growth. Gore-Tex is a biocompatible and inert material. It acts as an adjuvant and, along with an amniotic membrane, creates a strong mechanical barrier between tenons, sclera, and tarsus, thereby preventing the recurrence of symblepharon. Successful treatment of the ocular surface post chemical injury remains incompletely defined in the literature. Gore-Tex can be regarded as a novel adjuvant in preventing recurrence of symblepharon. FF3-05 Surgical Tips to Avoid Recurrent Epithelial Ingrowth during Traumatic LASIK Flap Revision – Unfolding the fold Aditya GHORPADE India A 33-year-old female presented with complaints of defective vision in the left eye following blunt trauma with a child’s finger 2 months back. LASIK was done 10 years prior. BCVA in the right eye was 6/6 and in the left eye was 6/18. Slit-lamp examination in the left eye showed a displaced, folded flap with epithelial ingrowth in the visual axis. Surgical removal of epithelial ingrowth with flap revision with sutures was done to avoid recurrence. Postoperatively, the unaided vision was 6/9. In view of chances of recurrence and flap complications, meticulous removal of the ingrowth with utmost precision poses a challenge to the surgeon. We discuss a few tips to avoid the recurrence of epithelial ingrowth in these complex situations. 82