Final program | 33rd APACRS – SNEC 30th Anninversary Virtual Meeting
FILM FESTIVAL TITLE PRODUCER FF4-07 Intraoperative Gonioscopy for MIGS Suho LIM South Korea Gonioscopy is an essential examination for diagnosis and treatment of glaucoma. This method allows direct observation of the anterior chamber angle with the aqueous humor outflow pathway. Recently, different forms of minimally invasive glaucoma surgery (MIGS) have been used widely in the clinical setting. However, the rate-limiting step and key to successful angle surgery requires optimal visualization of angle anatomy with intraoperative gonioscopy. In this video, I will discuss some surgical tips and tricks of intraoperative gonisocopy for glaucoma surgery, so called “ABCs DO” methods for a successful gonioscopy. A: Angle Anatomy, B: Baseline examination, C: Corneal incision and Cooperation, S: stabilization and surgical instrument, D: Docking of goniolens, O: OVDs and OP skills. FF4-08 Burden of Preoperative Astigmatism: Ways to plan the most appropriate intervention Bryan Hung-Yuan LIN Chinese Taipei Nowadays, many kinds of machines exist to check corneal curvature and astigmatism degree and axis. However, clinically, corneal topography results of many people showed asymmetric astigmatism. Therefore, measurements of the magnitude and axis of astigmatism obtained by all tests were seen to be different, causing doctors considerable difficulties in terms of planning astigmatism correction. Discovering the true steep meridian in the preoperative corneal topography is very important. In this video, we would like to share our tips in dealing with symmetric and asymmetric astigmatism in cataract surgery. Combination of these modern methods was effective in reducing corneal astigmatism with high degree of safety and efficacy. FF4-09 Good Chop Bad Chop and Learning Nikunj TANK India Advanced surgical skills don’t come with birth, you have to work for them, earn them. Chopping during phacoemulsification surgery is essential as it decreases the amount of phaco energy used inside the eye for emulsification of nucleus. For harder cataracts, it is a necessary skill, even in the femtosecond era. Every young surgeon starts learning the phaco chop and fails initially. Focusing on these failures will make you achieve what is desired. This video is the author’s own learning journey. As with the good cop-bad cop technique of interrogation used by police, good chop-bad chop and learning is demonstrated here. Its aim is to inspire young surgeons—“Never to give up and keep learning and push your limits.” FF4-10 Deciphering the Enigma of Astigmatism in Cataract Surgery Shruti KOCHAR MARU India The pace of innovation in cataract surgery is among the most rapid of any field of medicine. Despite so many advances, astigmatism is still troublesome after cataract surgery, as it can degrade visual acuity and compromise the performance of premium intraocular lenses. Many variables can contribute to residual refractive cylinder after cataract surgery. Recognizing that even low levels of postoperative astigmatism can affect visual results is the first and most important step in minimizing its impact. This video describes various scenarios and case-based approach to determine the importance of controlling residual astigmatism to achieve good outcomes and happy patients. FF4-11 Ripley’s Believe It or Not! Steroids stand alone are ineffective in these uveitis S BALAMURUGAN India Uveitis treatment is asynonymous with steroid bombardment. Steroids being a double-edged sword can backfire if injudiciously used. Avoiding them altogether can cause so many perils and are the lynch pin in tackling paradoxical reactions. The appropriate titration of inflammation with specific anti-infectives and steroids is the mantra of treatment success. The USP of any uveitis specialist is extending the armamentarium of uveitis treatment from beyond steroids to immunosuppressives with its choices. Where steroids are ineffective in uveitis is an eye-opener to a budding ophthalmologist. Dynamic assessment of response to steroid treatment is the fulcrum for the astute clinician to clinch several subtle diagnoses. Application of this practical knowledge will benefit patient care and avoid costly mistakes. 85
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