34th APACRS-2022 KSCRS Joint Meeting Final Program

FILM FESTIVAL 76 FF1-09 Posterior Nodal Cataract Alternate Strategy Sunil THANGARAJ India The posterior nodal/polar cataract is fraught with danger as there is a high risk of PCR with its consequent complications. Conventionally, we are taught not to hydrodissect and perform only hydrodelineation and further cautioned against nuclear rotation. These conventions make the surgery cumbersome and frequently land us in the same complications we were trying to avoid. In our technique, we employ hypotony as a facilitator during surgery, thereby making it possible to perform both hydrodissection and nuclear rotation without the fear of causing a PCR. The strategies employed will be graphically demonstrated using a series of cases. These very same strategies make the surgery almost a routine phaco procedure. FF1-10 Fix that Axis! Swivel Haptic Anterior Capsular Fixation of Toric IOLs Supriya Samak S India A new design of toric IOL with anterior capsular fixation via two extra swivel haptics is herein described. It is a single piece, open loop, hydrophobic toric IOL. It has two extra haptics made of a proprietary material, fixed on the surface of the toric optic at 3 and 9 o’clock positions, that can swivel back and forth. After implanting the IOL in the bag, the extra haptics are designed to slide over the anterior capsule, fixating the IOL smoothly onto the capsule. The postoperative BCVA, the amount of axis rotation in the toric IOLs, the IOL decentration and complications are the parameters assessed and results presented. This toric IOL is designed to minimize axis rotation, a requirement for IOL repositioning and improving patient satisfaction. FF1-11 Tips and Tricks of AGV Implantation Richa ASTHANA India The Ahmed Glaucoma Valve (AGV) is used in refractory glaucoma and multiple failed trabeculectomy cases. This video highlights practical tips for AGV tube implantation in different difficult situations. In this video, we demonstrate the nuances during AGV tube handling and insertion. We show two cases of refractory glaucoma undergoing AGV implantation. We are trying to show various modifications in AGV implantation like peritomy done 2-mm posterior to limbus, using donor sclera itself underneath the tube to titrate the tube length, tube implantation in sulcus, and releasing PAS using needle. FF1-12 Trans Conjunctival Small Incision Cataract Surgery (TC-SICS) Andrew BRAGANZA India SICS is usually done after performing conjunctival peritomy and cautery of the scleral bed. We demonstrate an alternate technique wherein the scleral incision is performed through the conjunctiva without the need to perform peritomy or scleral cautery. The video is an instructional video with a learning curve, explaining the surgical steps in detail. Further, we will show this technique being performed with small pupils, in intumescent and mature cataracts, and in post penetrating keratoplasty eyes. Postoperative photographs will illustrate its efficacy and safety. In conclusion, we will summarize its advantages over the conventional method of performing SICS as well. FF1-13 Quadrisection and IOL Exchange through a 2.2mm Incision Abhijeet DESAI India Patient was operated on 8 years ago and a plate haptic bifocal intraocular lens was implanted. An ND:YAG capsulotomy was done for posterior capsular opacification. The IOL was found to be opacified. The patient was taken for IOL exchange. Anterior chamber was filled with viscoelastics, IOL was prolapsed from the bag, quadrisected through a 2.2-mm incision and exchanged with a trifocal toric IOL placed in the bag in the presence of preexisting capsulotomy opening. Postoperative day 1: Vision 6/6, N6, anterior chamber quiet, IOL in place.