FILM FESTIVAL 77 Film Festival FF2 – Cataract Complications/Challenging Cases Title Producer FF2-01 My Frustrating Moments in Four Flanged Intraocular Lens Scleral Fixation Sohee JEON South Korea The surgical technique for scleral fixation moved to the next level with handheld electrocautery, which can make a flange by melting the suture or haptic of an IOL. Cannabrava’s four flange technique and Yamane’s technique are the most frequently used fixation techniques using handheld electrocautery. Cannabrava’s technique uses prolene to hold the IOL and make four flanges which provide a more stable postoperative IOL position while taking more time to fixate the IOL. In this film, I would like to present my frustrating moments in four flanged scleral fixation: 1) Prolene suture gets entangled with IOL after IOL insertion. 2) Prolene suture snaps after IOL insertion. 3) The eye was too long to pick up the IOL from the retinal surface. FF2-02 Double Loop Fixation Method for IOLs with Plate Loop Haptics Youngsub EOM South Korea This video introduces the scleral fixation method for single-piece IOLs with plate loop haptics. The introduced method fixates IOL by making two rectangular-loop sutures with 9-0 polypropylene. When the first and second needles pass through the haptics successively, they intersect in opposite directions as one goes upwards and the other goes downwards, respectively. FF2-03 Femtocapsulotomy in Presence of a Phakic IOL Lucio BURATTO Italy Femtolaser-assisted cataract surgery (FLACS) can be performed in eyes with previous phakic IOL implantation and femtocapsulotomy is certainly the most challenging and crucial phase. This video shows how to properly and safely perform the laser treatment in three different cases: angle supported, iris fixated, and posterior chamber phakic IOL. FF2-04 YAG Posterior Capsulotomy: The Final Hurdle to Premium-IOL outcomes Karl BRASSE Netherlands The two YAG laser treatment options for PCO are the cruciate and the circular pattern techniques. The circular pattern technique keeps the optical axis free of pitting but leaves the capsular cutout flap floating in the vitreous. Some patients complain of severe floaters. The cruciate pattern technique often creates defects (lens pitting) in the IOL material of the central optical zone with possible effects on the quality of vision with glare and straylight. This video presents an alternative laser technique which can be easily performed giving premium laser results. FF2-05 Scleral Capsular Bag Fixation and Reverse Optic Capture in Zonular Dehiscence Detected during Uneventful Phacoemulsification Jong Joo LEE South Korea Zonular dehiscence was detected after nucleus removal in an eye with asymmetrically severe nuclear cataract. The patient had not seen well with the eye since his teens and the preoperative visual acuity was 20/1000 OD. A dialysis of about 150 degrees was observed spanning superonasal to inferior sides and the capsular bag was rolled up. After careful removal of the cortex at the dehiscence area, triamcinolone-assisted anterior vitrectomy was done. Two two-point scleral hanging sutures of the capsular bag were placed ab interno 1.5~2.0 mm from limbus at superonasal and inferonasal quadrants using 10-0 Prolene. The haptics of a 3-piece intraocular lens were implanted into the bag with one haptic located in the inferonasal direction to support the capsule. The capsular diaphragm maintained the position of the lens as implanted 3 months postoperatively. FF2-06 IOL Scleral Fixation 101 Mun Wai LEE Malaysia Management of subluxated/dislocated cataracts or intraocular lenses (IOL) involves the use of complex and advanced surgical techniques. Adequate planning and decision-making are crucial components of success in such scenarios. This video provides an overview of modern IOL scleral fixation techniques and gives the viewer a primer for such techniques with step-by-step guidance for implementation.