FILM FESTIVAL 78 FF2-07 New Surgical Technique for Secondary Intraocular Lens Implantation using Artificial Bag with Optic Capture Seong Jae KIM South Korea Secondary intraocular lens (IOL) implantation in a patient with weak or no zonular support remains challenging. Several recent approaches to this procedure have used suture-less intrascleral fixation. In this report, we present our newly developed method to secondary IOL implantation, which uses an artificial bag with optic capture (i.e., Kim’s ABC technique). We believe that this method will be especially beneficial to anterior segment surgeons and can produce better results. FF2-08 Cataract Surgery in Nanophthalmos with High Intraocular Pressure Sunee CHANSANGPETCH Thailand Nanophthalmos is a rare condition that poses a risk of intraoperative uveal effusion and suprachoroidal hemorrhage. This video demonstrates techniques for successful cataract surgery in a nanopthalmic eye with an axial length of 16 mm, a markedly shallow anterior chamber, and high preoperative intraocular pressure. Preoperative mannitol infusion was given to reduce the vitreous pressure, facilitating cataract surgery. A single-quadrant, full-thickness sclerostomy was performed to allow fluid egress during the surgery. There were no complications both during and after the procedure. FF2-09 Therapeutic Graft with Intumescent Cataract and Secondary Glaucoma - Surgical Management Aby JACOB UK Challenging case of young male aged 30, who had therapeutic graft for non-healing fungal keratitis with impending perforation. 3 months later, he presented with a clear graft and intumescent mature cataract with a dense pupillary membrane, extensive PAS, and unresponsive pressure in the high 30s. Video highlights combined surgery performed. Planning trabeculectomy site, scleral phacoemulsification incision, managing the dense pupillary membrane, performing capsulorhexis on the intumescent lens with a poorly stained capsule, management of small fibrotic rhexis with scalloping techniques, soft shell technique and direct vertical chop to protect endothelium, IOL implantation, and finally trabeculectomy with releasable suture and closure will demonstrate how to get successful outcomes. FF2-10 IOL Acrobatics Mohan RAJAN India Complications may occur due to various factors including IOL design, improper loading of the IOL, or poor surgical technique. In this video, we will show some unforeseen problems during IOL implantation and steps to be taken to prevent these problems to ensure a successful outcome for the patient and the surgeon. FF2-12 Burst Out Traumatic Cataract: How to manage? Siska WIGONO Indonesia Traumatic cataract may occur after either blunt or penetrating ocular trauma that disrupts the lens fibers. It is one of the primary causes of unilateral blindness among men and young adults. In this video, we report a traumatic cataract case with corneal scarring and lens nucleus burst out into the anterior chamber. However, we were unable to determine whether the capsular bag support still intact or the vitreous prolapsed. All of the lens material sat in the anterior chamber. We performed a pre-evaluation, cataract screening, and surgical preparation rigorously. The key goal is to avoid zonular dialysis using phacoemulsification procedure and gently put in the IOL. Careful clinicaldiagnostic evaluation and thorough attention to surgical technique in managing traumatic cataract can give excellent visual results. FF2-13 Pupillorhexsis – A novel technique to manage bound down pupil of uveitic cataract Mayank Singh PANGTEY India In cases of bound down pupil of uveitic cataract, the various surgical options are sphincterotomy, synechie release, various iris hooks and rings. We hereby propose a novel technique of stripping of pupillary membrane stuck over anterior capsule as a simple method to release the pupil from capsule and achieve a dilating pupil and successful surgery. We coined the term “Pupilorhexsis” to showcase this technique for managing such cases of bound down pupil and achieving rather mobile and circular pupil even in the postoperative period without the need to shear and stretch the pupil by various hooks and rings which can deform the shape of pupil.
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