FILM FESTIVAL 83 FF4-08 M.I.:III Triple Procedure for a Posterior Segment Surgeon: Phacofragmentation, endoscopic photocoagulation, and 4-flange intrascleral fixated IOL Erika Jean SALVAME Philippines A 51-year-old presented with traumatic cataractous lens subluxed completely into the anterior chamber with secondary angle closure glaucoma and vitreous and subhyaloid hemorrhage. The surgical objective was to maximize single surgery despite limited resources due to pandemic restrictions. Phacofragmentation was done for the subluxated lens with secondary intrascleral fixated rigid IOL using 4-flange Canabrava technique, as it was the available lens. Vitreous and subhyaloid hemorrhage were managed by pars plana vitrectomy. Lastly, endoscopic cyclophotocoagulation was done as adjunct to IOP control, as there is high likelihood of increased IOP despite removal of subluxated lens. This video highlights pearls for each procedure and shows the synergistic operative technique. FF4-09 A Whole New World Viraj VASAVADA India As ophthalmologists, we are often focused on our daily practice and lose sight of the fundamental principles of the practice of medicine, and life, in general. This film, a personal journey of an ophthalmologist following a lifechanging event, summarizes pearls from her personal experience that will be useful to all ophthalmologists to make their professional and personal lives more meaningful. FF4-10 Decoding Ngenuity: A 3-dimensional change in routine phacoemulsification Ravi Krishna KANARADI India Cataract surgery has undergone a major evolution in the last few decades with respect to newer machines, microscopes, and now the NGENUITY® 3D visualization system. We studied surgeon’s comfort, ease of visualization, and surgical outcome performed by 5 surgeons on the Ngenuity system and compared it to those performed using standard operating microscope (SOM) across a similar group of patients. Patient cooperation and comfort was found to be better due to lower illumination on Ngenuity system when compared to SOM. We used a novel “surgeon comfort score questionnaire” to assess neck comfort, visualization, and other parameters for surgeons. The Ngenuity System is a great tool for the surgeon and patient, and helps serve as a teaching tool in present day practice. FF4-11 Customized Phototherapeutic Keratectomy (PTK) for Recurrent Corneal Erosion (RCE) Syndrome Divya TRIVEDI India Purpose: Recurrent corneal erosion (RCE) syndrome is characterized by recurring breakdown of corneal epithelium, causing frequent episodes of lacrimation, photophobia, and blurring of vision. When conservative management fails, a large-area PTK is planned. We developed a novel technique—customized phototherapeutic keratectomy (PTK) for such cases. Methods: 11 patients with RCE syndrome not responding to conservative therapy were included. A customized transepithelial PTK was planned, using the PTK-CAM module of the Schwind Amaris RS1050. Affected area measured and ablated to a depth of 25 µ beyond the thinnest epithelial thickness using excimer laser. Results: Complete resolution of symptoms noted in subsequent visits, sans refractive surprises. Conclusion: Customized PTK is a safe and effective tissue-sparing technique for treating RCE syndrome that is refractory to medical treatment.
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