35th APACRS Annual Meeting Final Program

FILM FESTIVAL FF2-14 Phaco Cataract Surgery for Complex Microphthalmos and Nystagmus Wensheng LI China A 47-year-old female was admitted to the hospital on 19 September 2015 due to “painless vision loss in the right eye for more than 10 years.” Special examination: Vision in her right eye was 0.02, and could not be improved with correction; there was no light perception in her left eye. The diameter of the right cornea was 8.1 mm, the pupil not round with diameter about 4.5 mm. There was lens opacity and the fundus was not clear. The axial length of the right eye was 17 mm; IOP was 12.6 mmHg and there was vertical and horizontal nystagmus in the right eye. “Phaco cataract and intraocular lens implantation for right eye” was performed on 21 September 2015. FF2-15 Managing a Case of Failed Keratoplasty with ACIOL in a Single Stage Procedure Ravikiran NEELA India Purpose: To elucidate management of a case of failed endothelial keratoplasty graft with anterior chamber intraocular lens with combined anterior chamber intraocular lens (ACIOL) explantation, pars plana vitrectomy (PPV) with sutureless scleral fixated intraocular lens (SFIOL) and Descemet stripping endothelial keratoplasty (DSEK). Methods: A case of failed DSEK with ACIOL has undergone combined surgery of ACIOL explantation, pars plana vitrectomy with SFIOL and DSEK at our center with a 3-month follow-up period. Preoperative visual acuity and slit lamp findings were documented. Postoperative follow-up was done at days 1, 3, and 7, and months 1 and 3. Result: Postoperative uncorrected and best corrected visual acuity were noted at 1 and 3 months. Improvement in terms of visual acuity and symptomatic relief were noted. FF2-16 «Satellite» Flight into Space Gyulli KAZAKBAEVA Russian Federation IOL dislocation is an uncommon but severe postoperative complication in cataract surgery. In this film we will present the spontaneous dislocation of a pupil-supported iris-clip satellite-like T-19 IOL into the vitreous body. The pupil-supported iris-clip satellite-like T-19 IOL was implanted in the eye of a 32-year-old male to correct aphakia after extracapsular traumatic cataract extraction. Twenty years after implantation, the patient came to Ufa Eye Research Institute with a complaint of periodic IOL dislocation. It was decided to replace the IOL; however, during the operation after sub-Tenon’s anesthesia the IOL was dislocated into the vitreous body, which resembled the flight of a satellite into space. FF2-17 The Polar Bug! Tushya OM PARKASH India Posterior polar cataract is a surgical challenge for surgeons with a high incidence of compromised outcomes. This video demonstrates the concepts to solve difficulties associated with PPC. It will help to identify preoperative signs of PPC, intraoperative signs and the way to deal with the complications with confidence. This video will also showcase the different fundamentals involved in using AS-OCT, I-OCT, low IOP phaco, FLACS in different case scenarios. FF2-18 Implantation of Intraocular Lens with Custom Haptic Trimming in Membranous Cataract with Microcornea Rio RHENDY Indonesia A 22-year-old male with a juvenile membranous cataract in which the horizontal cornea was 9.5 mm underwent cataract removal with a modified intraocular lens (IOL) implantation. Posterior capsulorhexis was made after removing the peripheral cortex to clear the visual axis. The haptic of a 13-mm 3-piece IOL (Avansee©) was trimmed using tenotomy scissors to achieve a 9-mm diameter, followed by brief exposure to low-temperature cautery at 2 mm from the end of the haptics to blunt the sharp edges. The IOL was placed in the bag with optic capture to the anterior capsulorhexis. The visual acuity improved from hand movement to 3-m finger counting due to amblyopia. Examination at 1 month showed good IOL centration and intraocular pressure. FF2-19 Three Point Formula for Successful Management of Intraoperative Floppy Iris Syndrome Sudhank BHARTI India Purpose: To demonstrate the successful management of intraoperative floppy iris syndrome for achieving cataract surgery without complications. Methods: In a case of severe IFIS where the previous surgeon had created iris atrophy and could not start the cataract surgery, this video demonstrates successful management with the use of a pharmacological agent and a pupillary dilator device along with high density and cohesive viscoelastic. Results: The video demonstrates the successful management of IFIS with the three tools. Conclusions: The vision-threatening condition of IFIS can be managed with the three steps shown in the video with excellent results. 98