FILM FESTIVAL FF2-25 Conquering IFIS Mohan RAJAN India IFIS (Intraoperative Floppy IRIS syndrome) is a serious intraoperative problem in patients who are on alpha blockers (tamsulosin) for BPH. In this video, we describe the seven protocols you need to follow to overcome the IFIS problem and prevent complications such as iris chafing, iridodialysis, and PCR. The importance of taking a proper history, good preoperative work-up, and following intraoperative protocols in IFIS patients cannot be overemphasized. IFIS can be a nightmarish experience for phaco surgeons. The 7 secrets of IFIS SUCCESS will enable the surgeon to win this war against IFIS and deliver good results. FF2-26 A Novel A-type Scleral Suture Technique for Sulcus-fixated Intraocular Lens Tilt Jae Yong KIM South Korea A 76-year-old woman presented with sudden blurred vision in the right eye. She had previously undergone IOL scleral fixation due to traumatic cataract and acute angle-closure glaucoma. IOL tilt was revealed on examination, and repositioning was performed with polypropylene sutures across the pupil from limbus to limbus by forming an “A” shape to stabilize the IOL and prevent rotation. Six months after the repositioning surgery, the IOL was well-positioned, and the patient’s best-corrected visual acuity improved from counting finger to 20/25. This surgical technique was successfully performed in a patient with IOL tilt. It decreased operative time and damage to the cornea while increasing IOL stability. This could thus represent a safe and effective alternative to IOL exchange in patients with inadequate capsular support. FF2-27 The Lens That Was Not To Be Anagha HEROOR India The aim is to illustrate the importance of the proper placement of a three-piece intraocular lens and to demonstrate how if inserted upside down, it can complicate into a disaster situation. A patient presented for the second opinion as he was unhappy with the cataract surgery done elsewhere. It was found that vision was 6/9 with –2.5 D sph. The IOL was a three-piece placed upside down in the sulcus. The next day the patient presented with high IOP and vision dropped to FC 2 feet and there was a pupillary block glaucoma. We did a YAG PI for the patient but there was severe post YAG inflammation. Finally, we had to do an IOL exchange and the patient did well. FF2-28 Viscoshield Technique: Dispersive OVD can Protect Against Occlusion Break Surge Masayuki AKIMOTO Japan Outbreak surge is an issue during cataract surgery. It can lead to potential surgical complications such as posterior capsule rupture. One day in 2022, I had three consecutive grade IV cataract cases. In the first case, the posterior capsule was ruptured although the vacuum flow was reduced by pumping the foot pedal. In the next case, the posterior capsule was ruptured although the phacochopper was placed under the phaco-tip in addition to flow reduction. In the third case, dispersed OVD was injected over the posterior capsule just before removing the final piece, and the posterior capsule was preserved. Dispersive OVD is a soft solution and a solid solution. FF2-29 Challenging Case Scenarios in Paediatric Cataract Surgery Meenakshi RAVINDRAN India Pediatric cataract can be challenging both in the operating room and after surgery with regards to clinical management and close follow-ups. Timely management with prompt visual rehabilitation is of utmost importance for an optimal visual outcome and to avoid amblyopia. We address a few challenging intraoperative case scenarios such as PHPV, optic-haptic capture of IOL in the anterior chamber with low endothelial cell counts, ectopia lentis with Marfan syndrome. Also, this video highlights certain tips and tricks for dealing with small pupils and primary posterior capsulorhexis (PPC). FF2-30 Taming the Polar Bear Sujatha MOHAN India Posterior polar cataract is a bug bear even for experienced phaco surgeons. There is an increased incidence of posterior capsule rupture, preexisting dehiscence, and nucleus drop in PPC. This video highlights the various manifestation of PPC and the various phaco techniques for managing these types of difficult cataracts with good results. 100
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