35th APACRS Annual Meeting Final Program

FILM FESTIVAL FILM FESTIVAL FF3 – REFRACTIVE/CORNEAL SURGERY TITLE PRODUCER FF3-01 Innovative Bladeless Pterygium Surgeries Apurva NAGTODE India A pterygium is a wing-shaped proliferation of the conjunctiva over the cornea. It may cause irritation, redness, ocular surface infections, and, rarely, visual disturbances. Conventionally, a pterygium is removed with the help of blades, by scraping off the tissue from the cornea, which may lead to postoperative scarring, residual tissue, and poor cosmesis with higher rates of recurrences. Here we introduce you to two bladeless techniques of pterygial head removal—(1) ''Ptery-SNIP''- Suture-based Pterygial Head Removal and (2) "Ptery-PEEL"- Peel-off Technique for pterygial head removal—thereby providing an easy and effective approach to pterygium removal with less scarring postoperatively and better cosmesis with lower rates of recurrences. FF3-02 The Giant Leap Bruno TRINDADE Brazil This film features situations in which DMEK can be used to further improve results. It features expanding applications of modern DMEK surgery. DMEK can be used to salvage a primarily failed PK graft, a long-standing irregular PK or in combination with toric IOLs in triple procedures. We believe the revolution of DMEK is not yet over. It can still surprise us with amazing results. FF3-03 Rescuing the Crumbling Cornea – A story of successful rescue of the melting cornea in SJS patient Jitender JINAGAL India A 38-years-old female presented with chronic ocular complications of Stevens-Johnson syndrome. The right eye was in the stage of corneal melt with diffuse thinning over 8x9 mm of cornea and impending perforation. Left eye was having persistent epithelial defect. As prognosis of full thickness graft survival in SJS patient is bleak, we planned to rescue the melting cornea with a novel idea. Under sub-tenons anesthesia, we cleaned the area of impending perforation and placed the SMILE lenticule over it with fibrin glue, followed by "figure of 8 - over pass - criss cross corneal suturing” covering the lenticule. Amniotic membrane graft was secured following a conjunctival pedicle graft in peripheral cornea to enhance healing. Post op ASOCT showed successful outcomes. FF3-04 Fog Away SLET Kyoung Woo KIM South Korea When limbal stem cell deficiency (LSCD) happens, the corneal clarity decreases and the vision is compromised. To improve LSCD, several limbal stem cell transplantation methods including conjunctivolimbal autograft (CLAU), keratolimbal allograft (KLAL), and simple limbal epithelial transplantation (SLET) are attempted. SLET does not provide healthy corneal stroma like KLAL and does not serve the uninterrupted limbal tissue like CLAU. Nevertheless, SLET technique merits that it can be done with a limited amount of the limbal tissue in patients with wide LSCD such as chemical burn. This video will highlight the fundamentals of SLET and suggest a comprehensive way of the relevant surgical techniques in a selected patient. FF3-05 Intraoperative Suction Loss in SMILE – Rescue Techniques Manpreet KAUR India We describe different stages at which suction loss may be encountered during small incision lenticule extraction (SMILE) and their management. In case 1, suction loss was observed during lenticule cut. As more than 10% lenticule cut had been completed, SMILE could not be restarted and the case was converted into a flap-based ablative procedure. In case 2, lenticule cut and lenticule side-cut were completed uneventfully. Suction loss was observed during cap cut. The patient was redocked and the procedure was restarted from point of suction loss in rescue mode. SMILE was completed. In case 3, partial peripheral suction loss was observed beyond the treatment zone during cap cut and cap side-cut. Laser application was continued and SMILE could be completed uneventfully. Visual and anatomical outcomes were satisfactory in all cases. FF3-06 Cataract Surgery and Descemet Membrane Endothelial Keratoplasty in Anterior Segment Dysgenesis WOO Jyh Haur Singapore Eyes with anterior segment dysgenesis, cataract and corneal decompensation present unique challenges to the corneal surgeon. Special considerations need to made with regards to surgical planning, operative technique, and postoperative management. This video highlights the complex anatomical features, potential problems and complications, as well as strategies for surgical success in both cataract surgery and Descemet Membrane Endothelial Keratoplasty for these challenging eyes. 102