35th APACRS Annual Meeting Final Program

FILM FESTIVAL FF3-07 Have a Corneal Opacity? Can Still SMILE Ramya SAMPATH India When planning a refractive procedure, a surgeon always prefers a clear cornea. But what if the cornea has some opacities? We present 3 cases with preexisting nebulomacular opacities paracentrally, undergoing small incision lenticule extraction (SMILE) procedure. Three myopic eyes with moderate high myopia and preexisting nebulomacular opacity (2x2, 2x3, 2x2) mm respectively were considered. Preoperatively and postoperatively, unaided visual acuity (UCVA), best corrected visual acuity (BCVA), Pentacam, aberrometry, anterior segment optical coherence tomography (ASOCT) and point spread function tests were assessed. There were no intraoperative complications noted during the laser or lenticule extraction. Postoperatively, all had UCVA of 6/9 or better. We concluded that eyes with small paracentral opacities can undergo SMILE without any complications. FF3-08 Surgical Treatment of LASIK Flap-related Complications Chang Ho YOON South Korea The surgical treatment of LASIK flap-related complications such as epithelial ingrowth or traumatic flap dislocation or tear is critical to restore visual acuity and prevent additional damage. The removal of any foreign bodies or epithelial ingrowth present in the flap or on the corneal surface is an important step during the procedure. Flap repositioning can be performed using continuous or interrupted sutures with the aid of a LASIK marker to accurately align the flap. Continuous sutures offer better visual acuity until they are removed. This video will demonstrate the different techniques used to achieve a successful outcomes in four cases. FF3-09 The Story of Lost Limbal Dermoid Hemalatha GUDISEVA India There are complicated ways to manage limbal dermoid in children, such as lamellar keratoplasty, using a SMILE lenticule, and multilayered AMG after excision, which give suboptimal cosmetic results and risk graft rejection and suture-induced astigmatism. In our video, we present a very simple way of handling such cases with the best cosmesis, requiring minimal surgical skill, no chance of graft rejection, and no suture-induced astigmatism. Finally, very happy patients and parents. FF3-10 Removing the Phakic IOL Safe and Sound So-Hyang CHUNG South Korea Numerous patients received posterior phakic IOL, the implantable contact lens (ICL), and iris-fixated anterior chamber lens (ACL) insertion for years in South Korea. Now the removal demand due to complications has been increasing. In our institute, 112 ICL and 110 ACL removals were done over 4 years. We would like to introduce representative cases and surgical tips we have learned through these numerous phakic IOL removal experiences and share the surgical outcomes. FF3-11 Bubble Trouble: Doing DSAEK in Difficult Situations Rushad SHROFF India This video demonstrates how to perform DSAEK in difficult situations. In cases with very hazy corneas and poor visibility we shall show how to use a light pipe at the limbus while operating to ensure better visualization. The modifications that have to be made while performing DSEAK in eyes with synechiae and a prior trabeculectomy, as well as, in cases with a prior failed graft and poor ocular surface shall also be demonstrated. FF3-12 Tissue Addition for Hyperopia – The Whole Story! Sheetal BRAR India This educational film showcases the entire 10-year journey of tissue addition techniques for hyperopia correction, using natural and SMILE derived tissues, which is a new paradigm in refractive surgery. We discuss all the main aspects of the technique such as the surgical procedure, ideal depth of implantation, managing astigmatism, managing udercorrections, posterior curvature changes, managing rejections, and results following explantation and reimplantation of the tissue. The film may be of significant interest to those refractive surgeons who have access to myopic SMILE tissue and are interested in exploring this exciting possibility. 103