35th APACRS Annual Meeting Final Program

FILM FESTIVAL FILM FESTIVAL FF4 – GENERAL INTEREST TITLE PRODUCER FF4-01 Light at the End of the Tunnel - Lockdown Story Sheetal MAHUVAKAR India In bilateral limbal stem cell deficiency (LSCD), optical penetrating keratoplasty has very poor results. There are only two options in such cases: 1) Allo limbal stem cell transplant such as allo-simple limbal epithelial transplant (SLET); 2) Keratoprothesis. Both procedures have issues. Allo-SLET requires a live donor for limbal biopsy and long-term systemic immunosupprssion while a keratoprosthesis requires continuous use of bandage contact lens (BCL) and frequent follow-ups. In this video, we present a case of modified type I keratoprosthesis done in a case bilateral LSCD. As this was post chemical injury, there were dense symblepharon which made BCL insertion impossible. BCL is very crucial in keratoprosthesis to avoid carrier graft melts, persistent epithelial defects and infections. to remove the need for BCL, we did a modification by doing keratoprosthesis under thin conjunctival pannus. FF4-02 Sew Clever: A Modified Sewing Machine Technique for Iridodialysis Repair Elizabeth Aileen GILLER Philippines A large iridodialysis can present with both visual and cosmetic disturbances, and therefore surgical intervention is indicated. We describe a modified sewing machine technique in repairing large iridodialysis without the indication of an extensive scleral groove. Another modification made was a scleral flap. The scleral flap provides better control on the position of the knot and its whisker, allowing full coverage and eliminating the risk of whisker exposure and eventual conjunctival erosion. This technique for iridodialysis repair provides better cosmetic results, especially for extensive iridodialysis. It is also more economical and involves simple, safe, and efficient surgical maneuvers in repairing iridodialysis. FF4-03 Tips and Tricks of AGV Implantation Richa ASTHANA India The Ahmed Glaucoma Valve (AGV) is used in refractory glaucoma’s and multiple failed trabeculectomy cases. This video highlights practical tips for AGV tube implantation in different difficult situations. In this video, we demonstrate the nuances during AGV tube handling and insertion. In this video, we show two cases of refractory glaucoma undergoing AGV implantation. Here with these two videos we try to show various modifications in AGV implantation such as peritomy done 2 mm posterior to limbus, using donor sclera itself underneath the tube to titrate the tube length, tube implantation in sulcus and releasing PAS using needle. FF4-04 How things are (with my glaucoma) Graham LEE Australia Expanding emphasis on patient-centred care has made patient experience an increasingly important topic in ophthalmology. Clinical examination is an integral component during an ophthalmic consultation, but many aspects may cause discomfort and distress. The Patient Experience of Eye Examination eValuation Study (PEEEVS) is a novel mixed-methods study that quantitatively and qualitatively characterizes the patient’s experience across key components of the eye examination and consultation. Semi-structured interviews based on a questionnaire of 12 items were administered to 203 patients (M:F 101:102) attending a private outpatient ophthalmic practice in Brisbane, Australia. This musical aims to provide an artistic way of conveying our findings from a patient-centered perspective, to allow for further appreciation of specific “pain points” along the patient journey. FF4-05 Exploring Newer Skylines after Unexpected Surprises, Postoperative Sudipta MITRA India High myopic phacoemulsification cataract surgery patients require low or negative powered IOLs but are often left dissatisfied with residual refractive errors. With above 30-mm axial lengths, for a 28-year-old girl wearing –33 D glass power, the IOLs had to be tailor made. So –17.5 D and –12 D IOLs were used with residual hyperopic surprise. LASIK was impossible and IOL exchange was difficult as the lenses were tailor made and the COVID-19 pandemic limited facilities. Only choice was piggyback or add-on IOL. After all measurements a Sulcofix lens as add-on IOL was used over a hydrophilic IOL in the bag without perioperative complications. The patient was 6/9 unaided postoperative. A surprise prompted us to explore newer ways which gave successful outcome. 104