35th APACRS Annual Meeting Final Program

FILM FESTIVAL FF4-06 Challenging Iris Reconstruction after Ocular Trauma: What to do? Siska WIGONO Indonesia Tears near the iris root can cause iridodialysis. Prior to choosing the best procedure for the patient, it is important to assess the extent of the iris defect, look for any iris avulsions, and then think about how to reposition the iris and repair the iris root so that the structural iris can return to its natural state and provide the best possible vision restoration. This video showcases a surgery of a patient with blunt trauma after being hit by a rock from a grass cutter machine. By using a 26-gauge needle and 10-0 polypropylene we applied the sewing machine principle which is a simple and minimally invasive way to reconstruct the iris. FF4-07 Novel Technique for Prevention of Head Tilt during Manual Pre-operative Corneal Reference Marking for Toric IOL Rahul BAILE India Astigmatism correction has become a most important component of cataract surgery. Carefully marking to identify steep axis is needed for proper IOL alignment and achieving desired outcome. To avoid cyclorotation during supine position placement of preoperative reference marks, marking should be made with the patient in a sitting position. Cycloadjustment can become altered because of poor visibility (cataract) when the patient is in sitting position while preoperative reference marking on cornea. To prevent patient head tilt during preoperative reference marking, we have designed and developed an instrument that can be put on the patient’s forehead like a spectacle frame. It has a bubble rod mounted on it. It has three-point fixation, two on patient’s ears and one on the nose. This helps in preventing patient’s head tilt during preoperative corneal reference marking. FF4-08 Recording Direct Surgeon’s View with Microscopic View Improves Learning Cataract Surgery Kosei TOMITA Japan Recording microscopic surgeon’s view is critical for learning cataract surgery. Although surgeons-in-training watch and review the videos not only of their own surgeries but also experts’ surgeries, they often can’t mimic the procedure because of unrecorded information out of the microscopic view such as hand positions and motion. We set a small camera on the microscope in the middle of surgeon’s direct view to record the surgical field out of the microscopic field simultaneously. The videos that recorded direct surgeon’s view are comprehensive and helped surgeons-in-training understand and learn surgeries. FF4-09 Future Forward – Artificial Intelligence Assisted Eye Care Samaresh SRIVASTAVA India This film explains how artificial intelligence can be trained to assist clinicians to make diagnostic decisions, how it functions, and what are the current and future implications of this technology. It will show practical clinical scenarios where AI can help surgeons in their daily practice. FF4-10 Triple Treatment Therapy for Primary Iris Cyst Neiwete LOMI India We demonstrate a case of primary iris pigment epithelial cyst successfully treated with the triple treatment therapy. Firstly, after coating the endothelium with viscodispersive solution, the contents of the cyst are aspirated using 30 G needle held in same position fixed in a three-way cannula, followed by infusion with equal amount of mitomycin C 0.04% and was left in situ for 5 minutes and then rinsed out by infusion/aspiration of balanced salt solution. Secondly, excision of the anterior cyst wall with anterior vitrectomy cutter was done. Lastly, cauterizing the posterior cyst wall with endodiathermy. Postoperatively at 11 months follow-up, there has been no recurrence, cornea is clear and IOP is within normal without any medication. 105

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