35th APACRS Annual Meeting Final Program

FILM FESTIVAL FILM FESTIVAL FF1 – CATARACT/IMPLANT SURGERY TITLE PRODUCER FF1-01 Paediatric Cataract is different from adult cataracts! How and why? Jai KELKAR India In a child’s eye, you can never be sure of the etiology, the onset, the duration, and the final visual outcome due to a variety of reasons such as smaller size at birth, with changes in axial length and corneal curvature over a period of time. Advancement in surgical techniques and methods of optical rehabilitation have substantially improved the functional and anatomic outcomes of pediatric cataract surgeries in recent years. However, the gamut of complications such as increased postoperative inflammation, axial growth after cataract extraction, implant-power calculation, and ambylopia. With the help of this video we would like to throw light on various aspects of pediatric cataracts. FF1-02 A New Miyake-Apple View System Using a Nasal Endoscope Takeshi SUGIURA Japan The conventional Miyake-Apple View system had made a great contribution to the education and research in cataract surgery. But it required expensive and bulky equipment, and the eyeball had to be cut and glued to the glass plate, making it difficult to capture dynamic images. It was difficult to introduce in general facilities and complete cataract surgery could not be reproduced. Therefore, a new Miyake-Apple View system using a nasal endoscope has been developed. This requires cheap and easy equipment and made only a 3-mm incision into the sclera for inserting the nasal endoscopic probe, allowing a complete reproduction of cataract surgery and taking dynamic images, which could contribute to the education and research in cataract surgery. FF1-03 Importance of SICS in Managing Complex/Abandoned Phaco Cases Sunil THANGARAJ India In this video, we highlight three examples in which SICS was used as a bail-out procedure in cases where phaco was risky. SICS used to bail out from phaco in the event of Argentinian flag sign. SICS used to bail out of phaco in the event of loss of rhexis in a very hard cataract. SICS used for explanation of subluxated IOL after phaco and implantation of a rigid IOL. FF1-04 Solar Eclipse: Phacoemulsification Surgery with Artificial Iris Implant for a Patient with Oculocutaneous Albinism Peng Yi TAN Singapore A 58-year-old Chinese male with oculocutaneous albinism presented with fair complexion, white hair, and ocular manifestations, including reduced vision, near-total iris transillumination, nystagmus, and foveal hypoplasia. Prior to developing contact lens intolerance, he had been relying on colored contact lenses with best-corrected visual acuity of 6/45. In the past year, he developed cataract in both eyes and has been experiencing blurred vision and glare. With deteriorating vision, he has decided to proceed with sequential cataract surgeries. This video showcases the use of HumanOptics ArtificialIris in-the-bag implantation in conjunction with phacoemulsification surgery. We discuss the surgical steps, including some tips for such cases. We also describe the steps to achieve good centration when trephining the iris implant. FF1-05 Pizza Pie Chopping – Nucleus Management Made Easy Rahul BAILE India There are various ways of chopping the nucleus already available. Almost every method uses a chopper with modification at the tip such as a sharp tip, blunt tip, inner cutting, etc. I have designed and modified the chopper by creating a bend to the chopper arm 2 mm proximal to the tip with an angulation of 45 degrees. For a right-handed surgeon, the angulation is on the left side and vice versa. This angulation helps in chopping the nucleus along the axis of the phaco tip making it easier to make many small pieces like a pizza pie which requires less phaco energy and causes less endothelium damage while performing phacoemulsification. FF1-06 The Optimal IOP for the Stable Anterior Chamber in Cataract Surgery Hisaharu SUZUKI Japan Cataract surgery with low IOP has many advantages when considering damages to the intraocular tissues. However, instability of the posterior capsule can be a problem with low-IOP cataract surgery particularly when an occlusion break occurs. We will experimentally verify the optimal IOP during cataract surgery using the slit side-view method and validate it in clinical cases. 92