35th APACRS Annual Meeting Final Program

FILM FESTIVAL FF1-07 HarshaNag Chopper – One Emotion, A new chopper in town Nagbhushan CHOUGULE India “HARSHA-NAG” is a new chopper designed by us, in which a long 2.5 mm chopper is bent at the tip like the hood of a cobra, the curve of the tip helps in easy embedment and lateral separation of hard and sticky cataracts, we here will be demonstrating the same in nuclear sclerosis grade 4 and grade 5 cataracts. This chopper is easy to make, low cost, and a very handy tool, which will give confidence to crock the hard cataract code. FF1-08 Phakic IOLs Explantation for Cataract Surgery Lucio BURATTO Italy Cataract surgery in the presence of phakic IOLs (P-IOLs) is increasingly common. This video shows step by step different techniques for the explantation of different phakic IOLs: Posterior chamber P-IOLs, iris fixation rigid P-IOLs, rigid and soft angle supported P-IOLs. In conclusion, pros and cons of femtolaser-assisted cataract surgery (FLACS) are discussed. FF1-09 Chop and Tumble Nucleotomy – A Technique for Safe Nuclear Emulsification in Posterior Polar Cataracts Jeewan TITIYAL India Conventionally, hydrodissection and nuclear rotation are avoided in posterior polar cataracts (PPC), which makes nuclear emulsification challenging. We demonstrate a modified trench and chop technique, “Chop and Tumble Nucleotomy,” as a safe and effective method for nuclear emulsification in PPC. A central chop is first performed to divide the nucleus, followed by creation of two relatively large pie-shaped segments on either side, which are tumbled towards the center and emulsified. Remaining nuclear segments are then tumbled towards the center, chopped into smaller fragments and emulsified, without any rotational maneuvers. The technique allows surgeon to successfully emulsify the nucleus within the intact epinuclear cushion without nuclear rotation, which safeguards the weak PC. We performed this technique successfully in 58 consecutive cases of PPC with no incidence of intraoperative PC dehiscence. FF1-10 Multifocal IOL implantation with Optic Capture in Berger Space in Pediatric Cataract Surgery Yusen HUANG China IOL optic capture technique in the absence of anterior vitrectomy can successfully keep children with cataract from developing posterior capsule opacification after surgery. This video will highlight the process of multifocal IOL implantation with optic capture in Berger space in pediatric cataract surgery. The presence of posterior capsule abnormalities may complicate a primary posterior continuous curvilinear capsulorhexis (PCCC) procedure, resulting in an unplanned anterior vitrectomy in some cases. IOL optic capture can also be performed with well-designed and skilled operation. The patient achieved good visual acuity, optical quality, stereopsis and contrast sensitivity after surgery. The visual axis remained clear during the postoperative follow-up period. FF1-11 Manual Image Guided System Narendrasingh VERMA India Economical, easy, and complete solution for error-free axis alignment of toric lens. It is a topographer with the following features: 1) Measure noninvasive tear break-up time (NIBUT). 2) Topography – Keratometry in 3-, 5-, and 7-mm zone, and axial heat map. 3) Manual image guided module – Like any image-guided systems it is a single-step method, so no need for preop manual markings. It provides a picture with landmark points for axis alignment. Using the Barrett toric calculator provides easy and transcription error free axis of alignment and also net astigmatism if site of incision is shifted by 40 degree. 4) SCA marking module – Mark site of MSICS incision, SIA calculator provides centroid SIA by both vector and polar method and basic nomogram for size of incision. Customize SIA. FF1-12 P-fixation Technique Aiming for a Complication-free Intrascleral IOL Fixation Toshihiko OHTA Japan We developed a new intrascleral IOL fixation method named P-fixation technique. P-fixation technique is a modified flange fixation method using 27-G forceps and a parallel scleral tunnel aiming for complication-free intrascleral IOL fixation. In our study, there were no incidents of hypotony, severe IOL tilt, vitreous haemorrhage, iris capture, flange erosion/exposure, endophthalmitis in 68 cases. 93

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