FILM FESTIVAL FF1-18 Bari's Shell Technique Phaco in Soft & Posterior Polar Cataracts Bazlul Bari BHUIYAN Bangladesh Posterior polar and soft cataracts are always challenging in phacoemulsification. This new technique will open a new window to overcome this challenge easily. A protective cortico-epinuclear shell is created in a special fashion that prevents the forward bulging of the posterior capsule, thus preventing its tear during phacoemulsification. Nucleus rotation is unnecessary in this new technique which was invented by the presenting author in 2016 with copyright. More than 2000 surgeries were performed by the author and his colleagues in Bangladesh using this technique with maximum safety. It is easy to learn, no additional instrument or additive cost is required. Hope it will be highly appreciated by the attending participants in the Festival. FF1-19 Signs of Intact Posterior Capsule – How To Point Anjali KHADIA India For beginner surgeons, it is difficult to recognize the posterior capsule during cataract surgery. In case of brown cataracts with a thin posterior capsule and in cataracts with asteroid hyalosis, it is difficult to identify the capsule before intraocular lens implantation even for expert surgeons. Here we illustrate 5 important signs, which can be practiced in routine cases to make sure the posterior capsule is intact prior to intraocular lens implantation. FF1-20 TIPP Rhexis in Traumatic Pediatric Cataract Betul BAYRAKTUTAR USA Capsulorhexis is the most challenging step of pediatric cataract surgery. Here, a 9-year-old boy with traumatic cataract with dense anterior capsular plaque (ACP) in whom two-incision push-pull capsulorhexis (TIPP) was used to create continuous curvelinear capsulorhexis (CCC) is presented. Following two clear corneal incisions, the anterior chamber was hyperinflated. Two stab incisions, one proximal and one distal to the ACP, were created on the anterior capsule and TIPP capsulorhexis was completed by pulling the edges of stab incisions towards each other around the ACP. After lens aspiration, TIPP capsulorhexis was repeated for posterior CCC. IOL was placed in the bag and corneal incisions were closed. The TIPP capsulorhexis is a reliable technique even in the most challenging pediatric cataract cases. FF1-21 Button Prolapse of Hard Nucleus in MSICS Anjali KHADIA India Hard cataract capsules are thin and fragile. Hydro-procedures will dangerously inflate the fragile capsular bag and thus hydroprolapse of nucleus is better avoided in these cases. The rotational forces used to completely prolapse the nucleus are known to further damage the preexisting zonular weakness. Thus, to circumvent these issues, we propose this novel technique. Here the hard nucleus is gently freed from surrounding lens matter and one pole is lifted out of capsular opening using a translational movement with 26-G needle cystitome as hook. Nucleus is then re-hooked in central substance and completely prolapsed like a button into the anterior chamber. Our video demonstrates this technique and elaborates. FF1-22 Spiral CTR Injector Takahiro SHIMOWAKE Japan To successfully perform cataract surgery in eyes with weak zonules, it is important to insert the capsular tension ring (CTR) accurately into the capsular bag. We developed the Spiral CTR Injector, a new device that makes it possible for anyone to insert a CTR easily with a single hand, without stressing the Zinn’s zonule. FF1-23 ICL Implantation: Distempers and Deliverance Anshika LUTHRA India Implantable Collamer Lens (ICL) implantation is an increasingly popular alternative to corneal refractive surgery. The purpose of this video is to present a motley of pitfalls and complications associated with ICL implantation and their corresponding management. It discusses anticipated and unanticipated perioperative challenges subsuming aborted ICL injection, ICL stuck in incision, inversion, and vault issues. These complications necessitate deft interventions and improvisations to salvage the case. Postoperative complications comprise pupillary block, high intraocular pressure and secondary glaucoma, Uretts-Zavalia syndrome, abnormality of arch height, toric ICL rotation, and uveitic cataract. We thus elucidate the significance of envisaging potential hurdles, meticulous planning, and a qui vive intraoperative approach in these cases. 95
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