FILM FESTIVAL FILM FESTIVAL FF2 – CATARACT COMPLICATIONS/CHALLENGING CASES TITLE PRODUCER FF2-01 Rhexis Runout Management with Multiple Cuts Shibashis DAS India Handling a hypermature intumescent cataract is always a big challenge. The possibility of rhexis run out is always there. In such a case scenario where the rhexis has run away in a case of intumescent cataract, we try to salvage the situation and complete the case by phacoemulsification and chopping the pieces inside the bag. In the technique demonstrated, we make multiple nicks in the margin of the capsulorhexis rim which paradoxically improves our chances of completing a successful phacoemulsification, chopping the nucleus and emulsification in the bag. A very interesting unorthodox take on tackling a case of runaway rhexis. FF2-02 Innovative Extraction Technique for Dislocated Intraocular Lens Santaro NOGUCHI Japan Dislocated IOLs are conventionally cut and divided in the eye and removed. However, we have developed forceps and technique that can extract the IOL through a small incision (2.2 mm) in one action without cutting. This surgical procedure can be performed safely and in a short time, is expected to become the basic surgical procedure for IOL removal in the future. FF2-03 Partial Supracapsular Phacoemulsification Harshavardhan PATIL India Argentinian flag sign and rhexis extension is very common in intumescent cataract, which leads to conversion from phacoemulsification to small incision cataract surgery. We present a novel technique of partial supracapsular phacoemulsification even in compromised rhexis in intumescent cataract. One pole of nucleus is lifted and placed in space between capsule and iris where the rhexis is extended, while the other pole is in the bag. Low-parameter phacoemulsification with help of high molecular weight viscoelastic substance gives excellent outcomes, which saves the day for the surgeon. FF2-04 Traumatic Cataract Surgery: Practical tips for young ophthalmologists Chia-Chieh HSIAO Chinese Taipei Both penetrating and blunt ocular injuries can result in the development of cataracts. In the general population, there is a 14% lifetime prevalence of ocular trauma; 27–65% of ocular traumas lead to cataracts. We present some traumatic cataracts and share our surgical tips for young ophthalmologists. Our cases include classical petaloid cataract, penetrating wood fragment leading to ruptured cornea and lens, focal and diffuse iris synechiae, primary PCR, and Marfan syndrome with lens dislocation. Traumatic cataract is not a senile cataract. The injury is rarely only limited to the lens but may also be associated with the zonules, posterior capsule, and posterior segment. We should remind the patient about the potential poor visual outcome and the high risk for intraoperative problems. FF2-05 IOL haptic stuck in cartridge? A new technique to get out of problem Harshavardhan PATIL India We more often than not come across IOL haptics getting stuck in the cartridge, either because of faulty loading techniques or because of defective cartridges, injectors, or IOLs. Most of the time, the haptic breaks when trying to pull it out from the cartridge forcefully. When we need to explant the IOL, we describe here an innovative technique to get out of this problem. By putting relaxing cuts on the cartridge with the help of a keratome, the stuck IOL haptic can be removed from the cartridge intact, without damaging the IOL. This simple technique not only saves the trauma of IOL explantation caused to anterior segment structures, it also saves time without causing pain to patients who are being operated on under topical anesthesia. FF2-06 Surgical Tips for a Modified Four-flanged Intraocular Lens Fixation Technique using Injector Woong-Joo WHANG South Korea The number of IOL-related problems after cataract surgery are becoming more common. A four-flanged intrascleral IOL fixation technique does not require flap creation, suture knots, or glue. This innovative technique provides outstanding stability and centration of the fixed IOL without using suture knots. In addition, there is an advantage that a multifocal IOL or a toric IOL can also be used. In this article, we will introduce a modified four-flanged fixation technique that inserts an IOL using an injector, and share useful surgical tips for successful results. 96
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