35th APACRS Annual Meeting Final Program

FILM FESTIVAL FF2-07 Automated Decompression to Avoid the Argentine Flag Sunil THANGARAJ India Many procedures have been described to decompress the intumescent lens to avoid the dreaded Argentinian flag sign. We describe a method wherein we use the aspiration line of the phaco machine to decompress the lens for the same effect. This is probably the best of all methods and we will show in detail how to go about it with several examples. FF2-08 Combined Phacoemulsification and 360 Syncechiolysis in Complicated Cataract with Recurrent Uveitis: A video presentation Hasiholan TIGOR ADITYO HASIBUAN Indonesia A 32-year-old male came to the eye clinic with complaints of blurring and redness in his left eye. The patient had been undergoing treatment for recurrent uveitis in the last 2 years before the complaint of blurry vision, worsening a month prior to admission. Visual acuity was hand movement, ophthalmology examination revealed conjunctival injection, flare and cells in COA, anterior synechia, cloudy lens, and elevated IOP. The patient had been given topical beta-blocker and oral steroid for 2 weeks prior the surgery. Phacoemulsification with synechiolysis was performed uneventfully. There was no complication during the surgery. On the first day after surgery, visual acuity became 0.2. FF2-09 Inadvertent Staining of Vitreous by Trypan Blue during Phaco Cataract Surgery Pritamsingh RAJPUT India Trypan blue is generally used to stain certain opaque cataracts so as to make the anterior capsule visible during the process of capsulorhexis. This video shows one such case of phaco cataract surgery in a developmental cataract in a 23-year-old patient in which the trypan blue stain went past the gap between the pupillary margin and the lax zonules and inadvertently stained the vitreous a dark blue color, thus creating a dark glow and making all the steps of the surgery right from capsulorhexis till the IOL implantation extremely difficult. I could somehow complete the case with lot of agony and was able to give satisfactory vision to the patient by day 7. FF2-10 Explanting the Calcifying Hydrophilic Plate Haptic IOL – Living on the Edge Graham LEE Australia A 75-year-old male presented with a right centrally located densely calcified hydrophilic IOL (AT Torbi 709). He had a complex eye history due to Herpes simplex keratitis, resulting in two penetrating keratoplasties, a Baerveldt tube, phacoemulsification/toric IOL insertion, and a DSEK. Following the air bubble placed in the anterior chamber, he developed a progressive central calcification 18 months later. This video describes the challenges of extraction of the large plate-haptic IOL adherent to the capsular bag in the presence of a posterior capsulotomy and anterior capsular phimosis, while retaining adequate capsular support for a 3-piece IOL in the sulcus, managing prolapsed vitreous and protecting the graft endothelium. FF2-11 Phacoemulsification in Presence of Argentinian Flag Sign in Intumescent Cataract Pritamsingh RAJPUT India Rupturing the anterior capsule and ending up with an Argentinian flag sign is one of the most dreaded complications during phaco cataract surgery in an intumescent cataract. This video shows such complication happening but instead of converting the case into SICS/ECCE, I continued it and succeeded in making a curvilinear type of capsular opening into the bag by making use of certain smart instruments thus allowing me to do phaco in spite of encountering a small pupil, taking utmost care that the already compromised capsular bag is still not harmed and I was able to implant an "in-the-bag PCIOL." FF2-12 Cataract Surgery in Eyes with Previous Radial Keratotomy Lucio BURATTO Italy Cataract surgery in eyes with previous radial keratotomy is particularly challenging. This video shows some tips and tricks for the main corneal incision, capsulorhexis, and IOL selection. The benefits and contraindications of femtolaser-assisted cataract surgery (FLACS) are also discussed. FF2-13 Breaking through the Clouds – Completing an Abandoned Cataract Surgery with Compromised Corneal Clarity Madhu UDDARAJU India A 63-year-old elderly lady was referred after her small incision cataract surgery was abandoned suspecting a complete Descemet’s membrane detachment while entering into the anterior chamber. Due to poor visibility, the patient was referred for a combined procedure of cataract extraction and IOL implantation along with endothelial keratoplasty. The case was taken to surgery and successfully completed using trypan blue staining and external light source to aid in better visualization. DM was reattached and patient regained good vision postoperatively. 97