101 FILM FESTIVAL 电影节 FF1-07 Anterior or Posterior: 27-Gauge Vitrectomy for Special Congenital Cataracts Yuecong REN China In this video, we highlight two cases of special congenital cataracts treated with a 27-gauge minimally invasive vitrectomy among posterior approach through pars plana incision. Traditional congenital cataract surgery usually received an anterior approach through a corneal-scleral incision, which required suture incisions. Difficulty opening the eyes and severe inflammation always occur after surgery, and complications such as vitreous hernia and glaucoma following congenital cataract surgery are also present. 27-gauge vitrectomy system have fewer complications than anterior surgery. Because the children involved in this video had congenital cataracts combined with posterior capsular defect and persistent fetal vasculature, posterior surgery is safer and less invasive than anterior surgery. For some special congenital cataracts, 27-gauge vitrectomy system is worth using. FF1-08 Fluid-jet: A Preferred Technique for Capsule Polishing in Phacoemulsification Yizhi LIU China Residual lens fibers increase the risk of posterior capsule opacity (PCO) after cataract surgery, affecting postoperative vision. The guidelines recommend polishing mode to remove residual lens fibers after aspiration of cortex, but which is inefficient. We proposed a new polishing technique, fluid-jet. After the intraocular lens is implanted, the posterior capsule is flattened and the residual fibers on the posterior capsule are clearly exposed due to the enhanced red reflex. We could then remove the fibers by an uninterrupted jet stream, produced by a syringe with a 27-gauge irrigation needle. Fluid-jet technique has been proved to remove fibers effectively, efficiently and showed lower incidence of postoperative capsulotomy than conventional capsular polishing. FF1-09 For the Light He DONG China The patient suffers from both infectious corneal disease and cataracts. In order to treat the disease, we first performed corneal transplantation surgery to control corneal infection. After the infection was completely controlled, in order to further improve the patient’s vision, cataract phacoemulsification combined with intraocular lens implantation was performed in the corneal transplantation state. During the surgery, the patient’s corneal endothelial cells were protected as much as possible, and the operation was fast and gentle. FF1-10 Mastering Pitting: Preserving Corneal Endothelim Chan Young IM South Korea Modern 21-gauge phacotip is smaller than previous generation 19-gauge one. Smaller phacotip takes more time to remove hard nuclei although high flow high vacuum technology provides rapid and effective phacoemulsification. Wide and deep grooving or pit technique could be safer solution for corneal endothelial safety and less vacuum dependant surgery. If you use stereocoaxial illumination surgical microscope, pit technique could be also good also for medium hard or soft nucei. This video shows how pit technique works safely and helps you adopt the skill. FF1-11 Torsional C-Chop Mishra GAURAV India Conventional techniques for nucleus emulsification has been effective and adapted by most surgeons in the world, but this is not perfect that lead to invention of direct chop which does not fit to all grade of cataracts. I have developed a new technique which involves making small crater in the centre (in place of long, wide and deep trench) and do the chopping further. This technique helps to reduce time, stress on zonules & incision, risk of PCR, risk of AC tear, wound burn, u/s power- usage. No manual cracking is required that further puts stress on zonules and increases the risk of PCR. While chopping with vertical chopping technique you are away from AC margin. This technique fits all grades of cataract.
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