102 FILM FESTIVAL 电影节 FF1-12 Make or Break: When glaucoma whispers and lens clouds dim, a sunshine of healing rises Hong QI China In patients undergoing cataract surgery, those with short-axial length (≤22.5 mm) account for approximately 4.4% to 9.6%. These patients are characterized by hyperopia, severe presbyopia, crowded anterior segment structures, and shallow anterior chambers. Cataract surgery has entered the era of refractive surgery, and the number of short-axial length patients undergoing cataract surgery has been increasing in recent years. Short-axial length patients, especially those with a family history of glaucoma, are at high risk for angle-closure glaucoma. Refractive cataract surgery, in addition to treating cataracts, can also be used to correct refractive errors, treat presbyopia, and angle-closure glaucoma. We present the entire diagnostic and treatment process of refractive cataract surgery for a short-axial length patient with a family history of glaucoma. The clinical physician and the patient made a joint decision, and ultimately implanted ZEISS AT LISA tri839MP in both eyes, achieving excellent distance, intermediate, and near vision after the surgery. FF1-13 The Long and Short of It – Spotlight on the Clear Corneal Incision Shail VASAVADA India This film highlights the importance of a well-constructed incision, and problems that surgeons can encounter both during and after surgery, if enough attention is not paid to the creation and closure of the incision. It will also give remedial measures to be taken when faced with incision related complications. FF1-14 The Power of the Pivot: Expert bimanual IA technique to optimise toric IOL success Georgia CLEARY Australia A toric IOL has been injected into the capsular bag, now it’s time for irrigation and aspiration (IA). IA represents SO MUCH MORE than just OVD removal – it is indeed the time for accurate toric IOL alignment, and stabilisation of the anterior chamber (AC) to complete the procedure. How to PIVOT with bimanual IA: 1. Place the irrigator tip under the IOL optic, flush OVD safely from the capsular bag. 2. Use the irrigator tip as a fulcrum – PIVOT the IOL optic with the aspirator tip, rotating quickly towards its intended axis, with no capsular stress. 3. Slow, careful removal of both IA tips, refilling the AC and hydrating wounds as you go, avoiding AC shallowing and IOL movement. FF1-15 A New Peach for an Old Charm: IOL replacement for anisometropia after traumatic cataract surgery Jianling YANG China “New peach for old charm” is an ancient Chinese poem, which means that at the end of the year, people replace old couplets with new ones to start a bright new light. It’s very similar to our case. A 24-year-old female patient with binocular vision imbalance for about 10 years. She had undergone cataract removal and IOL implantation 17 years ago due to traumatic cataract in her left eye. Her vision in right eye is 20/20, while vision in left eye is counting finger, which can be corrected to 10/20 with a spherical lens of minus 600. We replaced the old one with a new IOL. After surgery, the patient’s vision was balanced and a new life was started. FF1-16 Dividing Nucleus Prior to Hydrodissection: A practical skill in small pupil and IFIS Hao-En HSU Chinese Taipei Dividing cataract nucleus prior to hydrodissection or hydrodelination is a useful skill for decreasing the risk of iris prolapse in patient who has floppy iris syndrome, small pupil, and tumescent hard rock cataract. This skill creates another root to redirect BSS flow, which prevents BSS accumulation in the bag posterior to cataract during hydrodissection. Hydrostatic pressure of posterior chamber and inside the capsular bag will not promptly increase, therefore it decreases the risk of iris prolapse and lens lifting into anterior chamber. It’s a simple and practical skill which can be applied in challenging cataract surgery.
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