103 FILM FESTIVAL 电影节 FILM FESTIVAL FF2 – CATARACT COMPLICATIONS/CHALLENGING CASES 电影节FF2–白内障并发症/复杂病例 TITLE PRODUCER FF2-01 Mastering PCR Management: A comprehensive guide from detection to IOL selection Bryan Hung-Yuan LIN Chinese Taipei This video will show how to manage PCR effectively, covering early detection, anterior chamber stabilization, residual lens and cortex removal, vitreous management, and IOL selection. Each step is crucial, and making the right choices ensures a smooth progression. FF2-02 Phacoemulsification in the Vitreous Cavity and Sutureless Transscleral IOL Fixation: Spontaneous Dislocation of the Lens into the Vitreous Tran LAN THI HUONG Vietnam Lenticular dislocation into the vitreous is fairly uncommon but can be a serious issue in the practice of general ophthalmology. Timely detection and referral to a vitreoretinal surgeon for intervention can lead to promising results regarding visual acuity (VA). This video showcases a successful treatment of a 59-year-old man who complained of blurred vision with VA of counting fingers at 0.5 meters in his left eye due to a spontaneously posteriorly dislocated hypermature cataract. A sophisticated surgical procedure, including pars plana vitrectomy, phacoemulsification in the vitreous cavity, and sutureless transscleral IOL fixation, was performed to remove the dislocated lens and restore his VA. The patient was delighted as his left eye’s VA was restored to 20/40 within a week. FF2-03 Go Bilateral! Intraocular Pinhole Implantation in Both Eyes Bruno TRINDADE Brazil Irregular corneas can be a nightmare for cataract surgeons. They can be caused by numerous conditions such as RK, decentered laser ablations, ectatic corneal diseases, scars among others. In many of these cases, the condition is bilateral making them even more challenging to manage. The purpose of this video is to demonstrate the bilateral use of small aperture implants to address the burden of irregular corneal astigmatism. These implants can provide a significant visual improvement with minimal side-effects. They can be a true ally for the surgeon in these tough terrains. They can have surprising powers to overcome challenging cases. FF2-04 Saving the Extreme High Myopia: Addition or subtraction? Xiangjia ZHU China Extreme high myopia (EHM), defined as high myopia with axial length exceeding 33 mm, is an extreme condition of the human eyeball, presenting a formidable challenge during cataract surgery due to significant complications, including zonular weakness, leading to postoperative intraocular lens decentration or dislocation. Regarding treatment, the controversial practice of implanting a capsular tension ring in these fragile elongated eyes has long been a topic of debate. In our pursuit of the most beneficial approach for patients, we propose a “subtraction” strategy for cataract surgery in EHM eyes. Through this video, we aim to delineate the pros and cons of both the “addition” and “subtraction” strategies, with the ultimate goal of preserving vision for EHM patients in the long run. FF2-05 Sutureless Transcleral Fixation of Intraocular Lense after Traumatic Subluxation of the Lens Hung NINH QUANG Vietnam INFORMATION: Patient with traumatic lens dislocation after blunt traumatic eye by a badminton ball have came for examination and surgery at Hong Son Eye Hospital. Gender: Male. Date of birth: October 13, 1970. left eye surgery on December 27, 2023. Before surgery: left eye VA is hand shadow IOL: Sensar 1, number +18.0. THE SURGICAL PROCEDURE: Capsulorhexis, Phacoemulsification, Vitrectomy, Pierce the sclera approximately 2.5 mm from the limbus using a 26G needle, Use forceps to insert the first haptic into the needle lumen, Burn to create a fixed knot, Insert the second haptic into the needle, Burn to create a fixed knot, Bury the knot below the conjunctiva, Inflating the surgical edge. CONCLUSION: The left eye 1 month after surgery: VA 20/70 BCVA 20/60 IOP 14.1 mmHg, no serious complications, The tilt of IOLs was 3.48.
RkJQdWJsaXNoZXIy Njk2NTg0