104 FILM FESTIVAL 电影节 FF2-06 Hanging by the Thread! Aditya KELKAR India This surgical video outlines the comprehensive management of subluxated cataract in a 38-year-old female with Marfan syndrome and near 360-degree zonular weakness in both eyes. The procedure includes capsulorhexis using forceps, stabilization of the capsular bag with capsular hooks, phacoemulsification and the meticulous implantation of a Cionnimodified capsule tension ring. The Cionni ring is secured to the sclera using Canabrava’s technique, and the 6-0 prolene sutures are flanged intrasclerally. The intraocular lens is then implanted into the capsular bag. This minimally invasive technique with a learning curve achieves optimal bag centration while eliminating the need for conjunctival peritomy and scleral fashioning flap, pocket, or groove, offering a promising alternative. FF2-07 Survival of a Sinking Ship: Innovative procedure for subluxated dense cataract in Marfan Syndrome Sharifa Zahan MITU Bangladesh The Cataract surgery in Marfan syndrome is distinctly tailored due to the associated connective tissue disorder and complex cataract. The weaking of zonular support leads to progressive subluxation in most cases. The video demonstrates an innovative procedure employing 5.0 prolene to fix the CTS with sclera as a dumbbell and management of a hard cataract in this context. The video provides a thorough exploration of the procedure’s distinct advantages, challenges and outcome. Emphasizing a personalized surgical approach, it underscores the importance of tailoring interventions to optimize results and minimize potential complications in individual with Marfan Syndrome. FF2-08 FLACS with MIOL Implantation for the Treatment of Persistent Pupillary Membrane and Associated Cataract Hong YAN China Persistent pupillary membranes (PPM) are a commonly congenital abnormality of the iris. Laser or mydriatic drug could treat mild forms of PPMs. Surgery is last required if combined with congenital cataract or visual function is significantly affected. We report a case of PPM associated with cataract, and treated with femtosecond laser-assisted arcuate keratotomy cataract surgery and multifocal intraocular lens (MIOL) implantation to satisfied the young patient’s need for good visual quality. This case indicated that MIOL could also be implanted by customized and accurate surgery to achieve optimal visual outcomes when amblyopia and related contraindications are excluded. FF2-09 Fight Over the Smallest Trifles He DONG China The patient has both corneal endothelial dysfunction and cataract in the left eye, which require corneal endothelial transplantation and cataract phacoemulsification combined with intraocular lens implantation to treat both diseases. In this situation, how should we arrange the order of surgery? This may seem like a small issue, but any seemingly small problem requires us to figure it out. Because no matter how the arrangement is, cataract surgery will cause certain damage to the corneal endothelial cells, we have decided to first treat the patient’s cataract before performing corneal endothelial transplantation, although this greatly increases the difficulty of cataract surgery. We performed cataract surgery on the almost blind basis, followed by corneal endothelial transplantation, and the surgery went smoothly. FF2-10 Intraoperative Acute Fluid Misdirection Syndrome after Unexpected Coughing Hui LIU China Acute fluid misdirection syndrome (AFMS) is characterized by a very shallow anterior chamber with the absence of suprachoroidal effusion or hemorrhage. We showed a case started coughing during stromal hydration in the secondary intraocular lens implantation, which induced AFMS. The injection of air bubble was helpful in deepening the anterior chamber without performing a posterior decompression. FF2-11 Surgical Treatment of a Patient with Traumatic Subluxation of Lens Zhen SHAO China A 78-year-old rural elderly woman was admitted to our hospital due to visual acuity decline for 5 years after her right eye was injured by wood. The visual acuity of her right eye was 0.04 before surgery, and correction was helpless. After an eye examination, she was diagnosed with lens suluxation, and femtosecond laser-assisted cataract surgery combined with capsular tension-ring and intraocular lens implantation was performed in our hospital. Physical examination 1 day after surgery: naked eye visual acuity 0.6 in the right eye, six months after surgery visual acuity 1.0.
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