105 FILM FESTIVAL 电影节 FF2-12 Reverse Optic Capture for Posterior Capsular Rupture Jeremy HU Singapore While most posterior capsular rupture (PCR) occurs during phacoemulsification, PCR can occur with an intraocular lens that shot out uncontrollable from its cartridge resulting in a PCR. While explanting the lens is an option to switch to a sulcus IOL, this video will showcase the tips and techniques during PCR on achieving stability for a one-piece enhanced monofocal IOL within the bag. FF2-13 Treatment of Traumatic Cataract Caused by Explosion Injury Song CHEN China Ocular explosion trauma may cause various ocular injury, and often involve multiple organ damage, which can be lifethreatening. We showed the treatment for a traumatic cataract patient resulting from explosion injury three months ago. Corneal scarring, iris perforation, and anterior capsule damage of the lens indicated the presence of intraocular foreign body. However, the location of the foreign body could not be determined by preoperative CT and B-ultrasound examination. During surgery, the posterior capsule was ruptured, and numerous fragmented foreign bodies were present in the vitreous cavity. Therefore, combined cataract extraction with vitrectomy was performed, resulting in postoperative visual acuity recovery to 1.0. FF2-14 IFIS and the Chamber of Secrets Takashi HIDA Brazil IFIS is a well-recognized entity that complicates cataract surgery. In the cataract eye camps for the indigenous Xingu Indians that we have been carrying out in the Amazon area, we have noticed IFIS is more common and much more severe than is usually seen. This film looks at IFIS in the Xingu Indians, discusses the reasons and the “secrets” why they get such serious IFIS. We also consider the surgical issues and how to overcome them. FF2-15 Into Easy; Out Hard Guangfu DANG China The case involved a seven-year-old girl who accidentally stuck a pencil in her right eye. Right eye examination: visual acuity 0.8. IOP : 11mmHg. Slit-lamp : nasal limbal scar; the pupil was not round; the lens was transparents. UBM and CT: foreign body in the ciliary groove at 3 o’clock. Surgical difficulties: the foreign body is large and located in the ciliary groove; the lens is transparent and the vision is good; whether there is adhesion of the surrounding tissue; avoiding damage to iris and lens. Surgical methods: after determining the location of the foreign body, several instruments were tried to safely remove the intrabulbar foreign body without damaging the lens and iris. Postoperative: visual acuity: right eye 0.8. FF2-16 Cataract with Cloudy Cornea; take it or leave it blind Tommy TRI ATMAJA Indonesia There were 1.6 million people blind in Indonesia. Cataract contributes of 82.4% from total visual impairment. Cornea opacity is one of major difficulty in cataract surgery. We used three strategies to deal with it, which are capsular staining, lighting adjustments and viscoelastic management to improve our visualization. In the operating room, we turned off the light and used low to medium setting microscope light to reduce backscatter. Regarding posterior capsular rupture, we reduced the risk by using low parameter phacoemulsification settings, proper patient positioning and hyperosmotic agents pre operatively. This video will describe a challenging phacoemulsification of cloudy cornea in remote area, bintan island, Indonesia where there were only two options, take it or leave it. FF2-17 Two-way Adjustable Double-knots Intrascleral Fixation and Single Sclerotomy Looping Technique for IOL Fixation Zaowen WANG China IOL fixation without capsular support presents challenges for surgeons. We introduce a novel two-way adjustable method for intrascleral IOL fixation with a presentation of 4 cases. A bent 30-gauge needle threaded with 8-0 polypropylene was introduced into the eye. A gripping forceps assisted the haptic looping. Two overhand 3-1-1knots were made with the 8-0 polypropylene thread. The knots were incarcerated into a scleral tunnel made by a 30-gauge needle, with two ends of the thread left at each side of the tunnel. A similar procedure was performed on the opposite side. The IOL was adjusted to the premium position with adequate tension by pulling either end of the threads. The IOL was well-centered without tilt after surgery.
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