88 FILM FESTIVAL FF1-11 IOL Dialling in MSICS: Understanding mechanics with a jam bottle analogy Manmeet SINGH India Manual SICS surgery became a go to procedure 1980 onwards especially in developing countries due to its cost effectiveness and comparable outcomes to phacoemulsification. Out of all the crucial steps in MSICS, IOL dialling remains a challenge especially for beginners, although extensive literature exists for the same with limited understanding of the mechanics involved for an effective and smooth insertion of a PMMA IOL in the bag using the Lens holding forceps and a sinskey hook. It is particularly challenging owing to possible complications like Capsulorhexis margin extension, Posterior capsular rupture, zonular dehiscence, unstable IOL, haptic breakage. This video demonstrates the technique of IOL dialing and help in understanding the mechanics using the simple lid-of-jam bottle analogy. FF1-12 Inflate the Vitreous With OVD in Case of Excessively Deep Anterior Chamber in a Patient With High Myopia Masayuki AKIMOTO Japan In cataract surgery for high myopia, an excessively deep anterior chamber can impede manipulation, yet no effective countermeasures existed. Conversely, in cases where shallow anterior chambers complicate surgery, vitrectomy can be employed to reduce posterior chamber pressure, thereby restoring normal anterior chamber manipulation. Therefore, the following question is posed: could an increase in vitreous pressure normalize anterior chamber manipulation in deep anterior chambers of high myopia? Following the injection of OVD into the vitreous body, there was a marked improvement in anterior chamber depth. Consequently, a surgeon-in-training was able to perform cataract surgery in a safe manner. FF1-13 Twist & Tilt: Tensionless nuclear disassembly Jayjumhar PRECIA Philippines Lens zonules undergo significant stress when the lens is rotated within the capsular bag. This has the potential to induce zonular dehiscence, especially in cases wherein there is zonular weakness, such as, pseudoexfoliation syndrome, Marfan syndrome, and ocular trauma. Zonular dehiscence may lead to significant morbidity such as dropped nucleus, late intraocular lens dislocation, or subluxation. The twist and tilt technique is a modified straight horizontal-chop maneuver that eliminates tension during rotation or even the need to rotate the lens; thus, minimizing stress on the zonules and capsule. FF1-14 The Flanged Innovation: Advancing aphakia management with the Yamane technique Gnanambiga M India Purpose: To demonstrate the Yamane flanged intrascleral fixation technique for secondary intraocular lens implantation and evaluate short-term visual and anatomical outcomes in an aphakic eye with inadequate capsular support. Methods: A 53-year-old aphakic patient underwent scleral fixation of intraocular lens using the Yamane technique. Two transconjunctival sclerotomies, followed by double-needle haptic externalization, low-temperature flange formation, and secure intrascleral fixation performed. Postoperative evaluation at 1 month included bestcorrected visual acuity, intraocular lens centration, and complication assessment. Results: Best-corrected visual acuity improved to 0.3 logMAR at 1 month. The intraocular lens remained well-centred and stable, with no intraoperative or postoperative complications. Conclusion: The Yamane technique is a safe and efficient method for secondary intraocular lens fixation, providing excellent visual rehabilitation and anatomical stability. FF1-15 Against the Clock: When counterclockwise C-loop toric IOL rotation is no longer impossible Nutchaya SUKON Thailand Conventionally, C-loop intraocular lenses (IOLs) are typically rotated in a clockwise direction to prevent the haptics from engaging and tearing the capsular bag. In clinical practice, after achieving the desired axis alignment and viscoelastic removal, the IOL often passively over-rotates clockwise, requiring further repositioning by completing up to 180 degrees of rotation. In this video, we demonstrate a technique that produces slight counterclockwise rotation, thereby allowing final alignment to be safely accomplished. In addition, gentle engagement of the distal haptic toward the optic using a Sinskey hook safely disengages the haptic from the capsular bag, enabling controlled counterclockwise rotation and resulting in accurate, stable IOL positioning.
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