91 FILM FESTIVAL FF2-07 Be Positive – Nothing is impossible Laxman Singh JHALA India We present a great and informative video of a child with closed globe injury having traumatic subluxated cataract with large iridodialysis. This video will highlight how we managed this challenging case, cataract management and then managing iridodialysis and latter on implanting CMTFLEX IOL. These type of cases are very challenging and skilled surgeons only can perform these cases and operation theatre should be well equipped with all the machines, instruments, sutures and IOLs. We have to have positive mind set and confidence to perform such complicated cases and making patients happy. FF2-08 IOL Scaffold - The savior Mohan RAJAN India IOL Scaffold is a very innovative technique wherein the IOL is implanted and used as scaffold to remove the nucleus. In this video the advantages of IOL scaffold will be highlighted in cases like PCR to prevent Nucleus drop, IOL exchange, removal of intraocular foreign body, Morgagnian cataract etc. FF2-09 A New Technique of Rescue for IOL Deviation Ayako ENO Japan A common procedure for dislocation of a one-piece acrylic intraocular lens (IOL) is intrascleral fixation of a new IOL without premium function after extracting the dislocated one. However, if the dislocated IOL is a premium lens such as a multifocal IOL, some visual functions acquired before dislocation may be lost in terms of refraction. Therefore, we developed a new technique that uses the dislocated IOL to restore visual function. This technique is referred to as transconjunctival intrascleral IOL fixation with connecting threads. Since we have achieved favorable outcomes, we herein present our technique. This technique appears to be a promising new option for rescuing a dislocated IOL. FF2-10 IOL Scaffold Technique in Posterior Capsule Rupture Shaoyu SUNG Chinese Taipei Posterior capsule rupture is among the most taxing intraoperative complications in cataract surgery. IOL scaffold technique can save the day by positioning intraocular lens as a mechanical barrier to finish the remaining nuclear fragments, preventing them from descending into the vitreous cavity. The beauty of this technique is that it converts a high-stress, unstable environment into a controlled one by using the IOL as a physical floor. It serves as a vital rescue maneuver and further minimizes the risk of vitreous traction and subsequent retinal complications. FF2-11 Subtotal Descemet Membrane Detachment in Phacoemulsification: Intraoperative signs and tips for successful pneumodescematopexy Guan Hui YAP Singapore This video demonstrates intra-operative iatrogenic descemet membrane detachment at the end of the case during corneal side port wound hydration due to misdirection of the balanced salt solution canula and fluid wave, causing a subtotal descemet membrane detachment involving the visual axis. It illustrates the signs for early pick up and expedient management of descemet membrane detachment with pneumodescematopexy (in the same setting). This video will illustrate the principles underlying pneumodescematopexy: direction of air bubble canula, wound placement/ usage, duration of air fill, tips to obtain a good air fill for descematopexy, as well as methods used to prevent complications from air (e.g. secondary pupil block glaucoma). Post operative day 1 outcomes: visual acuity, intraocular pressure and anterior segment optical coherence tomography images. FF2-12 Optimizing 4-Flanged Fixation With 30G 1-Inch Long Needles Woong-Joo WHANG South Korea With the increasing demand for secondary IOL scleral fixation, the Modified Canabrava technique offers a versatile sutureless approach using 4-flanged fixation for various IOL types. Key technical points include preparing sharp Prolene tips, precise suture manipulation with intraocular forceps, and adequate tension during flange creation. While 30-gauge thin wall needles facilitate suture passage, their high cost and limited availability pose practical challenges. Our adaptation using readily available 30-gauge, 1-inch needles makes this technique more accessible while maintaining safety and efficiency. This modified approach minimizes IOL tilt, prevents endothelial damage, and provides a practical solution for secondary IOL fixation even in resource-limited settings.
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