92 FF2-13 The LAX Posterior Capsule Ronald YEOH Singapore During aspiration/irrigation of lens cortex, soft lens matter usually separates cleanly from the posterior capsule which is held taut in a concave up configuration by the irrigation fluid pressure and healthy zonular ligaments. Occasionally when aspirating lens cortex we observe that the posterior capsule is loose and floppy and can be aspirated into the I/A tip. This film looks at these scenarios, analyses why there are lax posterior capsules and suggests management strategies. FF2-14 FLACS With Four Implants in the Bag to Cure Spherophakia & Lenticular Myopia in Marfanoid Patient Rakesh GUPTA India This video demonstrates the advantage of femtosecond laser–assisted cataract surgery in a young Marfanoid patient with spherophakia and associated lenticular myopia. In the fellow eye, manual cataract surgery with implantation of a Cionni ring was performed; however, optimal centration of the capsular bag could not be achieved. In contrast, the eye shown in this video underwent femto laser–assisted capsulotomy, allowing a perfectly sized and precisely centered capsulotomy. An endocapsular ring was implanted to maintain capsular bag architecture, followed by implantation of two Gupta ring segments, which were scleral-fixated to stabilize the capsular bag. This case highlights the synergy between advanced femtosecond laser technology and refined surgical skills, demonstrating how their integration can deliver excellent outcomes in complex cataract surgery. FF2-15 Bluer Than Blue: Optimizing trypan blue capsular staining in small pupil cataract surgery Jayjumhar PRECIA Philippines Routine cataract surgery procedures can be done without trypan blue staining of the capsule prior to capsulorhexis. However, certain situations may need staining such as a hypermature, Morgagnian, or a very dense cataract which blocks red-orange reflex. Combined with a small pupil, these make surgery more difficult. Routine injection of trypan blue may stain the exposed capsule; however, upon dilation of the pupil, one would notice that the unexposed capsule is not stained. This technique makes it possible to stain the unexposed capsule under the iris. This only involves one or two additional maneuvers which can be done seamlessly with the routine trypan blue injection step. FF2-16 Traumatic Cataract Mysteries Unfolded Rakhi R KURUP India Traumatic cataract surgery presents unique intraoperative challenges due to associated anterior segment injuries and altered ocular anatomy. This narrated surgical video illustrates hands-on approaches to managing traumatic cataracts, with particular focus on anterior capsular rupture, zonular dehiscence, iridodialysis, as well as a case of trauma-induced posterior capsular rupture in an eye with a pre-existing posterior polar cataract. The video highlights capsulorhexis techniques in the presence of anterior capsular tears and illustrates effective iridodialysis repair methods. Zonular weakness is addressed using capsular tension devices and careful nucleus manipulation to minimize further zonular stress. Phacoemulsification techniques are demonstrated in eyes with previously sutured corneal tears, emphasizing incision placement, fluidics modulation, and chamber stability to prevent wound leakage. This video offers step-by-step guidance for safely managing complex traumatic cataracts and improving surgical outcomes. FF2-17 Managing a Hard Posterior Polar Cataract With Pre-existing Posterior Capsular Defect: When every maneuver matters Lekha CHANDEL India Posterior polar cataracts demand caution. When a dense, hard nucleus coexists with a pre-existing posterior capsular defect, the margin for error narrows dramatically. What begins as a familiar procedure can rapidly evolve into a test of surgical judgment, restraint, and adaptability. This video presents the management of a posterior polar cataract with a hard nucleus, in which the posterior capsule is compromised even before the first emulsification stroke. Conventional safeguards of posterior polar surgery offer limited protection, and every maneuver carries the risk of capsular extension and vitreous loss. The film highlights subtle intraoperative warning signs, controlled phacoemulsification strategies, and decisive transitions in surgical planning when posterior capsular rupture occurs, culminating in a stable outcome despite significant capsular compromise. FILM FESTIVAL
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