93 FF2-18 The Gentle Goodbye: Explanting IOLs safely Amrita CHAKRAVARTY India Intraocular lens (IOL) explantation is a critical yet underemphasized skill for cataract surgeons managing complications such as IOL decentration, opacification, refractive surprise, or patient intolerance. These surgical videos demonstrates a safe, structured approach to explantation of IOLs with emphasis on capsular bag and zonular preservation. These techniques highlight meticulous visco use to release capsular adhesions, controlled in-the-bag mobilization to enable atraumatic removal through a small corneal incision without wound enlargement. Key principles of anterior chamber stability, endothelial protection, and zonular stress minimization are illustrated. Practical intraoperative pearls and common pitfalls are discussed to prevent complications such as posterior capsular rupture and vitreous loss. FF2-19 Reflection-based Visualization Strategy for Cataract Surgery in Aniridia With Severe Corneal Opacity So GOTO Japan This report describes a reflection-based visualization strategy for cataract surgery in an eye with congenital aniridia and severe corneal opacity. Conventional microscope illumination, intraoperative slit illumination, and chandelier-assisted retroillumination failed because corneal light scattering, glare, and absence of a usable red reflex impaired depth perception. Oblique light pipe illumination enhanced reflected light but required manual assistance and interfered with surgical procedures. By fixing a shaded intracameral chandelier laterally within the anterior chamber and supplementing with oblique light pipe illumination when necessary, stable reflection-based visualization was achieved. This approach enabled safe cataract surgery despite severely compromised corneal transparency and resulted in improved best-corrected visual acuity from 0.01 to 0.03. This strategy offers a practical alternative when transmissionbased visualization fails. FF2-20 The Domino Effect – How anterior chamber dynamics affect the posterior segment Samaresh SRIVASTAVA India We often judge different phacoemulsifocation technologies and parameters by their impact on visible anterior chamber fluctuations. This film delves deeper into an unseen aspect- how anterior chamber fluctuations affect the vitreous and its attachments, both anteriorly and posteriorly. It will also suggest measures to reduce impact of anterior segment surgery on the posterior segment. FF2-21 A Pact With Traumatic Cataract Shalaka WAGHAMARE India Up to 65% of ocular trauma result in cataract formation, leading to significant short- and long-term vision loss. Traumatic cataract can occur acutely or can progress gradually over time. The severity of trauma and the integrity of capsular bag determine the type of cataract and the clinical course. Surgery for traumatic cataract is more complex unlike the standard cases due to associated damage to the lens capsule, poor zonular support, synechiae formation, reduced media clarity, and concomitant other ocular injuries. In such cases surgical planning should be individualized, with readiness to modify technique, employ capsular support devices, convert to extracapsular approaches, or perform combined anterior–posterior segment surgery. This video demonstrates various management strategies for challenging scenarios pertaining to traumatic cataract. FF2-22 Irrigation-induced Complete Descemet Membrane Hydro-separation: A dramatic end to routine phacoemulsification Vipasha SHARMA India Aim: To highlight a rare case of irrigation-induced complete Descemet membrane detachment (DMD) during routine phacoemulsification and its management. Abstract: An otherwise uncomplicated phacoemulsification developed a sudden complication during irrigation and aspiration of the cortex, when a fluid wave from the irrigation cannula caused complete hydroseparation of Descemet membrane. The detachment, initially peripherally attached, progressed to a complete DMD with a tear at the main wound. In this difficult situation, intraocular lens was implanted and intracameral gas was injected. On postoperative day one, total DMD persisted and initial rebubbling failed. A second rebubbling was performed, managing the detached Descemet membrane similar to a DMEK graft, with controlled unfolding using fluidics followed by gas tamponade, resulting in successful reattachment. FILM FESTIVAL
RkJQdWJsaXNoZXIy Njk2NTg0