95 FILM FESTIVAL (FF3) FILM FESTIVAL – REFRACTIVE/CORNEAL SURGERY TITLE PRODUCER FF3-01 Magnifying the Problem: Pitfall for beginner smile surgeon Meiliaty ARIESTA ANGKY Indonesia Misidentifying the plane is one of the most common challenges in refractive lenticular extraction procedure. To avoid this, beginner surgeons often increase magnification in hopes of identifying the anterior and posterior planes more accurately. However, higher magnification narrows surgeon visual field and can make the surgeon miss peripheral cap stress, resulting in cap tear. This video will highlight the importance of using right magnification in every step of refractive lenticular extraction procedure to avoid complication. FF3-02 The Flying Flap - How surgical precision restored a free cornea in LASIK Syed Muhammad Asifur RAHMAN Bangladesh A rare complete free corneal flap occurred during microkeratome-assisted LASIK in a 23-year-old woman. The detached flap was immediately preserved in BSS, laser ablation completed, and the flap accurately realigned using pre-marked orientation marks. A bandage lens was applied. Postoperatively, the flap was clear and stable, with vision improving from 6/24 (0.60 logMar) on day one to 6/6 (0.00 logMar) by one week, and no epithelial ingrowth or displacement. This case highlights that rapid recognition, careful hydration, proper calibration, and precise flap repositioning can restore excellent visual outcomes after this serious complication. FF3-03 Battle of the Bulge – Surgical option for acute hydrops Sujatha MOHAN India Hydrops is sight threatening complication may occur in patients with advanced keratoconus. Most patients respond to conservative medical management, severe cases need surgical intervention. Video outlines injection of C3F8 gas, use of venting incision, near total DALK and lastly with Hydrops a full thickness interrupted corneal compression sutures through the ruptured DM to overcome this problem. FF3-04 Close-Sky Triple Procedure: Keep it closed, keep it safe Chareenun CHIRAPAPAISAN Thailand Combined penetrating keratoplasty (PKP) and cataract surgery is technically demanding, as prolonged open-sky time increases the risk of catastrophic complications. After encountering choroidal hemorrhage during conventional PKP with scleral-fixated intraocular lens (IOL) implantation, we sought a safer surgical strategy. This video presents a series of cases undergoing a modified close-sky technique designed to minimize open-sky exposure. The procedure begins with anterior lamellar keratoplasty to partially remove corneal opacity and improve visualization, allowing cataract surgery to be performed under a closed globe with a high chance of secure IOL implantation in the capsular bag or stable scleral fixation. The pupil is then constricted, enabling rapid and safe PKP completion. All cases were performed uneventfully and achieved favorable visual outcomes. FF3-05 Cracking Corneal Fibrosis: The losartan advantage Shweta RANJIV DEV India Corneal scarring is a significant cause of visual impairment. Conventional surgical interventions, including superficial keratectomy, transepithelial refractive keratectomy, topography-guided customized ablation, and photorefractive keratectomy, carry risks of epithelial instability, postoperative haze, and recurrent fibrosis. Contemporary management emphasizes prevention and biological modulation of corneal wound healing. High-resolution anterior segment optical coherence tomography (AS-OCT) enables objective assessment of scar depth and corneal densitometry, facilitating individualized treatment planning. This video demonstrates preparation of a custom-compounded topical losartan formulation (0.8 mg/mL) for scar modulation. Ten eyes were treated six times daily for three months. A subset showed improved visual acuity with reduced OCT-based scar depth and densitometry, with good tolerability and no systemic adverse effects.
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