97 FILM FESTIVAL (FF4) FILM FESTIVAL – GENERAL INTEREST TITLE PRODUCER FF4-01 Pivot Technique for Pure Vision Surgery Santaro NOGUCHI Japan Image guidance systems revolutionized toric IOL surgery precision but cause serious visual problems: 46% light loss, poor image quality, degraded resolution and contrast. Countless surgeons unknowingly operate under visual stress in compromised conditions. This film demonstrates a revolutionary pivot technique restoring clear vision. FF4-02 Bridging the Gap: Modular phacoemulsification training for early-career surgeons Ya-Jung CHUANG Chinese Taipei The first phacoemulsification case is often remembered not for technique, but for fear. For many early-career ophthalmologists, limited spatial awareness and fragmented training turn the operating microscope into a source of uncertainty and risk. This film tells the story of how structure replaces anxiety. It introduces a pivot-based, six-step modular phacoemulsification curriculum that isolates each surgical step into repeatable, safety-focused modules. Through real intraoperative footage and moments of decision, the film shows how deliberate, structured training can transform hesitation into control—and guide surgeons from their first assisted case toward safe, confident cataract surgery. FF4-03 Versatile Ball Tip Forceps Hisaharu SUZUKI Japan The ball tip forceps has a spherical tip to prevent damage to the conjunctiva and other tissues. This forceps can be used for various purposes. It can be used not only to fix and control the eye during cataract surgery, but can also be widely used in vitreous surgery. This video demonstrates its effectiveness. FF4-04 Retinal Age Gap as a Biomarker for Patient Satisfaction and Visual Quality After Cataract Surgery Koji KOMATSU Japan Intraocular lens (IOL) choice may consider chronological age, but no cutoff exists. This film presents the retinal age gap (RAG)—the difference between artificial intelligence-estimated retinal age and chronological age—from fundus photos. In cataract surgery patients, a smaller RAG was associated with greater satisfaction, fewer dysphotopsias, and less spectacle dependence, independent of visual acuity, supporting personalized IOL selection and counselling. FF4-05 Stepwise Video-guided Posterior Polar Cataract Surgery Niphon CHIRAPAPAISAN Thailand This video presents a high-risk, high-precision approach to posterior polar cataract (PPC) surgery, where posterior capsular rupture can occur at any stage. Preoperative anterior-segment OCT can assess capsular integrity, optimizing surgical planning and informed patient counseling. A centered and appropriately sized capsulorhexis is essential to permit sulcus IOL implantation if necessary. Slow-motion phacoemulsification with low vacuum, low aspiration flow, and low bottle height is emphasized to maintain anterior chamber stability and minimize capsular stress. Nuclear management uses hydrodelineation with aspiration or phaco-chop while avoiding rotation. Stepwise 360-degree epinucleus and cortex removal is demonstrated, leaving the posterior polar plaque until last. Posterior capsular rupture may occur even after IOL implantation without direct instrument contact, demanding constant vigilance throughout PPC surgery. FF4-06 Insulin Eye Drops: From physiology to pharmacology to clinical translation Prabhjot SINGH India Topical insulin represents a paradigm shift as an accessible biologic for diabetic keratopathy, neurotrophic keratitis, severe dry eye, and postoperative defects. This film visualizes the complete translational journey, substantiated by novel in vitro data using SV40-HCE and iPSC-derived models. Beyond simply accelerating migration, we demonstrate insulin’s critical role in regulating inflammation and preventing oxidative stress-induced cell death. These findings provide the physiological rationale for our clinical outcomes, where compounded drops (0.5–1 IU/mL) achieved 80–90% efficacy in resolving persistent defects. From benchside mechanics to pharmacological compounding, this video validates insulin as a potent, cost-effective tool for corneal surface reconstruction in refractory cases.
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