| FII.1 | SICS with Trabeculectomy Producer: Sajjad Ahmed Sheikh, MD (India) Co-producers: Reyaz A. Untoo, MD, Imtiaz Ahmed, MD (India) |
| Conventional ECCE with PC IOL with trabeculectomy carries many advantages including higher risk of intraoperative complications particularly in patients with high preoperative IOP and with varied scleral rigidity like Myopes. We present the modality of combined procedure by doing SICS with PC IOL and trabeculectomy through the same scleral tunnel. Besides being a time-saver, this procedure paves the way for early rehabilitation in view of dissection needed during the procedure. |
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| FII.2 | New Technique of Phaco Surgery in Small Pupils Producer: Boris Malyugin, MD (Russia) |
| We present a new technique of cataract surgery in small pupil cases with the new temporary pupil expansion device. The current version of the device consists of a holder with a ring and inserter that creates a rounded pupil 6.5 mm in diameter. It has the advantage of expanding the pupil without overly stretching it and traumatizing it. This video describes different techniques of implantation and removal of the new device and also the use of the ring in challenging cases including IFIS, small pupils complicated with zonular weakness, capsular bag contraction syndrome, etc. | |
| FII.3 | Square Tip Producer: Akahoshi Takayuki, MD (Japan) |
| The Square Tip is a unique phaco tip designed for the OZil torsional handpiece (Alcon Laboratories, Fort Worth, TX, USA). The flat lateral surface of the tip head enhances the phacoemulsification by the torsional movement. There are three models with straight, bent and off-centered tip head. The straight model is beneficial for those who are familiar with a straight tip using the OZil. The Kelman model is suitable for phacochop and reverse-Kelman for phaco prechop. The off-centered bent model attains the maximal wobbling movement which can attain the most efficient phacoemulsification in the history of cataract surgery. | |
| FII.4 | Sutureless Double Nylon Loop (Trisection) Producer: Kosakarn Praputsorn, MD (Thailand) |
| Purpose: To demonstrate the new technique in manual phacofragmentation called “Double nylon loop“. Methods: Double nylon loop was performed in various grades of cataract; paracentesis, temporal clear corneal incision, hydrodissection, hydrodelamination, nucleus subluxation were performed. Double nylon loop was done to divide the lens into three pieces. Spatula and Sinskey hook were used to get each piece of lens out of the eyes. Cortex aspiration, IOL implantation and wound hydration were already done. Results: Double nylon loop can be done in all grades of cataract. Conclusion: Double nylon loop provided safe complete phacofragmentation in all grades of cataract. This technique made incision to become smaller and sutureless. |
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| FII.5 | Decrease and Conquer: New Phacoemulsification Technique for Rock Hard Nucleus Cataract Producer: Hong Kyun Kim, MD (Korea) Co-producer: Byung Jae Son, MD (Korea) |
| A rock hard cataract is a challenging case for phacoemulsification. Because the nuclear fibers are strong and densely packed, higher U/S energy, higher vacuum may be needed with the nucleus dividing technique. The video demonstrates our use of a new phacoemulsification technique for hard nucleus cases. It also demonstrates that the new technique shortens the phacoemulsification time and reduces the U/S energy used. | |
| FII.6 | Multiple Reverse Chopping Phacoemulsification Producer: Hungwon Tchah, MD (Korea) Co-producer: Kyung Hoon Kim, MD (Korea) |
| Purpose: To demonstrate a new phacoemulsification technique. Methods: A dense nuclear cataract was removed with a new technique called the multiple reverse chopping technique. The nucleus center was impaled with the phaco tip and the nucleus was bisected with a chopper. The nucleus was further chopped into multiple pieces with counter-pushing action of chopper and phaco tip, reverse action of the chopper. The chopped nucleus was aspirated with a high vacuum setting and minimal phaco energy. Results: A dense cataract was removed effectively and safely with this new technique. Conclusion: The multiple reverse chopping technique seems to be very effective in phacoemulsification. |
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| FII.7 | Comparison Between Stellaris® 1.8 mm and OZil® 2.2 mm for Microincisional Cataract Surgery Producer: Jeon Sohee, MD (Korea) Co-producer: Choun-ki Joo, MD (Korea) |
| Purpose: To compare the Stellaris 1.8 mm (Bausch & Lomb, B&L, Rochester, NY, USA) and OZil 2.2 mm (Alcon) systems for microincisional cataract surgery. Result: There was no difference in terms of visual acuity, corneal astigmatism, or corneal endothelial damage between the two groups. BSS (balanced salt solution) consumption and incision sizes were greater in groups using the Stellaris system, but the differences were not statistically significant. Conclusion: The B&L Stellaris® 1.8 mm and Alcon OZil® 2.2 mm systems reduce postoperative astigmatism, recovery time, and postoperative complications. The Stellaris is advantageous in the bimanual method, while the OZil is advantageous in the one-hand method using prechopping. |
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| FII.8 | The Dual Magic Producer: Galli Lakshmi Narayanan Arun Kumar, MD (India) |
| This video depicts the advantages of the dual linear foot pedal. The surgeon can control any of the three parameters (vacuum, aspiration flow rate and ultrasound energy) at any point in time during the surgery. The advantages of dual linearity are shown in the surgical video overlay of the above parameters varied by the surgeon captured in real time. | |
| FII.9 | Sutureless ECCE using the Kongsap Technique Producer: Pipat Kongsap, MD (Thailand) |
| Purpose: To demonstrate small incision cataract surgery using the Kongsap technique. Method: The Kongsap technique is a manual small incision cataract surgery technique in which the lens nucleus is divided into three to four fragments prior to manual removal through a relatively small incision, using inexpensive instrumentation. A foldable IOL is placed in the capsular bag and the wound is closed with no suture. Conclusion: The Kongsap technique provides small incision cataract surgery without the need for a phaco machine. |
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| FII.10 | In the Bag Procedure for Successful Cataract Surgery Producer: Lim Seun Jeong, MD (Korea) |
| For the past several decades, preservation of the posterior capsule with insertion of intraocular lens in the intact capsular bag has been a key factor for successful cataract surgery. However, the most important and frequent complication which must be solved in the near future is posterior capsular opacification (PCO). In modern cataract surgery, surgeons’ efforts to keep the posterior capsule intact may actually increase the incidence of PCO. In this video, the surgeon demonstrates the in the bag procedure, minimizing stress to the capsulo-zonular barrier, exercising caution when manipulating the lens, and avoiding unnecessary capsular capture and traction, thus reducing the risk of PCO. |
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| FII.11 | Low Vac Phaco Producer: Thanga Babu Vivekanandaraj, MD (India) |
| Phacoemulsification depends not only on ultrasound energy but mainly on vacuum in the case of a venturi phaco system and on the vacuum and aspiration flow rates in a peristaltic phaco system. Safe phacoemulsification surgery can be performed with low or optimum vacuum, aspiration flow and ultrasound energy limits instead of using high vacuum of 300 or more and aspiration flow rate of 30 to 40 cc. Use low vacuum in your phaco machines and protect the intraocular tissues. This video shows the actual low level vacuum used in real-time during the phaco surgery in various stages with the video overlay. |
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| FII.12 | Comparison of Actual Vacuum Pressure: ABS (Aspiration Bypass System) vs Non-ABS Producer: Chul Young Choi, MD (Korea) Co-producer: Sang Hoon Park, MD (Korea) |
| Purpose: To compare the actual vacuum pressure of an ABS and a non-ABS tip at the end of phaco tips with the same diameter Methods: An eraser ball inserted into a swine eye was firmly attached to a phaco tip with a vacuum pressure of 300 mmHg. Pulling power required to separate the eraser ball from the phaco tip was measured. Results: The pulling power of the ABS tip was lower than that of the non-ABS tip by a mean of 27.6%. Conclusions: The surgeon should be aware of the characteristics of ABS tips and change the standard settings. |
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| FII.13 | Harshul’s Incomplete Division Phaco Chop Producer: Harshul Kumar Tak, MD (India) |
| I describe a modified technique of Phaco chop named “Harshul’s incomplete division phaco chop“. This technique eliminates the need for dividing the nucleus into two complete halves and puts minimal stress on the capsular bag. The phaco tip is embedded in the center of the nucleus and a crack is made to about 60-70% of the diameter. No effort is made to completely divide the nucleus into two halves. The nucleus is rotated and a small wedge shaped piece of nucleus is taken out with help of chopper using a “side push” from the adjacent nuclear fragment. | |
| FII.14 | Manual Nucleus Fragmentation -- A New Technique Producer: Ravi Atmaram Chauhan, MD (India) |
| If the nucleus can be halved mechanically, the size of the sclero-corneal tunnel can be halved. This made us think of a simple technique to halve the nucleus. This new technique involves stabilizing the nucleus with a vectis & dividing it into two halves with the help of an MVR blade. Through this video presentation we demonstrate the successful halving of a nucleus in the pupillary plane using this technique to reduce the size of the sclero-corneal tunnel to 4 mm. The tunnel need not be extended if a foldable IOL is implanted. The technique is cost-effective, has a shorter learning curve and can be performed by beginners. |
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| FII.15 | Small Incision Cataract Surgery (SICS) in Grossly Subluxated Cataract Producer: Rajesh Joshi, MD (India) |
| SICS and phacoemulsification has the advantage of a closed chamber throughout the surgery. Manipulation becomes easy and surgery can be completed without any complications. In a grossly subluxated cataract, despite putting in endocapsular rings, the chances of a cataract going into the vitreous cavity is high because of high irrigation. This can be avoided by avoiding too much irrigation in the anterior chamber and by chopping the nucleus after putting in an endocapsular ring. | |
| FII.16 | The Magic Wand: Quantification of phaco tip/cataract fragment energy discharge Producer: William J Fishkind, MD (USA) |
| Employing high-speed video photography synchronized with an array of micro sensors, the amount of phaco energy emitted by the phaco tip, as well as the distance of energy spread, is quantified. The measurement is carried out with and without coupling in longitudinal, torsional and elliptical configurations. |