| FIII.1 | Please Don't Fold Producer: Donald Tan, MD (Singapore) Co-producers: J S Mehta, MD, Por Yong Ming, MD (Singapore) |
| DSAEK is currently the state of art with respect to corneal surgery. It is essentially sutureless, small incision, selective tissue corneal transplantation. However, there is a steep learning curve, especially with donor insertion. The current method of donor insertion requires folding and unfolding donor tissue, which may damage the endothelium and is especially difficult in the smaller Asian eye with shallower anterior chamber. We present an innovative, cost-effective, “pull-through” gliding technique, without folding, which is less traumatic to the endothelium, and which reduces primary graft failure rates and endothelial cell loss compared to folding. | |
| FIII.2 | Corneoplastique: ART of Laser Vision Surgery Producer: Arun C. Gulani, MD ( USA) |
| Introducing Corneoplastique (TM), using the cornea as a visual rehabilitative platform to prepare for and repair from laser vision surgery. Patients with corneal scars, keratoconus, pterygium and refractive complications resulted in emmetropic visual outcomes. Lamellar corneal amniotic membrane, surface modulating drugs and synthetic inserts were used followed by final application of the excimer laser towards refractive corneal sculpting. Patients looking at extensive corneal surgeries have undergone aesthetically pleasing, brief, minimally invasive and visually promising techniques – Corneoplastique, towards unaided emetropia. | |
| FIII.3 | DSAEK Triple - The RVEEH Technique Producer: Jacqueline E Beltz, MD (Australia) Co-producers: Vishal Jhanji, MD, Rasik Vajpayee, MD (Australia) |
| Descemet’s-stripping automated endothelial keratoplasty (DSAEK) with cataract surgery constitutes the DSAEK Triple procedure. This film describes our technique for DSAEK Triple. A case of a patient with Fuch's endothelial dystrophy and cataract is used to highlight this new and exciting technique. The film includes commentated surgery, as well as postoperative results and information. | |
| FIII.4 | Deep Anterior Lamellar Keratoplasty using "Big bubble Technique " in Hurler-Scheie Syndrome Producer: Namrata Sharma, MD (India) Co-producers: Vishal Jhanji, MD, Jeewan Titiyal, MD, Rasik Vajpayee, MD (India) |
| We evaluated the efficacy of deep anterior lamellar keratoplasty (DALK) for indications like granular, lattice, macular corneal dystrophy, trachomatous keratopathy, and descemetoceles apart from keratoconus. Penetrating keratoplasty is done in eyes with corneal clouding due to mucopolysaccharidosis which is due to abnormal storage in stromal keratocytes; but it has been shown that Descemet's membrane is unaffected in these cases. Thus we performed bilateral DALK surgeries in a 14 year old patient with Hurler-Schie syndrome using the "big bubble" technique. At three years follow up, grafts were clear with best corrected visual acuity of 20/30 in both eyes and astigmatism of less than 1.5 diopters. | |
| FIII.5 | A Simple And Elegant Technique Of Donor Lamellar Dissection For Anterior Lamellar Keratoplasty Producer: Leonard Ang, MD (Singapore) Co-producer: Donald Tan, MD (Singapore) |
| Anterior lamellar keratoplasty has advantages over penetrating keratoplasty in treating corneal disease not involving the endothelium. However, lamellar keratoplasty is more technically demanding to perform. Dissection of the donor corneal button may be performed with whole donor globes, but these are difficult to obtain. If corneoscleral buttons are used, expensive anterior-chamber maintainers are required for the lamellar dissection. We describe a cheap, quick and effective method of performing lamellar dissection of donor corneoscleral buttons, which does not require whole donor globes or expensive equipment. This technique allows various shapes of corneal grafts to be fashioned easily (e.g. circular, annular or banana shaped grafts), which may be used for a wide variety of corneal lamellar surgery. |