Eye Care in Leprosy: Changing scenario in a decade
Producer: Sanjoy Chowdhury

The leprosy prevalence in the state of Jharkhand in India is 2%, 60% of whom have eye problems, some leprosy-related and some age-related. Resources are scanty, social stigma a curse. Access to healthcare services is negligible. We took eye care to their doorstep. Starting with surgery for cataract by ICCE, during this first decade of this century we provided all advanced care including phaco. Now they can beat the drum all along the road to home without assistance. This film is about their suffering and how a little extra effort can alleviate it.

Microincisional Surgery of Subluxed Lenses with the Modified Capsular Tension Ring
Producer: Boris E. Malyugin

To present the new Modified Cionni CTR (MC CTR) used in patients with congenital and acquired subluxation of crystalline lenses. The new MC CTR is designed specifically for micro incisional cataract surgery (MICS). The MC CTR proved to be safe and provided favorable functional results. Surgical technique with the new device as well as the challenges is discussed. Financial disclosure: nothing to disclose.

Inamura Multi-Purpose Cannula
Producer: Inamura Mikio

This video will demonstrate a newly designed cannula which is useful in various aspects of cataract surgery. The cannula has two holes at the tip with some distance between them. This distance is adjusted to create a 30 degree angle between two spurts of water projected from the cannula. This cannula can be put to both irrigation and aspiration use. Irrigation uses are for hydrodissection and cleaning the operative field. Aspiration uses are for aspirating air bubbles in the anterior chamber, aspirating liquefied cortex in mature cataract cases, and repositioning the prolapsed iris in intraoperative floppy iris syndrome. These aspects will be shown in this video. The author has no financial interest in this product.

The Broken Capsule
Producer: Mohan Rajan
Co-producer: Sujatha Mohan

The video will highlight the most important complications of phacoemulsification, i.e., posterior capsule rupture (PCR). It will emphasize the importance of recognition, prevention and management of PCR, and various vitrectomy techniques. The video will also highlight the bailout options in the presence of PCR.

The Saviour
Producer: Srinivas K. Rao
Co-producer: Mohan Rajan

A scleral-fixated IOL offers cataract surgeons an important bailout option, when capsulo-zonular support is totally absent or inadequate. The video highlights the pearls and variations of scleral fixation of IOLS in these situations.

Simultaneous Surgery of DSAEK and Cataract
Producer: Kimiya Shimizu

In this presentation, I will show the difficult case of DSAEK with cataract surgery. First case: Bullous Keratopathy, 10 years after ACL implantation. In this case, we simultaneously perform DSAEK, AC IOL extraction, and phakic IOL fixed at sulcus ciliary muscle. Second case: Bullous Keratopathy after PACG attack. In this case we perform ECCE, phakic IOL implantation, and DSAEK.

Surgical Management of Dislocated Intraocular Lens (IOL) in a Double IOL System
Producer: Claudine E. Pang
Co-producer: Doric Wong

Purpose: To describe the dislocation of an IOL as a complication of a double IOL system and to illustrate the surgical removal of the dislocated IOL.

Setting: Singapore National Eye Centre, Singapore

Methods: Two unusual case reports of a double IOL system in which one IOL was posteriorly dislocated and surgical removal was indicated.

Results: In case 1, a patient with a double PCIOL system developed disclocation of the posterior IOL and an epiretinal membrane. In case 2, a post-penetrating keratoplasty patient with both a PCIOL and ACIOL developed dislocation of the PCIOL. Both patients underwent surgical removal of the dislocated IOL via a trans-scleral approach, assisted with a 23-gauge trans pars plana vitrectomy.

Conclusion: Dislocation of an IOL in a double IOL system may be managed by surgical removal via a trans-scleral approach, assisted with a 23-gauge trans pars plana vitrectomy.

Cataract Surgery in Patient with Totally Damaged Zonules: What is your choice?
Producer: Choun Ki Joo
Co-producers: Kyong Jin Cho, Yong Soo Byun

The case (41-year-old female) presented with decrease of vision in both eyes. Slit lamp examination revealed subluxation of lens in both eyes. He had no known systemic disease. Ocular manifestation included high myopia (axial length 31.46/30.82 mm). But, under surgical microscopy, the zonules were totally damaged and lens sank vertically onto the anterior vitreous in the left eye. Viscoelastic agent was injected quickly behind the nucleus. Capsulorhexis was done using internal limiting membrane peeling forceps, holding the lens with the IOL rotator because it moved freely. The capsular bag was stabilized with an iris retractor at seven sites and irrigation was done after aspiration during phacoemulsification. Then, the capsular bag was removed through the 2.2-mm clear corneal incision site. IOL implantation was not necessary for severe high myopia. Postoperative visual acuity without correction was 0.25 and a specific complication was not found.

Pupilloplasty and Intraocular Lens Implantation for Pupil Abnormality with Aphakia or Cataract
Producer: Haike Guo

Purpose: To evaluate the therapeutic effects and surgical techniques of pupilloplasty and intraocular lens implantation for 27 cases (29 eyes) with pupil abnormality and aphakia or cataract.

Methods: In this retrospective study, 29 eyes of 27 patients with pupil abnormality and aphakia, lens dislocation or cataract accepted pupilloplasty and intraocular lens implantation. Complications and visual acuity postoperatively were assessed. The follow-up was 7.8 months.

Results: Visual acuity improved in 25 of 29 eyes. 24 eyes have nearly round shaped pupil and normal pupil position. Vitreous hemorrhage occurred in one eye and hyphema occurred in three eyes. Three eyes developed high IOP.

Conclusions: Pupilloplasty combined intraocular lens implantation is a kind of effective technique for recovering vision and photophobia as far as possible. The key of surgical technique is to accurately evaluate the iris elasticity and stretchability preoperatively, choosing the way of lens implantation according to ocular condition.

Posterior Polar Cataract Phacoemulsification: Approach defying convention
Producer: Rohit O. Parkash

The author has been using physics principles as basis for managing posterior polar cataracts. The groundbreaking technique involves modified hydrodissection, no hydrodelineation and modified rotation in the slow motion technique of phacoemulsification. The surprisingly low posterior capsular rupture rate vindicates the author’s belief that posterior polar cataract needs a fresh look by all phacosurgeons.

Glued IOL
Producer: Amar Agarwal

Glued IOL is a new techniques in which a PC IOL is implanted in an eye without any capsules using tissue glue. This can be done in worst case scenarios. The advantages of this are that there is no pseudophako-donesis and no sutures used unlike a sutured scleral fixated IOL.

Phacoemulsification through a Circular Polarizing Filter
Producer: Man Soo Kim
Co-producer: Ho Sik Hwang

Purpose: To show how ocular tissues look different during cataract surgery using a surgical microscope equipped with a circular polarizing filter (CPL), taking advantage of the birefringence and photoelasticity of ocular tissues.

Patients and methods: Five patients were included. CPL was attached to the microscope and phacoemulsification was performed.

Results: CPL did not improve the visibility of the lens capsule, viscoelastics and vitreous. The collagen fibers and color fringes visible in the cornea disturbed the visual field. The isochromatic lines of the cornea were clearly visible as stress was applied.

Conclusions: We could not find a big merit with phacoemulsification through an ophthalmic surgical microscope equipped with CPL, but it may be applied to other corneal surgeries

Phaco-chop in MICS
Producer: Sacha P. Moore
Co-producers: M. Goggin, A. Drew

A series of cases demonstrating the safe and effective use of phaco-chop in microincision cataract surgery (MICS)

Conquering Capsular Plaques
Producer: Wan-Soo Kim
Co-producer: Chang-Kyu Lee, Si Hwan Choi

Capsular plaque develops during the course of cataract formation. In many occasions, these plaques cause trouble when making a continuous curvilinear capsulorhexis. This video demonstrates etiologies and development of capsular plaque and shows various methods of continuous curvilinear capsulorhexis using scissors and capsular forceps to deal with plaque on capsule in different locations

Is It Real? Surgery with a virtual reality simulator
Producer: Gerd U. Auffarth
Co-producers: Maria J. Sanchez, Tanja M. Rabsilber

Purpose: Flight simulators are routinely used for pilots. Also for ophthalmic surgeries a simulator can be a good help for training residents or to instruct professionals in dealing with challenging cases.

Setting/Venue: International Vision Correction Research Centre (IVCRC), Dept. of Ophthalmology, Univ. of Heidelberg, Germany

Methods: The Eyesi surgical simulator is presented which is able to simulate anterior as well as posterior ophthalmic surgery. Modified real micro instruments are used. Training programs enable the candidate to go on from one level to the other. We analyzed the performance of trained vs. untrained users, individual training success, and performance repeatability.

Results: The virtual simulation is comparable to the real situation including eye movements, a stereo-microscope and visualization of the red fundus reflex. Trained users showed higher values in all levels compared with the untrained users. These findings can also be seen in the individual performance graphs.

Conclusion: A virtual simulator can improve the surgical skills of young ophthalmologists, thus increasing quality and safety.

True Colours: How to manage iris defects
Producer: Tanja M. Rabsilber
Co-producers: Angela Ehmer, Gerd U. Auffarth

Purpose: Management of iris defects is always challenging.
Setting/Venue: International Vision Correction Research Centre (IVCRC), Dept. of Ophthalmology, Univ. of Heidelberg, Germany

Methods: In this video we demonstrate possibilities of modern iris reconstruction focusing on a special customized iris to correct for partial or complete aniridia. One of the patients presented with an ectopic pupil at 5 o’clock.

Results: During surgery the pupil was cut with a 23-gauge vitrector via a clear cornea incision. The artificial iris was implanted creating a new pupil with excellent postoperative results. In another case of aphakia and complete loss of iris tissue after ocular trauma a complete artificial iris was implanted.

Conclusion: Modern iris reconstruction implants do offer many advantages: Different overall and pupil diameters are available for total or partial implants. Intra- and extracapsular fixation is possible. The artificial iris can be combined with small corneal incision surgery and finally the aesthetic result improved significantly due to customized color selection providing high patient satisfaction postoperatively.

Automated Foot-Controlled Lacrimal Lavage
Producer: John Smiles

2010 is the centenary year of lacrimal lavage as an accepted procedure within the ophthalmic purview. Instrumentation and technique has never changed. This movie describes an automated lacrimal irrigation device specifically aimed at making lacrimal lavage easier, more informative and appropriate to the 21st century.

3 Steps Time-Out Rule
Producer: Takao Tanaka

This video was produced for our staff to understand patient safety and actual procedure. Strategy for prevention of wrong eye site surgery and wrong IOL implantation from preoperative stage to the surgery in the operating room will be shown.

Ins and Outs of Hydrodissection
Producer: Ronald Yeoh

Hydrodissection is a neglected but important part of phacoemulsification. Although it takes but a few seconds to perform, there are serious consequences of under- and over-hydrodissection. In the video, hydrodissection is looked at in detail, from basic technique to the related complications. Hence, the ins and outs of hydrodissection.

Real Time Surgical Marking Program for Ophthalmic Microsurgery
Producer: Hong Kyun Kim
Co-producer: Jun-Hun Lee

Purpose: To introduce the concept of "augmented reality" in ophthalmic microsurgery and to show the surgical techniques using a newly developed computer program.

Methods: Augmented reality is a term for a live direct or indirect view of a physical real-world environment whose elements are merged with virtual computer-generated imagery. To apply the concept into ophthalmic microsurgeries, the authors developed a novel computer program named "Real time surgical data center". In this video, examples of surgical techniques using this program are presented.

Results: Preoperatively measured surgical data were entered into the program and could be reviewed whenever needed. In cararact surgery, a real-time tracking CCC line could be displayed. The central point of a multifocal IOL and the axis of a toric IOL could be pointed out. In secondary sclera fixation of an IOL, the positions of the sclera flap and IOL could be easily indicated. In penetrating keratoplasty, an ink marking could be replaced with a virtual overlay and the surgery could be performed without blurring. All of the preoperative surgical data could be integrated through a form of computer files.

Conclusions: We applied the concept of augmented reality into various intraocular microsurgeries. Using this technique, the surgical efficiency and accuracy can be improved.

Here Today, Gone Tommorow: Next Day Cosmetic Outcomes of Pterygium Surgery
Producer: Arun C. Gulani

To present sutureless amniotic surgery for pterygium/pinguecula and recurrent pterygium as cosmetic outcomes next day after surgery. Methods: 300 eyes of patients underwent "Iceberg" concept pterygium surgery to remove the entire lesion followed by amniotic graft placement with Tisseel glue. Patients were made to walk up to a mirror next day after surgery to see the operated eye and realize the quiet and clear eye.

Results: This technique has resulted in very satisfied patients with ecstatic reactions to their sparkling white eyes as well as early recovery of vision and return to their occupations. These outcomes were also consistent in pinguecula and recurrent Pterygium surgeries including patients of all age, race and sex.

Conclusion: Advanced sutureless pterygium surgery can result in pleasing aesthetics, early recovery and grateful patients in raising the bar on ocular surface surgery to cosmetic outcomes.

"Time Out!" - International Patient Safety Goal
Producer: Tze-Cheng Loh

Which is the eye for surgery? Wrong site surgery is undoubtedly devastating for the patient, surgical team and the healthcare organization when it occurs. To eliminate such events involving wrong patient, wrong site or wrong surgery, SNEC has incorporated the International Patient Safety Goal "Time Out" as a process in the system. "Time-Out" is performed just prior to the start of the surgery, with active verbal confirmation with reference to a checklist and patient's case notes, by all the caregivers involved the operating theatres. If there is any discrepancy, it is rectified promptly prior to the surgery. Patient safety can only be enhanced when all surgical team members suspend activities and focus their attention on confirming the correct patient, correct site, and other critical elements with the patient's unique identifiers and consent. This video presentation will demonstrate how "Time Out" is conducted for every surgical case in SNEC.

ART of Laser Vision Surgery
Producer: Arun C. Gulani

Purpose: To introduce Laser Vision Surgery as an ART using the cornea as a visual rehabilitative model.

Methods: Amniotic membranes, glues, surface modulating drugs, synthetics and the final application of the excimer laser as a corneal sculpting device were used. Patients with corneal scars, keratoconus, pterygium, trauma, chemical burns, refractive complications were all addressed to excellent visual outcomes.

Results: Patients who otherwise were looking at extensive corneal surgeries and transplants have resulted in excellent visual outcomes using different laser applications on their anterior corneal surface using single or staged surgeries.

Conclusion: Refractive surgery in the form of lasers can use the corneal rehabilitative platform with aesthetically pleasing, brief, minimally interventional and promising visual outcomes

Blind Track: Turnaround technique for intrastromal ring segments
Producer: Athiya Agarwal

We describe a turnaround technique and a double-pass turnaround technique for successfully overcoming false channel or second channel creation with consequent inability to insert the intracorneal ring segments (ICRS) in case of femtosecond dissected ring channels.

Lasik Lapses
Producer: Sujatha Mohan
Co-producer: Mohan Rajan

With excimer lasers, eyetracking, wavefront and topography guides, treatment is almost completely safe. Creation of flaps using mechanical microkeratome still remains a major stress on the surgeon. This video shows the dreaded complication associated with mechanical microkeratome and the need to understand the pros and cons of this seemingly innocuous cosmetic procedure.

Re-creation of Tunnel Using Femtosecond Laser in Previously Perforated Tunnel Site for Keraring�
Producer: Hungwon Tchah
Co-producer: Jae-Hyung Kim, Ko

Purpose: This video shows the recovery of a perforated anterior chamber using femtosecond laser (Intralase™, Abbott Medical Optics, Irvine, CA) in the insertion of intrastromal corneal ring segment (Keraring®, Mediphacos, Belo Horizonte, Brazil).

Methods: Thirty-year-old female patient diagnosed with keratoconus was chosen for insertion of Keraring® using a femtosecond laser. The tunnel depth was 430 microns, 80% of her thinnest thickness (530 microns). The superior segment was successfully inserted. However, the inferior segment was not successfully inserted into the stroma because the tunnel was extended into the anterior chamber. To implant the inferior ring segment in the right place, we planned to create a new tunnel only in the inferior half of the cornea using a femtosecond laser.

Results: Previous topographies were reviewed and her thinnest corneal thickness was confirmed again (488 microns). The inferior half of the cornea was blocked from the femtosecond laser beam with a filter paper on the patient interface (PI). The center of the PI was not blocked to facilitate the centering procedure. The tunnel was successfully created at 390 microns depth, and the inferior segment was inserted properly.

Conclusion: A new tunnel for Keraring® could be created successfully using a femtosecond laser with blocking of the previously inserted half of cornea.

Expulsive haemorrhage
Dr Amar Agarwal

Expulsive haemorrhage is the most dreaded complication a surgeon can have. Two cases are shown one bad and one with a good result. It shows what one should not have done and what one should have done in a case of expulsive
haemorrhage.

BIOGRAPHY
Prof.Amar Agarwal is the pioneer of Phakonit which is Phako with a Needle Incision Technology. This technique became popularized as Bimanual phaco, Microincision cataract surgery (MICS) or Microphaco. He is the first to remove
cataracts through a 0.7 mm tip with the technique called Microphakonit. He is also the first surgeon to implant a new mirror telescopic IOL (LMI) for patients suffering from age related macular degeneration. He has also been the first in
the world to implant a Glued IOL.

Glued iris prosthesis
Dr Athiya Agarwal

A child with glaucoma , aniridia and severe subluxated cataract is treated with the new technique of a glued IOL. In this case a lensectomy is done and a glued iris prosthesis fixed to solve the aniridia also. A trabeculectomy is also done.

BIOGRAPHY
Athiya Agarwal is an excellent teacher and performs no anesthesia cataract surgery, phakonit and lasik with extreme ease. She practices at Dr.Agarwal’s eye hospital. Dr.Athiya Agarwal has received many video awards for her work done
in ophthalmology. She has won awards at the ASCRS, ESCRS and AAO. She also conducts courses at international conferences.

Pupilloplasty and intraocular lens implantation for pupil abnormality with aphakia or cataract
Dr Haike Guo

To evaluate the therapeutic effects and surgical techniques of pupilloplasty and intraocular lens implantation for 27 cases (29 eyes) with pupil abnormality in aphakia or cataract. In this retrospective study, 29 eyes of 27 patients with pupil abnormality and aphakiam, lens dislocation or cataract accepted pupilloplasty and intraocular lens implantation. Complications and visual acuity postoperatively were assessed. The follow-up is 7.8 months.Visual acuity improved in 25 of 29 eyes. 24 eyes have nearly round shape pupil and normal pupil position. Vitreous hemorrhage occurred in 1 eye and hyphema occurred in 3 eyes. 3 eyes developed high IOP. Pupilloplasty combined intraocular lens implantation is a kind of effective technique for recovering vision and photophobia as far as possible. The key of surgical technique is accurately evaluate the iris elasticity and stretchability preoperatively, choosing the way of lens implantation according to ocular condition.

BIOGRAPHY
Biography: Dr. Guo is the vanguard of phacoemucification and foldable intraocular implantation. In his clinical work he performed phacoemucification and foldable intraocular implantation early in China. Dr. Guo observed the clinical results
of phacoemucification and foldable intraocular implantation earlier than other oculist in China. The articles were received by a mount of academic journals. Live surgery: (1) Sep. 2005 using Infiniti to do the live surgery in Tianjin Medical
University Eye Center during 2005 CCOS (2) Jun. 2005 using Legacy Everest to do the live surgery in Tongren Hospital during 2005 APACRS (3) 2005 using Infiniti to do the live surgery in the APAO ,Bejing (4) 2006 using Infiniti to do the live surgery in the APAO , Singapore (5) Jul. 2007 using Infiniti to do the live surgery in the ASCCO, Zhengzhou (6) Jul.2008 using Infiniti to do the live surgery in the WOC, Hong Kong (7) Nov. 2008 using Infiniti to do the live surgery in the AAO, Atlanta, USA

Crystalens Surgical Techniques and Results
Dr David Kent

Illustration of loading and inserting the Bausch & Lomb Crystalens including capsular tension ring. Results of the Crystalens HD and the new Crystalens AO.

BIOGRAPHY
Biography: Dr Kent specialises in cataract and refractive surgery in Christchurch, New Zealand and presents regularly at ophthalmology meetings. His interests include optimising laser refractive surgery results with nomogram development
and refractive lens surgery.

IFIS and MICS
Dr Sacha Moore
Authors:Sacha Moore *
Michael Goggin *
Anton Drew *

Intraoperative floppy iris syndrome (IFIS) does not appear to occur in Microincision cataract surgery (MICS). We present a case where a patient known to be on alpha blockers exhibited restricted signs of IFIS during MICS. We further
discuss why we are not seeing IFIS in MICS.

BIOGRAPHY
Cataract & Refractive Surgical Fellow

A High Pressure Cataract
Ms Isobel Muir Smiles

Angle closure from a swelling lens compels the surgeon to remove the cataract. The surgery presents challenges and the surgeon’s response is shown. This 5 minute movie is presented to invite advice and comment on the best management options when confronted with increasing IOP during cataract surgery.

BIOGRAPHY
The presenter is an ophthalmic OR technician attached to the Annexe Eye Clinic, Canberra for 20years. The movie is made in collaboration with Dr John Smiles.

Titanic - IOFB
Dr Mohan Rajan

This study aims to show methods of removal of different types of Intra Ocular Foreign Bodies, taking into account their size and location. Also helps to evaluate the post op Anatomical and Visual outcomes.

BIOGRAPHY
Chairman & Medical Director of Rajan Eye Care Hospital, India. Specialised in Cataract and Vitreo Retina Surgery.

Geometrically modified incision for SICS
Dr Sajjad Sheikh

Film demonstrates Geometrically modified incision for SICS in which nucleus is extracted through 5.5mm incision with the help of viscoelastic and no instrumentation.

BIOGRAPHY
Presenter is Working as associate professor Ophthalmology with 2 Dozen publications and a Dozen presentations in various journals and Conferences. CMCL FAIMER Fellow & coordinator in Medical education.

Convention Cataract Extraction with trabeculectomy
Dr Sajjad Sheikh

Convention Cataract Extraction with trabeculectomy carries more complications and astigmatism than SICS with Trabeculectomy. Film demontrates the procedure.

BIOGRAPHY
Author is Associate Professor with a dozen presentations and two dozen presentations in various journals and Conferences.CMCL-FAIMER Fellow in medical Education.

War and Eye Trauma in West Darfur -SudanEl-Geneina Eye Hospital
Mohamed Siddig

Aims: to describe outcome and complications after war and eye trauma the last there years ago 2006,2007.2008 in West Darfur, Sudan.

Material and Methods: To represent the situation of the war and eye trauma relishing between the causes which leading to blindness in this part of Sudan Darfur and to put on mind the difficulties of transportation to receive treatment, the statistic is the method of calculating the number of patients in that period last there years ago 2006,2007.2008 (IDPs and Non IDPs ) with war eye trauma.

Result: The study included 2621 patients, of which 1169 were males and 838 were females and 614 Ch The mean age of patients was 40 years 90% of the eye trauma it is a cause of Blindness, 60% can by management cosmetic Surgery 10% it is war eye trauma.

Conclusion: we found that from this study , the number of diseases that cause blindness about 8% from all other illnesses . attention especially from WHO in West Darfur -Sudan which take care over the recent born Hospital and which is was constructed there years ago.

BIOGRAPHY
Dr. Mohamed Ahmed Siddig. MD Ophthalmology - Bosnia & Herzegovina board - Teacher Doctor in El.duim University - Teacher Doctor in Zalinge University - Diploma in laser application in ophthalmology - Sudan University Institute of
laser - Pheco fellowship - India - FIMA Eye Hospital in west darfur sudan

Ubconjunctival Micro Incision Cataract Surgery (SCMICS): A novel approach
Dr Vasantha Kumar Thangasamy

Description: NO FINANCIAL INTERESTS IN THE PRODUCTS MENTIONED

PURPOSE: Retrospective review of attempted subconjuctival micro-incision cataract surgery (SCMICS) with or without micro-incision lenses

SETTING: Hospital Tengku Ampuan Afzan, Kuantan, Pahang, MALAYSIA

METHOD: Retrospective non-comparative case series. Inclusion Criteria: Subconjunctival 1.8mm micro-incision cataract surgery with or without planned implantation of Akreos MIL 60 lenses. Retrospective : 6 months: 30/6/2009–29/12/2009 Co-Axial approach 1.8mm, phacoemulsification. Stellaris Vision Enhancement System

RESULTS: Wound healing in this approach was noted to be a safe alternative to the current clear corneal incisions for the 1.8mm Micro Incision Cataract Surgery using the Akreos MI 60 (Bausch & Lomb) lenses coupled with the platform of the
Stellaris Vision Enhancement System (Bausch & Lomb).

CONCLUSION: Post operative wound healing was achieved with the double barrier of the sclera and conjuctival. Superior subconjuctival incisions were further protected with the upper lid. Patient selection criteria with underlying anti-coagulant therapy and medical conditions should be assessed prior to this technique of approach for microincisional cataract surgery. A larger comparative case series of 1.8mm incision with clear corneal approach is planned.

BIOGRAPHY
Biography: Name: Dato’Dr.Vasantha Kumar Thangasamy Date of Birth: 25th April 1959 Place of Birth: Melaka, MALAYSIA Citizen / Nationality: MALAYSIA Age: 50 years Basic Medical Degree: MBBS, 1987 SCB Medical College, Cuttack, Utkal
University, Orissa, India Post Graduate Degrees:
FRCS, 1993 Fellow of the Royal College of Surgeons, Edinburgh, Scotland, UK M.Med, 1993 Masters in Medicine, Ophthalmology University of Singapore AM, 1996 Member of the Academy of Medicine Malaysia Fellowship in Vitreo-Retinal Surgery, 1997-1998 Royal Perth Hospital, Perth, Western Australia. Professor Ian L McAllister Current Positions Held:
1. Head, Department of Ophthalmology, Consultant Ophthalmologist & Vitreo-Retinal Surgeon, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia.
2. Head, Vitreo-Retinal Services for the East Coast of Peninsular Malaysia.
3. Asia Pacific Experts Committee (APEX) Cataract Surgery: Bausch & Lomb
4. Coordinator & Lecturer, Post Graduate Masters Course in Ophthalmology for the University of Malaya, National University of Malaysia, Kuala Lumpur and University Science Malaysia, Kelantan, Malaysia.
5. Honorary Lecturer in Ophthalmology, Department of Family Medicine, National University of Malaysia and National University of Malays, Kuala Lumpur, Malaysia
6. Facilitator & Honorary Lecturer, Department of Ophthalmology, International Islamic University, Kuantan, Malaysia.
7. Coordinator & Lecturer, Post Graduate Course, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia.

“Tuck In” Lamellar Keratoplasty for Post- Keratoplasty Corneal Ectasia involving Corneal Periphery
Prof. Rasik Vajpayee

Purpose: Evaluation of “Tuck In” Lamellar Keratoplasty (TILK) for the surgical management of post-keratoplasty corneal ectasia with peripheral corneal involvement. Methods: Four eyes of 3 patients with post-penetrating keratoplasty
corneal ectasia and contact lens intolerance underwent TILK that included a central lamellar keratoplasty with intrastromal tucking of the peripheral flange, at the Royal Victorian Eye and Ear Hospital, Melbourne, Australia. The main outcome measures analyzed were uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), keratometry and endothelial cell density. Results: The original indication for surgery was keratoconus in all the cases. ‘‘Tuck In’’ Lamellar Keratoplasty was successfully performed in these patients. Mean follow-up period was 13 months (SD 7.74) (range 6-24 months). The preoperative bestcorrected visual acuity improved from a mean value of 0.05 (SD 0.05) to 0.34 (SD 0.03) [p<0.00]. Mean keratometry decreased from 59.67 D (SD 7.18) preoperatively to 43.50 D (SD 2.23) postoperatively [p<0.00]. Mean endothelial cell loss after TILK was 5.93 % (SD 3.06). [p<0.20] All grafts were clear at the last follow-up and no cases of stromal or endothelial graft rejection were encountered. Conclusions: TILK can successfully treat post-penetrating keratoplasty corneal ectasia with peripheral corneal thinning.

BIOGRAPHY
Rasik Vajpayee is the Head of Corneal and Cataract Surgery and Professor of Ophthalmology at the Centre for Eye Research Australia, University of Melbourne. Prior to joining CERA, he was the Professor and Head of Cornea and Refractive Surgery Services at the All India Institute of Medical Sciences, New Delhi. Prof Vajpayee has published eight books, about 25 book chapters and more than 200 scientific articles in various peer reviewed journals. His innovations in the field of corneal transplantation surgery have won “Best of Show Award” at the annual meeting of the American Academy of Ophthalmology in the year 2003, 2004, 2006, 2008 and 2009 and, an Achievement Award in 2005. In recognition of his contributions, he was honored with the Fellowship-ad-hominem by the Royal College of Surgeons, Edinburgh, UK.