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Saturday 7 October
08:30-09:30
- IC 1
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Basic microsurgical suturing techniques for beginners
Pre Requisite Course
Leader: B. Frueh | Course Level: Basic
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Faculty: B. Bachmann A. Geerards
This is a pre-requisite course for the wetlab(s): Basic Suturing Techniques
COURSE DESCRIPTION:
This course emphasises basic microsurgical suturing techniques in open globe injuries, extracapsular cataract extraction and trabeculectomies.
COURSE OBJECTIVES:
To teach beginners the basic principles of suturing and preparing them for their wetlab training / their very first case of suturing.
COURSE SCHEDULE:
Importance of good suturing and good wound apposition; materials/needles; use of microscope, posture (10 mins)
B. Frueh: Basics of suturing, skin (8 mins)
A. Geerards: Conjunctiva, cornea (15 mins)
B. Bachmann: Trauma, trabeculectomy, sclera (15 mins)
B. Frueh: Glue (5 mins)
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
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Saturday 7 October
10:30-12:30
- IC 2
-
Malpositioned lenses: optimal surgical management techniques
Pre Requisite Course
Leader: B. Malyugin | Course Level: Advanced
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Faculty: M. Tassignon E. Assia V. Pfeifer A. Crandall K. Rosenthal
This is a pre-requisite course for the wetlab(s): Intraocular & Transcleral Suturing Techniques
COURSE DESCRIPTION:
The course is focused on advanced surgical techniques in management
of cataracts complicated by zonular weakness and zonular dialysis
with the various types of capsular supporting devices. Participants will benefit
from learning different IOL contraption and re-fixation, as well as exchange techniques with IOL iris and scleral fixation techniques.
COURSE OBJECTIVES:
Moderate to severe subluxation of the natural crystalline lens can be
effectively treated using the conventional and modified CTRs, capsular
tension segment and capsular Anchor sutured to the scleral wall. Video
presentation of a series of cases will provide tips for safe and efficient
surgery. Capsular peeling as a part of the technique to restore the integrity of
the capsular bag will be shown in different cases of postoperative capsular
contraction. The implications of torqued IOL in inducing reduction in visual
quality and lenticular astigmatism will be discussed. Participants will benefit
from learning the techniques of suturing various types of malpositioned IOLs
to the sclera and/or to the iris in order to provide stable long-term fixation.
The use of an endoscope to position the suture directly into the ciliary sulcus
will be described in details.
COURSE SCHEDULE:
Boris Malyugin (15 min.)
Overview of the course topics. Discussion of the
main reasons of IOL explantation and exchange. Microendoscopy assisted
vs conventional scleral fixation techniques of different IOL models.
Management of cataract cases complicated by the large zonular dialysis with
the new CTR model. Discussion (5 min.)
Ehud I. Assia (15 min.)
Moderate to severe subluxation of the crystalline lens using the Capsular Anchor. Different malpositioned IOL suturing techniques. Combined iris- scleral IOL suturing, 4-point iris fixation techniques. Discussion (5 min.)
Vladimir Pfeifer (15 min.)
Iris and ciliary sulcus fixation of three-piece IOL using straight
needle. Surgical tactics in natural lens subluxation. Discussion (5 min.)
Kenneth J. Rosenthal (15 min.)
Implications of torqued IOL in inducing
reduction in visual quality and lenticular astigmatism. Original technique to
suture the lens with tutoplast scleral patches to cover. The viability of
secondary IOL sutured to the anterior iris surface, and the use of multifocal
IOL’s in exchange. Discussion (5 min.)
Marie-José Tassignon (15 min.)
Dislocated IOL exchange with Bag-in-the lens implantation techniques. New
CTRs. Discussion (5 min.) Alan Crandall (15 min.) Gore-Tex sutures and Cionni modified CT rings and Ahmed CT segments.
Discussion & Final Remarks (5 min.)
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
gains financially from product or procedure presented
- IC 3
-
Glaucoma surgery: modern perspectives
Leader: K. Barton | Course Level: Advanced
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Faculty: N. Anand S. Lim T. Shaarawy
COURSE DESCRIPTION:
This course will cover the instructors' experience and the latest data on a broad range of new glaucoma surgical devices including Trabecular Meshwork stenting (iStent and Hydrus) and trabecular meshwork cutting procedures (Trabectome and the Dual Blade), supra-choroidal drainage devices (Cypass) and External Drainage implants such (Xen and MicroShunt). Cyclodestructive procedures such as HiFu, Micropulse and ECP will also be discussed.
The potential role of each procedure in comparison with each other and the more traiditional procedures will be discussed.
COURSE OBJECTIVES:
The purpose of this course is to cover the increasing variety of surgical options for the glaucoma patient, to discuss their relative place in comparison with more traditional surgery and to describe implantation tips and tricks in an interactive atmosphere.
COURSE SCHEDULE:
Introduction to the range of new innovations in Glaucoma surgery
Trabecular meshwork - cutting and stenting
External drainage
Suprachoroidal drainage
Cyclodestruction
Positioning in relation to medications, laser and traditional glaucoma Surgery
Conclusion
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 4
-
Managing cataract complications and complex cataract cases
Leader: V. Maurino | Course Level: Intermediate
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Faculty: O. Findl B. Little L. Fontana
COURSE DESCRIPTION:
Managing complications cataract surgery and complex cataract surgery.
Presentations with video cases will illustrate the management of complex and complicated cataract surgery such as: • Small Pupil management • Posterior polar cataract management • Management of AC and PC tear • Dislocated lens and poor zonular support cases management • Cataract Surgery in compromised corneas
COURSE OBJECTIVES:
To use video presentations to systematically review the management of cataract complications and complex cataract surgery. The attendees will learn the commonest and most effective techniques strategies to deal with intraoperative complications and complex cataract surgical case.
COURSE SCHEDULE:
Small pupil management 15 min
Cataract surgery in compromised cornea 15 min
Management of AC and PC tear 15 min
Dislocated cataract and zonular dialysis 15 min
Posterior Polar cataract 10 minutes
Post-Trauma cataract 10 minutes
IOL exchange cases 10 minutes
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 5
-
How to improve your refractive and cataract surgery outcomes by skilful interpretation of corneal imaging
Leader: M. Sinjab | Course Level: Intermediate
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Faculty: A. Cummings M. Mrochen
COURSE DESCRIPTION:
This course describes the relationship between successful outcomes of refractive and cataract surgeries and skillful clinical interpretation of corneal imaging including Placido-based topographers, Scheimpflug-based tomographers, Wavefront analysis and Anterior OCT imaging.
We presented this course during the ESCRS over the previous couple of years. This year, new concepts and issues will be added to this course, such as corneal toPography in laser vision correction, wavefront basics guided treatment, avoiding induction of aberrations and the role of corneal imaging in premium IOL implantation.
All presenters have no financial interest, and the course is not a single product or company.
COURSE OBJECTIVES:
1. During the course, the audience will experience the skills of interpretation of corneal imaging including Placido-based topographers, Scheimpflug-based tomographers, Wavefront analysis and Anterior OCT imaging. They will know the basics and the clinical applications of these measures in regard with refractive surgery and modern cataract surgery.
2. At the end of the course, the audience will have the knowledge of how to obtain good and successful results, and how to avoid intra- and post-operative complications by good planning.
3. There will be a panel discussion at the end of the course to allow both audience and presenters to share their experience in hot topics. Clinical cases will be presented and discussed during this panel discussion.
COURSE SCHEDULE:
1. Mastering corneal toMography in a twelve-point scheme (Dr Sinjab) 15 min
2. The new concepts in naming ecstatic corneal diseases (Dr Sinjab) 10 min
3. Corneal toPography in laser vision correction (Dr Cummings) 20 min
4. Wavefront basics and wavefront guided treatment (Dr Mrochen) 20 min
5. How to avoid the induction of aberrations during refractive surgery (Dr Cummings) 10 min
6. The role of OCT in diagnosis and management of complications (Dr Sinjab) 10 min
7. Corneal tomography in cataract surgery and premium IOLs (Dr Cummings) 15 min
8. Panel discussion 20 min
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 6
-
Corneal cross-linking therapy
Pre Requisite Course
Leader: K. Mikek | Course Level: Intermediate
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Faculty: C. Koppen D. O Brart T. Seiler
This is a pre-requisite course for the wetlab(s): Corneal Cross-Linking Therapy
COURSE DESCRIPTION:
This course will provide principles of corneal cross-linking treatment. The course will cover the history and concept behind cross-linking, laboratory studies, pharmaceutical properties of riboflavin and the role of ultraviolet irradiation. Epidemiological data, aetiology, pathogenesis and diagnosis of keratoconus and other corneal ectasias will be discussed. The indications and contraindications for cross-linking therapy including details of different treatment protocols, dosage of riboflavin, and postoperative care will be covered. The result from different centers of corneal cross-linking treatment on its own and when combined with other corneal procedures will be presented. The complications of treatment, theories of corneal wound healing, indications for transepitheliall cross-linking, and finally new trends in the use of this technology will be discussed. An overview of the different technologies will be given.
Corneal cross-linking therapy – wetlab.
This course will allow participants to become familiar with cross-linking treatment. During the course the detailed information about the treatment procedure will be covered: how to make de-epithelization in different ways, installation of the riboflavin eye drops - particularly dosage, handling and testing of different UV radiation systems.
COURSE OBJECTIVES:
This instructional course is a pre-requisite for the 'hands-on' wetlab training session in the surgical skills transfer programme. The practical session will include:
• All delegates will given an opportunity to practice on the different types of cross-linking systems on the market
• 'Hands-on' training with pig eyes and operating microscope for each station
• Two delegates per station
• Preoperative assessment protocols,
• Corneal anesthesia, instrumentation, steps of de-epithelization and riboflavin instillation (dosage, how many times, for how long, etc).
• Equipment - different types of cross-linking systems and physical properties of the irradiating laser machine
• Handling and storage of Riboflavin.
• Postoperative care and treatment, follow-ups (how often, what to measure), management of complications to be discussed as a group.
• Discussions on the results of cross linking treatments.
COURSE SCHEDULE:
1. Introduction: aim of the instructional course together with the wetlab and introduction of the presented speakers. Kristina Mikek, Slovenia – 5 min
2. Corneal ectasias and corneal biomechanics: corneal ectasias - epidemiology, genetics, pathophysiology, clinical features, and overview of management options. Corneal biomechanics - corneal structure, possible measurement techniques in-vitro and in-vivo, limitations of current knowledge. Carina Koppen, Belgium – 25 min
3. Principles of corneal collagen cross-linkage: principles of corneal collagen cross-linkage with the review of initial laboratory studies in relation to efficacy and safety. Operative technique - epi off and epi on technique of crosslinking. Kristina Mikek, Slovenia – 20 min
4. Review of published clinical studies: Update on RCT in London, efficacy, safety, complications, and limitations of current knowledge. David O Brart, UK – 25 min
6. Corneal cross-linking and refractive surgery. Theo Seiler, Switzerland – 20 min
7. Discussion.
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 7
-
LASIK: basic steps for safety and great results
Pre Requisite Course
Leader: A. Kanellopoulos | Course Level: Basic
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Faculty: J. Vryghem G. Pamel A. Stojanovic A. Sedky
This is a pre-requisite course for the wetlab(s): LASIK (Laser in situ keratomileusis)
COURSE DESCRIPTION:
Didactic approach to basic principles in LASIK. Excimer technology will be analysed, as well as microkeratome function and use. Indications, methodology and technique will be approached in a basic didactic function including post-operative care and management of the most common complications. Patient selection and treatment criteria will be discussed as well. This course will focus on the novice clinician, but will reiterate the basic principles for the experienced as well.
COURSE OBJECTIVES:
The participants will share our experience and pearls of indications, patient selection, surgical technique and complication management for safe and effective results.
COURSE SCHEDULE:
1-Common indications for LASIK surgery are:
-anisometropia
-significant ametropia
-intolerance of contact lens use
-intolerance of spectacle use
3-Common procedures that have preceded LASIK are:
1. RK and AK,
2. PRK
3. INTACS
4. Clear lens extraction
4-LASIK for myopia, astigmatism and hyperopia
a)- Indications
b)-Surgical technique adaptations for specific refractive errors
c)- Adjuvant medications
d)- post-operative management
e)-Possible complications and their management
5-LASIK patient selection
a)- Indications
b)-medical contraindications
c)-personality dangers
d)-pre-operative evaluation and refractive error
6- LASIK instrumentation-microkeratomes
a)- basic principles
b)-pre-operative evaluation parameters
c)-Surgical technique
d)-Possible complications and their management
e) maintenance issues
7- LASIK instrumentation-excimer lasers
a)- basic principles
b)-pre-operative evaluation parametres
c)-Surgical technique
d)-Possible complications and their management
e) maintenance issues
8-LASIK in action
Step-by-step action on several procedures on tape, question-answer session and coverage of basic problemshooting with the panelists
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
- IC 8
-
Basic phacoemulsification (Part 1)
Leader: K. Tjia | Course Level: Basic
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Faculty: A. Chakrabarti N. Reus
COURSE DESCRIPTION:
This is a wetlab pre-requisite course. These courses are designed for the beginning phaco surgeon. The faculty have a wealth of experience of both phaco and teaching principles. An insight will be offered into what phaco machines do and how, as well as technical details of how to set about the safe removal of cataractous lens.
COURSE OBJECTIVES:
The beginning phaco surgeon should finish this course with an insight into the fundamentals of phacoemulsification, and be in a position to perform the surgery in a more structured and safe fashion.
COURSE SCHEDULE:
Panel: Introduction (5 mins)
K. Tjia: Basic ultrasound and fluidics (40 mins)
N. Reus: Anaesthesia and potential for posterior vitreous pressure (15 mins)
A. Chakrabarti: Capsulorhexis and risk for tear out and management (15 mins)
K. Tjia: Hydrodissection (10 mins)
N. Reus: Soft nucleus management (5 mins) and K. Tjia (15 mins)
Presentations should include enough time to answer questions.
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 9
-
Toric IOLs: planning for success and dealing with failure
Leader: M. Goggin | Course Level: Intermediate
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Faculty: P. Hoffmann L. van Zyl B. LaHood
COURSE DESCRIPTION:
After a brief introduction of the data collected for toric IOL calculation and an explanation of why they are important, a review of the common useful features of on-line toric calculators and their drawbacks will be given. A description of corneal surgically induced astigmatism and how it is calculated will lead into its appropriate use in toric IOL power and axis calculation. The addition of posterior corneal data to the calculations will be discussed along with the current best methods of adjustment for the effect of posterior corneal astigmatism. Appropriate astigmatism thresholds for toric IOL use will be introduced followed by some surgical hints. Optimal timing of postoperative assessment for astigmatic refractive surprise, analysis of the source of error (axis misalignment, power error or a combination) and planning of corrective surgery will be discussed.
COURSE OBJECTIVES:
So that attendees understand planning of toric IOLs to optimize outcome, surgical techniques to assist in that objective and how to deal with toric refractive surprises.
COURSE SCHEDULE:
This course will be for surgeons who have not used toric IOLs and are interested in using them or who have used them and wish to understand their use in greater depth, young ophthalmologists and trainees. It will be assumed the audience are familiar with the optics of astigmatism and the concept of toric IOLs.
Introduction and basic concepts: A/Prof Goggin, 15 mins.
SIA and differing surgical techniques: Dr van Zyl, 15 mins.
Manufacturer and third party online toric IOL calculators including posterior corneal astigmatism: Dr LaHood, 15 mins.
Other methods of inclusion of posterior corneal astigmatism effect: A/Prof Goggin, 15 mins.
Astigmatism thresholds for treatment based on examination of outcome: Dr Hoffmann, 15 mins.
Per-operative axis identification: Dr van Zyl, 15 mins.
Post-operative identification of refractive surprise: Dr LaHood, 15 mins.
Analysis of astigmatic refractive surprise and planning of correction: A/Prof Goggin, 15 mins.
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 10
-
Big bubble, no trouble: a step-by-step approach to successful deep anterior lamellar keratoplasty with the big bubble technique
Leader: A. Eldanasoury | Course Level: Intermediate
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Faculty: S. Daya
COURSE DESCRIPTION:
Deep Anterior lamellar keratoplasty (DALK) has many advantages over penetrating keratoplasty for corneal pathologies sparing the endothelium, the most important is preserving the recipient healthy endothelium. The big bubble (BB) technique enables the DALK surgeon to expose Descemet’s membrane in most cases, however the surgical technique is challenging and it may need a long time to be mastered by a beginner surgeon. This video based course will address the DALK surgical technique in a step by step approach, highlighting the principle, surgical pearls and possible complications at each step from trephination to suturing going through bubble injection, puncture and stromal dissection. Also indications, clinical outcome and management of postoperative complication will be discussed in details. Alternative techniques of lamellar grafts that can be used when BB fails will be presented.
COURSE OBJECTIVES:
At the completion of the course, attendees should be able to understand the basic surgical principles of BB-DALK, learn different techniques for safe Descemet exposure, avoid surgical pitfalls that may lead to intraoperative difficulties and prevent and manage postoperative complications should they occur. Attendees will be able to describe different techniques of lamellar graft in difficult and challenging cases. The course will be conducted by an expert panel, with video based presentations that will create an interactive debate both among the speakers and audience.
COURSE SCHEDULE:
• Introduction to the course and the panel (2 min)
• Basic big bubble DALK technique (Alaa Eldanasoury, 15 min)
• Mishaps during DALK and how to overcome them? (Alaa Eldanasoury, 15 min)
o Discussion (10 min)
• Pre-Descemetic layer and its clinical implications. (, 15 min).
• My DALK Surgical pearls and complications. (, 15 min)
o Discussion (10 minutes)
• What to do when Big bubble is not possible? Alternative techniques for lamellar grafts in challenging cases. (Shiraz Daya, 30 minutes)
o Discussion (10 minutes)
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
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Saturday 7 October
14:30-16:30
- IC 11
-
Therapeutic refractive surgery...live!
Leader: D. Reinstein | Course Level: Advanced
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Faculty: J. Alio A. Stojanovic M. Mrochen S. Mosquera P. Vinciguerra
COURSE DESCRIPTION:
Different aspects of therapeutic refractive surgery have been covered in the three didactic ESCRS instructional courses run by Reinstein, Stojanovic, and Vinciguerra. This course will serve the function of a grand rounds style interactive teaching course to complement the three teaching courses. It will provide a forum for attendees to engage with the expert panel and discuss the application of therapeutic techniques in clinical practice, while also demonstrating that the majority of refractive surgery complications can be treated with the currently available technology. The course will include presentation of pre-selected case reports by previous course attendees who have treated patients using these techniques, as well as some that have been published over the last year in the Therapeutic Refractive Surgery section of the Journal of Refractive Surgery. The course will also include LIVE presentation of cases brought by the attendees to discuss with the expert panel in terms of diagnosis and possible therapeutic treatment plan.
COURSE OBJECTIVES:
The attendee will have the opportunity to bring complicated cases to discuss with an expert panel and see in action the decision making processes required for diagnosis and treatment planning in cases of therapeutic refractive surgery.
COURSE SCHEDULE:
Invited therapeutic surgical case reports: presentation of 6-8 pre-selected cases, including discussion by the panel after each case – Invited speakers – 60 mins
LIVE presentation of therapeutic cases: attendees are invited to bring a full patient history including diagnostic scans to present to the panel for assessment and treatment recommendation – LIVE – 60 mins
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
has significant investment interest in a company producing, developing or supplying product or procedure presented, travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, is employed by a forNoneprofit company with an interest in the subject of the presentation
- IC 12
-
Conquering capsule complications
EBO Accredited
Leader: D. Chang | Course Level: Intermediate
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Faculty: R. Yeoh
COURSE DESCRIPTION:
More than 50 edited video cases will illustrate a spectrum of techniques for preventing and managing zonular, and anterior and posterior capsule complications: trypan blue dye, vitreous tap for crowded AC, torn CCC options, secondary CCC enlargement, flap tear-out CCC rescue technique, posterior CCC, CCC capture of the optic, early recognition of PC rupture, conversion from CCI/phaco to manual ECCE, posterior polar cataracts, IOL fixation with torn anterior or posterior capsule, CTR and capsule retractors for weak zonules, IOL strategies for weak zonules, pars plana bimanual anterior vitrectomy (± triamcinolone), and viscoelastic posterior-assisted levitation (PAL) + trap for descending nuclei. A special section has been added on managing complications of femtosecond laser assisted cataract surgery.
COURSE OBJECTIVES:
To use edited video cases to systematically review techniques of preventing, recognizing, and handling complications with the capsulorhexis, the zonules, or the posterior capsule.
COURSE SCHEDULE:
1. Anterior capsulotomy complications (David Chang)
2. Zonular complications (David Chang)
3. Posterior capsule complications (David Chang)
4. Managing vitreous loss (David Chang)
5. Femtosecond Laser FLACS complications (Ron Yeoh)
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented
- IC 13
-
IOL implantation in eyes with deficient capsules: a video-based course
Leader: A. Agarwal | Course Level: Intermediate
-
Faculty: B. Malyugin E. Assia G. Barrett A. Agarwal S. P. Chee
COURSE DESCRIPTION:
Various techniques of managing IOL implantation in eyes with deficient capsules will be covered. Sutured IOL to the iris and sclera,iris claw IOL, glued IOL and optic capture of an IOL will all be taught through videos.
COURSE OBJECTIVES:
The attendee will be able to implant an IOL in eyes with deficient capsules and get good results in such cases
COURSE SCHEDULE:
0.00- Introduction- Amar Agarwal
0.20- Sutured IOL- Boris malyugin
0.40- Iris sutured IOL- Soon Phaik Chee
0.40- Glued IOL- Athiya Agarwal
1.00-Optic capture of an IOL- Graham Barrett
1.20- Iris claw IOL- Ehud assia
1.40 Problems in IOL fixation- Amar Agarwal
2.00- Close
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 14
-
IOL calculation after refractive surgery
Leader: D. Koch | Course Level: Intermediate
-
Faculty: J. Aramberri N. Rosa J. Stevens F. Ribeiro
COURSE DESCRIPTION:
After refractive surgery, IOL calculation is influenced by erroneous radius measurements, invalid formulas for corneal power and ELP prediction errors with some IOL formulas. Severe refractive consequences may result depending on the procedure applied, the type of ablation, the optical zone diameter, the amount of refractive correction and the measurement instruments used.
The course will explain error sources and solutions in detail. Current formulas and procedures for different clinical situations will be demonstrated by leading experts together with clinical results.
COURSE OBJECTIVES:
To enable attendees to select the proper IOL power calculation method after refractive surgery based on available clinical and measurement data.
COURSE SCHEDULE:
Kenneth J. Hoffer, MD: IOL calculation after refractive surgery: overview
Jaime Aramberri, MD: IOL calculation after refractive surgery: error sources
, PhD: IOL calculation after refractive surgery: Haigis-L formula
Douglas D.Koch, MD: IOL calculation after refractive surgery: new developments
Julian Stevens, MD: IOL calculation after refractive surgery: BESSt formula
Nicola Rosa, MD: IOL calculation after refractive surgery: ALMA approach
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
gains financially from product or procedure presented
- IC 15
-
Descemet's membrane endothelial keratoplasty (DMEK) challenges
Leader: G. Melles | Course Level: Advanced
-
Faculty: L. Baydoun I. Dapena V. Liarakos L. Ham R. Quilendrino
COURSE DESCRIPTION:
The numbers of DMEK surgeries are rising constantly. This led to an increase in surgical experience, so that also more and more challenging and complex cases are being treated. The purpose of this course is to show pitfalls and provide tips and tricks for making DMEK successful in a wide range of surgical indications and intraoperative conditions. Several illustrative surgical videos will be displayed.
COURSE OBJECTIVES:
Address preoperative planning, various intraoperative difficulties; provide solutions to various intra- and postoperative complications; give tips on DMEK surgical techniques in challenging cases.
COURSE SCHEDULE:
1. Can proper graft selection reduce complications in challenging eyes?
2. What is special in different indications, like bullous keratopathy due to congenital glaucoma, or failed penetrating keratoplasty grafts?
3. DMEK in phakic eyes: when and how?
4. How to deal with graft-related problems after implantation?
5. How to deal with challenges like glaucoma tubes, anterior chamber lenses or iridocorneal synechiae?
6. What complications to expect and when? – When to re-bubble?
7. Modifications in DMEK: Is Quarter-DMEK the next step?
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented
- IC 16
-
LASIK: update with surgical tips in primary and secondary cases – basic comparison with surface ablation technique
Pre Requisite Course
Leader: D. Elies Amat | Course Level: Basic
-
Faculty: F. Malecaze J. Gaytan-Melicoff A. Marinho J. Aramberri
This is a pre-requisite course for the wetlab(s): LASIK (Laser in situ keratomileusis)
COURSE DESCRIPTION:
LASIK for correcting refractive errors is the most common and widely accepted refractive surgery. This course will provide basic and fundamental information about the special characteristics of LASIK, compared with PRK, as well as the new femtosecond-assisted refractive correction (FLEX and Smile procedures) the use or non-use of ethanol in surface ablation techniques and the role of wavefront-guided strategies with respect to excimer-induced higher-order aberrations will be explained. A range of complications will be identified, and compared with adverse events associated with PRK. Videos of the surgical techniques and some complications will be shown. The background information will be provided in handouts for each participant of the course.
COURSE OBJECTIVES:
The purpose of this course is to describe best practice in LASIK corneal refractive surgery, compared with PRK and femtosecond lenticule extraction techniques, emphasizing on the steps that are essential for success. The course will cover the indications and patient selection criteria for these three procedures, and discuss in detail the modern surface ablation compared to LASIK.
COURSE SCHEDULE:
0. Daniel Elies - Introduction: Outline and main goals of the course 5'
1. Antonio Marinho - Preoperative evaluation: “What are the critical evaluations and considerations before the surgery? The limits on corneal ablation techniques”. 15'
2. Francois Malecaze - LASIK surgical technique: basics “step by step” tricks. 15'
3. Jaime Aramberri - PRK: Basic comparison (advantages-disadvantages) between LASIK and surface ablation techniques. 20'
4. Daniel Elies - How to handle the main and most common peroperative complications for basic LASIK surgery. Some coments on femto-LASIK and SMILE techniques. 20'
5. Javier Gaytan - Main surgical tips with the different approaches for LASIK reoperations) 15'
All: Guided discussion. Question and answers from the audience. 30'
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 17
-
Basic phacoemulsification (Part 2)
Pre Requisite Course
Leader: N. Reus | Course Level: Basic
-
Faculty: K. Tjia A. Chakrabarti
This is a pre-requisite course for the wetlab(s): Basic Phacoemulsification
COURSE DESCRIPTION:
These courses are designed for the beginning phaco surgeon. The faculty have a wealth of experience of both phaco and teaching principles. An insight will be offered into what phaco machines do and how, as well as technical details of how to set about the safe removal of cataractous lens.
COURSE OBJECTIVES:
The beginning phaco surgeon should finish this course with an insight into the fundamentals of phacoemulsification, and be in a position to perform the surgery in a more structured and safe fashion.
COURSE SCHEDULE:
N. Reus: Nucleus management, medium cataract, crack techniques (20 mins)
N. Reus: Nucleus management, hard cataracts, introduction to chop techniques (10 mins)
A. Chakrabarti: Nucleus management, hard cataracts, personal chop techniques (20 mins)
A. Chakrabarti: Mature cataracts (10 mins)
K. Tjia: Nucleus management, hard cataracts, manual chop techniques (10 mins)
A. Chakrabarti: Small pupil management (20 mins)
K. Tjia: Posterior capsule rupture management (20 mins)
Panel: Questions and answers (10 mins)
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 18
-
Explantation and secondary IOL video course
Pre Requisite Course
Leader: C. Mehta | Course Level: Intermediate
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Faculty: K. Mehta R. Packard M. Piovella S. Arshinoff S. Daya
This is a pre-requisite course for the wetlab(s): IOL Explantation Wetlab
COURSE DESCRIPTION:
Just imagine dealing with the following scenarios; OOPS, the capsules ripped, the IOL fell in! IOL power calculation went wrong! This patients aphakic in one eye, the IOL is on the ciliary body. We can safely implant and explant secondary lenses through a small incision using new IOL cutters to explant and glues, through the bag sutures and modified phakic lenses to implant the right lens. New forceps and scissor cutters safely slice the lens into 2 or 3 parts. The adventurous can even fold the lens in the eye for removal. Inserting a secondary IOL is simplified with fibrin glues, transcapsular sutures and newer fastening techniques like the hammock and other lens suspension systems. Also we can see the new spiral IOL where the haptics are in the anterior chamber and the optic is in the posterior chamber.New techniques and technology like anchoring devices will be explored. All these techniques only in video.
COURSE OBJECTIVES:
1.How to explant an IOL safely and atraumatically by either cutting it in the anterior chamber or folding it in the anterior chamber
2.Secondary IOL implantation techniques-this includes glued fixation,scleral haptic fixation,bag fixation itsef and anterior chamber and spiral fixation lenses
3.Bag fixation and refixation with various devices
COURSE SCHEDULE:
1. The role of Viscolelastics and the Panorama of IOL explantation(Steve Arshinoff)14 mins
2. Cutting lenses in the eye,suturing lenses through the bag (Dr Cyres Mehta) 14 min
3. Transiridial IOL fixation (Dr Keiki Mehta) 14 min
4. Anchor-ing and Refixating 14 mins
5. Explanting Plate Haptic Foldables and other lenses(Matteo Piovella)14 mins
6. My experience with secondary iol ‘s (Dr Richard Packard) 14 mins
Discussions.
7. IOL Explantation my way (Sheraz Daya)14 mins
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 19
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PRK, LASEK and Epi-LASIK
Pre Requisite Course
Leader: D. Epstein | Course Level: Basic
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Faculty: I. Pallikaris
This is a pre-requisite course for the wetlab(s): PRK, LASEK & Epi-LASIK
COURSE DESCRIPTION:
The special characteristics of PRK, LASEK and Epi-LASIK as well as the use or non-use of ethanol will be elucidated. The role of wavefront-guided strategies with respect to excimer-induced higher-order aberrations will be demonstrated. Outcomes achievable with cutting-edge technology will also be presented. A range of complications will be identified, and compared with adverse events associated with LASIK. Brief videos of the surgical techniques will be shown.
COURSE OBJECTIVES:
The course will cover the indications and patient selection criteria for these three procedures, and discuss in detail the advantages of modern surface ablation as compared to LASIK.
COURSE SCHEDULE:
D. Epstein: Basic principles (15 mins)
D. Epstein: PRK (15 mins)
I. Pallikaris: Advanced surface ablation (15 mins)
I. Pallikaris: Epi-LASIK (15 mins)
D. Epstein: Complications (15 mins)
I. Pallikaris / D. Epstein: Wavefront guided ablations and other advanced techniques (15 mins)
Discussion (30 mins)
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 20
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Microinvasive glaucoma surgery: ready for prime time?
Pre Requisite Course
Leader: K. Mansouri | Course Level: Basic
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Faculty: Z. Khoueir T. Shaarawy B. Pajic F. Ruefer S. Dorairaj
This is a pre-requisite course for the wetlab(s): Modern MIGS Techniques For Beginners
COURSE DESCRIPTION:
There is a plethora of new glaucoma surgery techniques, often grouped under the umbrella term 'MIGS'. This course will present an overview of new techniques and devices for minimally-invasive glaucoma surgery. The course is sub-divided in Schlemm's canal-based techniques and those that address the subconjunctival route. Surgical indications for each technique will be discussed. Videos will illustrate surgical technique, and potential complications. Results and management of complications will be presented.
COURSE OBJECTIVES:
Provide an overview on modern glaucoma surgery techniques and enable attendees to chose the appropriate surgical technique for his skill set and setting.
This course provides the theoretical basis for our MIGS wetlab.
COURSE SCHEDULE:
Moderators: Kaweh Mansouri and Ziad Khoueir
1. Schlemm’s canal based approaches:
a. Summary of Schlemm's canal devices (15’) Tarek Shaarawy, University of Geneva (Geneva, Switzerland)
b. High frequency deep sclerotomy (HFDS) (15’) Bojan Pajic, ORASIS (Reinach, Switzerland)
c. - Trabectome and the Kahook Dual Blade – plethora of data (15’) Syril Dorairaj, Mayo Clinic (Jacksonville, FL, USA) -
2. Taking the sub-conjunctival route:
a. Summary of MIGS devices (15’) Florian Ruefer, Bellevue Clinic (Kiel, Germany)
b. Why I prefer this route: XEN and Innfocus (15’) Kaweh Mansouri, Montchoisi Clinic (Lausanne, Switzerland)
3. Going a new path: CyPass (15') Andrew Tatham, University of Edinburgh (Edinburgh, UK)
3. Panel Discussion – 20’
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
-
Saturday 7 October
16:45-17:45
- ECCTR Course
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Using the European Cornea and Cell Transplant Registry (ECCTR) for clinical improvement
Leader: M. Lundström | Course Level: All Levels
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Faculty: M. Dickman
COURSE DESCRIPTION:
This course will inform about the importance of quality improvement work. The ECCTR system will be presented as a tool to improve quality in corneal transplant surgery.
Legal aspects of an international registry including ownership of data and ethical aspects will be discussed. Detailed instructions of how to enter data into the system and take out reports will be given.
COURSE OBJECTIVES:
Inform about quality improvement work
Provide knowledge about the ECCTR system
Inform about legal aspects of an international disease registry
Provide knowledge about how to enter data into the system
Provide knowledge about how to take out data from the system
COURSE SCHEDULE:
The concept of quality improvement in health care: 10 min.
Quality registry – ECCTR: 20 min
Legal aspects: 5 min
Reporting data – input of data: 15 min.
Take out reports – output of data: 10 min.
SINGLE PRODUCT COURSE: -
FINANCIAL DISCLOSURE:
None
-
Saturday 7 October
17:00-18:00
- IC 21
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Learning phaco chop: pearls and pitfalls
Leader: D. Chang | Course Level: Basic
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Faculty: K. Tjia
COURSE DESCRIPTION:
Phaco chop minimizes ultrasound time and zonular stress. Pearls and strategies for learning this technique will be presented based upon the instructors' experience in teaching residents. Using a special projection system, the audience will don stereo glasses to view 3-D high-definition videos that uniquely illustrate the angle and depth of the instrument tips for both horizontal (Nagahara) and vertical (quick chop) methods of chopping. A stepwise game plan for converting to phaco chop will be presented, along with phacodynamics principles for selecting machine parameters and instrumentation.
COURSE OBJECTIVES:
Attendees will learn both variations of the phaco chop technique, their advantages in complicated cases, the instrumentation, machine parameters, and transition steps involved, and common mistakes. Advanced techniques for the rock hard cataract will be discussed.
COURSE SCHEDULE:
Chang: Details of horizonal and vertical chopping technique
Chang: Game plan for transitioning to chop
Chang: 3D tutorial on pearls and pitfalls with chopping
Chang: Troubleshooting problems
Tjia: Phacodynamics for chopping
Vasavada: Chopping Rock Hard nuclei
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 22
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Corneal inlay technologies for the treatment of presbyopia
Leader: B. Cochener | Course Level: Advanced
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Faculty: E. Barragan R. Ang I. Pallikaris
COURSE DESCRIPTION:
Introduction and differentiation of the various methods of action, surgical techniques, patient selection, clinical outcomes, and complications management for each inlay device. Each product will be allocated 15 minutes with additional exchanges between faculty and questions with audience participation at the end.
COURSE OBJECTIVES:
Audience will be educated on an overview of technologies for correcting presbyopia with three different inlay products: Raindrop® Near Vision Inlay, KAMRA™ Inlay, and Flexivue™ Microlens. The mechanism of action, surgical techniques, patient selection, and outcomes will be presented for all three inlays. Lectures will be given in PowerPoint presentations with videos; panel discussion with audience interaction will be held at the end.
COURSE SCHEDULE:
Introduce and differentiate the various methods of action, surgical techniques, patient selection, clinical outcomes, and complications management for each inlay device. Each product will be allocated 15 minutes with additional exchanges between faculty and questions with audience participation at the end.
15 mins-Raindrop® Inlay
15 mins-KAMRA Inlay
15 mins-Flexivue MicrolensTM
15 mins- faculty exchange and questions
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
receives nonNonemonetary benefits from a company producing, developing or supplying the product or procedure presented.
- IC 23
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Micro-invasive glaucoma surgery
Leader: C. Sng | Course Level: Intermediate
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Faculty: K. Barton N. Pfeiffer J. Garcia-Feijoo
COURSE DESCRIPTION:
The course will provide an overview of micro-invasive glaucoma surgery and the guidelines for appropriate patient selection. It will also present the techniques for implanting various micro-invasive glaucoma surgery devices (trabecular bypass devices, subconjunctival devices and suprachoroidal devices), associated surgical complications and the appropriate post-operative management. Videos will illustrate the correct surgical technique and tips to avoid common surgical pitfalls.
COURSE OBJECTIVES:
Attendees will learn about the appropriate patient selection, surgical technique, associated complications and post-operative management for these surgical procedures.
COURSE SCHEDULE:
Overview -- clinical need and patient selection: Dr Sng, 10 minutes
Trabecular bypass devices -- Prof Pfeiffer, 15 minutes
Subconjunctival devices -- Dr Barton, 15 minutes
Suprachoroidal devices -- Dr Garcia-Feijoo, 15 minutes
Summary-- Dr Sng, 2 minutes
Questions and Answers -- 8 minutes
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
- IC 24
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All you need to know about contact lenses as a refractive surgeon
Leader: C. Koppen | Course Level: Basic
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Faculty: A. Geerards E. Toker
COURSE DESCRIPTION:
Proposal for a 1 hour course on lenses as a comprehensive part of the therapeutic armamentarium for visual rehabilitation of ectasia (part 1) and post-surgery (part 2) patients. In part 3 an update will be presented on therapeutic bandage lenses for use after refractive surgery and crosslinking.
COURSE OBJECTIVES:
1. Description of the different types of lenses for correction of irregular astigmatism: corneal, scleral, hybrid and soft lenses. The purpose is not to explain how to fit these lenses, but to inform the participants about the indications and limitations of the different lenses in the framework of visual rehabilitation. Contact lenses can offer a predictable correction when refractive surgery is contra-indicated or when a residual refractive error occurs after surgical visual rehabilitation.
2. Contact lenses can be complimentary to refractive surgery in cases of post-RK or post-excimer irregular astigmatism. Because of the oblate shape of these corneas specific lens designs have been developed. Again the purpose is not to give instruction on lens fitting, but to enable course participants to recognize the potential benefit of contact lenses in complex post-surgery situations.
3. Refractive surgeons use soft bandage lenses to promote epithelial healing after laser surgery, after cross-linking or after keratoplasty. It is important to be aware of the fact that material choice and fitting characteristics can influence wound healing. Objective of this part of the course is to inform refractive surgeons about how to choose the best lens for a specific situation and how to do the follow-up.
COURSE SCHEDULE:
Contact lenses for keratoconus and ectasia 15'
Contact lenses after refractive surgery and keratoplasty 15'
Therapeutic bandage lenses 15'
Discussion 15'
SINGLE PRODUCT COURSE: Yes
FINANCIAL DISCLOSURE:
None
- IC 26
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Intracorneal rings for keratoconus and post-LASIK ectasia
Leader: D. Touboul | Course Level: Intermediate
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Faculty: C. Roberts D. Wasilewski
COURSE DESCRIPTION:
Several studies have demonstrated that intracorneal rings are able to improve the corneal shape and visual acuity of contact lens intolerant keratoconic patients with central clear cornea.
Different models are currently available.
The rings may be implanted into the stroma with a conventional manual dissection, or with the help of femtosecond laser technology. They are implanted at the periphery of the cornea at two-third depth. The goals of the rings are to improve vision acuity, to prevent or delay corneal grafts and to make contact lens intolerant patients become tolerant.
More than 100,000 Intacs have been implanted worldwide, with an improvement of the vision in about 80% of cases.
The procedure may be used in primary corneal ectasia, keratoconus, or in cases of post-LASIK ectasia.
The procedure is reversible: the rings may be removed if needed.
The course will include the discussion of sequential or simultaneous rings implantation and corneal collagen cross-linking.
COURSE OBJECTIVES:
The attendees will be able to learn the principles, when to indicate the technique and how to diagnose and solve complications in patients with intracorneal rings. At the end of the course, the attendees will be able to participate in a surgical lab and learn how to implant the intracorneal rings.
COURSE SCHEDULE:
D. Touboul: ICRS for keratoconus and post-LASIK ectasia: basic knowledge (15 + 5 mins)
C. Roberts: Biomechanical concerns hiding behind the rings insertion (15 + 5 mins)
D. Wasilewski: ICRS practice in routine: good and bad illustrated cases (15 + 5 mins)
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented
- IC 27
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Boston type 1 keratoprosthesis: from indications to innovations
Pre Requisite Course
Leader: M. Cortina | Course Level: Intermediate
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Faculty: S. Hannush J. de la Cruz E. Arrondo
This is a pre-requisite course for the wetlab(s): Boston Keratoprosthesis (B-KPro)
COURSE DESCRIPTION:
With the emerging success of the Boston KPro type I keratoprosthesis as an alternative to multiple failed corneal transplants, there is a renewed interest in adequate patient selection, implantation techniques, as well as proper postoperative management. Successful keratoprosthesis surgery and retention requires a unique interaction between the corneal prosthesis and its surrounding environment.
This video and case vignette based course aims to instruct the surgeon in understanding the basic concepts of Boston KPro type I surgery and postoperative management. The course will also present established as well as novel methods on how to successfully approach surgery of the KPro type I in clinical practice.
COURSE OBJECTIVES:
* To instruct the beginner KPro surgeon in understanding the basic concepts of Boston KPro type I surgery and management.
* To discuss advanced surgical techniques, concepts in patient selection and management of postoperative complications that would aid the cornea surgeon to successfully incorporate KPro to their armamentarium.
At the end of the course participants will have a thorough understanding of:
-How to select appropriate candidates for KPro implantation
-Which preoperative studies are important when evaluating a patient for KPro
-Standard as well as advanced surgical techniques for KPro implantation
-Postoperative management of the KPro patient including most common complications and their treatment.
COURSE SCHEDULE:
(60 minutes)
- Introduction (1 min)
- Preoperative evaluation – (13 min)
- Surgical approach – (14 min)
- Management of glaucoma in keratoprosthesis– l (14 min)
- Postoperative complications and current challenges - J. de la Cruz (14 min)
- Questions and answers (4 min)
SINGLE PRODUCT COURSE: Yes
FINANCIAL DISCLOSURE:
None
- IC 28
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Update in corneal dystrophies and degenerations
Leader: J. Alvarez de Toledo | Course Level: Intermediate
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Faculty: R. Barraquer
COURSE DESCRIPTION:
Corneal dystrophies and degenerations comprise the major group of non-inflammatory degenerative diseases of the cornea and include some of the most prevalent causes of corneal morbidity (i.e. recurrent erosions) and of corneal visual loss requiring transplantation (i.e., Fuchs’ dystrophy). This course is aimed at reviewing the current status of the field, including (1) the clinical, biomicroscopic and pathological data, (2) the rapidly evolving evidences regarding the genetic causes, (3) the new diagnostic tools (corneal OCT, confocal microscopy, etc.) and (4) therapeutic approaches (PTK, selective lamellar keratoplasty, etc.) for this group of conditions.
COURSE OBJECTIVES:
Attendees will be able to recognize the different types of corneal dystrophies and degenerations according to the main anatomical levels of the cornea (epithelium, subepithelium, stroma, endothelium), based on the clinical, biomicroscopic (including the new imaging technologies) and pathological evidence. For each entity discussed, they will receive the most up to date information about their possible genetic origin, as well as regarding the current therapeutic options.
COURSE SCHEDULE:
Dr. Barraquer (10 min); Epithelial and subepithelial dystrophies and degenerations: Dr. Barraquer (10 min); Limbal stem cell-related dystrophies and degenerations: Dr. Alvarez (10 min); Stromal dystrophies and degenerations: Dr. Barraquer (10 min); Endothelial dystrophies and degenerations: Dr. Alvarez (10 min); Corneal ectasia as possible dystrophies or degenerations: Dr. Barraquer (10 min)
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 29
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Understanding ophthalmic viscosurgical devices (OVDs) to optimise their use in cataract surgery and complications
EBO Accredited
Leader: S. Arshinoff | Course Level: Intermediate
-
Faculty:
COURSE DESCRIPTION:
Course will consist of a slide and video presentation of rheologic properties, classification, and varied utilization techniques for different OVD types. New OVDs, recent discoveries, principles and techniques to prevent and manage complications and post operative IOP spikes will be covered. Ample opportunity for discussion will be available.
COURSE OBJECTIVES:
Attendee will gain insight into the rheological and surgical behavior, choice, and optimal use of OVDs, which can enhance skills in surgery and complication management.
COURSE SCHEDULE:
The course will be divided as follows:
1. Introduction to OVDs, including history, ophthalmologic and non-ophthalmologic uses.
2. How we assess the properties of OVDs and the relevance of each property to eye surgery.
3. Classification of OVDs, including why and how.
4. Best uses and problems with each OVD class.
5. Soft shell techniques.
6. Viscoadaptives
7. Viscous dispersives
8. Post op IOP spikes - avoidance and management
9. OVD rheogic theory
10. The future of OVDs.
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, receives consulting fees, retainer, or contract payments from a competing company
- IC 30
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Pterygium management: tips and tricks for the best outcome
Leader: V. Ratnalingam | Course Level: Intermediate
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Faculty: T. Chowdhury A. Navas H. Matalia
COURSE DESCRIPTION:
Pterygium surgery should not be taken lightly. Recurrence of pterygium is a frustrating complication for both the surgeon and the patient. the purpose of this course is to discuss the surgical options available in the management of the different types of pterygium (primary, recurrent and double-headed), the various methods of conjunctival graft fixation and how to achieve optimal results. The presentations will be video based and the speakers will provide practical tips to achieve the best results.
COURSE OBJECTIVES:
This course will be useful to the Comprehensive Ophthalmologist who will be able to appreciate the different methods of conjunctival autografting in pterygium surgery. Attendees will have plenty of time for discussion and any queries.
COURSE SCHEDULE:
Introduction and different types of conjunctival autograft techniques: Dr Vanitha Ratnalingam- 12 minutes
Methods of graft fixation in pterygium surgery;results, complications and overview: Dr Tuhin Chowdhury- 12 minutes
Recurrent pterygium- Challenges and pearls of management: Dr Alejandro Navas-12 min
Managing pterygium with Cataract: Dr Himanshu Matalia-12 minutes
Panel discussion- 12 minutes
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None