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Sunday 6 October
08:00-10:00
- IC 26
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LASIK: basic steps for safety and great results
Pre Requisite CourseEBO Accredited
Leader: A. Kanellopoulos | Course Level: Basic
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Faculty: G. Pamel
This is a pre-requisite course for the wetlab(s): LASIK
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. A.J. Kanellopoulos: Common indications for LASIK surgery
2. G. Pamel: Common procedures that have preceded LASIK
3. G. Pamel: LASIK for myopia, astigmatism and hyperopia
4. G. Pamel: LASIK patient selection
5. A.J. Kanellopoulos: LASIK instrumentation-microkeratomes
6. A.J. Kanellopoulos: LASIK instrumentation-excimer lasers
7. A.J. Kanellopoulos: LASIK in action
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 27
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Teaching statistics in the overall context of preparing and writing a scientific paper
EBO Accredited
Leader: G. Gettinby | Course Level: Basic
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Faculty: D. Young
Course Description:
In 1938 Sir Ronald Fisher wrote “To consult the statistician after an experiment is often merely to ask him to conduct a post mortem examination. He can perhaps say what the experiment died of.”
This short workshop will prepare you for designing, undertaking and reporting the findings of your study. It will encourage you to adopt an evidence based approach on how best to undertake your surgical and clinical procedures. It will give you some insight into the rich statistical methods that can bring understanding and enlightenment about the use of medical treatments and processes.
Course Objectives:
To explain the various types of statistical designs commonly associated with clinical and surgical eye studies.
To guide you through the analysis of your data.
To illustrate how to report your study results in a scientific paper.
To prepare you for controversy and criticism!
Course Schedule:
1. G. Gettinby & D. Young
Introduction. Why do we need investigative studies? Why do we have to use statistical analyses?
2. G. Gettinby & D. Young
Approaches. Epidemiological studies. Case control, cohort, observational and longitudinal studies. Randomized studies e.g. parallel groups, crossover design. Use of hypothesis testing and confidence intervals
3. G. Gettinby & D. Young
Analyzing the study. Looking for differences e.g. t-test, Mann-Whitney rank test, Anova, logistic regression analysis. Looking for association. Correlation and measures of agreement. Intent to treat and per protocol principles
4. G. Gettinby & D. Young
Writing the scientific paper
5. G. Gettinby & D. Young
Case study on endophthalmitis. Results, paper writing and controversy. Questions
Single Product Course: No
Financial Disclosure: None
- IC 28
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IOL power calculation
Leader: K. Hoffer | Course Level: Intermediate
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Faculty: G. Savini
Course Description:
This course has been taught in the USA and EU since 1974 and covers all aspects of how to obtain the most accurate IOL power for each individual patient regardless of the eye’s condition. The most up-to-date information on this subject will be presented in understandable terminology.
Course Objectives:
Participants will learn how to understand the basics of IOL power calculation and the use of the best instruments that obtain the most accurate biometric data. To know the formulas recommended today and which eyes to use them on along with the best methods which deal with complicated situations such as LASIK eyes and multifocals. To know how to handle PO IOL power errors.
Course Schedule:
• Basics
• Theory
• Biometry
• Formulas: The new Hoffer H5 formula
• Preventing errors
• Staphyloma eyes
• Silicone oil eyes
• Scleral buckle eyes
• LASIK/PRK corneas
• US/Optical AL measurement
• Scheimpflug cameras
• Pediatric eyes
• Formula usage
• Multifocal IOL power
• Treating IOL power errors
Single Product Course: Yes
Financial Disclosure: None
- IC 29
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Successful cross-linking: managing complications, paediatric patients, post-refractive surgery ectasia, thin corneas and long-term follow-up
EBO Accredited
Leader: P. Vinciguerra | Course Level: Intermediate
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Faculty: J. Alio F. Camesasca L. Mastropasqua
Course Description:
This course will present a systematic approach and the potential uses of cross-linking in diverse corneal ectatic situations. Comprehension of post-treatment long-term corneal behaviour, prognosis and management of intra- and postoperative complications will be presented. Approach and results with delicate keratoconus patients such as youngsters or subjects already treated with intrastromal rings will be detailed. Results with post-LASIK ectasia and eyes with corneal infections will also be discussed.
Course Objectives:
Attendees will be able to understand the treatment opportunities offered by corneal cross-linking, to select, treat and follow patients appropriately according to their ectatic problem and age.
They will also be able to understand and manage possible complications.
Course Schedule:
Panel and introduction - P. Vinciguerra (5 min)
Paediatric CXL: patient selection - F.I. Camesasca (10 min)
Paediatric CXL: results - P. Vinciguerra (15 min)
CXL in post-refractive surgery ectasia: diagnosis - F.I. Camesasca (10 min)
CXL in post-refractive surgery ectasia: results - P. Vinciguerra (15 min)
CXL via ionthophoresis: morphological observations - L. Mastropasqua (15 min)
Corneal expansion - P. Vinciguerra (8 min)
Trans-epithelial - P. Vinciguerra (7 min)
The present and the future - J.L. Alio (15 min)
Discussion (20 min)
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 30
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Toric IOLs and LRIs: planning, nomograms and enhancements
EBO Accredited
Leader: N. Alpins | Course Level: Intermediate
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Faculty: G. Stamatelatos D. Piñero Llorens M. Goggin
Course Description:
Course will address practical and theoretical aspects of the planning and analysis of astigmatism for toric IOLs. The principals and techniques of LRIs will also be discussed.
Course Objectives:
Participants will be able to plan and analyze astigmatism treatment in toric IOL and LRI procedures to accurately improve future outcomes, including how to predict and correct for any postoperative refractive surprises.
Course Schedule:
Dr Noel Alpins will present a basic and intermediate level of astigmatism planning and analysis including toric IOLs and LRI's.
Dr Michael Goggin will discuss nomogram refinements and outcomes.
Mr George Stamatelatos will discuss using incisions to control and reduce astigmatism.
Dr David Pinero will discuss the importance of ocular residual astigmatism (ORA) in recommending and planning surgery for optimal outcomes.
Single Product Course: No
Financial Disclosure: Gains financially from product or procedure presented
- IC 31
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Aberration induction in surgery in presbyopia: benefits and detriments to visual function in cataract and corneal refractive surgery
Leader: D. Reinstein | Course Level: Advanced
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Faculty: S. MacRae R. Krueger G. Waring IV
Course Description:
The understanding of the role of meibomian gland dysfunction (MGD) in chronic blepharitis and ocular surface disease is rapidly evolving. MGD can be considered one of the chronic blepharitides and is increasingly being recognized as a cause of dry eyes and ocular surface disease. Its place among the blepharitides as well as the sub groups of MGD will be discussed in detail along with the presumed pathophysiological mechanisms involved in each of the sub groups including the role of bacteria and their lipolytic exoenzymes, meibum/lipid biochemical changes, and aqueous tear evaporation. Acute phase therapy to bring the conditions under control will be presented as well as optimal long-term therapy to maintain control. The role of topical therapies as well as systemic therapies will be discussed as they relate to both lid and ocular surface abnormalities.
Course Objectives:
Familiarize ophthalmologists with the place of MGD amongst the chronic blepharitides and pathophysiological mechanisms. Optimal acute phase therapies and chronic therapies to maintain control will be presented.
Course Schedule:
I. Tear film characteristics (5 min)
a) Complex molecular mix
b) Instability options
c) Specifics of lipid layers
II. Blepharitis (5 min)
a) Types
b) Classification system
c) MGD types in McCulley classification system
III. MGD (20 min)
a) Organizational chart classification system
b) Alternate system
c) Definition
d) Approach to diagnosis
e) Major types
f) Clinical signs and symptoms
g) Pathogenesis
h) Clinical significance of MGD
IV. Therapy (20 min)
a) Principles of acute and maintenance therapy
b) Management of MGD
c) Patients needing topical antibiotic
d) Patients needing systemic antibiotics
e) Tear substitutions of choice
f) Nutritional supplements
V Conclusion (5 min)
a) An integrated ocular surface complex in health and disease
b) Blepharitis is better understood and better treated, but it still sucks!
VI Questions and answers (5 min) Single Product Course No
Financial Disclosure: None
- IC 32
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Mastering phaco nightmares and worst case scenarios: a video based course
Leader: A. Agarwal | Course Level: Intermediate
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Faculty: D. Chang R. Osher T. Kohnen A. Agarwal
Course Description:
Various complications can occur in phaco surgery but the worst case scenarios are dropped lenses and nuclei. In this course, presentations of various cases will be shown with the management of crazy cases. Difficult cases like subluxated lenses, posterior polar cataracts, colobomas and complications will also be shown on videos. Glued IOL, IOL scaffold etc will also be taught.
Course Objectives:
The attendee will be able to conquer cataract surgery catastrophies and sleep peacefully. They will also be able to manage difficult cases easily.
Course Schedule:
0.00: Introduction - Amar Agarwal
0.20: Subluxated cataracts - David Chang
0.40: Dropped nuclei and IOL's - Amar Agarwal
1.00: Extreme myopia and hyperopia - Robert Osher
1.20: Small pupils - Athiya Agarwal
1.40: Posterior capsular ruptures - Thomas Kohnen
1.50: Discussion
2.00: End of course
Single Product Course: No
Financial Disclosure: None
- IC 33
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A video bouquet of phaco complications which should never have occurred: with tips on damage control and prevention to optimize postoperative outcomes *
Leader: A. Chakrabarti | Course Level: Intermediate
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Faculty: R. Yeoh G. Auffarth K. Tjia A. Vasavada R. Packard
Course Description:
This video course deals with genesis, management and prevention of the unexpected surgeon or technique related complications in phacoemulsification in uncomplicated cataracts. These complications may be more frequent in the hands of a novice surgeon though not uncommon in the hands of an experienced surgeon. This course demonstrates complications that may be encountered during all steps of phaco (both uncomplicated and difficult cataracts) and offers a stepwise strategy to prevent and manage them. Complications and remedial measures demonstrated in this video course include wound burns, wound length and size anomalies, capsulorhexis size anomalies, extension and retrieval, two stage rhexis, use of microrhexis forceps and scissors in tricky cases, incomplete/difficult hydrodissection, hurdles in phaco-chop, misplaced CTR, inappropriately used iris hook and iris hook induced trauma, intraoperative zonular dialysis, posterior capsular tear, challenges during nucleus removal, how to convert to a safer non-phaco technique in problem situations and many more. The complications will be demonstrated using video clippings. The management of these complications also will be demonstrated. And finally tips will be offered to minimize the incidence of these complications.
There will also be a panel discussion at the conclusion of each presentation.
Course Objectives:
At the end of the course the attendee will learn how to avoid and successfully manage certain intraoperative phaco complications which can not only mar the postoperative outcome in uncomplicated as well as complicated cataracts but also can lead on to sight-threatening sequelae (if not managed scientifically).
Course Schedule:
Speakers and topics: (15 to 20 minutes per speaker including panel discussion)
1. Dr. Arup Chakrabarti: Introduction
a) Wound related complications b) PC tear, conversion to posterior capsulorhexis,
c) Anterior vitrectomy with triamcinolone acetonide
d) Aborted phaco: converting to nonphaco SICS
2. Dr. Gerd Auffarth:
a) Capsulorhexis complications
b) CTR complications
3. Dr. Ronald Yeoh:
a) Indiscriminate hydrodissection: nucleus drop
b) Unusual complications
4. Dr. Khiun Tjia:
a) Intraop. zonular dialysis and dense nuclear fragments
b) Posterior capsular tear in quadrant removal
c) Viscoshield strategies
5. Dr. Arup Chakrabarti:
a) IOL related complications
b) Early intraoperative. Zonular dialysis: management options
c) Iris hook problems
6. Dr. A. Vasavada:
a) Descemet's detachment during phaco
b) Management of residual vitreous strand
c) PCR management
7. Dr. Richard Packard:
a) Iris trauma in phaco
b) Intraoperative surge
c) Phaco chop- difficulties and complications
Discussion
Single Product Course: Yes
Financial Disclosure: None
- IC 34
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A special course honouring Dr. Elie Dahan: How to improve your NPGS - basic technique and advanced surgical tips
Leader: T. Shaarawy | Course Level: Basic
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Faculty: G. Scharioth P. Sourdille
Course Description:
The course will concentrate on the basics and advanced surgical steps in non-penetrating glaucoma surgery (NPGS). The extensive surgical experience of the course leader and the faculty members will be passed on by their didactic surgical videos and their rich clinical photos library.
Course Objectives:
The course objectives are to introduce non-penetrating glaucoma surgery in details for those who are new to the field and to improve the existing technique with the latest surgical tips for those practicing NPGS.
Course Schedule:
1. Tribute to Elie Daban, a very open minded Pioneer - Dr. Sourdille
2. Architecture of IOP lowering and supra choroid outflow creation - Dr. Sourdille
3. Step-by-step surgical technique: deep sclerectomy - Dr Shaarawy
b) Step-by-step surgical technique: canaloplasty - Dr Scharioth
4. Postoperative & complications management - Dr Scharioth
5. Is NPGS as good as Trab? Or is it better? - Dr Shaarawy
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
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Sunday 6 October
08:30-10:15
- IC 35
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Update in penetrating and lamellar keratoplasty techniques (Part 1)
Pre Requisite Course
Leader: J. Güell | Course Level: Basic
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Faculty: M. Belin S. Hannush R. Bellucci R. Mohan
This is a pre-requisite course for the wetlab(s): Keratoplasty courses
Course Description:
This course will mostly be directed to surgical technique details: microkeratome and/or trephine preparation of the donor in both penetrating and anterior and posterior lamellar techniques trephination, and techniques of suturing.
Other surgical maneuvers commonly performed during keratoplasty such as cataract surgery, iris reconstruction, IOL extraction or anterior vitrectomy will also be reviewed.
Course Objectives:
At the end of the course, an overview of the most advanced but not yet regular techniques, will also be reviewed. The main goal of the overview is to be updated every year because techniques and technology are constantly improving (for example: culture of endothelial cells or the use of femtosecond lasers).
Course Schedule:
1. Introduction - J.L. Güell
2. Trephination: different approaches - M. Belin
3. Suturing technique: per and postoperative management - R. Mohan
4. Pearls surgical management of postkeratoplasty astigmatism - J.L. Güell
5. Basic instrumentation for full thickness keratoplasty - M. Belin
6. Surgical technique in full thickness keratoplasty - R. Bellucci
7. Basics in posterior lamellar keratoplasty – S. Hannush
Single Product Course: No
Financial Disclosure: None
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Sunday 6 October
10:30-13:30
- IC 36
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Schlemm's canal surgery: viscocanalostomy and canaloplasty
Pre Requisite Course
Leader: C. Peckar | Course Level: Advanced
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Faculty: R. Stegmann J. Kearney N. Körber M. Grieshaber V. Jasinskas
This is a pre-requisite course for the wetlab(s): Glaucoma Canaloplasty (Enhanced Viscocanalostomy) & Viscocanalostomy (Glaucoma)
Course Description:
This course covers the surgical steps in internal draining non-penetrating glaucoma surgery with special attention to the procedures of viscocanalostomy and canaloplasty (in which a 200 micron microcatheter is passed 360 degrees through Schlemm's canal in order to dilate the canal).
Course Objectives:
The course faculty will present their long-term results with viscocanalostomy and show how placing a 10/0 suture or tensioning device, within the canal in canaloplasty, further reduces IOP in the management of open-angle glaucoma.
Course Schedule:
Introduction and history of Schlemm’s canal surgery - C. Peckar (10 mins)
Viscocanalostomy and canaloplasty: step by step - C. Peckar (30 mins)
Applied micro-anatomy of glaucoma - R. Stegmann (30 mins)
Long-term results of canaloplasty - J. Kearney (15 mins)
Combined with phaco versus separate - V. Jasinskas (15 mins)
Canaloplasty: value of channelography and results in previous trabeculectomy patients - N. Körber (15 mins)
Management of complications - M. Grieshaber (15 mins)
Glaucoma observations and ‘The way ahead’ - R. Stegmann (30 mins)
Conclusions - C. Peckar (5 mins)
Questions and answers - All Faculty (15 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, research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
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Sunday 6 October
10:30-12:15
- IC 37
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Update in penetrating and lamellar keratoplasty techniques (Part 2)
Pre Requisite CourseEBO Accredited
Leader: J. Güell | Course Level: Advanced
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Faculty: M. Busin H. Dua
This is a pre-requisite course for the wetlab(s): Keratoplasty courses
Course Description:
The course will be mostly directed to surgical technique details: microkeratome and/or trephine preparation of the donor in both penetrating and anterior and posterior lamellar techniques trephination, and techniques of suturing.
Other surgical maneuvers commonly performed during keratoplasty such as cataract surgery, iris reconstruction, IOL extraction or anterior vitrectomy will also be reviewed.
Course Objectives:
At the end of the course, an overview of the most advanced but not yet regular techniques, will also be reviewed. The main goal of this last part is to be updated every year because techniques and technology are constantly improving (for example: culture of endothelial cells or the use of femtosecond lasers)
Course Schedule:
1. Posterior lamellar keratoplasty- M. Busin
2. Surgical technique in anterior and posterior lamellar keratoplasty: common mistakes - H. Dua/ J.L. Güell
3. Management of high risk keratoplasty - H. Dua
4. Additional surgery during keratoplasty: cataract, vitrectomy iris reconstruction – J.L. Güell
5. Amniotic membrane: clinical indications - J.L. Güell
6. Q&A/ Discussion of cases: All the panel
Single Product Course: No
Financial Disclosure: None
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Sunday 6 October
14:30-16:30
- IC 38
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Best of the best: An update in cataract surgery 2013
Leader: M. Piovella | Course Level: Advanced
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Faculty: R. Lindstrom R. Steinert S. Schallhorn J. Holladay L. Mastropasqua
Course Description:
This course discusses how advances in technology, IOLs, phaco machines, and indications are making cataract surgery extremely similar to refractive surgery.
Course Objectives:
To provide the attendees key information in applying a refractive surgery approach to exploiting recent technological, surgical, organizational, and patient management advances.
Course Schedule:
1) Introduction. Cataract surgery is becoming refractive surgery?
2) Patient needs
i) Far, near, intermediate vision
ii) Age of surgery and life expectancy
iii) Lifestyles
iv) Identifying and understanding needs
v) Demanding patients
3) Patient evaluation
i) Topography
ii) Aberrometry
iii) Scheimpflug
iv) Pupillometry
v) Angle evaluation: AS OCT
vi) Macular evaluation: OCT
vii) Cataract surgery in refractive surgery patients
viii) IOLMaster
4) Phaco machines vs. Femtosecond laser
i) New phaco settings
ii) Phaco efficiency
iii) Femtosecond laser: present and future
5) IOLs
i) Accomodative
ii) Multifocal
iii) Monofocal
iv) Aspheric
6) Postoperative vision quality
i) The importance of the pupil
ii) Plano target: result management
7) Complication and complicated cases
i) Management of complications with premium IOLs
ii) Premium IOLs and posterior capsule break
iii) IOL decentration
iv) IOL damage
v) PC opacity
8) Management of the process
i) How to identify patients that will be advantaged by premium IOLs
Single Product Course: No
Financial Disclosure: Receives consulting fees, retainer, or contract payments from a competing company, travel has been funded, fully or partially, by a competing company
- IC 39
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Overview of phakic IOLs
Pre Requisite Course
Leader: A. Marinho | Course Level: Basic
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Faculty: M. Knorz C. Budo O. Klaproth A. El Danassoury G. Baikoff
This is a pre-requisite course for the wetlab(s): Phakic IOLs
Course Description:
The course will be divided in three parts. In the first part, the criteria for patient selection will be presented and discussed in detail. In the second part, the most used phakic IOLs (Acrysof Cachet, Artisan, Artiflex and ICL) will be presented by experts with special emphasis on design, surgical techniques and adverse events. For each IOL there will also be a debate on its merits and disadvantages. The third part will include the general conclusions and long-term safety criteria for implantation of phakic IOLs.
Course Objectives:
Presenting the different types of phakic IOLs in an unbiased way, we hope to enable the refractive surgeon to begin or expand his/her practice with phakic IOLs, having the complete knowledge of advantages as well as adverse events of this type of refractive surgery.
Course Schedule:
1) Patient selection - A. Marinho (15 minutes)
2) Acrysof Cachet - M. Knorz (15 minutes)
2a) Why not Cachet? - A. El Danassoury (10 minutes)
3) Artisan/Artiflex - C. Budo (15 minutes)
3a) Why not Artisan/Artiflex? - O. Klaproth (10 minutes)
4) ICL - A. El Danassoury (15 minutes)
4a) Why not ICL? - A. Marinho (10 minutes)
5) Safety criteria for implanting phakic IOLs - G. Baikoff (15 minutes)
6) Questions and answers (15 minutes)
Single Product Course: No
Financial Disclosure: None
- IC 40
-
Corneal biomechanics for the clinician: understanding the basics *
EBO Accredited
Leader: C. Roberts | Course Level: Basic
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Faculty: J. Hjortdal W. Dupps Jr. R. Ambrósio Jr P. Vinciguerra D. Epstein
Course Description:
The course will cover the basic principles of corneal biomechanics, and then go on to elucidate the role of biomechanics in specific clinical situations such as keratoconus, refractive surgery, ectasia and cross-linking.
Course Objectives:
To provide the clinician with the understanding of the basic concepts of biomechanics in the normal, pathological and post-surgical cornea.
Course Schedule:
Basics of biomechanics (J. Hjortdal) [20 min]
Biomechanics of the keratoconic cornea (Cynthia Roberts) [20 min]
Biomechanics of corneal refractive surgery (William J. Dupps Jr) [20 min]
Biomechanics of post-refractive surgery ectasia (Renato Ambrosio) [20 min]
Biomechanics of corneal cross-linking (Paolo Vinciguerra) [20 min]
Facilitator of questions (Dan Epstein) [10 min]
Discussion [10 min]
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 41
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Oculoplastic surgery for cataract and refractive surgeons
Leader: C. Hintschich | Course Level: Advanced
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Faculty: A. Tyers L. Baldeschi D. Paridaens
Course Description:
This course focuses on the surgical management of selected eyelid disorders, which are common and relevant to the patient and the anterior segment surgeon. This includes the prevention and management of ocular surface disease due to eyelid malpositions, the evaluation and treatment of a watering eye, how to deal with periocular tumours in order to avoid ongoing malignant disease, and how to avoid functional problems in blepharoplasty. The speakers belong to a group of well-trained and experienced ophthalmic plastic surgeons and are all active members of the ESOPRS (European Society of Ophthalmic Plastic and Reconstructive Surgery).
Course Objectives:
Participants will be shown how to surgically manage certain disorders of the eyelid in this course.
Participants will leave the course having been shown how to prevent and manage the selected eyelid disorders.
Course Schedule:
Anthony Tyers (UK): How to protect the ocular surface?
Lelio Baldeschi (Italy): What to do with a watering eye? Causes and evaluation
Dion Paridaens (The Netherlands): What to do with “lumps and bumps” around the eye?
Christoph Hintschich (Germany): How to avoid problems in blepharoplasty?
Single Product Course: No
Financial Disclosure: None
- IC 42
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Understanding ophthalmic viscosurgical devices (OVDs) to optimize 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, and principles and techniques to prevent and manage complications and post-operative IOP 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 their skills in surgery and complication management.
Course Schedule:
1. Introduction to OVDs, including history, ophthalmologic and non-ophthalmologic uses (10 mins)
2. How we assess the properties of OVDs and the relevance of each property to eye surgery (10 mins)
3. Classification of OVDs, including why and how (10 mins)
4. Best uses and problems with each OVD class (10 mins)
5. Soft shell techniques (10 mins)
6. Viscoadaptives (10 mins)
7. Viscous dispersives (10 mins)
8. Post-op IOP spikes - avoidance and management (10 mins)
9. OVD rheogic theory (10 mins)
10. The future of OVDs (10 mins)
11. Discussion (20 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 43
-
DSAEK: improves outcomes and reduces complications
Leader: J. Mehta | Course Level: Intermediate
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Faculty: C. Chan R. Angunawela D. Tan T. Wong
Course Description:
This course will outline surgical techniques through video based teaching at reducing complications associated with DSAEK and techniques of managing those complications if they occur.
Course Objectives:
To understand the main complications associated with DSAEK surgery.
To learn how to reduce these complications and if they occur successful strategies from evidence based publications in how to manage them will be looked at.
Course Schedule:
1. Course introduction
2. Standard DSAEK technique
3. Reducing graft dislocation
4. Reducing iatrogenic graft failure and improving postoperative endothelial cell counts
5. Management and incidence of post DSAEK IOP rise
6. Management of DSAEK graft rejection
7. Future of EK
Single Product Course: No
Financial Disclosure: None
- IC 44
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Management of paediatric cataracts
Leader: A. Vasavada | Course Level: Advanced
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Faculty: M.J. Tassignon C. Zetterström K. Nischal D. Fan P. Rojanapongpun
Course Description:
This course highlights the paradigms in the management of paediatric cataracts. Adhering to these paradigms shall facilitate the surgeon to enhance intraoperative performance and ensure a good technical and functional outcome.
Course Objectives:
At the conclusion of this course the attendee will understand the clinical pearls and tips for enhancing outcomes following paediatric cataract surgery.
Course Schedule:
1. Abhay Vasavada - Pearls for paediatric cataract management
2. Ken Nischal - IOL power calculation in children
3. Charlotta Zetterström - Surgery in complicated paediatric cataracts
4. Dorothy Fan - Sutureless vitrectomy/uveitis
5. Prin Rojanapongpun - Glaucoma after cataract surgery in children
6. Abhay Vasavada - Aphakia pseudophakia trial
7. Marie-Jose Tassignon - Bag-in-the-lens and anterior interface in paediatric cataract
Single Product Course: No
Financial Disclosure: None
- IC 45
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Collagen cross-linking: indications, applications, results, complications and evolving technology *
Leader: A. Kanellopoulos | Course Level: Advanced
-
Faculty: R. Stulting G. Pamel
Course Description:
Didactic approach to the management of progressive cornea ectasia associated with keratoconus and refractive surgery. Several surgical treatment modalities utilized internationally will be presented, including: collagen cross-linking with ultraviolet radiation A in order to halt ectasia, combined in some cases with a customised excimer laser ablation to facilitate visual rehabilitation (as presented in previous ESCRS meetings by the author), these alternatives to intracorneal ring segment implantation, lamellar grafts as well as penetrating graft techniques will be analyzed. Surgical and medical treatment technique, indications, potential complications and their management as well as clinical experience pearls will be presented.
Course Objectives:
The participants will share our vast experience in managing progressive keratoconus and post-LASIK ectasia in order to visually rehabilitate these patients.
Pearls on indications, patient selection, surgical technique and complication management for safe and effective results will be presented and discussed with the participants.
Course Schedule:
1. Keratoconus surgical management, literature review:
a) Thermokeratoplasty
b) Lamellar grafts
c) INTACS
d) Penetrating keratoplasty
e) Cornea collagen cross-linking
2. Post-LASIK ectasia-surgical management, literature review:
a) How to avoid-risk factors
b) Thermokeratoplasty
c) Lamellar grafts
d) INTACS
e) Penetrating keratoplasty
f) Cornea collagen cross-linking
3. Patient selection
a) Indications
b) Medical contraindications
c) Pre-operative evaluation and refractive error
4. Stabilization of ectasia:
a) INTACS
b) Collagen cross-linking
c) Lamellar tissue support
5. Collagen cross-linking:
a) Energy source, luminance and duration
b) Protective riboflavin A
c) Cornea pachymetry issues
d) Topographic and elevation changes
e) Stabilization of ectasia
f) When is it best to intervene?
g) FDA issues
6. Customised enhancement techniques
a) Wavefront-guided
b) Topography-guided
c) Asphericity adjustment
7. Microkeratome-assisted lamellar keratoplasty technique
a) Basic principles
b) Pre-operative evaluation parametres
c) Surgical technique
d) Possible complications and their management
e) Clinical data and review of the literature
8. Penetrating keratoplasty considerations:
a) Basic principles
b) Pre-operative evaluation parametres
c) Surgical technique
d) Possible complications and their management
e) Clinical data and review of the literature
9. Refractive surgery enhancements following these procedures.
10. Surgery in action
Step-by-step action on several procedures on tape, question-answer session and coverage of basic problem-shooting with the panelists.
Single Product Course: Yes
Financial Disclosure: Travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
- IC 46
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Post-traumatic iris surgery: save the iris, artificial iris
Leader: C. Forlini | Course Level: Advanced
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Faculty: P. Szurman M. Forlini R. Frisina R. Rejdak
Course Description:
This course is focused on the trauma of the area between the anterior and posterior segment; the iris diaphragm.
Course Objectives:
The course will offer the audience a panorama of the different techniques, strategies, philosophies using the newest modern instruments and materials (cosmetic IOL artificial iris).
Course Schedule:
- Save the iris: Matteo Forlini, Cesare Forlini
- Iris reconstruction in traumatic aniridia: Peter Szurman
- Artificial iris and foldable IOL implantation for the simultaneous correction of post-traumatic aphakia and aniridia: my way. Cesare Forlini, Matteo Forlini
- Artificial iris in traumatic aniridia: Rino Frisina
- Reconstruction surgery of the iris and pupil: Robert Rejdak
Single Product Course: Yes
Financial Disclosure: None
- IC 47
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Fungal keratitis: varied expressions and management protocol *
Leader: J. Sengupta | Course Level: Advanced
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Faculty: M. Fernandes S. Saha N. Gangopadhyay A. Borthakur
Course Description:
Fungal keratitis has been reported from different parts of the world, particularly in tropical countries. Different climatic and predisposing factors are responsible for its rate of occurrence in different parts of world. But altered immunity in host and community, widespread use of steroid, increased incidence of diabetes and other immunity altering systemic diseases along with faster urbanisation are few of the universal factors which are responsible for increased incidence and changing epidemiological pattern of fungal infections worldwide. While suspecting the disease still constitutes a challenge for all ophthalmologists, laboratory diagnosis and use of PCR have simplified identification of the organisms. Medical management is also facing a paradigm shift with the advent of newer medicines. Uses of alternative surgical techniques like deep anterior lamellar keratoplasty, amniotic membrane transplantation and others have reportedly led to better outcomes in select groups. Current research is also focused on improving our knowledge on pathogenetic mechanisms. Thus, there is a need of renewed interest in fungal keratitis. The course will describe different clinical presentations through videos and photographs. The clinical characteristics, lab investigations and appropriate management protocol will be described.
Course Objectives:
This course will provide a detailed overview of the fungal pathogens, pathogenic mechanisms, identification, clinical characteristics and medical and surgical management along with an interactive session with audience involving their participation in decision making. At the end of this course, attendees will be well conversant with typical and atypical clinical presentations of fungal keratitis, and will be confident to diagnose them with maximum clinical acumen and with minimal laboratory support. Even a general ophthalmologist will be able to treat this condition with a simple protocol. All will be able to possess a clear understanding of the disease process with ability to choose appropriate therapy for patients in their clinical practice.
Course Schedule:
Need to update on fungal keratitis; 10 mins - Nibaran Gangopadhyay
Typical presentation: typical management; 20 mins - Merle Fernandes
Atypical presentation: proper management; 20 mins - Arundhati Borthakur
Lab investigations: which one when and why; 20 mins - Suman Saha
Surgical management; 20 mins - Jayangshu Sengupta
Interactive case discussion: “the one minute show”; 20 mins - Nibaran Gangopadhyay
Fungal keratitis: what the future holds?; 10 mins - Merle Fernandes
Single Product Course: No
Financial Disclosure: None
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Sunday 6 October
17:00-18:00
- IC 48
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Supplementary intraocular lenses
Leader: M. Amon | Course Level: Intermediate
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Faculty: G. Kahraman N. El Shammah G. Auffarth
Course Description:
This course will describe the supplementary IOL implantation (Rayner Sulcoflex and Humanoptics Add-On) option in correcting pseudophakic anisometropia and primär Duet IOL implantation. Patient selection indications, preoperative workup, surgical technique, surgical risks, management of complications, IOL design and material, quality of vision, patient satisfaction and refractive and ocular outcomes will be reviewed. Case studies will also be presented by each speaker to increase the learning experience.
Course Objectives:
To understand patient selection, surgical technique, and how to prevent complications with piggyback intraocular lens implantation. Attendees will recognize advantages and disadvantages of piggyback IOL implantation technique and be able to describe selection criteria for this procedure.
Course Schedule:
1. Introduction to the course. Michael Amon (5 min.)
2. Polypseudophakia background and IOL design. Guenal Kahraman (10 min.)
3. Surgical technique. Michael Amon (15 min.)
4. Patient selection and indications for supplementary intraocular lens implantation. Nora El Shammah (10 min. )
5. Add-on IOL overview. Gerd Auffarth (15 min.)
6. Discussion. Faculty and audience (10 min.)
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 49
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Intraocular suturing
Leader: M. Elgohary | Course Level: Advanced
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Faculty: M. Bhogal
Course Description:
This will be a didactic course on the different techniques of intraocularly suturing intraocular lenses, iris lacerations and vascular lesions. This will include video demonstration of the different techniques of suturing and knots for different indications.
Course Objectives:
To describe the indications and illustrate the different techniques of intraocular suturing.
Course Schedule:
1. Introduction
2. Indications of intraocular suturing
3. Video demonstration
a) Suturing techniques of intraocular lenses
b) Suturing technique for iris trauma and lacerations
c) Suturing techniques for intraocular vascular lesions
Single Product Course: Yes
Financial Disclosure: None
- IC 50
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Ultra-thin DSAEK
Leader: M. Busin | Course Level: Advanced
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Faculty: V. Scorcia A. Patel P. Santorum
Course Description:
Course will present instructions for ultra-thin (UT) DSAEK, a technique aimed at improving results while maintaining the technical ease of DSAEK. Videos will illustrate graft preparation, and delivery technique. Results and management of complications will be presented. UT DSAEK for complex cases in which DMEK is contraindicated will be discussed.
Course Objectives:
Attendees will learn a new technique that will allow them to improve results and reproducibility of their endothelial keratoplasty surgery.
Course Schedule:
Introduction and basic concepts: Prof Busin, 20 minutes
Tissue preparation and surgical techniques: Dr Scorcia, 15 minutes
Results: Dr Santorum, 15 minutes
Complications: Dr Patel, 10 minutes
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 51
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How to improve your refractive outcomes by skillful interpretation of corneal mapping
Leader: M. Sinjab | Course Level: Advanced
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Faculty: M. Jankov A. Cummings
Course Description:
This course describes the relationship between features of corneal mapping and outcomes of refractive surgeries.
Corneal mapping will be discussed in terms of Scheimpflug-based, Placiso-based and anterior OCT images.
Course Objectives:
1. To build in the audience the skills of clinical interpretation of corneal maps.
2. To highlight the relationship between features of corneal maps and outcomes of refractive surgeries.
3. To improve refractive outcomes and avoid some complications in terms of skillful clinical interpretation of corneal maps.
Course Schedule:
1. Clinical interpretation of corneal maps: M. Sinjab (15 min)
2. Taking the right decision in refractive surgery: M. Jankov (15 min)
3. Case study examples: A. Cummings (15 min)
4. Discussion (15 min)
Single Product Course: No
Financial Disclosure: None
- IC 52
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Advanced microbial keratitis: current paradigms *
Leader: R. Swarup | Course Level: Intermediate
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Faculty: S. Murthy A. Nagpal M. Fernandes
Course Description:
In this course, the instructors will demonstrate various presentations and etiologies causing microbial keratitis. Advanced microbial keratitis is a challenging clinical scenario and necessitates the use of stronger anti-microbial agents and a variety of surgical modalities. This course will demonstrate a systematic approach to advanced microbial keratitis, its diagnosis and management algorithms. Special emphasis will be placed on newer antimicrobial agents, the use of surgical approaches such as intrastromal injections and application of tissue adhesives. The indications for therapeutic keratoplasty, both penetrating and deep lamellar, in infectious keratoplasty will be described along with videos demonstrating the various surgical options.
Course Objectives:
To educate the audience about the current approach to diagnosis, medical management and surgical therapy of non-viral microbial keratitis.
Course Schedule:
1. Clinical diagnosis and assessment of the severity of microbial keratitis
2. Diagnostic aids in microbial keratitis
3. Deep keratitis: a management nightmare?
3. The melting cornea: causes and therapy
4. Intrastromal and intracameral injections: do they help?
5. Therapeutic keratoplasty: when and how?
6. Parasitic and fungal keratitis: challenging case scenarios
Single Product Course: No
Financial Disclosure: None
- IC 53
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The ideal phacotrabeculectomy *
Leader: J. Chua | Course Level: Intermediate
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Faculty: H. Ching Lin D. Goh
Course Description:
The course will provide a guide to performing the ideal phacotrabeculectomy. It includes which cases to select and perioperative management. The current controversies regarding staged surgery, single or dual site surgery and detailed tips on performing successful surgery will be discussed. The practical management of potential complications will also be discussed with reference to the current literature of comparative studies.
Course Objectives:
Attendees will be able to confidently add phacotrabeculectomy into their arsenal of glaucoma procedures.
Course Schedule:
Introduction and surgical technique (with video) - Ho Ching Lin
Preoperative assessment and literature review: including 1- versus 2-site / Pros and cons of combined versus separate surgery - Jocelyn Chua
Pitfalls and pearls of phacotrabeculectomy including difficult cases and management of complications - David Goh
Single Product Course: No
Financial Disclosure: None
- IC 54
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The surgical correction of presbyopia with corneal inlay technology: how to achieve patient satisfaction in the emmetropic, myopic and hyperopic population
Leader: R. Steinert | Course Level: Intermediate
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Faculty: E. Barragan J. Güell B. Cochener K. Yasuda
Course Description:
A concise review of the elements leading to successful presbyopia correction.
Course Objectives:
Course participants will come to understand the mechanism of action and basic surgical technique among various corneal inlay technologies. Postoperative drivers of patient satisfaction will be statistically examined including tolerance for surgical multifocal vision correction and subsequent induced visual symptoms. Clinical results will be presented with and without concurrent LASIK, and will include emmetropic, myopic and hyperopic patient populations.
Course Schedule:
Jose Guell: The surgical correction of presbyopia with corneal inlay technology: how to achieve patient satisfaction in the emmetropic, myopic and hyperopic population
Beatrice Cochener: Dry eye screening of refractive surgery candidates: techniques and results
Enrique Barragan: Bilateral implantation of hydrogel corneal inlays in hyperopic presbyopes
Kazunori Yasuda: Early clinical result of presbyopia therapy using new corneal inlay (Raindrop) with concurrent LASIK
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 55
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Deep anterior lamellar keratoplasty: how not to convert to PK
Leader: J. Mehta | Course Level: Intermediate
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Faculty: D. Tan
Course Description:
The course will outline a successful evidence based technique to perform DALK surgery. It will also cover complications that may occur during surgery and how to successfully deal with them without a conversion to PK.
Course Objectives:
1. To gain an understanding on a safe and repeatable manual and big bubble DALK technique.
2. To learn how to manage complications associated with DALK and how to deal with them without conversion to PK.
Course Schedule:
1. Introduction into DALK
2. DALK technique
3. Management of complications
Single Product Course: No
Financial Disclosure: None
- IC 56
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Comprehensive artificial iris implantation
Leader: K. Miller | Course Level: Intermediate
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Faculty: S. Masket
Course Description:
This course will provide a comprehensive overview of artificial iris devices available from Morcher, Ophtec, and HumanOptics to reduce light and glare sensitivity in congenital and acquired aniridia. Indications, device availability in different markets, preoperative planning, implantation tips, and outcomes will be discussed. The effect of ocular comorbidities on the decision-making process will be reviewed. How the extent of iris tissue loss influences the decision-making process will be covered. The didactic discussion will be supplemented by surgical video. Devices to be discussed include modified capsule tension rings, iris reconstruction lenses, and foldable silicone wafers.
Course Objectives:
At the conclusion of the course, attendees will be able to describe the artificial irises that are available commercially. They will understand the directions for use associated with each device. They will know which devices are suitable for capsular bag implantation and which devices are suitable for sulcus implantation with or without suture fixation. They will be able to discuss how ocular comorbidities affect the choice of implant to be used. They will also be able to describe common intraoperative problems and their solutions. Lastly, they will be able to describe anticipated outcomes, common postoperative complications, and the management of such complications.
Course Schedule:
(1) Classification of iris defects,
(2) Preoperative considerations,
(3) Devices to consider in aphakia,
(4) Devices to consider in the presence of cataract,
(5) Devices to consider in pseudophakia,
(6) Clinical examples,
(7) Complication management
Single Product Course: No
Financial Disclosure: None
- IC 57
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Corneal surgical approaches for presbyopia correction *
Leader: B. Pajic | Course Level: Intermediate
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Faculty: M. Holzer A. Dexl D. Holland
Course Description:
The target in the course is to show overall the corneal presbyopic procedures as Supracor, Intracor, intracorneal inlays, PresbyMAX, who allowed us to understand the advantages and disadvantages of different approaches.
Course Objectives:
To assess new presbyopic corneal procedure regarding the clinical outcome and patient satisfaction.
Course Schedule:
- Supracor femto-Presby-LASIK with multifocal corneal algorithm ablation applicated by excimer laser: 15 min, Bojan Pajic, MD PhD, FEBO
- Presbyopia correction by Intracor femtosecond laser application: 15 min, Mike Holzer, MD, PhD
- Clinical outcome of presbyopia treatment by corneal inlays, especially with Kamra: 15 min, Alois Dexl, MD
- Presbymax a corneal presbyopia procedure, clinical outcome and patient satisfaction: 15 min, Detlef Holland, MD
Single Product Course: Yes
Financial Disclosure: None