Instructional Courses

All Instructional Courses at the Amsterdam Congress will be Free of Charge.
It is not necessary to register for these courses.

COURSE HANDOUTS ARE AVAILABLE (see below)

*Recommended for Young Ophthalmologists

• Saturday
• Sunday
• Monday
• Tuesday

• Monday 7 October
  08:00-10:00

• IC 58
• 
  Primary posterior capsulorhexis: indications and surgical techniques Pre Requisite CourseEBO Accredited

  Leader: M.J. Tassignon | Course Level: Advanced

• Faculty:    C. Billotte   T. Neuhann   R. Stegmann   A. Vasavada     

  This is a pre-requisite course for the wetlab(s): Posterior Capsulorhexis “Bag in the Lens”

  
  Course Description:
  
  This course should be a prerequisite for the wetlab on posterior capsulorhexis and bag-in-the-lens implantation.
  
  Course Objectives:
  
  The speakers will cover different aspects of posterior capsulorhexis based on video presentations including theoretical considerations about the clinical benefit of PPCCC.
  Posterior capsulorhexis was introduced by H. Gimbel and T. Neuhann in the nineties to correct for inadvertent posterior capsule tearing during phacoemulsification. Since, PPCCC has been proposed as primary surgical step in the presence of posterior capsule plaques and in case of primary or secondary paediatric cataract surgery (R. Stegmann). These conditions have become standard indications for PPCCC with or without the use of kenacort to define vitreolenticular interface anomalies as can be found in children and adults (A. Vasavada). However, during the last decade PPCCC has been used routinely for the implantation of the bag-in-the-lens implant. Three different surgeons (C. Billotte, T. Neuhann, M.J. Tassignon) will develop their experience on this particular technique introduced to eradicate PCO.
  
  Course Schedule:
  
  Posterior capsulorhexis in children and traumatic cases (R. Stegmann)
  Management of posterior capsule in adults and children (A. Vasavada)
  PPCCC for the implantation of the bag-in-the-lens (M.J. Tassignon)
  PPCCC properties for toric bag-in-the-lens implantation (C. Billotte)
  Ten years experience with the bag-in-the-lens (T. Neuhann)
  
  Single Product Course: No
  
  Financial Disclosure: Gains financially from product or procedure presented
  

• IC 59
• 
  Fundamentals of medical and surgical retina for cataract and refractive surgeons

  Leader: G. Richard | Course Level: Advanced

• Faculty:    O. Zeitz   T. Wolfensberger   B. Weingessel   L. Wagenfeld     

  
  Course Description:
  
  The course of "Fundamentals of medical and surgical retina for cataract and refractive surgeons" gives important information regarding the retina for the anterior segment surgeons. The course will inform about the movement and distribution of ocular drug vehicles from the anterior segment to the posterior segment. It will cover different important complications. Most important are posterior segment complications after refractive and anterior segment surgery and guidelines how to treat the retinal degeneration. The other important complications are choroidal detachment after anterior segment surgery and, the most important and severe complication endophthalmitis, where the course will give an update on conservative and surgical treatment. New surgical techniques are covered (phacovitrectomy), to allow a combined surgery of anterior and posterior segment problems in our mostly elderly patients.
  
  Course Objectives:
  
  The course will give again a good overview on latest developments in the posterior segment, that could be relevant for the anterior segment surgeon.
  
  Course Schedule:
  
  G. Richard: Choroidal detachment after anterior segment surgery
  T. Wolfensberger: Posterior segment complications after refractive surgery
  B. Weingessel: How to treat retinal degenerations?
  O. Zeitz: Ocular drug vehicles and movement/ distribution from the anterior to the posterior segment
  L. Wagenfeld: Endophthalmitis – an update
  G. Richard: Phacovitrectomy – tips and tricks
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 60
• 
  How to improve cataract outcomes with microincisional cataract surgery (MICS) Pre Requisite CourseEBO Accredited

  Leader: J. Alio | Course Level: Advanced

• Faculty:    A. Agarwal   T. Amzallag   R. Bellucci   B. Dick     

  This is a pre-requisite course for the wetlab(s): Bimanual Micro-Incision Phaco

  
  Course Description:
  
  This course will provide instructions on the use of minimal incisions for cataract surgery aiming at improving refractive outcomes in terms of decreasing surgical aggressiveness, and faster visual rehabilitation.
  MICS (microincision cataract surgery performed through incisions of 1.8 mm or less), targets at reducing surgical trauma and increasing efficacy in cataract surgery, decreasing the use of phaco power. MICS offers the demonstrated advantages of increased efficiency of cataract surgery, decreasing not only the incision size, but also the power and time of ultrasound energy delivered inside the eye during the cataract procedure. During this course, the basic elements of MICS will be shown in a didactic format, exploring the fundamentals in incision construction, surgical instruments and different surgical techniques that will show how to use MICS in all types of cataract. Innovations on the topic of MICS IOLs will also be discussed and the main elements involved in the biomaterials and technologies used in the currently available lenses. The results of the clinical studies showing the advantages of MICS over coaxial and microcoaxial phacoemulsification and MICS IOLs will also be discussed. The course will be based on practical tips and video presentations to illustrate the practical landmarks useful for the surgeon in transition and scientific data obtained in independent clinical studies.
  
  Course Objectives:
  
  To instruct the cataract surgeon about the use of microincisions (sub 1.8), to improve the outcomes in cataract surgery. Explanation and description about phacoemulsification parameters with different phaco technologies, surgical technique and the choice of the adequate intraocular lenses will be described.
  
  Course Schedule:
  
  1. Fundamentals and key factors in using microincisions in cataract surgery. How to perform a successful MICS transition in your current surgical practice. Femtosecond assisted MICS - Jorge Alio
  2. Fluidics in MICS - Roberto Bellucci
  3. Power modulation in MICS: Implantation techniques for MICS IOLs - Thierry Amzallag
  4. MICS IOLs: How to choose the right one - Burkhard Dick
  5. Why MICS is better: Pearls of the surgical technique Roberto Bellucci
  6. MICS in complicated cases and at the limits: (sub 1mm MICS) - Amar Agarwal
  7. Adjourn: Panel discussion
  
  Single Product Course: No
  
  Financial Disclosure: Research is funded, fully or partially, by 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

• IC 61
• 
  Endophthalmitis following cataract surgery *

  Leader: L. Cordoves | Course Level: Intermediate

• Faculty:    S. Gardner   S. Kaynak   T. Chan   P. Barry     

  
  Course Description:
  
  This is an instructional course on the prevention and management of acute and chronic endophthalmitis following cataract surgery.
  Most of the instructors are members of the ESCRS Endophthalmitis Study Group and were partners in the landmark ESCRS study on antibiotic prophylaxis of endophthalmitis following cataract surgery.
  The suggested background reading for course participants is the ESCRS guidelines on endophthalmitis following cataract surgery published in 2007.
  The instructional course follows the flow charts from these guidelines.
  The proven role of prophylactic Povidone iodine and intracameral cefuroxime - based on the ESCRS endophthalmitis study outcome and on subsequent published clinical reviews on the benefits of intracameral antibiotics from Sweden, Spain, France, Asia and the USA- are presented.
  The course will teach the clinical diagnosis of endophthalmitis and the differential diagnosis such as toxic anterior segment syndrome (TASS).
  Investigation will include video footage of how best to obtain a vitreous biopsy and also perform diagnostic and therapeutic vitrectomy with intravitreal antibiotic injection.
  The course will also instruct on laboratory diagnoses including gram stain, bacterial culture and polymerase chain reaction (PCR).
  
  Course Objectives:
  
  Course participants will be instructed on the current state of knowledge in endophthalmitis prevention and treatment based on ESCRS studies and critical review of the current literature.
  It will be interactive with discussion encouraged and all faculty will be present throughout the course.
  This course was approved by the EBO (European Board of Ophthalmology) as an instructional course.
  
  Course Schedule:
  
  1. Course overview: The ESCRS endophthalmitis guidelines – L. Cordoves (5 minutes)
  2. Prophylaxis, intracameral cefuroxime – P. Barry (15 minutes)
  3. Clinical diagnosis – S. Kaynak (15 minutes)
  4. Differential diagnosis: TASS syndrome – T. Chan (15 minutes)
  5. Management: the endophthalmitis vitrectomy study reviewed – L. Cordoves (15 minutes)
  6. Pharmacokinetics of topical, intracameral, intravitreal and systemic antibiotics – S. Gardner (15 minutes)
  7. Chronic saccular endophthalmitis – L. Cordoves (10 minutes)
  8. Questions and answers (30 minutes)
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 62
• 
  Treatment strategy for the custom ablation of visually disturbing irregular astigmatism after refractive surgery and in keratoconus

  Leader: A. Stojanovic | Course Level: Advanced

• Faculty:    R. Ambrósio Jr   D. Reinstein   M. Mrochen   A. Kanellopoulos   X. Chen  

  
  Course Description:
  
  How to plan your “last shot” with custom ablation for your unhappy patient who underwent various types of treatments/retreatments? Choosing the right treatment strategy is essential in eyes with weakened corneas and small amount of tissue available for custom ablation after complicated refractive surgery or in keratoconus. The leading experts will present latest advances in corneal diagnostics including corneal structural and biomechanical analysis, as well as the ablation planning on various platforms with or without corneal collagen cross-linking. A decision tree with practical guidelines of “dos and don’ts” will be presented. The surgeons with first hand experience with various commercially available systems will conduct an interactive discussion of their successful and failed cases. Limitations and pitfalls will be identified.
  
  Course Objectives:
  
  To gain familiarity with necessary diagnostic methods and treatment options for custom ablation of visually disturbing irregular astigmatism. Special attention will be taken on measures for staying on the safe side when treating these high-risk cases.
  
  Course Schedule:
  
  1. Michael Mrochen:
  o Technological requirements and practical guidelines for relevant diagnostics, ablation planning and treatment of irregular astigmatism (15 minutes)
  o A decision tree in custom ablation treatment of complex cases (10 minutes)
  2. Dan Reinstein:
  o Corneal structural analysis of complicated corneas using Artemis VHF digital ultrasound scanning (15 minutes)
  o Treatment of complex cases combining internal corneal anatomical data with an excimer laser (10 minutes)
  3. Renato Ambrosio Jr:
  o Assessing the corneal biomechanical properties and anterior segment metrics to determine the amount and placement of possible custom ablation for regularizing the irregular corneal optics (10 minutes)
  o Clinical experience in the treatment of complex cases with the WaveLight system (10 minutes)
  4. Aleksandar Stojanovic:
  o Strategic planning in custom ablation of irregular astigmatism. Where can we compromise when we need to ration with corneal tissue? (10 minutes)
  o Clinical experience in the treatment of complex cases with the iVis system (10 minutes)
  5. A. John Kanellopoulos:
  o Athens protocol (topography-guided partial PRK and CXL) in the management of keratoconus and post LASIK ectasia (20 minutes)
  6. Xiangjun Chen:
  o Transepithelial topo-guided ablation in the treatment of LASIK flap or interface complication with visually disturbing irregular astigmatism and/or scattering (10 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
  

• IC 63
• 
  The basics of corneal topography: finally understanding what you are seeing * EBO Accredited

  Leader: C. Roberts | Course Level: Basic

• Faculty:    M. Belin   D. Koch   D. Epstein        

  
  Course Description:
  
  The course provides overall guidelines for understanding corneal topography in its numerous manifestations.
  
  Course Objectives:
  
  To enable the clinician to interpret the basic information provided by topography maps so as to integrate this information into daily clinical practice.
  
  Course Schedule:
  
  Basics of corneal topography and interpreting curvature (Cynthia Roberts) [40 min]
  Interpreting elevation in topography (Michael Belin) [20 min]
  Corneal topography in cataract surgery and the importance of the posterior corneal shape (Douglas Koch) [20 min]
  Facilitator of questions (Dan Epstein) [20 min]
  Each presentation will be followed by a 4 min discussion period. [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, 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 64
• 
  Paediatric penetrating keratoplasty: to do or not to do?

  Leader: M. Fernandes | Course Level: Advanced

• Faculty:    N. Gangopadhyay   A. Borthakur   K. Nischal   J. Sengupta     

  
  Course Description:
  
  Paediatric penetrating keratoplasty is extremely challenging, requiring an enormous commitment from the child's parents as well as the corneal surgeon. The decision to operate on a child with either a congenital or acquired uni or bilateral opacity has to be based on several factors which include the age of the child, laterality of the disease, cause of the opacity, visual potential of the eye, socio economic status and compliance with the after care issues. Technically, the surgery is more difficult than in an adult owing to the smaller anterior segment, low scleral rigidity, fibrinous uveal reaction and tenacious vitreous. The post-operative course is fraught with complications owing to rapid healing with loosening of sutures and the possibility of suture related infiltrates, a higher chance of allograft rejection and glaucoma. The visual outcome depends on maintenance of graft clarity and prompt amblyopia management.
  
  Course Objectives:
  
  1. Attendees will learn about case selection which is extremely important since the outcome is poor despite the best efforts
  2. Attendees will learn about the prognosis and the outcome of different clinical conditions along with a literature review
  3. Attendees will understand technical nuances in surgery of these small eyes which are much more challenging than adults
  4. Attendees will learn the post operative treatment regimen, management of complications, early visual rehabilitation and amblyopia therapy
  5. Attendees will learn about alternative procedures like optical iridectomy, rotational autograft and lamellar keratoplasty
  
  Course Schedule:
  
  Indications for paediatric PK - to do or not to do? (25 min): J. Sengupta
  The outcome of paediatric keratoplasty is governed by several factors which includes the clinical manifestation, the age at onset and presentation, and laterality.
  
  Outcome of PK in kids (20 min) A. Borthakur
  This course would be incomplete without an extensive review of existing literature on the outcome of paediatric PK and the factors affecting this outcome. Our own experience will also be touched upon.
  
  Surgical technique (20 min) N. Gangopadhyay
  Surgery in children is much more demanding than in adults and should be performed by a corneal surgeon with vast experience in adult penetrating keratoplasty. Surgery has to be performed skillfully and quickly especially in infants. A cohesive paediatric team (surgeon, nurse, anesthetist and technician) is essential. The technical aspects will be covered thoroughly with all the nuances pertaining to the surgery.
  
  Post-operative follow-up and complications (20 min) M. Fernandes
  A close frequent follow-up is crucial to the success of the graft. Early visual rehabilitation is essential to avoid amblyopia and hence maintaining graft clarity is of paramount importance. The surgeon has to devote an enormous amount of time towards examining these children and parents have to be extremely alert and watchful for any problems which could adversely affect the outcome of the graft.
  
  Alternative procedures - rotational autograft, DALK, DSEK (15 min) K. Nischal
  PK may not be the best alternative in certain situations and hence other modalities will be discussed. The role of newer lamellar procedures which may have a lower risk of rejection will also be covered.
  
  Discussion (20 min)
  
  Single Product Course: Yes
  
  Financial Disclosure: None
  

• IC 65
• 
  Simple strategies to handle difficult cataracts for the surgeon-in-training *

  Leader: S. Ti | Course Level: Intermediate

• Faculty:    S. Chee   R. Yeoh           

  
  Course Description:
  
  Course aims to provide the senior resident or newly independent phaco surgeon with simple strategies to manage the most difficult cataracts. Videos will show pointers on how to chop hard cataracts effectively, the capsule staining technique of the white cataract and how to prevent anterior capsule rip, and techniques to tackle the soft cataract and the posterior polar cataract. Discussion will also include unexpected scenarios such as high vitreous pressure, intraoperative mild zonulysis, safe management of posterior capsule rupture and anterior vitrectomy.
  
  Course Objectives:
  
  To provide the newly independent phaco surgeon with tips and tricks to manage difficult cataract scenarios.
  
  Course Schedule:
  
  A: Phaco techniques:
  1. Managing the brunescent cataract
  2. The white cataract: pearls and pitfalls
  3. How to phaco a soft cataract
  4. The posterior polar cataract
  B: Managing difficult situations: unexpected zonulysis, avoiding and limiting vitreous loss
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 66
• 
  Astigmatism management with toric IOL

  Leader: J. Bovet | Course Level: Basic

• Faculty:    W. Hill   K. Mehta   F. Soler-Ferrandez   M. Piovella   C. Mehta  

  
  Course Description:
  
  Course will review the state of the art for different toric IOL, calculation, IOL selection, surgical techniques to adjust the lens at the right degree, management of intra and postoperative complications, discussion to introduce the new multifocal toric IOL.
  
  Course Objectives:
  
  Attendees will be able to use and adjust the toric IOL and also use the different calculator for adjusting their lens.
  
  Course Schedule:
  
  To understand the astigmatism and to adjust the toric lens, 20 min Jerome Bovet.
  When to correct the astigmatism with an IOL, 20 min Matteo Piovella.
  Newer digital and electronic techniques for perfectly centering and stabilizing a toric lens, 20 min Keiki Mehta.
  Goniotrans.com, How to precisely position your toric lens, 20 min Fernando L. Soler-Ferrandez.
  The toric IOL: pre and post-operative strategies for success, 20 min Warren Hill.
  Multifocal lens and toric IOL, 20 min Cyres Mehta.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 67
• 
  Innovations and advanced application in cataract surgery with the femtosecond laser

  Leader: Z. Nagy | Course Level: Intermediate

• Faculty:    R. Nuijts   S. Slade   M. Knorz   A. Kanellopoulos   P. Crozafon  

  
  Course Description:
  
  This course will explore the current state of femtosecond lasers in cataract surgery with an emphasis on advanced applications. New imaging systems and integrated software will be presented along with the latest clinical data. Discussion will include surgical logistics, patient flow and laser location in cataract as well as refractive surgical centers. This course will also include video selections on special surgical saves and challenging cases enabled with femtosecond laser technology.
  
  Course Objectives:
  
  Participants will be acquainted with the logistics of the femtosecond laser cataract surgery and also with the most important application, patient selection criteria and difficult cases, where femtosecond laser offers a new solution for surgeons.
  
  Course Schedule:
  
  Zoltan Z. Nagy: The trajectory of innovation: advancing technology and technique with femtosecond lasers in refractive surgery (video review also)
  Rudy Nuijts: The clinical significance of a femtosecond laser capsulotomy: what have we learned?
  Stephen Slade: Trips and tricks for femtolaser refractive cataract surgery with hydrodissection, lens fragmentation and how to open and titrate the effect of arcuate keratotomy incision
  Michael Knorz: A multipurpose femtosecond laser platform in a high profile refractive surgery center - corneal and cataract procedures
  A. John Kanellopoulos: The science of the incision: nomogram development with image-guided arcuate incisions
  Philippe Crozafon: Reduce surgically induced astigmatism with femtosecond laser incisions
  
  Single Product Course: Yes
  
  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
  

• Monday 7 October
  14:30-16:30

• IC 68
• 
  Phaco techniques and complications Pre Requisite Course

  Leader: J. Bolger | Course Level: Advanced

• Faculty:    P. Harvey              

  This is a pre-requisite course for the wetlab(s): Phaco: Management of Complications

  
  Course Description:
  
  This course covers a spectrum of safe and effective current surgical techniques as well as challenges and complications. The presentations are supported by high quality video throughout. Topics include some important basics such as chopping techniques and cracking rocks as well as microincision phaco. The management of challenging cases and complications includes the small pupil, rhexis tear-out rescue, zonular dehiscence and CTR's. The preparation and uses of triamcinolone are covered in detail together with advice on the techniques for successful anterior vitrectomy. Lastly the theory is put to practice with panel and audience discussion of case videos demonstrating some challenging cases and difficult complications.
  
  Course Objectives:
  
  To familiarise the audience with some useful advanced phaco techniques as well as demonstrating methods for avoiding the most common complications, together with techniques for dealing with them.
  
  Course Schedule:
  
  1430 – 1440 Introduction, preparation
  1440 – 1450 Managing the small pupil
  1450 – 1500 The dropping and dropped nucleus
  1500 – 1510 CCC tear-out and retrieval, phaco techniques
  1510 – 1520 MICS phaco: top tips
  1520 – 1530 Cracking rocks
  1530 – 1540 Chopping
  1540 – 1550 CTR’s: tips, tricks and complications
  1550 – 1600 Triamcinolone: preparation and uses
  1600 – 1610 Anterior vitrectomy
  1610 – 1630 Questions and answers. Audience choice of challenging cases
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 69
• 
  Measuring, marking and managing astigmatism in cataract surgery and RLE: all you need to know * EBO Accredited

  Leader: R. Nuijts | Course Level: Intermediate

• Faculty:    N. Visser   N. Bauer   O. Findl   T. Kohnen   J. Alfonso  

  
  Course Description:
  
  This overview will outline the methods for measuring and correcting astigmatism during cataract surgery and RLE. Primary methods discussed will be conventional and innovative marker free guidance devices to determine the alignment axis for toric IOLs; the optimal use by conventional incisions or femtosecond laser technology of the main surgical incision and peripheral corneal or limbal relaxing incisions to modify corneal astigmatism; the use of toric (multifocal) intraocular lenses to correct corneal astigmatism and presbyopia.
  
  Course Objectives:
  
  Participants will understand how surgically induced astigmatism can affect refractive outcomes. Participants will gain an understanding of the principles of astigmatism treatment using topographic and wavefront refractive astigmatism values, innovative marking devices, femtosecond laser technology and new toric multifocal IOLs.
  
  Course Schedule:
  
  Rudy Nuijts: Overview of options for managing astigmatism in cataract and RLE patients.
  Nienke Visser: Use of marker-free surgery guidance device of SMI.
  Oliver Findl: Comparison of conventional marking devices and the role of the Calisto marker-free surgery guidance system.
  Noel Bauer: Optimizing astigmatism and presbyopia correcting outcomes using the Acri.Lisa toric IOL.
  Thomas Kohnen: Use of LRI's in multifocal and phakic IOL surgery.
  Jose Alfonso: Comparison of multifocal toric IOLs MPlus Oculentis and toric Restor.
  All authors will describe case-reports of unsatisfied toric IOL patients and propose a treatment strategy.
  
  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, research is funded, fully or partially, by a competing company
  

• IC 70
• 
  Phakic IOL: learn it from the masters

  Leader: P. Biswas | Course Level: Intermediate

• Faculty:    A. Agarwal   J. Titiyal   J. Alio   D. Ramamurthy   B. Dick  

  
  Course Description:
  
  The master in the field of phakic IOL come together in this video assisted course with its interactive panel discussion and challenging situation scenarios in phakic IOLs. This instructional course collaborates clinical practice with basic science and reconciles clinical trials and will give the delegates an educational bonanza. Phakic IOL is well established in the armamentarium of refractive surgery and is in the process of rapid scientific evolution. Thus there is the need for every refractive surgeon to learn the correct approach to phakic IOL. The learning is a combination of proper scientific evaluation, precise surgical procedures and meticulous postoperative care that stretches out to a life time for the patients.
  
  Course Objectives:
  
  To make each and every aspiring refractive surgeon learn the correct approach to phakic IOL.
  
  Course Schedule:
  
  1) An overview of phakic IOLs - Dr Amar Agarwal (20 mins)
  2) Correct way to an Artisan IOL - Dr Jeewan S. Titiyal (20 mins)
  3) Toric Artiflex, technique and indications - Dr Jorge Alio (20 mins)
  4) Complications of ICL - Dr D. Ramamurthy (20 mins)
  5) Anterior chamber IOL complications - Dr Burkhard Dick (20 mins)
  6) Correct way to do an ICL and toric ICL - Dr Partha Biswas (20 mins)
  
  Single Product Course: No
  
  Financial Disclosure: None

• IC 71
• 
  Complications after LASIK or PRK: achieving excellent outcomes in therapeutic corneal refractive surgery EBO Accredited

  Leader: D. Reinstein | Course Level: Advanced

• Faculty:    T. Archer   G. Carp   M. Gobbe        

  
  Course Description:
  
  Refractive complications of corneal surgery after previous corneal procedures (LASIK, PRK, RK, DALK, PK etc.) will be discussed. Patient complaints and diagnostic testing must lead to a specific diagnosis in order to choose the best therapeutic course of action (wavefront-guided, topography-guided, trans-epithelial PTK or others). Subjective and objective tests will be discussed in the context of obtaining a diagnosis in the various types of complication (small optical zone, decentration, irregular astigmatism, irregularly irregular surfaces etc.).
  
  Course Objectives:
  
  The attendee will attain a sound understanding of the diagnostic approach and optimal therapeutic actions possible in complicated corneal refractive cases.
  
  Course Schedule:
  
  Marine Gobbe, 25 mins: Diagnostic technology and techniques for complicated cases after refractive surgery
  Timothy Archer, 25 mins: Treatment options for small optical zone / high spherical aberration (induced night vision glare and halos)
  Glenn Carp, 25 mins: Treatment options for decentration
  Dan Reinstein, 25 mins: Treatment options for irregularly irregular astigmatism
  All faculty, 20 mins: Questions
  
  Single Product Course: No
  
  Financial Disclosure: Has significant investment interest in a company producing, developing or supplying product or procedure presented, receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

• IC 72
• 
  Enhanced ectasia screening for refractive candidates: from corneal topography and pachymetry to 3D tomography and biomechanics

  Leader: R. Ambrósio Jr | Course Level: Intermediate

• Faculty:    W. Dupps Jr.   M. Belin   P. Vinciguerra   C. Roberts   S. Khachikian  

  
  Course Description:
  
  Identification of ectatic corneas is critical because this is the most important risk factor for developing iatrogenic keratectasia (along with age, residual stromal bed and multiple treatments). Placido’s topography and central ultrasound pachymetry are the current “gold standard” methods in screening candidates for keratorefractive surgery. Such methods enable the detection of sub-clinical keratoconus and pellucid marginal degeneration in eyes with normal slit lamp exam and BSCVA. However, there are cases with no risk factors that develop iatrogenic keratectasia and there are also cases with multiple risk factors that had LASIK or surface ablations with stable results. The need to enhance methods for screening ectasia susceptibility and for planning refractive is well recognized. The course will present current understanding and clinical applications of rotating Scheimpflug tomography and biomechanical measurements based on the corneal response from the air pulse, for enhancing sensitivity and specificity for screening refractive candidates.
  
  Course Objectives:
  
  Attendees will understand the importance of proper screening candidates and the need for advances beyond current technology based on Placido’s topography. Attendees will gain greater knowledge on Pentacam corneal tomography and on CorVis ST and ORA biomechanical measurements. Guidelines for clinical interpretation are provided along with clinical studies.
  
  Course Schedule:
  
  1. Why and how we need to go beyond classic screening based on corneal topography and central pachymetry - Renato Ambrósio Jr
  2. Concepts for tomographic corneal elevation: how to interpret the results - Michael W. Belin
  3. Normal values for elevation parameters - Stephen S. Khachikian
  4. Tomographic thickness evaluation, clinical studies and guidelines for interpretation - Renato Ambrósio Jr.
  5. Corneal biomechanical assessment for screening refractive candidates: why and how? - Cynthia Roberts
  6. My view on corneal biomechanics - William J. Dupps
  7. My approach for screening refractive candidates - Paolo Vinciguerra
  8. Artificial intelligence for screening refractive candidates - JM Lyra
  
  Single Product Course: No
  
  Financial Disclosure: Gains financially from product or procedure presented
  

• IC 73
• 
  Current state of CXL (corneal collagen cross-linking): controversies and recommendations * EBO Accredited

  Leader: F. Hafezi | Course Level: Advanced

• Faculty:    M. Mrochen   T. Koller   T. Seiler        

  
  Course Description:
  
  This course will discuss the latest controversies and trends in CXL and will give clear recommendations. The first presentation will explain the various irradiation profiles, the use of different fluences as well as give insights into the latest findings for epi-on CXL. The second presentation will summarize state-of-the-art treatment for corneal ectasia and infectious keratitis as well as combination procedures. The third presentation will cover new trends in the treatment protocol (iontophoresis, clinical results of high fluence CXL). The fourth presentation will shine a light on the (controversial) propagation of rapid CXL in routine refractive laser surgery.
  The last element of the course will be a round table discussion with active participation of the audience.
  
  Course Objectives:
  
  The objective of the course is to make the clinician familiar with the indications and contraindications of CXL. The course will provide a comprehensive overview on the current state of CXL, its basic principles, the technique, clinical indications and side effects.
  1) To update the clinician with the latest modifications of the treatment protocol,
  2) To enable the clinician to choose the ideal treatment parameters for each indication,
  3) To demonstrate future trends in the use of CXL and
  4) To give clear and concise guidelines for the treatment of subgroups of patients (i.e. children and adolescents).
  
  Course Schedule:
  
  1) Higher fluence, irradiation profiles, epi-on (20 min, Michael Mrochen)
  2) CXL for corneal ectasia and infectious keratitis (20 min, Farhad Hafezi)
  4) New trends in the treatment protocol (20 min, Tobias Koller)
  5) CXL in refractive laser surgery (20 min, Theo Seiler)
  5) Round table discussion (25 min, Mrochen, Koller, Hafezi, Seiler)
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 74
• 
  Stabilizing the subluxated lens: a medley of rings, segments, suture techniques

  Leader: K. Mehta | Course Level: Basic

• Faculty:    S. Arshinoff   J. Bovet   C. Mehta   E. Assia     

  
  Course Description:
  
  Course will demonstrate evaluation of the case prior to surgery, the use of different techniques, using CTT, capsular segments, capsular clips, coupled with novel suturing techniques, use of tissue glue, to stabilize the capsule with advanced phaco techniques to permit the safe removal of subluxated lenses following Marfans, trauma, and iatrogenic causes. Different IOLs were implanted to stabilize the capsule even further.
  
  Course Objectives:
  
  Attendees will identify the nuances of the cases and learn to apply the best method, with safeguards, to achieve well centered, stable, bag-IOL complex.
  
  Course Schedule:
  
  a. Introduction to the course.
  b. Evaluation of the subluxated lens and planning of the case capsular tension rings.
  c. Their introduction techniques and management segments, their placement and locking with sutures.
  d. Complications when things don’t go right and how to correct them.
  e. Panel discussion.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 75
• 
  Management of cataract in challenging cases

  Leader: A. Vasavada | Course Level: Advanced

• Faculty:    Z. Biro   R. Osher   D. Spalton   A. Crandall   S. Arshinoff  

  
  Course Description:
  
  This course will review successful surgical options for difficult cataracts and challenging situations. The course will also encompass challenging situations, like shallow chamber, small pupil and pseudoexfoliation.
  
  Course Objectives:
  
  At the conclusion of this course, the attendee will understand the clinical pearls and tips for enhancing surgical skills and optimizing outcomes in difficult cataract scenarios.
  
  Course Schedule:
  
  Dr. Abhay R. Vasavada - Phacoemulsification in posterior polar cataract
  Dr. Alan Crandall - Capsule support devices in loose zonules
  Dr. Steve Arshinoff - Optimising viscoelastic devices
  Dr. David Spalton - Difficult cataract in a monocular patient
  Dr. Zsolt Biro - Managing white mature cataract
  Dr. Robert Osher - Managing floppy iris
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 76
• 
  Strategies and techniques for IOL exchange

  Leader: M.J. Tassignon | Course Level: Advanced

• Faculty:    G. Auffarth   N. Mamalis   M. Tetz   S. Masket     

  
  Course Description:
  
  The number of IOL exchange is increasing lately because of postoperative complication after premium IOL implantation available for the last 10 years.
  
  Course Objectives:
  
  The aim of this course is to show different surgical approaches for IOL exchange.
  
  Course Schedule:
  
  The difficulty to exchange an IOL after YAG laser capsulotomy will be addressed. The final message of all faculty members is to be sure patient's complaints are related to the capsular bag opacification and is not secondary to misalignment of the IOL causing glare, reduced quality of vision and decreased contrast sensitivity.
  
  Single Product Course: Yes
  
  Financial Disclosure: None
  

• IC 77
• 
  Femtophaco transition

  Leader: R. Yeoh | Course Level: Advanced

• Faculty:    S. Chee   M. Knorz   G. Sutton        

  
  Course Description:
  
  Femtolaser assisted cataract surgery is the hot topic of 2013. In this video-based course, instructors who were early converts to femtolaser cataract surgery will share their transitioning experiences and highlight the benefits and pitfalls that lie ahead of the surgeon switching to femtophaco from standard phaco. At least two of the most common femtophaco platforms will be presented. We will also highlight the types of patients with complex cataracts in whom femtophaco may be safer.
  
  Course Objectives:
  
  Participants will make the change from standard to femtophaco with less complications and greater safety.
  
  Course Schedule:
  
  1. Introduction to femtophaco technology and patient flow - M. Knorz (10 min)
  2. Results of femtophaco surgery - G. Sutton (10 min)
  3. Docking dilemmas - S.P. Chee, M. Knorz (10 min)
  4. Incisional issues - R. Yeoh (10 min)
  5. Astigmatic keratotomy M. Knorz (5 min)
  6. Capsulorhexis: where, how big, how safe? - M Knorz, S.P. Chee (15 min)
  7. Hydrodissection and gas bubbles - R. Yeoh (10 min)
  8. Nucleus management - R .Yeoh, S.P. Chee, M. Knorz (15 min)
  9. Irrigation/aspiration cortex - G. Sutton (5 min)
  10. Role of femtophaco in complex cataracts - S.P. Chee (10 min)
  11. Complications - Faculty (10 min)
  12. Q&A - Faculty (10 min)
  
  Single Product Course: No
  
  Financial Disclosure: None

• IC 84
• 
  Descemet membrane endothelial keratoplasty (DMEK)

  Leader: G. Melles | Course Level: Intermediate

• Faculty:    V. Liarakos   I. Dapena   L. Baydoun   L. Ham   M. Rodríguez Calvo de Mora  

  
  Course Description:
  
  The purpose of this course is to describe the Descemet membrane endothelial keratoplasty (DMEK) surgical technique, emphasizing the key steps needed to make this technique feasible for starting and experienced corneal surgeons.
  The course will entail the results of more than 500 surgeries with a maximum follow up of six years.
  
  Course Objectives:
  
  Introduce DMEK to corneal surgeons.
  
  Course Schedule:
  
  1. Evolution of endothelial keratoplasty from DS(A)EK to DMEK.
  2. Descemet membrane graft harvesting and preparation.
  3. Standardized surgical technique.
  4. Visual rehabilitation and graft survival with a maximum follow-up of 6 years.
  5. Challenging cases and alternative techniques to enhance DMEK.
  
  Single Product Course: No
  
  Financial Disclosure: Receives consulting fees, retainer, or contract payments from a competing company
  

• Monday 7 October
  17:00-18:00

• IC 23
• 
  Endothelial keratoplasty in challenging cases

  Leader: J. Beltz | Course Level: Advanced

• Faculty:    M. Busin   V. Scorcia   A. Patel        

  
  Course Description:
  
  This lecture and video based course will discuss the broadening indications for DSAEK, and explain potential modifications to the surgical technique that may be beneficial in each case. Detailed surgical instructions, as well as results and management of complications will be presented.
  
  Course Objectives:
  
  Attendees will broaden their indications for DSAEK, and will be able to apply various techniques to avoid unnecessary PK, and improve their DSAEK results.
  
  Course Schedule:
  
  Introduction and important concepts: Prof Busin, 10 minutes
  Surgical technique for standard cases: Dr Scorcia, 10 minutes
  Challenging cases - Lens related: Dr Beltz, 20 minutes
  Challenging cases - non lens related: Dr Patel, 20 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 78
• 
  Toric multifocal IOL: tips and pearls

  Leader: D. Breyer | Course Level: Intermediate

• Faculty:    T. Neuhann   P. Versace   D. Holland        

  
  Course Description:
  
  Toric multifocal (TMIOL) are the most subtle to evaluate of all IOLs.
  
  Course Objectives:
  
  To give background knowledge and confidence to surgeons who want to start implanting TMIOL or refine their technique.
  
  Course Schedule:
  
  Technical details as defocus curve, pupil independence etc. of all available TMIOL will be demonstrated and their different indications questioned. Different marking techniques will be demonstrated. The importance of individual TMIOL selection will be pointed out. Live surgery videos will be shown to evaluate different implantation techniques.
  
  Tobias Neuhann:
  My preferred technique marking the axis. Overview of different methods marking the axis. Surgical live video.
  
  Patrick Versace:
  Personal experience with different toric MIOL and clinical results. Overview presbyopic population statistical data. Surgical live videos.
  
  Detlef Holland:
  Personal experience with different toric MIOL and clinical results. The role of femtosecond cataract surgery in premium toric MIOL. Surgical live videos.
  
  Detlev Breyer:
  The customized individual milens concept: Explanation of different optical designs, defocus curves, pupil dependence and preferred patient patterns. Clinical results of different toric MIOL and live surgery video.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 79
• 
  Surgical strategies for corneal inlay implantation

  Leader: D. Gatinel | Course Level: Advanced

• Faculty:    M. Tomita   F. Carones           

  
  Course Description:
  
  Attendees of this course will gain a comprehensive understanding of the surgical strategies and required technologies for successful correction of near vision loss in emmetropic, hyperopic, myopic, and post-LASIK presbyopes with a corneal inlay. Surgical strategies for use of a corneal inlay in monofocal, accommodative and multifocal pseudophakic patients will also be discussed.
  
  Course Objectives:
  
  Define patient selection criteria and expected outcomes for treating plano, hyperopic, myopic, post-LASIK presbyopia with a corneal inlay.
  Describe near vision recovery and therapeutic inlay application in pseudophakic patients.
  Outline surgical planning process and technology requirements.
  Provide video-based technique demonstration for lamellar pocket, flap and dual-interface procedures.
  
  Course Schedule:
  
  Overview of corneal inlay implantation for presbyopia correction.
  Pocket surgical procedure for emmetropic presbyopes.
  Combining inlay implantation with LASIK for ametropic presbyopes.
  Post-LASIK inlay implantation.
  Reviving near and intermediate vision in pseudophakic patients.
  Surgical procedure grand rounds.
  
  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, ... receives non-monetary benefits from a company producing, developing or supplying the product or procedure presented.
  

• IC 80
• 
  Small incision lenticule extraction for myopia and astigmatism

  Leader: R. Shah | Course Level: Intermediate

• Faculty:    D. Reinstein   J. Güell   J. Hjortdal        

  
  Course Description:
  
  This course will cover the basic principles of the corneal small incision lenticule extraction technique (ReLEx smile) for correction of myopia and astigmatism including surgical technique, outcomes and complications.
  
  Course Objectives:
  
  The objectives of the course are to introduce the technique of small incision lenticule extraction for laser vision correction, outline the basic principles underlying the technique and to teach the surgical techniques and complications associated with this technique.
  
  Course Schedule:
  
  1. ReLEx smile: how can a femtosecond laser produce sub-micronic refractive 3D cutting accuracy? (Reinstein)
  2. Introduction, clinical outcomes and surgical technique (José Güell)
  3. Multivariate analysis of the predictors for visual outcomes in ReLEx smile (Jesper Hjortdal)
  4. Surgical complications and management (Rupal Shah)
  5. Retreatment options (Dan Reinstein)
  Discussion
  
  Single Product Course: Yes
  
  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