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

• Saturday 5 October
  08:30-09:30

• IC 1
• 
  Basic microsurgical suturing techniques for beginners Pre Requisite Course

  Leader: B. Frueh | Course Level: Basic

• Faculty:    K. Mikek   A. Geerards   B. Bachmann        

  This is a pre-requisite course for the wetlab(s): Basic Suturing Techniques

  
  Course Description:
  
  This course emphasises basic microsurgical suturing techniques in open globe injuries, extracapsular cataract extraction and trabeculectomies.
  
  Course Objectives:
  
  To teach beginners the basic principles of suturing and preparing them for their wetlab training / their very first case of suturing.
  
  Course Schedule:
  
  Importance of good suturing and good wound apposition; materials/needles; use of microscope, posture (Mikek, 10 min)
  Basics of suturing, skin (Frueh, 8 min)
  Conjunctiva, cornea (Geerards, 15 min)
  Trauma, trabeculectomy, sclera (Bachmann, 15 min)
  Glue (Frueh, 5 min)
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• Saturday 5 October
  10:30-12:30

• IC 2
• 
  Basic phacoemulsification (part 1) Pre Requisite Course

  Leader: K. Tjia | Course Level: Basic

• Faculty:    A. Chakrabarti   N. Reus           

  This is a pre-requisite course for the wetlab(s): Basic Phacoemulsification

  
  Course Description:
  
  This is a wetlab pre-requisite course. These courses are designed for the beginning phaco surgeon. The faculty have a wealth of experience of both phaco and teaching principles. An insight will be offered into what phaco machines do and how, as well as technical details of how to set about the safe removal of cataractous lens.
  
  Course Objectives:
  
  The beginning phaco surgeon should finish this course with an insight into the fundamentals of phacoemulsification, and be in a position to perform the surgery in a more structured and safe fashion.
  
  Course Schedule:
  
  Introdution: 5 min, Panel
  Basic ultrasound and fluidics: 40 min, Tjia
  Anaesthesia and potential for posterior vitreous pressure: 15 min, Reus
  Capsulorhexis and risk for tear out and management: 15 min, Chakrabarti
  Hydrodissection: 10 min, Tjia
  Soft nucleus management: 5 min, Tjia and 15 min, Reus
  Presentations should include enough time to answer questions.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 3
• 
  Glaucoma surgery: modern perspectives

  Leader: K. Barton | Course Level: Advanced/Basic

• Faculty:    N. Anand   S. Lim   T. Shaarawy        

  
  Course Description:
  
  This course will deal with trabeculectomy, non-penetrating filtration surgery and aqueous shunt implantation, with an introduction to newer forms of minimally invasive surgery that are on the horizon.
  
  Course Objectives:
  
  The purpose of this course is to describe best practice in trabeculectomy, non-penetrating filtration surgery and aqueous shunt implantation with emphasis on the steps that are essential for success.
  
  Course Schedule:
  
  Surgical technique - key steps and pitfall avoidance:
  - Trabeculectomy - Keith Barton
  - Trabeculectomy post-op care - Nitin Anand
  - Non-penetrating surgery - Nitin Anand
  - Aqueous shunt implantation - Sheng Lim
  New techniques:
  - Minimally invasive surgery: a foretaste - Keith Barton
  - Suprachorodial shunts - Tarek Shaarawy
  
  Single Product Course: No
  
  Financial Disclosure: None

• IC 4
• 
  Corneal cross-linking therapy Pre Requisite Course

  Leader: K. Mikek | Course Level: Intermediate

• Faculty:    C. Koppen   Z. Nagy   D. O'Brart   T. Seiler     

  This is a pre-requisite course for the wetlab(s): Corneal Cross-Linking Therapy

  
  Course Description:
  
  This course will provide principles of corneal cross-linking treatment. The course will cover the history and concept behind cross-linking, laboratory studies, pharmaceutical properties of riboflavin and the role of ultraviolet irradiation. Epidemiological data, aetiology, pathogenesis and diagnosis of keratoconus and other corneal ectasias will be discussed. The indications and contraindications for cross-linking therapy including details of different treatment protocols, dosage of riboflavin, and postoperative care will be covered. The result from different centers of corneal cross-linking treatment on its own and when combined with other corneal procedures will be presented. The complications of treatment, theories of corneal wound healing, indications for transepithelial cross-linking, and finally new trends in the use of this technology will be discussed. An overview of the different technologies will be given.
  
  Course Objectives:
  
  This course will allow participants to become familiar with cross-linking treatment. During the course the detailed information about the treatment procedure will be covered: how to make de-epithelization in different ways, installation of the riboflavin eye drops - particularly dosage, handling and testing of different UV radiation systems.
  
  
  Course Schedule:
  
  
  1. Introduction: aim of the instructional course together with the wetlab and introduction of the presented speakers. Kristina Mikek, Slovenia - 5 min
  
  2. Corneal ectasias and corneal biomechanics: corneal ectasias - epidemiology, genetics, pathophysiology, clinical features, and overview of management options. Corneal biomechanics - corneal structure, possible measurement techniques in-vitro and in-vivo, limitations of current knowledge. Carina Koppen, Belgium - 25 min
  
  3. Principles of corneal collagen cross-linkage: principles of corneal collagen cross-linkage with the review of initial laboratory studies in relation to efficacy and safety. Zoltan Nagy, Hungary - 20 min
  
  4. Review of published clinical studies: Update on RCT in London, efficacy, safety, complications, and limitations of current knowledge. David O Brart, UK - 30 min
  
  5. Operative techniques: pre-operative assessment, patient counselling, the role of epithelial removal, indications for transepithelial cross-linking, riboflavin dosage regimens, UVA exposure regimens, UV lamps and calibration, post-operative care and follow-up, complications. Kristina Mikek, Slovenia - 20 min
  
  6. Corneal cross-linking and refractive surgery. Theo Seiler, Switzerland - 20 min
  
  Single Product Course: No
  
  Financial Disclosure: None

• IC 5
• 
  The management of complications encountered during cataract surgery *

  Leader: R. Osher | Course Level: Intermediate

• Faculty:    G. Barrett              

  
  Course Description:
  
  This perennial course dates back to the earliest days of this society and is the oldest course offered at the ESCRS. Dr. Osher and Dr. Barrett team up to review a broad spectrum of intraoperative complications that occur during cataract surgery. Edited videos are presented and the speakers analyze warning signs, errors, and detail the surgical maneuvers necessary to achieve a successful outcome. The topics vary from year to year but the attendee should expect lots of excitement and spirited discussion from two highly experienced cataract surgeons.
  
  Course Objectives:
  
  To teach early recognition of complications and to review those surgical manuevers necessary to attain a successful outcome.
  
  Course Schedule:
  
  - Dr. Barrett will present 20 minutes
  - Dr. Osher will present videos for the remainder of the course
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 6
• 
  Complications in LASIK: prevention and management

  Leader: J. Vryghem | Course Level: Basic

• Faculty:    M. Assouline   A. Cummings   S. Daya   A. Kanellopoulos   M. Luger  

  
  Course Description:
  
  This video-based course will present challenging intra-operative situations in LASIK such as free caps, pseudosuction and keratome failures and how to manage them with safety. A planned approach to difficult patients will be reviewed. Management of post-operative complications such as epithelial ingrowth, flap striae, enhancement techniques, irregular astigmatism, decentrations, etc. will be discussed.
  
  Course Objectives:
  
  Several golden tips will be reviewed that enable the surgeon to prevent or minimize LASIK complications and maximize visual results.
  
  Course Schedule:
  
  Structure of the workshop: complications bound to:
  - Pre-operative factors: the blepharostat, the size of the eye (small eyes, megalocornea, etc), the conjunctiva, the epithelium, the cornea.
  - Surgical factors: the keratome (Hansatome, Moria, Intralase, etc.), the flap (thin, button-hole, interrupted, free, lost, folds, etc.), the laser ablation (decentrations, irregular astigmatism, over- and undercorrections, etc.)
  - Post-operative factors: diffuse lamellar keratitis, dryness, epithelial ingrowth, infection, infiltrations, abscesses, melting, etc.
  - Retreatment: re-cut or re-lift, topography-guided or wavefront-guided.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 7
• 
  LASIK: update with surgical tips in primary and secondary cases - basic comparison with surface ablation technique Pre Requisite Course

  Leader: D. Elies Amat | Course Level: Basic

• Faculty:    T. Kohnen   F. Malecaze   J. Gaytan-Melicoff   C. Von Mohrenfels   A. Marinho  

  This is a pre-requisite course for the wetlab(s): LASIK

  
  Course Description:
  
  LASIK for correcting refractive errors is the most common and widely accepted refractive surgery. This course will provide basic and fundamental information about the special characteristics of LASIK, compared with PRK, as well as the new femtosecond assisted refractive correction (FLEX and Smile procedures) the use or non-use of ethanol in surface ablation techniques and the role of wavefront-guided strategies with respect to excimer-induced higher-order aberrations will be explained. A range of complications will be identified, and compared with adverse events associated with PRK. Videos of the surgical techniques and some complications will be shown. The background information will be provided in handouts for each participant of the course.
  
  Course Objectives:
  
  The purpose of this course is to describe best practice in LASIK corneal refractive surgery, compared with PRK and femtosecond lenticule extraction techniques, emphasizing on the steps that are essential for success. The course will cover the indications and patient selection criteria for these three procedures, and discuss in detail the modern surface ablation compared to LASIK.
  
  Course Schedule:
  
  Daniel Elies - Introduction: Outline and main goals of the course
  1. Thomas Kohnen - Preoperative evaluation: “What are the critical evaluations and considerations before the surgery?”
  2. Francois Malecaze - LASIK surgical technique: basics “step by step” tricks
  3. Javier Gaytan - Main surgical tips with the different approaches for LASIK reoperations)
  4. C.W. von Mohrenfels - Basic comparison (advantages-disadvantages) between LASIK and surface ablation techniques
  5. Daniel Elies - How to handle the main and most common preoperative complications including his own tips for basic LASIK surgery
  6. Antonio Marinho - The limits on corneal ablation techniques: main concepts in anatomical and refractive data
  All: Guided discussion. Question and answers from the audience.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 8
• 
  Surgical management of malpositioned lenses Pre Requisite Course

  Leader: B. Malyugin | Course Level: Advanced

• Faculty:    E. Assia   K. Rosenthal   V. Pfeifer   M.J. Tassignon   A. Crandall  

  This is a pre-requisite course for the wetlab(s): Intraocular & Transcleral Suturing Techniques

  
  Course Description:
  
  The course is focused on the advanced surgical techniques in the management of cataract cases complicated by the zonular weakness and zonular dialysis with the various types of capsular supporting devices. Participants will benefit from learning different IOL explantation and exchange techniques as well as the microendoscopy assisted vs conventional scleral fixation techniques.
  
  Course Objectives:
  
  Moderate to severe subluxation of the natural crystalline lens can be effectively treated using the conventional and modified CTRs, capsular tension segment and capsular Anchor sutured to the scleral wall. Video presentation of a series of cases will provide tips for safe and efficient surgery. Capsular peeling as a part of the technique to restore the integrity of the capsular bag will be shown in different cases of postoperative capsular contraction. The implications of torqued IOL in inducing reduction in visual quality and lenticular astigmatism will be discussed. Participants will benefit from learning the techniques of suturing various types of malpositioned IOLs to the sclera and/or to the iris in order to provide stable long-term fixation. The use of an endoscope to position the suture directly into the ciliary sulcus will be described in details.
  
  Course Schedule:
  
  Boris Malyugin (15 min): Overview of the course topics. Discussion of the main reasons of IOL explantation and exchange. Microendoscopy assisted vs conventional scleral fixation techniques of different IOL models. Management of cataract cases complicated by the large zonular dialysis with the new CTR model.
  Discussion (5 min)
  Ehud I. Assia (15 min): Moderate to severe subluxation of the crystalline lens using the capsular anchor. Different malpositioned IOL suturing techniques. Combined iris-scleral IOL suturing, 4-point iris fixation techniques.
  Discussion (5 min)
  Vladimir Pfeifer (15 min): Iris and ciliary sulcus fixation of three-piece IOL using straight needle. Surgical tactics in natural lens subluxation.
  Discussion (5 min)
  Kenneth J. Rosenthal (15 min): Implications of torqued IOL in inducing reduction in visual quality and lenticular astigmatism. Original technique to suture the lens with tutoplast scleral patches to cover. The viability of secondary IOL sutured to the anterior iris surface, and the use of multifocal IOL’s in exchange.
  Discussion (5 min)
  Marie-José Tassignon (15 min): Dislocated IOL exchange with bag-in-the lens implantation techniques. New CTRs.
  Discussion (5 min)
  Alan Crandall (15 min): Gore-Tex sutures and Cionni modified CT rings and Ahmed CT segments
  Discussion and final remarks (5 min)
  
  Single Product Course: No
  
  Financial Disclosure: Gains financially from product or procedure presented, travel has been funded, fully or partially, by a competing company, receives consulting fees, retainer, or contract payments from a competing company
  

• IC 9
• 
  Intracorneal inlays for presbyopia

  Leader: I. Pallikaris | Course Level: Intermediate

• Faculty:    D. Bouzoukis   S. Slade   J. Vukich        

  
  Course Description:
  
  Recently, intracorneal inlays, have been introduced as a reversible and minimal invasive solution to correct presbyopia. The technology of femtosecond laser for the creation of corneal tunnels has made this approach even more attractive and promising for the modern refractive surgeon. There are three inlays available for the treatment of presbyopia with three different mechanisms of action: The Flexivue Microlens which change the refractive index, the Kamra which increases the depth of focus and the Presbylens which reshape the anterior corneal curvature. All the inlays are implanted in the non-dominant eye. This course will discuss in detail the characteristics of each inlay for presbyopia, the indications and contraindications and the surgical techniques of implantation.
  
  Course Objectives:
  
  The objective of this course is to familiarize the participants with this new approach and give them an overall view of the following inlays: Flexivue Microlens (Presbia), Kamra (Acufocus) and Vue+ (Revision); will be described in detail: the different surgical procedures, the settings of femtosecond laser for the creation of accurate tunnels and flaps, the optical principles of the inlays, the visual outcomes and safety of each inlay and the interaction of the inlays with the corneal tissue. At the end of the course the participant should be in grade to have a clear overview of all the inlays available for presbyopia and to be able to start using inlays for the treatment of presbyopia.
  
  Course Schedule:
  
  Introduction, (20 min) Ioannis Pallikaris
  Flexivue Microlens (Presbia) (20 min) Dimitrios Bouzoukis MD
  Kamra (AcuFocus) (20 min) John Vukich MD
  Presbylens (ReVision) (20 min) Stephen Slade MD
  Discussion
  
  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
  

• Saturday 5 October
  14:30-16:30

• IC 10
• 
  Basic phacoemulsification (part 2) Pre Requisite Course

  Leader: N. Reus | Course Level: Basic

• Faculty:    K. Tjia   A. Chakrabarti           

  This is a pre-requisite course for the wetlab(s): Basic Phacoemulsification

  
  Course Description:
  
  These courses are designed for the beginning phaco surgeon. The faculty have a wealth of experience of both phaco and teaching principles. An insight will be offered into what phaco machines do and how, as well as technical details of how to set about the safe removal of cataractous lens.
  
  Course Objectives:
  
  The beginning phaco surgeon should finish this course with an insight into the fundamentals of phacoemulsification, and be in a position to perform the surgery in a more structured and safe fashion.
  
  Course Schedule:
  
  Nucleus management, medium cataract, crack techniques: 20 min, Reus
  Nucleus management, hard cataracts, introduction to chop techniques: 10 min, Reus
  Nucleus management, hard cataracts, personal chop techniques: 20 min, Chakrabarti
  Mature cataracts: 10 min, Chakrabarti
  Nucleus management, hard cataracts, manual chop techniques: 10 min, Tjia
  Small pupil management: 20 min, Chakrabarti
  Posterior capsule rupture management: 20 min, Tjia
  Questions and answers: 10 min, Panel
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 11
• 
  Raytracing for IOL power calculation *

  Leader: P. Preußner | Course Level: Intermediate

• Faculty:    O. Findl   P. Hoffmann   J. Wahl        

  
  Course Description:
  
  Raytracing, based on all available measurements of the eye and utilizing manufacturer’s original IOL parameters (vertex radii, central thickness, refractive index and asphericity, if not zero) allows a physically consistant description of the whole pseudophakic eye, valid for virgin eyes as well as for eyes after corneal surgery.
  
  Course Objectives:
  
  Participants shall understand:
  • The restrictions of Gaussian optics applied to the human eye and of measures based thereon, e.g. “corneal power” or “effective lens position” in contrast to true physical / geometrical measures.
  • The impact of measuring errors (error propagation) with respect to the final refractive outcome, including methods of improving the accuracy by clinical results (“secondary optimization”).
  • Implicit (hidden) and explicit model assumptions in raytracing as well as in classical formulae, particularly with respect to the IOL position.
  • The user-friendly application of raytracing with the data of currently available hardware equipment.
  • The reasons for the observed higher accuracy of raytracing compared to classical approaches particularly in non-normal eyes and in eyes implanted with premium (aspheric or toric) IOLs.
  
  Course Schedule:
  
  Basics of raytracing and Gaussian optics (Preußner)
  
  IOL position (Findl)
  
  Eyes after corneal surgery (Wahl)
  
  Clinical results: accuracy in normal and non-normal eyes (Hoffmann)
  
  Single Product Course: No
  
  Financial Disclosure: Gains financially from product or procedure presented
  

• IC 12
• 
  Management of astigmatism in conjunction with contemporary lens-based surgery

  Leader: L. Nichamin | Course Level: Advanced

• Faculty:    J. Rubenstein              

  
  Course Description:
  
  Course will cover management techniques for preexisting astigmatism, specifically at the time of implant surgery, with focus upon intralimbal relaxing incisions, toric IOLs and laser (femto/excimer) treatment modalities.
  
  Course Objectives:
  
  Attendees will gain insight as to how to surgically manage astigmatism, with an emphasis on treating astigmatism in combination with phaco and IOL surgery.
  
  Course Schedule:
  
  Dr. L. Nichamin: Fundamentals of astigmatism and options for surgical correction (15 min)
  Dr. L. Nichamin: LRI’s - Detailed description of surgical technique and video (30 min)
  Dr. L. Nichamin: Laser correction of astigmatism (15 min)
  Dr. J. Rubenstein: LRI’s - Alternative and personal technique (20 min)
  Dr. J. Rubenstein: Toric IOL’s (20 min)
  Questions and answers (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 13
• 
  PRK, LASEK and Epi-LASIK Pre Requisite Course

  Leader: D. Epstein | Course Level: Basic

• Faculty:    I. Pallikaris              

  This is a pre-requisite course for the wetlab(s): PRK, LASEK & Epi-LASIK

  
  Course Description:
  
  The special characteristics of PRK, LASEK and Epi-LASIK as well as the use or non-use of ethanol will be elucidated. The role of wavefront-guided strategies with respect to excimer-induced higher-order aberrations will be demonstrated. Outcomes achievable with cutting-edge technology will also be presented. A range of complications will be identified, and compared with adverse events associated with LASIK. Brief videos of the surgical techniques will be shown.
  
  Course Objectives:
  
  The course will cover the indications and patient selection criteria for these three procedures, and discuss in detail the advantages of modern surface ablation as compared to LASIK.
  
  Course Schedule:
  
  D. Epstein: Basic principles (15 mins)
  D. Epstein: PRK (15 mins)
  I. Pallikaris: Advanced surface ablation (15 mins)
  I. Pallikaris: Epi-LASIK (15 mins)
  D. Epstein: Complications (15 mins)
  I. Pallikaris / D. Epstein: Wavefront guided ablations and other advanced techniques (15 mins)
  Discussion (30 mins)
  
  Single Product Course: No
  
  Financial Disclosure: None

• IC 14
• 
  Paediatric cataract surgery: current practices, controversies and new insights about the anterior vitreo-lenticular interface

  Leader: S. Pandey | Course Level: Intermediate

• Faculty:    A. Vasavada   K. Nischal   M.J. Tassignon        

  
  Course Description:
  
  This lecture and video-based course will review current surgical practices of paediatric cataract surgery with emphasis on the timing of surgery, IOL power calculation, posterior capsule management, and pearls for managing challenging cases. Controversies as implantation of IOL in infants and simultaneous bilateral paediatric cataract surgery will be discussed. New insights about the anterior vitreo-lenticular interface will also be addressed.
  
  Course Objectives:
  
  Attendee will understand the technical nuances in handling paediatric cataracts, and how to handle challenging situations like infantile cataract, sub-luxated cataract, micro-ophthalmos, posterior lenticonus, traumatic cataract, and cataract with pre-existing posterior capsule defect, etc. The participants will be updated on new insights about the anterior vitreo-lenticular interface.
  
  Course Schedule:
  
  1. Paediatric cataract surgery - current practices and controversies: an overview, Dr Suresh K Pandey (15 minutes)
  2. Calculation of IOL power for infants and children, TBC (18 minutes)
  3. Posterior capsule management, TBC (18 minutes)
  4. Managing challenging paediatric cataracts, Dr Abhay R Vasavada (18 minutes)
  5. New insights about the anterior vitreo-lenticular interface in children, Dr Marie-Jose Tassignon (18 minutes)
  6. Paediatric traumatic cataract, Dr Ken K Nischal (18 minutes)
  7. Discussion with questions and answers (15 minutes)
  
  Single Product Course: No
  
  Financial Disclosure: None

• IC 15
• 
  Multifocal and accommodative IOLs: Face the challenge

  Leader: M. Piovella | Course Level: Advanced

• Faculty:    D. Chang   R. Lindstrom   J. Holladay   J. Pepose   C. Carbonara  

  
  Course Description:
  
  We will review the state-of-the-art knowledge on presently available multifocal and accommodative IOLs (MAI). Their features, indications and contraindications, matching possibilities, and clinical results, pursuing highly satisfactory uncorrected distance, intermediate, and near vision, will be examined. New multifocal (ie, torics) will be discussed.
  
  Course Objectives:
  
  Attendees will receive information on how to use MAI. A structured approach on patient and IOL selection based on accurate matching of IOL features with patient needs will be provided. IOL performance in terms of contrast sensitivity, light distribution and loss, management of complications and visual complaints with available solutions will be discussed.
  
  Course Schedule:
  
  1. ReZoom NXG
  2. Optivis
  3. Acrilisa
  4. ReSTOR SN60D3
  5. Tecnis ZM900 (AMO)
  6. Synchrony
  7. Christalens
  8. Multifocal toric
  9. New generation multifocal IOLs
  Multifocal and accommodative IOL management:
  1. Contrast sensitivity
  2. Light distribution at different distances
  3. Mix and match
  a) Tecnis/ReZoom
  b) ReSTOR/ReZoom
  4. Visual neuroadaptation
  5. Intermediate and near vision evaluation
  6. Ten pearls
  a) Patient selection
  b) Management of complications
  c) Visual habits
  d) Dominant eye
  e) Biometry
  f) Pupil size
  i. Mesopic
  ii. Photopic
  iii. Near vision and distance vision as related to pupil size
  iv. Pupil diameter and IOL efficacy
  7. Astigmatism
  a) Amount of astigmatism
  8. Which IOL implant first?
  9. Time to second eye surgery
  10. Residual defect correction (enhancement)
  11. The role of pupil diameter
  12. Matching the right IOL with the right patient
  13. Monofocal aspherical providing near vision?
  a) AcrySof SN60WF (Alcon)
  b) Zeiss
  
  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 16
• 
  Ray tracing for laser refractive surgery and IOL power calculation *

  Leader: E. Ng | Course Level: Advanced

• Faculty:    A. Cummings   M. Mrochen   A. Goncharov   C. Dainty     

  
  Course Description:
  
  Structured presentations and panel discussions. Course will present theoretical and clinical data from ray tracing applications. Topics include basic theories of ray tracing, limits of accuracy, contributors of error and clinical results comparing ray tracing with traditional algorithmic formulae.
  
  Course Objectives:
  
  Attendees will understand concepts behind ray tracing and learn advantages and limitations of statistically derived formulae versus exact ray tracing.
  
  Course Schedule:
  
  1) The basics and the comparison of ray tracing with traditional algorithm.
  2) Ray tracing: the convergence of optics for cataract and refractive surgery.
  3) Methods and results of ray tracing for refractive surgery.
  4) Methods and results of ray tracing for IOL power calculation.
  5) The limits of accuracy using Scheimpflug and interferometry for data points.
  6) A new device designed to produce unadulterated optical parameters for ray tracing.
  7) The future of ray tracing.
  
  Single Product Course: No
  
  Financial Disclosure: Research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
  

• IC 17
• 
  Slicing and dicing: explanting and implanting secondary IOL's - video course

  Leader: C. Mehta | Course Level: Advanced

• Faculty:    K. Mehta   B. Malyugin   S. Bhattacharjee   R. Osher   R. Packard  

  
  Course Description:
  
  Oops, the capsules ripped, the IOL fell in! IOL power calculation went wrong! This patient’s aphakic in one eye, the IOL is on the ciliary body. We can safely implant and explant secondary lenses through a small incision using new IOL cutters to explant and glue, through the bag sutures and modified phakic lenses to implant the right lens. New forceps and cutters safely slice the lens into 2 or 3 parts. The adventurous can even fold the lens in the eye for removal. Inserting a secondary IOL is simplified with fibrin glues, transcapsular sutures and newer fastening techniques like the hammock and other lens suspension systems. Also we can see the new spiral IOL where the haptics are in the anterior chamber and the optic is in the posterior chamber. All these techniques only in video.
  
  Course Objectives:
  
  1. How to explant an IOL safely and atraumatically by either cutting it in the anterior chamber or folding it in the anterior chamber
  2. Secondary IOL implantation techniques - this includes glued fixation, scleral haptic fixation, bag fixation and anterior chamber and spiral fixation lenses
  
  Course Schedule:
  
  1. Explanting PMMA and foldable lenses: personal technique - Boris Malyugin (15 min)
  2. Cutting lenses in the eye, suturing lenses through the bag - Cyres Mehta (15 min)
  3. Transiridial IOL fixation - Keiki Mehta (15 min)
  4. Explanting and fixating displaced IOLs - Suven Bhattacharjee (15 min)
  5. To glue or not to glue - Robert Osher (15 min)
  6. My experience with secondary IOLs - Richard Packard (15 min)
  Discussion
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• Saturday 5 October
  17:00-18:00

• IC 18
• 
  Intracorneal rings for keratoconus and post-LASIK ectasia Pre Requisite Course

  Leader: D. Touboul | Course Level: Intermediate

• Faculty:    C. Roberts   G. Mello           

  This is a pre-requisite course for the wetlab(s): Ferrara Rings, Kerarings and Intacs

  
  Course Description:
  
  Several studies have demonstrated that intracorneal rings are able to improve the corneal shape and visual acuity of contact lens intolerant keratoconic patients with central clear cornea.
  Different models are currently available.
  The rings may be implanted into the stroma with a conventional manual dissection, or with the help of femtosecond laser technology. They are implanted at the periphery of the cornea at two-third depth. The goals of the rings are to improve vision acuity, to prevent or delay corneal grafts and to make contact lens intolerant patients become tolerant.
  More than 100,000 Intacs have been implanted worldwide, with an improvement of the vision in about 80% of cases.
  The procedure may be used in primary corneal ectasia, keratoconus, or in cases of post-LASIK ectasia.
  The procedure is reversible: the rings may be removed if needed.
  The course will include the discussion of sequential or simultaneous rings implantation and corneal collagen cross-linking.
  
  Course Objectives:
  
  The attendees will be able to learn the principles, when to indicate the technique and how to diagnose and solve complications in patients with intracorneal rings. At the end of the course, the attendees will be able to participate in a surgical lab and learn how to implant the intracorneal rings.
  
  Course Schedule:
  
  D. Touboul: ICRS for keratoconus and post-LASIK ectasia: basic knowledge (15 + 5 min)
  C. Roberts: Biomechanical concerns hiding behind the rings insertion (15 + 5 min)
  G. Mello: ICRS practice in routine: good and bad illustrated cases (15 +5 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 19
• 
  Meibomian gland dysfunction and chronic blepharitis *

  Leader: J. McCulley | Course Level: Intermediate

• Faculty:    S. Awwad              

  
  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 20
• 
  Saving the sinking ship: rescuing subluxated and dislocated IOLs

  Leader: S. Das | Course Level: Intermediate

• Faculty:    M. Mathen   S. Nagappa   S. Chee        

  
  Course Description:
  
  This course aims to comprehensively discuss and demonstrate the techniques to manage malpositioned IOLs in various case scenarios. Based on the assessment of anatomical structures, decision making and surgical techniques will be discussed. In the presence of capsular support, techniques of IOL repositioning into the bag or sulcus, will be addressed. In its absence, suturing the same implant, either posteriorly to the iris or to the sclera, will be demonstrated. In cases of luxation of the bag-IOL complex, the use of bag stabilization devices will be discussed. Where the implant is unsuitable for repositioning, the technique of IOL explantation and exchange will be demonstrated. Scenarios of SFIOL malpositioning and chronic extrusion of ACIOL haptic will also be dealt with.
  
  Course Objectives:
  
  This course aims to equip the attendee with the ability to take the correct surgical decision and the knowledge of available surgical options in cases of malpositioned IOLs.
  
  Course Schedule:
  
  Dr. Somshekar Nagappa (8 minutes)
  • Causes for malpositioning and dislocation of intraocular lenses
  • Methods for preventing malpositioning of intraocular lenses
  
  Dr. Sudeep Das (8 minutes)
  • Simple IOL relocation – Repositioning into sulcus / bag, optic capture etc.
  
  Dr. Minu Mathen (10 minutes)
  • Retrieving IOL & Iris fixation techniques – McCannel sutures, Siepser Fixation etc.
  
  Dr. Sudeep Das (8 minutes)
  • Retrieval and scleral fixation of malpositioned IOLs
  
  Dr. Chee Soon Phaik (12 minutes)
  • Challenging situations in managing malpositioned IOLs – a bouquet of the most complex scenarios
  
  Dr. Sudeep Das (5 minutes)
  • From the clinic to the OR – making the right decisions
  
  Questions and answers (9 minutes)
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 21
• 
  Manual small incision sutureless cataract surgery in difficult situations

  Leader: T. Krishnan | Course Level: Intermediate

• Faculty:    M. Puttaih   A. Murugesan           

  
  Course Description:
  
  Despite what modern technology has done to advance the treatment of cataracts, managing advanced cataracts with co-existing pathology is the greatest challenge. This course will discuss the technique of manual small incision sutureless cataract surgery (MSICS) in cases of difficult situations like pseudoexfoliation, small pupil, hard cataract, subluxated cataract and lens induced glaucoma in a cost-effective way without compromising quality.
  
  Course Objectives:
  
  To share pearls and pitfalls of steps of MSICS in difficult situations with multiple video illustrations.
  
  Course Schedule:
  
  Management of small pupil
  Management of hard cataracts
  Management of subluxated cataract
  Management of lens induced glaucoma
  
  Single Product Course: Yes
  
  Financial Disclosure: None
  

• IC 22
• 
  Femtosecond driven inlay implantation: technology comparison

  Leader: P. Binder | Course Level: Advanced

• Faculty:    M. Maus   R. Ang   M. Tomita        

  
  Course Description:
  
  This course will provide attendees with the latest information about femtosecond laser technology for corneal inlay surgery. Included in the discussion will be updates on surgical applications, femtosecond laser technology that facilitates inlay implantation, and supporting software developments. At the end of the session, attendees will be able to determine appropriate femtosecond laser settings for pocket, LASIK and dual-interface procedures along with an understanding of how each laser performs at varying depths in the cornea.
  
  Course Objectives:
  
  Describe relevant lamellar dissection capabilities of different femtosecond laser platforms to provide optimum outcomes.
  Outline appropriate laser settings for deep lamellar resections.
  Describe advantages and disadvantages of each femtosecond laser platform software as they relate to corneal inlay implantation.
  
  Course Schedule:
  
  - History of femtosecond laser technology for corneal inlays
  - Review of individual laser platforms
  - Major learnings
  - Discussion
  
  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
  

• IC 24
• 
  The use of tear osmolarity testing to enhance your refractive surgery practice

  Leader: M. McDonald | Course Level: Intermediate

• Faculty:    B. Cochener   A. Cummings           

  
  Course Description:
  
  To explain the benefits of incorporating dry eye testing into a refractive surgery practice and then detail the steps required for implementation.
  
  Course Objectives:
  
  Following this course, attendees will have a better understanding of why dry screening is critical in refractive surgery patients, as well as how to implement this into their practice screening exam.
  
  Course Schedule:
  
  • Tear osmolarity testing vs other dry eye diagnostic tests
  • Clinical results of tear osmolarity testing
  • The benefits of incorporating dry eye screening into the refractive surgery workup
  • How to incorporate the test into the practice workflow
  
  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 25
• 
  Boston KPro type I keratoprosthesis: from indications to innovations *

  Leader: S. Cortina | Course Level: Intermediate

• Faculty:    J. De La Cruz   J. Güell   S. Hannush        

  
  Course Description:
  
  With the emerging success of the Boston KPro type I keratoprosthesis as an alternative to multiple failed corneal transplant, there is a renewed interest in adequate patient selection, implantation techniques, as well as proper postoperative management. Successful keratoprosthesis surgery and retention requires a unique interaction between the corneal prosthesis and its surrounding environment.
  
  Course Objectives:
  
  The video and case vignette based course aims to instruct the surgeon in understanding the basic concepts of Boston KPro type I surgery and management. The course will also present established as well as novel methods on how to successfully approach surgery of the KPro type I in clinical practice.
  
  Course Schedule:
  
  - Introduction (1 min)
  - Preoperative evaluation – S. Cortina (13 min)
  - Surgical approach – S. Hannush (14 min)
  - Postoperative management with focus on glaucoma – J. Guell (14 min)
  - Innovations and current challenges - J. de la Cruz (14 min)
  - Questions and answers (4 min)
  
  Single Product Course: No
  
  Financial Disclosure: None