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Tuesday 17 September
08:30-09:30
- IC 115
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Faculty:
COURSE DESCRIPTION:
Course will help practices understand that to establish a high number of conversions from their website that their online marketing needs to be “about the patient.” Practices are so focused on their expensive lasers and fancy technology that they lose focus on how vision correction is all about improving the patient’s lifestyle. This course provides details on how to seamlessly blend your website design, procedure and blog content, and online reviews to better attract prospective patients and convert them into actual patients by appealing to a better life.
COURSE OBJECTIVES:
Attendees will:
Use life-style enhancement concepts for website design to entice patients and convert them to consultations
Use content to produce higher rankings and more traffic through the proper mix of procedure and blog content
Use procedure, blog and reviews content to teach patients about the lifestyle benefits of elective eye care procedures and diminish the focus on surgery
COURSE SCHEDULE:
50 minute lecture
10 minute Q&A
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
is employed by a forNoneprofit company with an interest in the subject of the presentation
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Tuesday 17 September
08:30-10:30
- IC 108
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Faculty: M.J. Tassignon G. Auffarth B. Malyugin E. Assia
This is a pre-requisite course for the wetlab(s): Iris Fixation Aphakic IOL
COURSE DESCRIPTION:
The aim of this course is to discuss the surgical solutions of post-traumatic ocular conditions of eyes with a potential functional recovery. Based on different clinical cases, the surgeon will explain the surgical strategies to follow in order to optimally restore the function of the eye. This course will be an interactive case-based discussion with the participation of the panel.
COURSE OBJECTIVES:
The objective of this course is to give the attendees an overview of demographics of ocular trauma (J. Talma), different strategies and medical devices that can be implemented to solve difficult cases of secondary repair of the anterior segment of the eye after trauma. Artificial iris, iris printed IOLs and iris suturing techniques will be presented (M.J. Tassignon). Capsular bag stabilisation techniques and direct or indirect IOL suturing techniques on the sclera (E. Assia , B. Malyugin). Special emphasis on sport/game related ocular trauma and surgical approach. Rehabilitation of the severely disrupted lens and traumatized cornea and iris. (G. Auffarth).
COURSE SCHEDULE:
Video based presentation and panel discussion on the presented cases. The panel consists of the following specialists: Talma J., Tassignon M.J., Malyugin B., Auffarth G, Assia E.
During previous courses an active and live interaction resulted after the video presentations.
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 109
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Faculty: D. Reinstein A. Day A. Stuart R. Vida
COURSE DESCRIPTION:
Small incision lenticule extraction (SMILE) is growing in popularity and has become a well-established option for corneal laser refractive surgery. As with any surgical procedure, there are various possible complications. This course will cover the incidence, management and outcomes of the intraoperative complications of SMILE including suction loss, black spots, interface detection and recovery technique, lenticule remnants, cap tears, and epithelial defects. The retreatment options for SMILE and the scenarios where each option is appropriate will be discussed. Finally, postoperative complications will be described, notably the unique presentation of DLK as sterile multifocal interface keratitis will be described.
COURSE OBJECTIVES:
The attendee will attain a sound understanding of the retreatment options after SMILE, potential complications of SMILE and how these can be managed or avoided.
COURSE SCHEDULE:
Dan Reinstein - 45 mins - Suction stability management in SMILE
Alex Day - 15 mins - Laser-tissue interaction vigilance and difficult dissections
Alastair Stuart - 15 mins - Interface detection and recovery techniques, lenticule remnants, cap tears
Glenn Carp - 20 mins - Retreatment options after SMILE
Ryan Vida - 15 mins - Special postop considerations after SMILE: Epithelial ingrowth, multifocal DLK and infections
Discussion and questions - 10 mins
SINGLE PRODUCT COURSE: Yes
FINANCIAL DISCLOSURE:
has significant investment interest in a company producing, developing or supplying product or procedure presented, travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented
- IC 110
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Faculty: Th. Kohnen J. Stevens P. Rosen M. Pande S. Srinivasan
COURSE DESCRIPTION:
This course will give very useful tips and trick for successful refractive lens exchange in challenging patients. The challenges discussed in this course will be at each step of the surgery from patient selection, assessment, preparation for surgery, anesthesia, intraoperative issues, management of intra and postoperative complications and handling expectations.
COURSE OBJECTIVES:
The attendees will learn useful tips and tricks for successful counseling and selection of patients with refractive lens exchange, pre and intraoperative assessments, management of intraoperative challenges, managing patients expectations, managing postoperative complications and expectations. The cases will include refractive lens exchange in anxious patients & demanding patients and patients with dry eyes, previous retinal issues, corneal pathology, intraoperative complications & it's management, managing postoperative expectation, Excimer laser enhancements, intraocular lens exchange scenarios, etc.
COURSE SCHEDULE:
Each of the following speakers will present 2 cases covering the above mentioned topics:
Thomas Kohnen: 2 cases (15 minutes)
Discussion: 5 minutes
Julian Stevens: 2 cases (15 minutes)
Discussion 5 minutes
Paul Rosen: 2 cases (15 minutes)
Discussion: 5 minutes
Milind Pande: 2 cases (15 minutes)
Discussion: 5 minutes
Sathish Srinivasan: 2 cases (15 minutes)
Discussion: 5 minutes
Mayank Nanavaty: 2 cases (15 minutes)
Discussion: 5 minutes
SINGLE PRODUCT COURSE: Yes
FINANCIAL DISCLOSURE:
None
- IC 111
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Faculty: D. O’Brart M. Belin F. Hafezi T. Seiler T. Koller
COURSE DESCRIPTION:
This course will offer:
- Comprehensive review of currently approved applications of corneal cross-linking by top experts in the field
- Early Detection of Keratoconus
- CXL in children
- Customised corneal cross linking
- PACK CXL
- CXL in extremely thin corneas
- Intra and post-operative complications and its management
- Future of CXL: What is new and innovative?
- Discussion will be encouraged to involve the audience and maximise the benefits of the course.
COURSE OBJECTIVES:
Attendees will be able to update themselves with the current best practices in corneal cross linking for keratoconus and to understand/ introduce the expanding applications of corneal cross linking such as in ectatic corneal diseases (post-refractive surgery ectasia and PMD), to treat infectious keratitis, and in the extremely thin corneas.
With advancing tool to treat early keratoconus, it is important to be able to diagnose keratoconus as early as possible. We will discuss the latest tool to diagnose keratoconus as early as possible both in children and adults.
Moreover, they will learn about complications of corneal cross-linking: these will be discussed in depth with its management. Finally, they will learn about the current and future innovations in CXL.
COURSE SCHEDULE:
David O’Brart: Applications in Keratoconus (15 mins)
Michael Belin: Keratoconus Detection, The Earlier the better ( 20 mins)
Samer Hamada: CXL in children (15 mins)
Farhad Hafezi: PACK-CXL for infectious keratitis (10 mins)
Farhad Hafezi: CXL in extremely thin corneas (10 mins)
Tobias Keller: Customised CXL in refractive treatment of keratoconus (10 mins)
Tobias Keller: Complications of CXL and its management (10 mins)
Theo Seiler: Brioullin scattering and its clinical applications (10 mins)
Theo Seiler: News snd further developments in CXL (10 mins)
Panel: Discussion (10 mins)
SINGLE PRODUCT COURSE: Yes
FINANCIAL DISCLOSURE:
None
- IC 112
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Faculty: P. Artal J. Alio D. Keegan M.J. Tassignon G. Scharioth
COURSE DESCRIPTION:
Age-related macular degeneration has been described as the leading cause of legal blindness, affecting 10%–13% of adults over 65 years of age in North America, Europe, Australia and, recently, Asia. For several years, specially designed intraocular implants have become a possible and attractive way to circumvent many of the problems faced in extraocular visual aids. The aim of this course is to review the AMD IOLs assessing their advantages and disadvantages. Clinical results in AMD patients have been described for a total of 7 types of IOLs recommended for AMD: an implantable miniature telescope (IMT), IOL-Vip System, Lipshitz macular implant (LMI), sulcus-implanted Lipshitz macular implant, LMI-SI, Fresnel Prism Intraocular Lens, iolAMD, Eyemax mono and Scharioth Macula Lens.
COURSE OBJECTIVES:
1. Define the basis of cataract surgery in AMD patient
2. Describe optics in relation to AMD, cataracts and IOLs
3. Discuss the Lipshitz macular implant
4. Discuss the Scharioth Macula Lens
5. Discuss the Implantable Miniature Telescope
6. Discuss the Lipshitz macular implant
7. Review of clinical studies of AMD IOLs
COURSE SCHEDULE:
1. Cataract surgery in AMD patient (Andrzej Grzybowski)
2. Optics in relation to AMD, cataracts and IOLs (Pablo Artal)
3. Lipshitz macular implant (Marie-Jose Tassignon)
4. Scharioth Macula Lens (Gabor Scharioth)
5. Implantable Miniature Telescope (Dr David Keegan)
6. Review of AMD IOL clinical studies available (Jorge Alio)
7. Q&A and Panel discussion: A. Grzybowski, P. Artal, MJ Tassignon, G. Sharioth, J. Alio.
SINGLE PRODUCT COURSE: Yes
FINANCIAL DISCLOSURE:
gains financially from product or procedure presented, research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented
- IC 113
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Faculty: E. Messmer C. Baudouin M. Sacchi
COURSE DESCRIPTION:
This course will pull together ocular surface experts with strong and different surgical experiences. Science updates will be provided together with pratical advices and clinical tips and tricks. The instructors and the audience will interact in an open and inclusive way.
COURSE OBJECTIVES:
Attendees will learn:
- how (and why) the ocular surface can affect their cataract, refractive and glaucoma surgery;
- how they can quickly and easily assess the ocular surface of their surgical patients;
- how they can effectively manage the ocular surface of their patients, in order to optimize the surgical outcomes and the patients satisfaction
COURSE SCHEDULE:
Why the ocular surface should be a major concern for an ocular surgeon? Edoardo Villani (10 mins); How an ocular surgeon can perform a quick and easy preoperative assessment of the ocular surface? Elisabeth Messmer (15mins + 5mins discussion); The impact of cataract surgery on the ocular surface, and vice versa. Edoardo Villani (15mins + 5 mins discussion); Traditional and new refractive surgical procedures and their impact on the ocular surface. Christophe Baudouin (15 mins + 5 mins discussion); The ocular surface as a key element for a successful filtration surgery. Matteo Sacchi (15mins + 5mins discussion); Tips and tricks for an effective pre-, peri-, and post-surgical management of the ocular surface. Messmer, Baudouin, Sacchi, Villani (5+5+5+5mins + 10mins 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 114
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Faculty: R. Vinciguerra T. Archer J. Tan
COURSE DESCRIPTION:
Photorefractive keratectomy (PTK) represents an interesting application of excimer laser and it progressively proved to be an interesting alternative to penetrating or lamellar keratoplasty. However, PTK has been a very craftmanship-like treatment, through the use of plano-ablations, and smoothing with of masking fluid. Unpredictability in terms of hyperopic shift and outcomes of the procedure has always been hampering its wide acceptance and diffusion among refractive surgeons. The aim of the course is to introduce and explain step-by-step the natural evolution of PTK: Sequential Customized Transepithelial Therapeutic Keratectomy /SCTK) which can be presented as a series of sequential Custom Therapeutic Keratectomies where the results are monitored step-by step by an intraoperative corneal topography-derived wavefront, which allow a customized treatment based on how effective has been the previous one. This technique is aimed to be more efficient and reliable compared to plano PTK.
COURSE OBJECTIVES:
Attendees will be able, at the end of the course, to understand the advantages and the indications of transepithelial PTKs and when is better to do an SCTK. The course will also cover the main indications of SCTK, ranging from corneal trauma, to consequences of corneal ulcer, trauma, and dystrophies, as well as treatment of regression after refractive surgery. The course will start from basic knowledge and will lead the attendees to the understanding of SCTK. Real case-scenario will be presented, together with the possible different approaches. At the end of the course the attendees will be able to plan SCTK, and follow up operated patients.
COURSE SCHEDULE:
1. The role of the epithelium 2 Transepithelial PTK a. Why it is better b. Use epithelium like stroma 3. Introduction to PTK and brief indications 4. PTK plano with removal of epithelium a. Why it doesn't work b. Opacity vs irregularity 5. Custom ablation and PTK a. Examples when Transepithelial-PTK does not work b. Custom is better c. Sometimes one shot is enough! Examples 6. Settings of the laser: correct optical zone size, treat High Order aberrations or low order? 7. Small Optical Zones 8. When 1 treatment is not enough? a. Different ablation rates scar-stroma b. Too much masking of epithelium 9. Sequential treatments: a. How to acquire intraoperative topography b. Understand intraoperative topography c. How to do smoothing and the use of masking fluid 10. CASE EXAMPLES of Sequential Customized Transepithelial Therapeutic Keratectomy a. Scars after corneal ulcers b. Corneal Dystrophies c. Complications after refractive surgery
SINGLE PRODUCT COURSE: Yes
FINANCIAL DISCLOSURE:
receives consulting fees, retainer, or contract payments from a competing company
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Tuesday 17 September
14:00-15:00
- IC 122
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Faculty:
COURSE DESCRIPTION:
Course will provide detailed information about how to use the practice’s and surgeon’s online reputation to build a superior online reputation. Course will discuss how consumers now rely heavily on reviews when making the final decision about eye care procedures and selecting a surgeon and provide detailed information about how to use the practice’s and surgeon’s online reputation to build higher revenue. Entertaining video documentary and educational slides will be utilized to describe how, in 2017, a writer was able to catapult a restaurant to the #1 rated spot in London. He achieved that goal... for a restaurant that did not exist. Presentation will show how he obtained the #1 rating using reviews integrated with proper website design, content development and social media, and describe lessons for premium eye care practices about boosting online presence and overall perception of quality. Also, presented will be data from a unique and proprietary consumer survey that analyzes the use of reviews in eye surgery and identify the most important review sites in eye care.
COURSE OBJECTIVES:
Attendees will:
Learn how to use the online presence of the practice to project the highest quality services and outcomes.
Learn how to use reviews, practice website and social media in an integrated combination to boost online perception of quality and increase practice revenue.
Understand how to integrate the online presence with the in-office patient experience to build word-of-mouth referrals and more positive reviews.
Understand the key steps for removing a negative review
Learn the best techniques for soliciting high volumes of positive reviews.
Understand how to use reviews to enhance your reputation through your website and social media. Learn the best practices for evaluating your online reputation score.
Learn which review sites are the most powerful for an ophthalmologist’s online reputation.
COURSE SCHEDULE:
50 minute lecture
10 minute Q&A
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
gains financially from product or procedure presented, is employed by a forNoneprofit company with an interest in the subject of the presentation
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Tuesday 17 September
14:00-16:00
- IC 116
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Faculty: F. Llovet Osuna S. Rohrweck J. Ortega-Usobiaga M. Martinez M. Cabanás
COURSE DESCRIPTION:
Course will present how to detect and treat major causes of dissatisfaction after surgery with multifocal IOLs, including ocular pathologies (PCO, IOL decentration, dry eye, CME) and optical problems (residual ametropia, loss of contrast sensitivity, positive and negative dysphotopsia). An algorithm of diagnosis and treatment will be provided: when and how to treat residual ametropia, when to perform YAG capsulotomy, how to detect and solve negative dysphoptosia or when to decide explanting the multifocal IOL. Videos will illustrate explantation techniques. How to detect patients likely to be dissatisfied after multifocal IOL surgery will also be discussed.
COURSE OBJECTIVES:
Attendees will learn how to manage a dissatisfied multifocal IOL patient with a clear step-by-step algorithm for diagnosis and subsequent treatment of the cause or causes of dissatisfaction. They will also learn how to detect patients who are likely to be dissatisfied after multifocal IOL surgery.
COURSE SCHEDULE:
Introduction and causes of dissatisfaction: Dr. F. Llovet, 15 minutes. Algorithm of diagnosis and treatment: Dr. G. Muñoz, 10 minutes. Treatment or residual ametropia: Dr. J. Ortega, 15 minutes. Treatment of reduced contrast sensitivity: Dr. G. Muñoz, 10 minutes. Dry eye: Dr. S. Rohrweck, 10 minutes. Posterior Capsule Opacification: Dr. M. Cabanás, 10 minutes. Positive and Negative Dysphotopsias: Dr. M. Martínez, 15 minutes. Insufficient vision at certain distances: Dr. J. Ortega, 10 minutes. When and how to exchange a multifocal IOL (video): Dr. G. Muñoz, 15 minutes. How to detect the likely to be dissatisfied patient: Dr. F. Llovet, 10 minutes.
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 117
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Faculty: M. Assouline G. Sallet A. Kanellopoulos G. Pamel
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.), -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: Yes
FINANCIAL DISCLOSURE:
None
- IC 118
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Faculty: L. Kiraly W. Sekundo R. Wiltfang
COURSE DESCRIPTION:
This course is designed as a starter kit for ophthalmologists interested to start with ReLEx SMILE.
COURSE OBJECTIVES:
1. The first surgeon who performed ReLEx, Walter Sekundo, is giving insight into his first hand historical experience in this fascinating technique, a brief literature overview as well is he talking about future possibilities of ReLEx.
2. High volume ReLEx SMILE surgeons and pioneers Rainer Wiltfang, Lazlo Kiraly and Detlev Breyer will demonstrate their personal evolution to perform a perfect ReLEx SMILE case.
3. High volume ReLEx SMILE surgeons and pioneers Rainer Wiltfang, Lazlo Kiraly and Detlev Breyer will show difficult cases and teach trouble shooting.
4. Finally Detlev Breyer will present how to create a successful business in a private setting and Walter Sekundo will describe the positioning of ReLEx SMILE in an University setting.
COURSE SCHEDULE:
Each of these four course objectives will stretch over 20 minutes. If possible an additional 10 minutes for discussion of each course objective
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 competing company, travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, receives consulting fees, retainer, or contract payments from a competing company
- IC 119
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Faculty: L. Baydoun I. Dapena S. Ní Dhubhghaill L. Ham K. van Dijk
COURSE DESCRIPTION:
The numbers of DMEK surgeries are rising constantly. This led to an increase in surgical experience, so that also more and more challenging and complex cases are being treated. The purpose of this course is to show pitfalls and provide tips and tricks for making DMEK successful in a wide range of surgical indications and intraoperative conditions. Several illustrative surgical videos will be displayed.
COURSE OBJECTIVES:
Address preoperative planning, various intraoperative difficulties; provide solutions to various intra- and postoperative complications; give tips on DMEK surgical techniques in challenging cases.
COURSE SCHEDULE:
1. Can proper graft selection reduce complications in challenging eyes? 2. Standardized and different unfolding techniques 3. How to deal with challenges like glaucoma tubes and, anterior chamber lenses? 4. What is special in different indications, like bullous keratopathy due to congenital glaucoma, eyes that are prone to hypotony or failed previous keratoplasty grafts? 5. What complications to expect and when? – When to re-bubble? 6. NIIOS worst case scenarios 7. Modifications in DMEK: Is Quarter-DMEK the next step in early Fuchs disease?
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 120
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Faculty: P. Rosen A. Shortt R. Packard M. Wevill
COURSE DESCRIPTION:
Many highly competent cataract surgeons wish to transition to refractive cataract surgery / refractive lens exchange/presbyopia correction. These patients have very different characteristics and requirements to those with age related cataract where the refractive outcome or the correction of presbyopia is not the principal requirement of the patient. This course discusses the changes required for the clinical assessment, investigation and counselling. We will describe the lens technologies and how they can be matched to the patient's requirements. The management of the complications and the strategies to deal with the unhappy patients are discussed with reference to actual clinical problems.
COURSE OBJECTIVES:
For the competent cataract surgeon to understand the differences and learn how to transition to refractive cataract surgery and presbyopia correction. To be able to interpret the relevant investigations. To learn how to manage the patients and any complications.
COURSE SCHEDULE:
1) Introduction
2) Cataract vs the refractive cataract surgery - whats the difference
3) Patient characteristics, investigations and their interpretation.
4) Counselling consent and medicolegal issues
5) Surgical options and lens technologies
6) Managing the complications: creating the happy from the unhappy patient
7) Case presentations ALL Conclusions
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None
- IC 121
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Faculty: J. Cunha I. Domingues P. Gil R. Proença M. Dutra Medeiros N. Moura-Coelho
COURSE DESCRIPTION:
Course will present key points to consider in candidates for cataract and refractive surgery regarding ocular inflammatory disease states. Key aspects that will be addressed in each lecture are presented below:
- Relevant medical history and systemic findings suggestive of ocular inflammatory disease or risk; evaluation of the anterior and posterior segments;
- Timing for surgery in the uveitis patient; Pre-operative care in patients with ocular inflammation;
- IOL selection in patients with ocular inflammation, including premium IOLs and pupil status;
- Intra-operative care including surgical techniques, and post-operative care;
- Cataract and refractive surgery in pediatric ocular inflammation;
- Macular oedema (ME) after cataract surgery in uveitis: distinguishing between Pseudophakic cystoid macular oedema (pCME) and Uveitic cystoid macular oedema (uCME); prevention and treatment of postoperative ME in the uveitis patient;
- Combined ocular procedures in the uveitis patient, including retinal and glaucoma surgeries;
- Cataract and Refractive Surgery in Uveitis patients – surgeon and patient expectations and outcomes.
COURSE OBJECTIVES:
The aim of this course is to provide attendees with relevant information concerning cataract and refractive surgery in patients with ocular inflammation. This will allow attendees to improve their clinical decision skills in this setting, as well as to manage both surgeon and patient expectations.
COURSE SCHEDULE:
1. Pre-operative evaluation of ocular inflammation in candidates for cataract and refractive surgery [15 minutes] Rita Pinto Proença MD, MMed
2. IOL choice in patients with ocular inflammatory disease [15 minutes] João Paulo Cunha MD, PhD
3. Cataract surgery in the uveitis patient [15 minutes] Isabel Domingues MD
4. Pediatric uveitis and cataract surgery [15 minutes] Pedro Gil MD, MMed
5. Macular oedema after cataract surgery [15 minutes] Rui Proença MD, PhD
6. Combined ocular procedures in the uveitis patient [15 minutes] Marco Dutra-Medeiros MD, PhD
7. Visual outcomes in patients with uveitis undergoing cataract and refractive surgery [15 minutes] Nuno Moura-Coelho MD, MMed
SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE:
None