Instructional Courses

Instructional Courses

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

• Saturday
• Sunday
• Monday
• Tuesday

• Saturday 22 September
  08:30-09:30

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

  Leader: B. Frueh | Course Level: Basic

  

• Faculty:    B. Bachmann   A. Geerards           

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

  COURSE DESCRIPTION:
  
  This course emphasises basic microsurgical suturing techniques in open globe injuries, extracapsular cataract extraction and trabeculectomies.
  
  COURSE OBJECTIVES:
  
  To teach beginners the basic principles of suturing and preparing them for their wetlab training / their very first case of suturing.
  
  COURSE SCHEDULE:
  
  Importance of good suturing and good wound apposition; materials/needles; use of microscope, posture (10 mins) B. Frueh: Basics of suturing, skin (8 mins) A. Geerards: Conjunctiva, cornea (15 mins) B. Bachmann: Trauma, trabeculectomy, sclera (15 mins) B. Frueh: Glue (5 mins)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Saturday 22 September
  10:30-12:30

• IC 2
• 
  Malpositioned lenses: optimal surgical management techniques Pre Requisite Course

  Leader: B. Malyugin | Course Level: Advanced

• Faculty:    M.J. Tassignon   E. Assia   V. Pfeifer   A. Crandall   S. Yamane  

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

  COURSE DESCRIPTION:
  
  The course is focused on advanced surgical techniques in management of ectopic lenses and cataracts complicated by zonular weakness and/or dialysis utilizing various
  capsular supporting devices. Participants will benefit from learning
  different IOL centration and re-fixation modalities, as well as IOL exchange techniques followed by lens iris and scleral fixation techniques.
  
  COURSE OBJECTIVES:
  
  Moderate to severe subluxation of the natural crystalline lens can be effectively
  treated using the conventional and modified CTRs, capsular tension segment or 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 and long term
  fixation. Novel intrascleral haptic fixation techniques including Scharioth tunnels and flanged IOL haptics 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. 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. Iris-claw lenses. Discussion (5 min.) Shin Yamane (15 min.) IOL intra-scleral fixation with flanged haptics. Nuances of surgical technique and instrumentation. Discussion (5 min.) Marie-Jose Tassignon (15 min.) Dislocated IOL exchange with Bag-in-the lens implantation techniques. New bean-shaped CTRs. Discussion (5 min.) Alan Crandall (15 min.) Gore-Tex sutures, Cionni modified capsular tension rings and Ahmed capsular tension segments. Discussion & Final Remarks (5 min.)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , gains financially from product or procedure presented

• IC 3
• Posterior capsule rupture: mastering vitrectomy and IOL implantation – a video based course

  Leader: A. Agarwal | Course Level: Intermediate

• Faculty:    D. Chang   B. Little   A. Agarwal        

  COURSE DESCRIPTION:
  
  Posterior capsule rupture can be daunting. One has to know how to perform anterior vitrectomy, manage drop nucleus and also learn to implant an IOL in such cases. All this will be taught through videos
  
  COURSE OBJECTIVES:
  
  The objective of the course is to see that the delegate can handle any posterior capsule rupture and still implant an IOL comfortably
  
  COURSE SCHEDULE:
  
  0.0-Introduction and PC Ruptures- Athiya Agarwal 30.0-Vitrectomy techniques for the anterior segment surgeon- Amar Agarwal 1.00-Managaing the nucleus after a PC Rupture- David Chang 1.30- Challenges of handling PC ruptures- Brian Little 2.00- Close
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 4
• Big bubble, no trouble: a step-by-step approach to successful deep anterior lamellar keratoplasty with the big bubble technique

  Leader: A. El Danassoury | Course Level: Intermediate

• Faculty:    S. Daya   S. Tolees           

  COURSE DESCRIPTION:
  
  Deep Anterior lamellar keratoplasty (DALK) has many advantages over penetrating keratoplasty for corneal pathologies sparing the endothelium, the most important is preserving the recipient healthy endothelium. The big bubble (BB) technique enables the DALK surgeon to expose Descemetﾒs membrane; however, the surgical technique is challenging and may have a long learning curve. This video-based course addresses the DALK surgical technique in a step-by-step approach, highlighting the principle, surgical pearls and possible complications at each step from trephination to suturing going through bubble injection, puncture and stromal dissection. Long-term results after BB-DALK will be presented as well as different approaches to correct postoperative ammetropia including femtosecond laser assisted astigmatic keratotomy, LASIK and Phakic IOls. Alternative techniques for challenging cases where BB-DALK is not feasible will be demonstrated.
  
  COURSE OBJECTIVES:
  
  At the completion of the course, attendees should be able to understand the basic surgical principles of BB-DALK, learn different techniques for safe Descemet exposure, avoid surgical pitfalls that may lead to intraoperative difficulties and prevent and manage postoperative complications should they occur. The attendee will be able to describe the contraindications for BB-DALK and to describe alternative techniques. The course will be conducted by an expert panel, with video-based presentations that will create an interactive debate both among the speakers and audience.
  
  COURSE SCHEDULE:
  
  ﾕ Basic big bubble DALK technique, unedited video (Alaa Eldanasoury, 20 min) ﾕ The 10 steps for successful BB-DALK; how avoid and overcome difficulties. (Alaa Eldanasoury, 30 minutes) ﾕ Discussion (15 minutes) ﾕ Alternative techniques when BB-DALK is not an option. (Shiraz Daya, 20 minutes) ﾕ Discussion (10 minutes) ﾕ BB- DALK; Long term Results and correction of postoperative Ammetropia. (Sherif Tolees, 15 minutes) ﾕ Discussion (10 minutes)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 5
• Glaucoma surgery: modern perspectives

  Leader: K. Barton | Course Level: Advanced

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

  COURSE DESCRIPTION:
  
  This course will cover the instructors' experience and the latest data on a broad range of new glaucoma surgical devices including Trabecular Meshwork stenting (iStent and Hydrus) and trabecular meshwork cutting procedures (Trabectome and the Dual Blade), supra-choroidal drainage devices (Cypass) and External Drainage implants such (Xen and MicroShunt). Cyclodestructive procedures such as HiFu, Micropulse and ECP will also be discussed. The potential role of each procedure in comparison with each other and the more traiditional procedures will be discussed.
  
  COURSE OBJECTIVES:
  
  The purpose of this course is to cover the increasing variety of surgical options for the glaucoma patient, to discuss their relative place in comparison with more traditional surgery and to describe implantation tips and tricks in an interactive atmosphere.
  
  COURSE SCHEDULE:
  
  Introduction to the range of new innovations in Glaucoma surgery Trabecular meshwork - cutting and stenting External drainage Suprachoroidal drainage Cyclodestruction Positioning in relation to medications, laser and traditional glaucoma Surgery Conclusion
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 6
• Corneal cross-linking therapy Pre Requisite Course

  Leader: K. Mikek | Course Level: Intermediate

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

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

  COURSE DESCRIPTION:
  
  This course will provide principles of corneal cross-linking treatment. The course will cover the history and concept behind cross-linking, laboratory studies, pharmaceutical properties of riboflavin and the role of ultraviolet irradiation. Epidemiological data, aetiology, pathogenesis and diagnosis of keratoconus and other corneal ectasias will be discussed. The indications and contraindications for cross-linking therapy including details of different treatment protocols, dosage of riboflavin, and postoperative care will be covered. The result from different centers of corneal cross-linking treatment on its own and when combined with other corneal procedures will be presented. The complications of treatment, theories of corneal wound healing, indications for transepitheliall cross-linking, and finally new trends in the use of this technology will be discussed. An overview of the different technologies will be given. Corneal cross-linking therapy ﾖ wetlab. ?This course will allow participants to become familiar with cross-linking treatment. During the course the detailed information about the treatment procedure will be covered: how to make de-epithelization in different ways, installation of the riboflavin eye drops - particularly dosage, handling and testing of different UV radiation systems. ?
  
  COURSE OBJECTIVES:
  
  This instructional course is a pre-requisite for the "hands-on" wetlab training session in the surgical skills transfer programme. The practical session will include:? ﾕ All delegates will given an opportunity to practice on the different types of cross-linking systems on the market? ﾕ "Hands-on" training with pig eyes and operating microscope for each station? ﾕ Two delegates per station? ﾕ Preoperative assessment protocols,? ﾕ Corneal anesthesia, instrumentation, steps of de-epithelization and riboflavin instillation (dosage, how many times, for how long, etc).? ﾕ Equipment - different types of cross-linking systems and physical properties of the irradiating laser machine? ﾕ Handling and storage of Riboflavin.? ﾕ Postoperative care and treatment, follow-ups (how often, what to measure), management of complications to be discussed as a group. ? ﾕ Discussions on the results of cross linking treatments.??
  
  COURSE SCHEDULE:
  
  1. Introduction: aim of the instructional course together with the wetlab and introduction of the presented speakers. Kristina Mikek, Slovenia ﾖ 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 ﾖ 20 min? 3. Principles of corneal collagen cross-linkage: principles of corneal collagen cross-linkage with the review of initial laboratory studies in relation to efficacy and safety. Operative technique. Kristina Mikek, Slovenia ﾖ 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 ﾖ 20 min? 6. Corneal cross-linking and refractive surgery. Theo Seiler, Switzerland ﾖ 20 min
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 7
• 
  Basic phacoemulsification (Part 1)

  Leader: K. Tjia | Course Level: Basic

  

• Faculty:    A. Chakrabarti   N. Reus           

  COURSE DESCRIPTION:
  
  This is a wetlab pre-requisite course. These courses are designed for the beginning phaco surgeon. The faculty have a wealth of experience of both phaco and teaching principles. An insight will be offered into what phaco machines do and how, as well as technical details of how to set about the safe removal of cataractous lens.
  
  COURSE OBJECTIVES:
  
  The beginning phaco surgeon should finish this course with an insight into the fundamentals of phacoemulsification, and be in a position to perform the surgery in a more structured and safe fashion.
  
  COURSE SCHEDULE:
  
  Panel: Introduction (5 mins) K. Tjia: Basic ultrasound and fluidics (40 mins) N. Reus: Anaesthesia and potential for posterior vitreous pressure (15 mins) A. Chakrabarti: Capsulorhexis and risk for tear out and management (15 mins) K. Tjia: Hydrodissection (10 mins) N. Reus: Soft nucleus management (5 mins) and K. Tjia (15 mins) Presentations should include enough time to answer questions.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 8
• The transition from cataract surgery to refractive cataract surgery

  Leader: R. Morris | Course Level: Advanced

• Faculty:    P. Rosen   A. Shortt           

  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 RM 2) Cataract vs the refractive cataract surgery - whats the difference? PR 3) Patient characteristics, investigations rand their interpretation. RM 4) Surgical options and lens technologies AS 5) Managing the complications: creating the happy from the unhappy patient AS 6) Case presentations ALL Conclusions RM
  
  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 9
• LASIK: basic steps for safety and great results Pre Requisite Course

  Leader: A. Kanellopoulos | Course Level: Intermediate

  

• Faculty:    G. Pamel   A. Sedky   A. Stojanovic   J. Vryghem   K. Stonecipher  

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

  COURSE DESCRIPTION:
  
  Didactic approach to basic principles in LASIK. Excimer technology will be analyzed, as well as microkeratome function and use. Indications, methodology, and technique will be approached in a basic didactic function including post-operative care and management of the most common complications. Patient selection and treatment criteria will be discussed as well. This course will focus on the novice clinician but will reiterate the basic principles for the experienced as well.
  
  COURSE OBJECTIVES:
  
  The participants will share our experience and pearls of indications, patient selection, surgical technique and complication management for safe and effective results.
  
  COURSE SCHEDULE:
  
  Common indications for LASIK surgery are anisometropia, significant ametropia, intolerance of contact lens use, intolerance of spectacle use. Common procedures that have preceded LASIK are 1.RK and AK, 2.PRK, 3.INTACS 4.Clear lens extraction LASIK for myopia, astigmatism, and hyperopia a)Indications b)Surgical technique adaptations for specific refractive errors c)Adjuvant medications d)postoperative management e)Possible complications and their management. LASIK patient selection a)Indications b)medical contraindications c)personality dangers d)preoperative evaluation and refractive error LASIK instrumentation-microkeratomes a)basic principles b)pre-operative evaluation parameters c)Surgical technique d)Possible complications and their management e)maintenance issues. LASIK instrumentation excimer lasers a)basic principles b)preoperative evaluation parametres c)Surgical technique d)Possible complications and their management e) maintenance issues. LASIK in action Step by step action on several procedures on tape, question-answer session and coverage of basic problem shooting with the panelists.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Saturday 22 September
  14:30-16:30

• IC 10
• 
  Conquering capsule complications: my best teaching videos

  Leader: D. Chang | Course Level: Intermediate

• Faculty:    R. Yeoh              

  COURSE DESCRIPTION:
  
  More than 50 edited video cases will illustrate a spectrum of techniques for preventing and managing zonular, and anterior and posterior capsule complications: trypan blue dye, vitreous tap for crowded AC, torn CCC options, secondary CCC enlargement, flap tear-out CCC rescue technique, posterior CCC, CCC capture of the optic, early recognition of PC rupture, conversion from CCI/phaco to manual ECCE, posterior polar cataracts, IOL fixation with torn anterior or posterior capsule, CTR and capsule retractors for weak zonules, IOL strategies for weak zonules, pars plana bimanual anterior vitrectomy (ﾱ triamcinolone), and viscoelastic posterior-assisted levitation (PAL) + trap for descending nuclei. A special section has been added on managing complications of femtosecond laser assisted cataract surgery.
  
  COURSE OBJECTIVES:
  
  To use edited video cases to systematically review techniques of preventing, recognizing, and handling complications with the capsulorhexis, the zonules, or the posterior capsule.
  
  COURSE SCHEDULE:
  
  1. Anterior capsulotomy complications (David Chang) 2. Zonular complications (David Chang, Ron Yeoh) 3. Posterior capsule complications (David Chang) 4. Managing vitreous loss (David Chang, Ron Yeoh) 5. Femtosecond Laser FLACS complications (Ron Yeoh)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

• IC 11
• 
  New concepts and researches on keratoconus

  Leader: A. Barbara | Course Level: Advanced

• Faculty:    C. Roberts   M. Belin   R. Ambrosio   D. Gatinel   A. Marcovich  

  COURSE DESCRIPTION:
  
  The course will focus on the most recent and relevant research on Keratoconus . Speakers from the editorial board of the International Journal of Keratoconus and Ecatic Corneal Diseases ( IJKECD ) will present their most recent data on diagnosis, pathophysiology and treatment of this disease
  
  COURSE OBJECTIVES:
  
  The course is an advanced course, the course aims to give knowledge on the basics of the pathophysiology of the disease , discuss the concept of keratoconus as an inflammatory disease ,eye rubbing is it a cause of the disease does it contribute to its progression?. What are the available kinds of the intrastromal corneal rings (ISCR)and why new designs of ISCR are emerging ?, how can we integrate different available treatments such as ISCR , collagen cross linking (CXL) photorefractive keratectomy (PRK) and intraocular lenses IOLs for the treatment of KC , What does biomechanical failure in keratoconus tell us on how to perform CXL , is CXL performed by riboflavin and UVA the only option for CXL. Advanced technologies for the diagnosis of keratoconus will be presented
  
  COURSE SCHEDULE:
  
  1corneal biomechnics and costumized crosslinking , what is the best approach stabilize the cornea from the biomechanical point of view ,Cynthia Roberts 20minutes 2- Intrastromal corneal rings, what are the various available designs and what is the logic behind the new designs ,Adel Barbara 20 minutes 3-The combination of intrastromal rings , collagen cross linking ,PRK and phacic IOLs in the management of keratoconus what is the right sequence, Renato Ambrosio 20 minutesRenato Ambrosio 4- Is keratoconus an inflammatory disease , eye rubbing and keratoconus ,can we intervene pharmacologically in this process .Damien Gatinel 20 minutes 5- Mew concepts and materials for collagen corneal cross linking other than riboflavin and UVA .Arie Markovitz 10 minutes 6- what is new in corneal topography for the early diagnosis of keratoconus .Michael Belin 20 minutes discussion 10 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 13
• How to improve your refractive and cataract surgery outcomes by skilful interpretation of corneal imaging

  Leader: M. Senjab | Course Level: Intermediate

• Faculty:    A. Cummings   M. Mrochen           

  COURSE DESCRIPTION:
  
  This course describes the relationship between successful outcomes of refractive and cataract surgeries and skillful clinical interpretation of corneal imaging including Placido-based topographers, Scheimpflug-based tomographers, wavefront analysis and anterior OCT.
  
  COURSE OBJECTIVES:
  
  1. During the course, the audience will experience the skills of interpretation of corneal imaging including Placido-based topographers, Scheimpflug-based tomographers, wavefront analysis and anterior OCT. They will know the basics and the clinical applications of these measures in regard with refractive surgery and modern cataract surgery. 2. At the end of the course, the audience will have the knowledge of how to obtain good and successful results, and how to avoid intra- and post-operative complications by good planning. 3. At the end of the course, a panel discussion will allow the audience and the presenters to exchange their experience on hot topics. Clinical cases will be presented and discussed during this panel discussion.
  
  COURSE SCHEDULE:
  
  1- Understanding what we see on corneal toMography (Prof Sinjab) 10 min 2- Nomenclature of Ectatic Corneal Diseases (Prof Sinjab) 10 min 3- Corneal toPography vs toMography (Prof Mrochen) 15 min 4- Corneal toPography in laser vision correction (Dr Cummings) 20 min 5- Wavefront basics and wavefront guided treatment (Prof Mrochen) 15 min 6- How to avoid the induction of aberrations during refractive surgery (Dr Cummings) 10 min 7- The role of Anterior OCT in refractive surgery (Prof Sinjab) 10 min 8- Corneal toMography in cataract surgery and premium IOLs (Dr Cummings) 15 min 9- Panel discussion 15 min
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 14
• Explanting IOLs and refixating secondary IOLs Pre Requisite Course

  Leader: C. Mehta | Course Level: Intermediate

• Faculty:    Z. Biro   K. Mehta   E. Assia   S. Daya   M. Piovella  

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

  COURSE DESCRIPTION:
  
  In many situations we need to explant iols from the eye in situations like incorrect iol power calculation ,damaged iols and opaque iols.Intolerance to multifocal iols re another situation.We can safely implant and explant secondary lenses through a small incision using new iol cutters to explant ,we can use tissue glue,through the bag sutures and modified phakic lenses to implant the right lens.New forceps and scissor cutters safely slice the lens into 2 or 3 parts.the adventurous can even fold the lens in the eye for removal.inserting a secondary iol is simplified with fibrin glues,transcapsular sutures and newer fastening techniques like the hammock and other lens suspension systems.Also we can see the new spiral iol where the haptics are in the anterior chamber and the optic is in the posterior chamber.All these techniques only in video by a panel of experts
  
  COURSE OBJECTIVES:
  
  1.How To Explant An Iol Safely And Atraumatically By Either Cutting It Or Folding It In The Anterior Chamber 2.Secondary Iol Implantation Techniques-This Includes Glued Fixation,Scleral Haptic Fixation,Bag Fixation Itsef And Anterior Chamber And Spiral Fixation Lenses
  
  COURSE SCHEDULE:
  
  1.explanting foldable lenses throigh a small tunnelﾖpersonal technique-zolt biro-14 min
  2.cutting lenses in the eye,suturing lenses through the bag-dr cyres mehta-14 min
  3.transiridial iol fixation-dr keiki mehta-14 min
  4. anchor-ing-ehud assia 14 mins
  .to glue or not to glue-dr sheraz daya-14 mins
  6.my experience with secondary iol ﾑs-dr matteo piovella-14 mins discussions.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 15
• 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):

  COURSE DESCRIPTION:
  
  These courses are designed for the beginning phaco surgeon. The faculty have a wealth of experience of both phaco and teaching principles. An insight will be offered into what phaco machines do and how, as well as technical details of how to set about the safe removal of cataractous lens.
  
  COURSE OBJECTIVES:
  
  The beginning phaco surgeon should finish this course with an insight into the fundamentals of phacoemulsification, and be in a position to perform the surgery in a more structured and safe fashion.
  
  COURSE SCHEDULE:
  
  N. Reus: Nucleus management, medium cataract, crack techniques (20 mins) N. Reus: Nucleus management, hard cataracts, introduction to chop techniques (10 mins) A. Chakrabarti: Nucleus management, hard cataracts, personal chop techniques (20 mins) A. Chakrabarti: Mature cataracts (10 mins) K. Tjia: Nucleus management, hard cataracts, manual chop techniques (10 mins) A. Chakrabarti: Small pupil management (20 mins) K. Tjia: Posterior capsule rupture management (20 mins) Panel: Questions and answers (10 mins)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 16
• 
  LASIK: update with surgical tips in primary and secondary cases – basic comparison with surface ablation technique Pre Requisite Course

  Leader: D. Elies Amat | Course Level: Basic

• Faculty:    J. Gaytan-Melicoff   A. Marinho   J. Aramberri   M. Morral     

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

  COURSE DESCRIPTION:
  
  LASIK for correcting refractive errors is the most common and widely accepted refractive surgery. This course will provide basic and fundamental information about the special characteristics of LASIK, compared with PRK, as well as the new femtosecond-assisted refractive correction (FLEX and Smile procedures) the use or non-use of ethanol in surface ablation techniques and the role of wavefront-guided strategies with respect to excimer-induced higher-order aberrations will be explained. A range of complications will be identified, and compared with adverse events associated with PRK. Videos of the surgical techniques and some complications will be shown. The background information will be provided in handouts for each participant of the course.
  
  COURSE OBJECTIVES:
  
  The purpose of this course is to describe best practice in LASIK corneal refractive surgery, compared with PRK and femtosecond lenticule extraction techniques, emphasizing on the steps that are essential for success. The course will cover the indications and patient selection criteria for these three procedures, and discuss in detail the modern surface ablation compared to LASIK.
  
  COURSE SCHEDULE:
  
  0. Daniel Elies - Introduction: Outline and main goals of the course 5'
  1. Antonio Marinho - Preoperative evaluation: “What are the critical evaluations and considerations before the surgery? The limits on corneal ablation techniques”. 15'
  2. - LASIK surgical technique: basics “step by step” tricks. 15'
  3. Jaime Aramberri - PRK: Basic comparison (advantages-disadvantages) between LASIK and surface ablation techniques. 15'
  4. Daniel Elies - How to handle the main and most common peroperative complications for basic LASIK surgery. Some coments on femto-LASIK 15'
  5. Javier Gaytan - Main surgical tips with the different approaches for LASIK reoperations) 15'
  6. Mercé Morral - SMILE, femtosecond corneal refractive procedure 10'
  
  All: Guided discussion. Question and answers from the audience. 30'
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 17
• Minimally invasive glaucoma surgery: time to shine Pre Requisite Course

  Leader: K. Mansouri | Course Level: Basic

• Faculty:    Z. Khouir   B. Pajic   S. Dorairaj   A. Tatham   F. Ruefer  

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

  COURSE DESCRIPTION:
  
  There is a plethora of new glaucoma surgery techniques, often grouped under theumbrella term "MIGS". This course will present a video- and evidence-based overview of new techniques and devices for minimally-invasive glaucoma surgery. The course is sub-divided in Schlemm's canal-based techniques, those that address the subconjunctival route, and alternative methods. Surgical indications for each technique will be discussed. Videos will illustrate surgical technique and potential complications. Results and management of complications will be presented.
  
  COURSE OBJECTIVES:
  
  Provide an overview on modern glaucoma surgery techniques and enable attendees to chose the appropriate surgical technique for his skill set and setting.This course provides the theoretical basis for our MIGS wetlab.
  
  COURSE SCHEDULE:
  
  Moderators: Kaweh Mansouri and Ziad Khoueir Overview of the MIGS landscape (10') Kaweh Mansouri, Montchoisi Clinic (Lausanne, Switzerland) 1. Schlemmﾒs canal based approaches: 1) High frequency deep sclerotomy (HFDS) (15ﾒ) Bojan Pajic, ORASIS (Reinach, Switzerland) 2) Kahook Dual Blade and (15ﾒ) Syril Dorairaj, Mayo Clinic (Jacksonville, FL, USA) 2. Taking the sub-conjunctival route: 1). iStent (15ﾒ) Florian Ruefer, Bellevue Clinic (Kiel, Germany) 2) XEN and Innfocus (15ﾒ) Kaweh Mansouri, Montchoisi Clinic (Lausanne, Switzerland) 3. Going a new path: CyPass (15') Andrew Tatham, University of Edinburgh (Edinburgh, UK) 4. Panel Discussion ﾖ 20ﾒ
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 18
• 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):

  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: 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 19
• 
  Management of paediatric cataracts

  Leader: S. Vasavada | Course Level: Advanced

• Faculty:    M.J. Tassignon   V. Pfeifer           

  COURSE DESCRIPTION:
  
  Course highlights changing paradigms for management of pediatric cataracts, including preoperative, intraoperative and postoperative management, plus the use of new techniques and technology in these small eyes. Tips for successfully managing special situations including persistent fetal vasculature, traumatic cataracts, etc will be discussed. Incorporating these will help surgeons enhance intraoperative performance and ensure a good outcome
  
  COURSE OBJECTIVES:
  
  At the conclusion of this course the attendee will understand the clinical pearls and tips for enhancing outcomes following pediatric cataract surgery and potential difficulties as well as ways to manage them.
  
  COURSE SCHEDULE:
  
  2 Hours
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Saturday 22 September
  17:00-18:00

• IC 20
• 
  Learning phaco chop: pearls and pitfalls

  Leader: D. Chang | Course Level: Intermediate

  

• Faculty:    K. Tjia              

  COURSE DESCRIPTION:
  
  Phaco chop minimizes ultrasound time and zonular stress.Chopping is a more advanced phaco method that can help surgeons to deal with more complicated cases (such as brunescent nuclei, weak zonules, and small pupils). Pearls and strategies for learning this technique will be presented based upon the instructors' experience in teaching residents. A stepwise game plan for converting to phaco chop will be presented, along with phacodynamics principles for selecting machine parameters and instrumentation. Both horizontal (Nagahara) and vertical (Quick Chop) methods of chopping will be discussed and compared.
  
  COURSE OBJECTIVES:
  
  To present both variations of the phaco chop technique, their advantages in complicated cases, the instrumentation, machine parameters, and transition steps involved, and common mistakes.
  
  COURSE SCHEDULE:
  
  Chang: Details of horizonal and vertical chopping technique. Chang: Game plan for transitioning to chop Chang: 3D tutorial on pearls and pitfalls with chopping Chang: Troubleshooting problems Tjia: Phacodynamics for chopping
  
  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 21
• Fuchs' endothelial dystrophy: new concepts about pathophysiology and treatment – Descemet's membrane stripping with or without keratoplasty and which kind of keratoplasty: DSAEK or DMEK?

  Leader: V. Sarnicola | Course Level: Intermediate

• Faculty:    S. Hannush   C. Sarnicola   R. Fogla   E. Sarnicola     

  COURSE DESCRIPTION:
  
  Novel insight into about the pathophysiology of Fuchs Endothelial Corneal Dystrophy will be presented. Indication of several surgical treatments will be discussed such as Descemet membrane stripping without keratoplasty, DSAEK and DMEK. Clinical case and video-based presentations will show tricks and tips of how to perform DMEK surgery even in difficult cases.
  
  COURSE OBJECTIVES:
  
  Attendee will be able to learn how to select patients, perform surgery, and what to expect from EK versus Descemet membrane stripping without keratoplasty in Fuchs Endothelial Corneal Dystrophy.
  
  COURSE SCHEDULE:
  
  -New concepts about the phatophysiology of Fuchs endothelial dystrophy -Descemet membrane stripping without keratplasy: indication, procedure and ouctomes -Why preferring DMEK over DSAEK -DMEK: surgical tips to start with your first cases -DMEK: how to strip your own graft -DMEK: how to magage complications -DMEK in difficult cases: is it worth it? (post victrectomy, tube, ect)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 22
• Residual astigmatism after toric intraocular lens implantation: what to do next?

  Leader: O. Findl | Course Level: Intermediate

• Faculty:    P. Hoffmann   N. Visser   N. Hirnschall        

  COURSE DESCRIPTION:
  
  Instructional course
  
  COURSE OBJECTIVES:
  
  Residual astigmatism after toric IOL implantation can lead to reduced patient satisfaction. In those cases the source of error leading to residual astigmatism has to be identified and corrected. Correction can be either a surgical rotation of the toric IOL, an IOL exchange, refractive surgery or a correction with contact lenses, or glasses. Aim of this course is to get a better understanding of the sources of error for post-operative astigmatism and how to solve it.
  
  COURSE SCHEDULE:
  
  Oliver Findl: Introduction of the course Peter Hoffmann: When and how to measure post-operative astigmatism ? When to re-rotate / exchange the IOL Nino Hirnschall: How to calculate re-rotation + examples (especially for irregular astigmatism) Oliver Findl: Surgical videos of re-rotation and toric intraocular lens (IOL) exchange Nienke Visser: Post-operative astigmatism correction with refractive surgery
  
  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 23
• 
  Microinvasive glaucoma surgery

  Leader: C. Sng | Course Level: Intermediate

• Faculty:    K. Barton   J. Garcia-Feijoo   N. Pfeiffer        

  COURSE DESCRIPTION:
  
  The course will provide an overview of micro-invasive glaucoma surgery and the guidelines for appropriate patient selection. It will also present the techniques for implanting various micro-invasive glaucoma surgery devices (trabecular bypass devices, subconjunctival devices and suprachoroidal devices), associated surgical complications and the appropriate post-operative management. Multiple videos will be used to illustrate the correct surgical technique and tips to avoid common surgical pitfalls.
  
  COURSE OBJECTIVES:
  
  Attendees will learn about the appropriate patient selection, surgical technique, associated complications and post-operative management for micro-invasive glaucoma surgery.
  
  COURSE SCHEDULE:
  
  Overview -- clinical need and patient selection: Dr Sng, 15 minutes; Trabecular bypass devices -- Prof Pfeiffer, 15 minutes; Subconjunctival deices -- Dr Barton, 15 minutes; Suprachoroidal devices -- Dr Garcia-Feijoo, 15 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, , travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, , research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

• IC 24
• 
  Laser refractive surgery: Young Ophthalmologist Course

  Leader: V. Diakonis | Course Level: Basic

  

• Faculty:    B. Bostanci   G. Steinwender   C. Lisa        

  COURSE DESCRIPTION:
  
  The YOs laser refractive surgery course is a basic overview of corneal based refractive surgery to correct ammetropias. The course will cover the fundamentals of patient selection and description of surface ablation techniques along with in situ approaches (LASIK). Complications and their management will be also covered. The participants will be educated of the current technology and surgical techniques used.
  
  COURSE OBJECTIVES:
  
  To provide young ophthalmologists with a multidisciplinary discussion of the current and evolving techniques and technology in cornea based refractive surgery. The sessions will highlight patient assessment and patient selection along with the current surgical techniques their possible complications and their managment.
  
  COURSE SCHEDULE:
  
  Vasilios F Diakonis: Preoperative assessment and patient selection for corneal refractive surgery (Greece)
  Lasik & PRK Techniques: Basak Bostanci (Turkey)
  Complications of corneal refractive surgery: Gernot Steinwender (Austria)
  Corneal refractive surgery in post cataract cases: Carlos Lisa (Spain)
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 25
• 
  Understanding ophthalmic viscosurgical devices (OVDs) to optimise their use in cataract surgery and complications EBO Accredited

  Leader: S. Arshinoff | Course Level: Intermediate

• Faculty:                  

  COURSE DESCRIPTION:
  
  Course will consist of a slide and video presentation of rheologic properties, classification, and varied utilization techniques for OVD of different classes, including the advantages and disadvantages of each. New OVDs, recent discoveries, principles and techniques to prevent and manage complications and post operative IOP spikes will be covered. The changes in OVD's for FLACS will be highlighted. Discussion will be encouraged.
  
  COURSE OBJECTIVES:
  
  Attendee will gain insight into the rheological and surgical behavior, choice, and optimal use of OVDs, which can enhance skills in surgery and complication management. NOTE: I propose to be the only speaker for a 2 hour course, as that is how long it takes to review OVDs in detail, and to allow time for questions.
  
  COURSE SCHEDULE:
  
  The course will be divided as follows: 1. Introduction to OVDs, including history, ophthalmologic and non-ophthalmologic uses. 2. How we assess the properties of OVDs and the relevance of each to eye surgery. 3. Classification of OVDs, including why and how. 4. Best uses and problems with each OVD class. 5. Soft shell techniques. 6. Viscoadaptives 7. Viscous dispersives 8. Post op IOP spikes - avoidance and management 9. OVD rheogic theory 10. The future of OVDs
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, , receives consulting fees, retainer, or contract payments from a competing company

• IC 26
• All you need to know about contact lenses as a refractive surgeon

  Leader: C. Koppen | Course Level: Basic

• Faculty:    A. Geerards   E. Toker           

  COURSE DESCRIPTION:
  
  Proposal for a 1 hour course on lenses as a comprehensive part of the therapeutic armamentarium for visual rehabilitation of ectasia (part 1) and post-surgery (part 2) patients. In part 3 an update will be presented on therapeutic bandage lenses for use after refractive surgery and crosslinking. Contact lenses for keratoconus and ectasia: Description of the different types of lenses for correction of irregular astigmatism: corneal, scleral, hybrid and soft lenses. Contact lenses after refractive surgery and keratoplasty: Contact lenses can be complimentary to refractive surgery in cases of post-RK or post-excimer irregular astigmatism. Because of the oblate shape of these corneas specific lens designs have been developed. Therapeutic bandage lenses: Refractive surgeons use soft bandage lenses to promote epithelial healing after laser surgery, after cross-linking or after keratoplasty. It is important to be aware of the fact that material choice and fitting characteristics can influence wound healing.
  
  COURSE OBJECTIVES:
  
  Contact lenses for keratoconus and ectasia. The purpose is not to explain how to fit these lenses, but to inform the participants about the indications and limitations of the different lenses in the framework of visual rehabilitation. Contact lenses can offer a predictable correction when refractive surgery is contra-indicated or when a residual refractive error occurs after surgical visual rehabilitation. Contact lenses after refractive surgery and keratoplasty. Again the purpose is not to give instruction on lens fitting, but to enable course participants to recognize the potential benefit of contact lenses in complex post-surgery situations. Patients with irregular astigmatism and / or ametropia after transplant surgery are often referred to refractive surgeons; here again it is important to make a well informed choice for surgery and / or contact lenses in each individual patient. Therapeutic bandage lenses. Objective of this part of the course is to inform refractive surgeons about how to choose the best lens for a specific situation and how to do the follow-up. Pearls on trouble shooting will be illustrated with slit lamp images.
  
  COURSE SCHEDULE:
  
  15 minutes for each speaker and 15 minutes of discussion
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 27
• 
  DSAEK or DMEK: how to choose the correct procedure

  Leader: J. Beltz | Course Level: Advanced

• Faculty:    M. Busin   S. Madi   P. Santorum        

  COURSE DESCRIPTION:
  
  Course will use videos to explain standardized techniques for DSAEK, DMEK, and UT-DSAEK. Modifications allowing these procedures to be performed in both lens and non-lens related challenging cases will be discussed. Important factors used to determine the best EK procedure for each eye will be explained, with case histories and results presented, and time allocated for interactive discussion.
  
  COURSE OBJECTIVES:
  
  Attendees will learn techniques to improve their EK surgery, as well as how to determine the best technique for each case.
  
  COURSE SCHEDULE:
  
  Introduction and basic concepts: Prof Busin, 10 minutes Case Discussions: Dr Santorum, 10 minutes Case Discussions: Dr Madi, 10 minutes. Factors influencing surgical planning: Dr Beltz 15 minutes. DMEK indications, technique, and results: Prof Busin 10 minutes.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , gains financially from product or procedure presented, , travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

• IC 28
• 
  Boston type 1 keratoprosthesis: from indications to innovations Pre Requisite Course

  Leader: M. Cortina | Course Level: Advanced

• Faculty:    S. Hannush   E. Arrondo   J. de la Cruz        

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

  COURSE DESCRIPTION:
  
  With the emerging success of the Boston KPro type I keratoprosthesis as an alternative to multiple failed corneal transplants, there is a renewed interest in adequate patient selection, implantation techniques, as well as proper postoperative management. Successful keratoprosthesis surgery and retention requires a unique interaction between the corneal prosthesis and its surrounding environment. This course will give a detailed overview of surgical indications, techniques, and postoperative complications of keratoprosthesis surgery.
  
  COURSE OBJECTIVES:
  
  This 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:
  
  Course Schedule: (60 minutes) - Introduction (1 min) Preoperative evaluation ﾖ S. Cortina (13 min) Detailed review of most important considerations in patient selection and preoperative assessment when preparing to implant a Boston type 1 Kpro. - Surgical approach ﾖ S. Hannush (14 min) Step by step from assembly to implantation of the Boston type 1 Kpro. - Postoperative management with focus on glaucoma ﾖ Elena Arrondo (14 min) Focus on the most important surgical tips especially those related to the management of glaucoma in KPro - Complicatons, Innovations and current challenges - J. de la Cruz (14 min) Postoperative complications and future directions in keratoprosthesis design and management will be discussed.
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 29
• Updates on dry eye diagnosis and management with expert case discussions

  Leader: S. Barabino | Course Level: Intermediate

• Faculty:    M. Rolando   E. Messmer           

  COURSE DESCRIPTION:
  
  Dry eye is a common complication after cataract and refractive surgery. The course will present new techniques now available to diagnose ocular surface changes, including vital stains and instruments to measure inflammation. Management of patients with dry eye and criteria for choosing therapies will be presented. Clinical cases will be discussed with the audience interactively.
  
  COURSE OBJECTIVES:
  
  The aim of the course is to provide a practical approach to diagnose and monitor symptoms and clinical signs of dry eye syndrome with appropriate assessment tools and techniques, to apply evidence-based approaches for the treatment of dry eye, and to describe clinically relevant results for new and emerging treatments that could improve results of cataract and refractive surgery procedures.
  
  COURSE SCHEDULE:
  
  "How to diagnose symptoms and ocular surface clinical signs of dry eye": Stefano Barabino (20 mins), "A new approach to treat patients with dry eye after cataract and refractive surgery": Maurizio Rolando (20 mins), "Dry eye case discussions": Elisabeth Messmer (20 min).
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 30
• 
  Integrating traditional and new age digital marketing for millennial success

  Leader: T. Evans | Course Level: Intermediate

• Faculty:                  

  COURSE DESCRIPTION:
  
  Digital marketing is the new reality and not only for Millennials ﾖ today, every generation is online. In fact, the 55-64 age bracket is the fastest growing group on Facebook, up 79% worldwide since 2012. This means that to successfully market your eye care practice, you must have an effective Digital strategy. However, putting together a successful strategy can be a challenge. Many practices are under the mistaken impression that Digital marketing operates under entirely different rules than traditional marketing strategies (i.e. Word of Mouth and Print/Radio). Further, Nielsen and other major media research agencies have noted that Millennials distrust much of traditional advertising. Because of these misconceptions and realities, practices often struggle with their Digital marketing ROI. This course will describe how to meld traditional and new age (i.e. Digital) strategies to achieve the highest marketing ROI. Details will be provided on how to capitalize on important traditional marketing efforts in the Digital sphere, leveraging new age consumer behavior for practice growth. Best practices for four different types of non-traditional advertising strategies; Reviews, Facebook Live and Geo-fencing will also be discussed.
  
  COURSE OBJECTIVES:
  
  Attendees will: Learn how to integrate Digital, print, media and other traditional marketing platforms for higher marketing ROI and practice growth Understand how to use the practice website to more easily convert prospective patients, including Word of Mouth Referrals Learn how to leverage reviews and social media to expand the practiceﾒs reach and support Word of Mouth marketing efforts Understand the five key elements of an effective reviews strategy Learn the basic elements of Facebook Live events and how to make them highly successful Understand the key elements of Geo-fencing to obtain the highest response rate and ROI
  
  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