Instructional Courses

The ESCRS is pleased to announce that all Instructional Courses at Milan Congress will be Free of Charge.
It is not necessary to register for these courses.
Course handouts will be available online prior to the congress.

• Saturday
• Sunday
• Monday
• Tuesday

Course Handouts

• Tuesday 11 September
  08:00-10:00

• IC 82
• Update on the intraocular mirror telescope for AMD: the new secondary intraocular telescope for pseudophakic AMD eyes

  Leader: I. Lipshitz | Course Level: Intermediate

• Faculty:    J. Abad   A. Agarwal   M.J. Tassignon        

  Course Objectives:
  
  The objective of the course is to update the audience on an available technology for the treatment of their AMD patients. This technology is complimentary to all other AMD treatments and can be used at any stage of the disease for both phakic and pseudophakic eyes.
  The optical design of the implant, the indications and contraindications for use, the clinical aspects, surgical aspects, surgical results, patients selection criteria as well as the side effects, possible complications will be discussed.
  
  Course Schedule:
  
  The concept and optical design of the LMI and OriLens - Isaac Lipshitz MD.
  Intraocular telescopes for AMD (other telescopic designs) - Prof. Marie-Jose Tassignon.
  Surgical and clinical results of the LMI and OriLens, up to 3 years follow up – Prof. Amar Agarwal.
  Pseudophakic telescopic mirror implant for AMD – Juan Carlos Abad, MD.
  Surgical experience with the AMD mirror telescopes.
  
  Course Description:
  
  Course will discuss the LMI mirror telescopic implant for AMD and present the newer version for pseudophakic AMD eyes.
  The LMI is a mirror projecting intraocular telescopic IOL that is fully implanted “in the bag”, magnifies the image X2.5, is easy to implant, can be implanted in both eyes, indicated for any type of AMD and complimentary to any other retinal treatment.
  The secondary pseudophakic mirror telescope (the OriLens) is an add on mirror telescope that is sulcus fixated over an existing IOL.
  In both versions the magnified image is projected on the macular area while preserving peripheral vision. The LMI and OriLens look like a regular PMMA IOL with small mirrors embedded inside that create the telescopic effect on the central vision.
  The unique feature of the LMI and OriLens include:
  • Intraocular mirror telescope implanted inside a human eye.
  • Intraocular telescope for pseudophakic eyes.
  • Intraocular telescope that is fully implanted in the bag.
  • The first intraocular projector.
  • Both devices magnify the central vision and preserve the peripheral vision.
  A panel of surgeons will discuss the optical construction, clinical results and surgical aspects of implanting the LMI and the OriLens.
  
  Single Product Course: Yes
  
  Financial Disclosure: One or more of the authors gains financially from product or procedure presented, One or more of the authors has significant investment interest in a company producing, developing or supplying product or procedure presented
  

• IC 83
• Systematic approach and experiences with femtolaser refractive cataract surgery No handouts are available for this course

  Leader: Z. Nagy | Course Level: Basic

• Faculty:    J. Alio   L. Buratto   M. Knorz   R. Nuijts     

  Course Objectives:
  
  Attendants will learn the physical principles of femtolaser for cataract surgery, the most important steps of patient selection and the surgical technique in details. Also will learn about the advanced surgical technologies which can also be incorporated with femtolasers such as MICS. To understand the difference between manual phacoemulsification and femtolaser cataract surgery regarding HOA-s, quality of vision, CME and endothelial cell count will be also discussed. Participants will gain information why this technology is very important using premium lenses and how to prevent and manage possible complication.
  
  Course Schedule:
  
  Introduction (Z. Nagy, M. Knorz)
  Physical principle of femtolaser treatment on the cornea and in the crystalline lens: patient selection (M. Knorz)
  Surgical technique step by step (Z. Nagy)
  MICS and femtolaser (J. Alio)
  Results of PCL centration, postoperative vision, HOA-s, quality of vision, CME, endothelial cell count (Z. Nagy)
  Results with premium lenses, special issues (R. Nujits)
  Prevention and management of complications (L. Buratto)
  Financing in Europe (M. Knorz, Z Nagy)
  
  Course Description:
  
  This is a femtolaser course on cataract surgery for ophthalmologists who would like to have basic information on this evolving technology. Many important issues will be discussed during the course from technical and physical point of views of femtolasers to management of complications and how to avoid them.
  
  Single Product Course: No
  
  Financial Disclosure: One or more of the authors receives consulting fees, retainer, or contract payments from a competing company, One or more of the authors travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
  

• IC 84
• Hybrid techniques of endothelial keratoplasty (DMEK-S/DMAEK)

  Leader: P. Studeny | Course Level: Intermediate

• Faculty:    I. Krabcova   K. Liehneova   F. Price   M. Price   D. Sivekova  

  Course Objectives:
  
  To acquaint the participants with hybrid techniques of endothelial keratoplasty, patients indication, implantation techniques, lamella preparation, possible complications and their management.
  
  Course Schedule:
  
  Studeny P: Hybrid techniques of endothelial keratoplasty – introduction, types of hybrid techniques, advances
  Price FW: DMAEK – surgical technique
  Price MO: DMAEK – results, postoperative care, lamella preparation
  Krabcova I: DMEK-S - lamella preparation
  Sivekova D: Patient indications
  Liehneova K: Preoperative and postoperative care, complications and their management
  
  Course Description:
  
  Posterior lamellar keratoplasty techniques are nowadays an important surgical treatment option for endothelial dysfunction. Transplantation of bare Descemet membrane has excellent visual outcomes, but unfortunately the manipulation with such prepared graft is quite difficult. Transplantation of hybrid lamella combines the advantages of DMEK as well as DSAEK surgery technique – excellent visual outcomes and relatively easy manipulation. In this course authors will discuss versions of hybrid techniques, patient selection, implantation technique, postoperative care, interesting case reports and clinical outcomes.
  
  Single Product Course: Yes
  
  Financial Disclosure: None
  

• IC 85
• Astigmatism management with toric IOL

  Leader: J. Bovet | Course Level: Basic

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

  Course Objectives:
  
  Attendees will able to use, to adjust toric IOL and to use the different calculator for adjusting their lens.
  
  Course Schedule:
  
  To understand the astigmatism and to adjust the toric lens, 15 min Jerome Bovet.
  When to correct the astigmatism with an IOL, 15 min Matteo Piovella.
  Managing complicated toric situations, 15 min Keiki Mehta.
  How to precisely position your toric lens, 15 min Fernando L. Soler-Ferrandez.
  The rationale behind how it works and how to properly measure the cornea prior to implantation of the toric IOL, 15 min Warren Hill.
  Multifocal lens and toric IOL, 15 min Cyres Mehta.
  Toric IOL implantation pearls and pitfalls, 15 min Mohan Rajan.
  
  Course Description:
  
  Course will review the state of the art for different toric IOL, calculation, IOL selection, surgical techniques to adjust the lens at the right degree, management of intra & postoperative complications, discussion to introduce the new multifocal toric IOL.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 86
• All femto, minimally invasive technique for refractive correction of myopia and astigmatism: experience with ReLEx Smile one year after market introduction

  Leader: J. Guell | Course Level: Basic

• Faculty:    E. Chansue   O. Ibrahim   D. Reinstein   R. Shah     

  Course Objectives:
  
  At the conclusion of this course, the attendee will be informed about the working principle of ReLEx smile, how to perform the surgery theoretically and which is the best way to convert from FemtoLASIK to ReLEx smile. He will also know about the clinical results that can be expected and is able to differentiate between the available options for refractive laser correction methods.
  
  Course Schedule:
  
  Speaker 1: Osama Ibrahim, Egypt - ReLEx smile: method introduction and clinical results
  Speaker 2: Ekktet Chansue, Thailand - Advancement of surgical technique for improved clinical outcomes
  Speaker 3: Rupal Shah, India - Minimally-invasive procedure ReLEx smile in low, moderate and high myopia: experiences in treatment of more than 1,800 eyes including retreatment
  Speaker 4: Dan Reinstein, UK - Scientific rationale for why femtorefractivekeratomileusis is the future of corneal refractive surgery
  Speaker 5: José Güell, Spain - Converting from LASIK to a new refractive procedure: evaluation of first 50 ReLEx cases
  
  Course Description:
  
  This course will give an overview of the refractive procedure ReLEx smile which was introduced at ESCRS 2011 as the first refractive procedure for laser vision correction by lenticule extraction instead of tissue ablation and therefore being minimally invasive and flapless. It shows the development/advancement of the clinical results, differentiated for low, moderate and high myopia, gives information on surgical techniques and provides experiences of surgeons which converted to ReLEx smile.
  
  Single Product Course: No
  
  Financial Disclosure: One or more of the authors research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, One or more of the authors travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
  

• IC 87
• Corneal tomography in cataract surgery

  Leader: M. Sinjab | Course Level: Advanced

• Faculty:    R. Ambrosio   A. Cummings   M. Jankov   A.J. Kanellopoulos     

  Course Objectives:
  
  To highlight the importance of corneal tomography in cataract surgery as a pre-op screening process, pre-op planning process and post-op planning process.
  
  Course Schedule:
  
  a) Part 1: 30 min. Speakers: Mazen Sinjab and Renato Ambrosio Jr.
  b) Part 2: 45 min. Speakers: A. John Kanellopolous, Arthur Cummings and Mirco Jankov.
  b) Part 3: 30 min. Speakers: Mazen Sinjab and Arthur Cummings.
  c) Discussion: 15 min.
  
  Course Description:
  
  The course consists of four parts:
  a) Part 1: Corneal tomography as a pre-op screening process:
  In this part, we will talk about the importance of diagnosing irregular astigmatism, ectatic corneal disorders, corneal surface irregularities, previous refractive surgery and dry eye before the cataract surgery since such disorders affect the visual outcome.
  b) Part 2: Corneal tomography as a pre-op planning process:
  In this part, we will talk about the importance of corneal tomography in IOL calculation in special situations; IOL type; shape, type, size and location of incisions; pterygium; astigmatic keratotomy (AK); cornea guttata and Fuch’s dystrophy.
  c) Part 3: Corneal tomography and Wavefront as a post-op planning process:
  In this part, we will talk about the importance of corneal tomography in detecting tight sutures, torsion of the wound, internal wound gap, and irregular astigmatism, as well as guiding suture removal.
  d) Part 4: Discussion.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 88
• Management of cataract in challenging cases

  Leader: A. Vasavada | Course Level: Advanced

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

  Course Objectives:
  
  At the conclusion of this course, the attendee will understand the clinical pearls and tips for enhancing surgical skills and optimizing outcomes in difficult cataract scenarios.
  
  Course Schedule:
  
  TBA
  
  Course Description:
  
  This course will review successful surgical options for difficult cataracts and challenging situations. The course will also encompass challenging situations, like shallow chamber, small pupil and pseudoexfoliation.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 89
• Pediatric penetrating keratoplasty: to do or not to do?

  Leader: M. Fernandes | Course Level: Intermediate

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

  Course Objectives:
  
  1. Attendees will learn about case selection which is extremely important since the outcome is poor despite the best efforts.
  2. Attendees will learn about the prognosis and the outcome of different clinical conditions along with a literature review.
  3. Attendees will understand technical nuances in surgery of these small eyes which are much more challenging than adults.
  4. Attendees will learn the post operative treatment regiment, management of complications, early visual rehabilitation and amblyopia therapy.
  5. Attendees will learn about alternative procedures like optical iridectomy, rotational autograft and lamellar keratoplasty.
  
  Course Schedule:
  
  Indications for pediatric PK: to do or not to do? (25 min) - Jayangsu Sengupta.
  Outcome of PK in kids (20 min) - Arundhai Borthakur.
  Surgical technique (20 min) - Nibaran Gangopadhyay.
  Post-operative follow-up and complications (20 min) - Merle Fernandes.
  Alternative procedures: rotational autograft, DALK, DSAEK (15 min) - Ken Nischal.
  Discussion - (20 min)
  
  Course Description:
  
  Pediatric penetrating keratoplasty is extremely challenging, requiring an enormous commitment from the childs parents as well as the corneal surgeon. The decision to operate on a child with either a congenital or acquired uni or bilateral opacity has to be based on several factors which include the age of the child, laterality of the disease, cause of the opacity, visual potential of the eye, socio economic status and compliance with the after care issues. Technically, the surgery is more difficult than in an adult owing to the smaller anterior segment, low scleral rigidity, fibrinous uveal reaction and tenacious vitreous. The post operative course is fraught with complications owing to rapid healing with loosening of sutures and the possibility of suture related infiltrates, higher chance of allograft rejection and glaucoma. The visual outcome depends on maintenance of graft clarity and prompt amblyopia management.
  
  Single Product Course: Yes
  
  Financial Disclosure: None
  

• IC 90
• Microincisional cataract surgery: tips and tricks

  Leader: J. Febbraro | Course Level: Intermediate

• Faculty:    B. Cochener   D. Gatinel   J. Rigal Sastourne        

  Course Objectives:
  
  Attendees will be able to avoid common transitional difficulties and understand practical aspects of transition to MICS.
  
  Course Schedule:
  
  MICS: Pros and cons (20').
  Pr. B. Cochener - Co-MICS: surgical pearls to optimise transition to sub 2mm Co-MICS (20').
  Dr. JL Febbraro - Bi-MICS: pros and cons and surgical technique to facilitate transition to Bi-MICS (20').
  Pr. JC Rigal Sastourne - MICS and IOLS (20').
  Dr. D. Gatinel.
  
  Course Description:
  
  Course will describe phaco platforms, instrumentation and surgical techniques specific to microincisional cataract surgery (MICS). For each point, a theoretical and practical approach will be presented to optimise the surgical strategy. Coaxial MICS (Co-MICS) and bimanual MICS (Bi-MICS) techniques will be reviewed. The surgical steps (incision construction, capsulorhexis, phacoemulsification and IOL implantation) will be detailed with comments and videos.
  
  Single Product Course: No
  
  Financial Disclosure: One or more of the authors receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, One or more of the authors travel has been funded, fully or partially, by a competing company, One or more of the authors travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, One or more of the authors receives consulting fees, retainer, or contract payments from a competing company
  

• Tuesday 11 September
  14:30-16:30

• IC 91
• Custom ablation 2012: how to start and obtain the best from your custom ablation

  Leader: F. Camesasca | Course Level: Basic

• Faculty:    F. Carones   D. Gatinel   D. Reinstein   W. Trattler   P. Vinciguerra  

  Course Objectives:
  
  At the end of the course the participants will be able to approach CA in an organized manner, and begin to improve evaluation as well as application of CA to refractive surgery patients.
  
  
  
  Course Schedule:
  
  
  
  
  1. Introduction and presentation of the panel - Fabrizio I Camesasca 5 min
  2. The principles of aberrometry and the available aberrometers - Fabrizio I Camesasca 10 min
  3. Patient selection for custom ablation - Francesco Carones 10 min
  4. Custom ablation softwares and elaboration of the best ablation - Paolo Vinciguerra 10 min
  5. Custom ablation in LASIK: European results - Francesco Carones 10 min
  6. Custom ablation and LASIK: USA results - William Trattler 10 min
  7. Application of aberrometry to irregular corneas - Damien Gatinel 10 min
  8. Custom PTK - Paolo Vinciguerra 10 min
  9. Custom ablation: the future - Dan Z Reinstein 10 min
  10. Discussion - 15 min
  
  Course Description:
  
  Custom ablation (CA), either with surface ablation techniques or with LASIK, is part of the armamentarium of the refractive surgeon, but remains controversial for extended use and may be hard to implement for the beginner. This course will discuss the principles of custom ablation, the use of aberrometers, the selection of patients that better benefits from CA, as well as the long-term evaluation of results. Special applications of CA, such as custom PTK, will also be discussed.
  
  Single Product Course: No
  
  Financial Disclosure: None
  

• IC 92
• Deep anterior lamellar keratoplasty update

  Leader: V. Sarnicola | Course Level: Intermediate

• Faculty:    E. Holland   R. Fogla   D. Tan        

  Course Objectives:
  
  Attendees will recognize indications for these new lamellar procedures and know the advantages and disadvantages of each technique and management of complications during surgery and in the postoperative period.
  
  Course Schedule:
  
  E. Holland: “Why DALK should be the procedure of choice for corneal stromal disease”
  TBC: “Transitioning from PK to DALK”
  R. Fogla: “DALK – visco-dissection technique”
  V. Sarnicola: “DALK- big bubble standard technique”
  D. Tan: “Management of DALK complications”
  Discussion
  
  Course Description:
  
  Course will explore the various surgical techniques of corneal tissue replacement through anterior lamellar keratoplasty, including deep lamellar dissections and automated lamellar resections, also announcing new applications of lamellar surgery in corneal stromal diseases with healthy endothelium. Each technique will be shown by video, and the current results supporting the technique will be discussed.
  
  Single Product Course: Yes
  
  Financial Disclosure: None

• IC 93
• The surgical management of lens exchange and the malpositioned IOL No handouts are available for this course

  Leader: K. Mehta | Course Level: Basic

• Faculty:    E. Assia   J. Bovet   A. Crandall   S. Masket   C. Mehta  

  Course Objectives:
  
  At the end of this course, participants will be familiar with the techniques of IOL exchange and explantation, and lens exchange repositioning and the principles involved.
  
  Course Schedule:
  
  Course Introduction:
  Dr. Robert H. Osher: Stabilizing the malpositioned IOL - newer techniques.
  Dr. Ehud Assia: Utilizing the anchor segments to stabilize the bag.
  Dr. Cyres Mehta: Suturing the bag to the sclera and suspending the IOL.
  Dr. Alan Crandall: Techniques in stabilizing a subluxated bag.
  Dr. Keiki Mehta: Removal of IOL from vitreous and transcleral/transiridial suturing techniques.
  Dr. Samuel Masket: Easy does it - simple ways of stabilizing using rings and sutures.
  Dr. Jerome Bovet: Safe cutting techniques and explantation/replantation of IOL - newer techniques.
  Discussion.
  
  Course Description:
  
  IOL exchange is becoming common place dissatisfied with their presbyopic IOL or requirements of correction. The prevalence of late-onset lens dislocations also increasing. This course will cover not only IOL cutting, rotation removal, and exchange techniques demonstrate corrective surgical maneuvers for the malpositioned IOL. Use of capsular ring, cionnis and Asias, segment and suturing techniques to stabilize the bag. Late reopening of the capsular bag newer suturing fixation techniques for sulcus, and trans iris fixation and retrieving the IOL from the vitreous.
  
  Single Product Course: Yes
  
  Financial Disclosure: None
  

• IC 94
• Intracorneal inlays for presbyopia

  Leader: I. Pallikaris | Course Level: Intermediate

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

  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 Micro-Lens (Presbia), Kamra (Acufcus) and Presbylens (Revision). We will describe in detail: the different surgical techniques, 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 have a clear overview of all the available corneal inlays for presbyopia and be able to start using inlays for the treatment of presbyopia.
  
  Course Schedule:
  
  Introduction: (20 min) Pallikaris, Ioannis.
  Flexivue micro-lens (Presbia): (20 min) Bouzoukis, Dimitrios MD
  Kamra (AcuFocus): (20 min) Vukich, John MD
  Presbylens (ReVision): (20 min) Slade, Stephen MD
  Discussion
  
  Course Description:
  
  In the recent years, intracorneal inlays, have been introduced as a reversible and minimal invasive method 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 corneal inlays available for the treatment of presbyopia with three different principles of action: The Flexivue micro-lens 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. In this course we will discuss in detail the characteristics of each inlay, the indications and contraindications and the surgical techniques of implantation.
  
  Single Product Course: No
  
  Financial Disclosure: One or more of the authors research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, One or more of the authors travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
  

• IC 95
• Strategies for very dense nuclei and other challenging and complicated cases: a video course No handouts are available for this course

  Leader: K. Tjia | Course Level: Advanced

• Faculty:    A. Vasavada              

  Course Objectives:
  
  Attendees will learn general strategy guidelines and special techniques for challenging cataract surgery. Specific insight in Phacotip and sleeve choice as well as good understanding of torsional ultrasound amplitude and fluidics settings are provided.
  
  Course Schedule:
  
  See course description; panel and audience discussions between videoclips.
  
  Course Description:
  
  Course will show video clips of very dense cataracts, zonular weakness, IFIS syndrome, very shallow anterior chamber, and posterior capsular rupture cases, which require a different approach than routine uncomplicated cases.
  A wide range of video clips with simple and useful tips and techniques is offered for the experienced cataract surgeon to deal with these cases.
  Ultrasound and torsional ultrasound power settings, fluid dynamics settings, appropriate incision sizes and phacotip choice will be discussed.
  
  Single Product Course: No
  
  Financial Disclosure: One or more of the authors receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented
  

• IC 96
• Measuring, marking and managing astigmatism in cataract surgery and RLE: all you need to know No handouts are available for this course

  Leader: R. Nuijts | Course Level: Intermediate

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

  Course Objectives:
  
  Participants will understand how surgically induced astigmatism can affect refractive outcomes. Participants will gain an understanding of the principles of astigmatism treatment using topographic and wavefront refractive astigmatism values, innovative marking devices, femtosecond laser technology and new toric multifocal IOLs.
  
  Course Schedule:
  
  Rudy Nuijts: Overview of options for managing astigmatism in cataract and RLE patients.
  Nienke Visser: Use of marker-free surgery guidance device of SMI.
  Oliver Findl: Comparison of conventional marking devices and the role of the Calisto marker-free surgery guidance system.
  Robert Kaufer: Determination of surgically induced astigmatism (SIA) and incorporation of SIA into an online tool to evaluate and learn how to incorporate SIA into the toric lens selection process.
  Noel Bauer: Optimizing astigmatism and presbyopia correcting outcomes using the Acri.Lisa toric IOL.
  Thomas Kohnen: Use of LRI's in multifocal and phakic IOL surgery.
  Jose Alfonso: Comparison of multifocal toric IOLs MPlus Oculentis and toric Restor.
  All authors: Describe case reports of unsatisfied toric IOL patients and propose a treatment strategy.
  
  Course Description:
  
  This overview will outline the methods for measuring and correcting astigmatism during cataract surgery and RLE. Primary methods discussed will be conventional and innovative marker free guidance devices to determine the alignment axis for toric IOLs; the optimal use by conventional incisions or femtosecond laser technology of the main surgical incision and peripheral corneal or limbal relaxing incisions to modify corneal astigmatism; the use of toric (multifocal) intraocular lenses to correct corneal astigmatism and presbyopia.
  
  Single Product Course: No
  
  Financial Disclosure: One or more of the authors receives consulting fees, retainer, or contract payments from a competing company, One or more of the authors travel has been funded, fully or partially, by a competing company, One or more of the authors research is funded, fully or partially, by a competing company
  

• IC 97
• Modern management of irregular cornea

  Leader: M. Shafik Shaheen | Course Level: Intermediate

• Faculty:    J. Guell   S. Yoo   R. Ambrosio   D. Reinstein   M. Khalifa   F. Camesasca

  Course Objectives:
  
  Attendees will be able to manage the irregular cornea using different diagnostic modalities and therapeutic techniques, including different excimer laser platforms, ICRS, CXL and lamellar corneal surgery.
  
  Course Schedule:
  
  Introduction and magnitude of irregular cornea problems (10 min.)
  Advances in diagnostic modalities and management of post keratorefractive corneal irregularities (15 min.)
  Advances in surface ablation techniques to address irregular cornea (15 min.)
  Topography-guided techniques (15 min.)
  Wavefront-guided ablation modalities to correct irregular cornea (15 min.)
  Advances in management of keratoconus (15 min.)
  Lamellar keratoplasty for treatment of irregular cornea (15 min.)
  
  Course Description:
  
  Course will describe various diagnostic modalities of the highly aberrated cornea and its correlation with symptomatology, and how to create a plan for a treatment profile with different excimer laser platforms using topography, tomography, corneal wavefront or ocular wavefront-guided techniques. ICRS implantation, CXL and different techniques of keratoplasty will also be discussed.
  
  Single Product Course: No
  
  Financial Disclosure: One or more of the authors receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, One or more of the authors travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, One or more of the authors research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, One or more of the authors receives consulting fees, retainer, or contract payments from a competing company
  

• IC 98
• Lords of the rings and hooks No handouts are available for this course

  Leader: G. Luthra | Course Level: Intermediate

• Faculty:    A. Agarwal   S. Bhattacharjee   A. Chakrabarti   B. Malyugin   H. Tak   M. Sachdev

  Course Objectives:
  
  Attendees will be able to better understand when and how to use the various kinds of rings, hooks and similar devices to ensure a safer, easier and more predictable cataract surgical procedure in challenging situations.
  
  Course Schedule:
  
  Introduction - 5 mins.
  Malyugin's ring, pearls and pitfalls - Boris Malyugin.
  Subluxated cataracts, do's and don'ts - Robert Osher.
  Iris and capsular hooks, tips and tricks - Gaurav Luthra.
  Endocapsular rings - Arup Chakrabarti.
  Glued rings and IOLs - Amar Agarwal.
  Cionni's ring for large subluxations - Suven Bhattacharjee.
  Aniridia rings - Harshul Tak.
  Audience interaction - 30 minutes.
  
  Course Description:
  
  Video based course will highlight indications, limitations, and techniques of experts in the use of rings and hooks to overcome challenging situations in cataract surgery. All such devices including rings (endocapsular/segments/pupil expansion) and hooks (iris/capsular) and their application techniques will be demonstrated. Videos will include subluxated cataract, small pupil, floppy iris, zonular dehiscence and traumatic mydriasis among other challenging situations.
  
  Single Product Course: Yes
  
  Financial Disclosure: None