Instructional Courses

Instructional Courses

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

• Saturday
• Sunday
• Monday
• Tuesday

• Sunday 8 October
  08:00-09:45

• IC 38
• 
  Comprehensive keratoplasty techniques (Part 1) Pre Requisite Course

  Leader: J. Guell | Course Level: Basic

• Faculty:    S. Hannush   R. Bellucci   R. Mohan   S. Srinivasan     

  This is a pre-requisite course for the wetlab(s): DSEK and DMEK Keratoplasty

  COURSE DESCRIPTION:
  
  This course will mostly be directed to surgical technique details: microkeratome and/or trephine preparation of the donor in both penetrating and anterior and posterior lamellar techniques trephination, and techniques of suturing. Other surgical maneuvers commonly performed during keratoplasty such as cataract surgery, iris reconstruction, IOL extraction or anterior vitrectomy will also be reviewed.
  
  COURSE OBJECTIVES:
  
  At the end of the course, an overview of the most advanced but not yet regular techniques, will also be reviewed. The main goal of the overview is to be updated every year because techniques and technology are constantly improving (for example: culture of endothelial cells or the use of femtosecond lasers).
  
  COURSE SCHEDULE:
  
  1. Introduction - J.L. Güell 2. Trephination: different approaches - S. Hannush 3. Suturing technique: per and postoperative management - R. Mohan 4. Pearls surgical management of postkeratoplasty astigmatism - J.L. Güell 5. Basic instrumentation for full thickness keratoplasty – S. Srinivasan 6. Surgical technique in full thickness keratoplasty - R. Bellucci 7. Basic instrumentation in anterior and posterior lamelar keratoplasty – S. Hannush 8. Q & A
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Sunday 8 October
  08:00-10:00

• IC 31
• 
  The basics of corneal topography: finally understanding what you are seeing

  Leader: C. Roberts | Course Level: Basic

• Faculty:    S. Klyce   D. Koch   D. Epstein        

  COURSE DESCRIPTION:
  
  The course provides overall guidelines for understanding corneal topography in its numerous manifestations.
  
  COURSE OBJECTIVES:
  
  To enable the clinician to interpret the basic infrormation provided by topography maps so as to integrate this information into daily clinical practice.
  
  COURSE SCHEDULE:
  
  Corneal topography device technologies [10 minutes] Interpreting curvature-based topography (Steve Klyce) [30 min] Misconceptions in corneal topography (Cynthia Roberts) [30 min] The importance of the posterior surface in IOL power calculation (Doug Koch) [30 minutes] Official Questioner (Dan Epstein) Each presentation will be followed by a 5-min question and answer period.
  
  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 32
• 
  The management of complications encountered during cataract surgery

  Leader: R. Osher | Course Level: Intermediate

• Faculty:    G. Barrett              

  COURSE DESCRIPTION:
  
  This perennial course dates back to the earliest days of this Society and is the oldest course offered at the ESCRS. Dr. Osher and Dr. Barrett team up to review a broad spectrum of intraoperative complications that occur during cataract surgery. Edited videos are presented and the speakers analyze warning signs, errors, and detail the surgical maneuvers necessary to achieve a successful outcome. The topics vary from year to year but the attendee should expect lots of excitement and spirited discussion from two highly experienced cataract surgeons. To teach early recognition of complications and to review those surgical maneuvers necessary to attain a successful outcome.
  
  COURSE OBJECTIVES:
  
  To teach early recognition of complications and to review those surgical maneuvers necessary to attain a successful outcome.
  
  COURSE SCHEDULE:
  
  - Dr. Barrett will present 20 minutes - Dr. Osher will present videos for the remainder of the course
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 33
• 
  Posterior capsule rupture: mastering vitrectomy and IOL implantation – a video-based course

  Leader: A. Agarwal | Course Level: Intermediate

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

  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 20.0-Vitrectomy techniques for the anterior segment surgeon- Amar Agarwal 40.0-Managaing the nucleus after a PC Rupture- David Chang 1.00- Implanting the IOL after PC rupture- Brian Little 1.20- Challenges of handling PC ruptures- Brian Little 1.40-Disaster management- David Chang 2.00- Close
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 34
• 
  Salvaging your worst catastrophes and complications in refractive surgery: a video-based course

  Leader: D. Gatinel | Course Level: Intermediate

• Faculty:    L. Li   M. Rosman   C. Chan   S. Brar     

  COURSE DESCRIPTION:
  
  Interactive video-based course on how to react to and safely manage complications in corneal and lens-based refractive surgery including LASIK, LASEK, SMILE, EpiLASIK and ICL. Some complications presented include torn flaps, corneal ectasia, epithelial ingrowth, suction loss, lenticule creation and extraction issues with SMILE, infective keratitis with LASEK, stromal incursion with EpiLASIK, retinal detachment after ICL and ICL rotation post-op.
  
  COURSE OBJECTIVES:
  
  Attendees will be given pearls on how to manage and overcome various types of refractive surgery complications so as to achieve optimal outcomes for their patients.
  
  COURSE SCHEDULE:
  
  Videos and discussion on various laser refractive surgery complications 1. Dr Damien Gatinel. Rainbow glare, suction loss 2. Dr Lim Li. Corneal ectasia, opaque gas bubble layer, epithelial ingrowth 3. Dr Sheetal Brar. SMILE complications, torn lenticule, suction loss, difficult lenticule extraction 4. Dr Cordelia Chan. Epilasik stromal incursions, torn LASIK flap, LASIK in small eyes, difficult flap lifts 5. Dr Rosman. Infective keratitis with LASEK, Cataract and retinal detachment after ICL, Traumatic flap dislodgement
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 35
• 
  Toric IOLs, femto-LRIs and vector planning: refractive surprises and optimising excimer laser treatments EBO Accredited

  Leader: G. Stamatelatos | Course Level: Basic

• Faculty:    M. Goggin   D. Smadja   D. Pinero        

  COURSE DESCRIPTION:
  
  Course will address practical and theoretical aspects of the planning and analysis of astigmatism for toric IOLs and LRIs. In addition, what to treat in excimer laser surgery when the refractive and corneal astigmatism differs.
  
  COURSE OBJECTIVES:
  
  Participants will be able to plan and analyze astigmatism treatment and understand how to predict and correct for any postoperative refractive surprises following refractive toric IOL and LRI procedures. Furthermore, participants will learn how to incorporate the corneal astigmatism into the refractive treatment plan for excimer laser surgery.
  
  COURSE SCHEDULE:
  
  Planning of Toric IOLs Astigmatism Analysis including refractive surprises with toric IOLs, femto LRIs, excimer laser treatments Corneal topographic astigmatism parameter (CorT) Vector Planning - incorporating the corneal astigmatism into the refractive treatment plan for excimer laser surgery. The Alpins Method of astigmatic analysis
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  gains financially from competing product or procedure, gains financially from product or procedure presented

• IC 36
• 
  Improving IOL power calculation

  Leader: K. Hoffer | Course Level: Advanced

• Faculty:    G. Savini              

  COURSE DESCRIPTION:
  
  Course will present information for basic through advanced aspects of calculating IOL power for all types of eyes regardless of complex issues such as toric and multifocal IOLs, pediatric eyes and especially post refractive cornea eyes. Instruments and methods aimed at improving results while maintaining the concerns of a clinical practice. Results and management of complications will be presented.
  
  COURSE OBJECTIVES:
  
  Attendees will be presented the latest information on the best methods to improve accuracy in IOL power calculation.
  
  COURSE SCHEDULE:
  
  Introduction and basic concepts: Prof Hoffer, 10 minutes Advances in Biometry Instrumentation for increased accuracy especially in complex eyes such as staphyloma, keratoplasty, silicone oil and postrefractive surgery corneas: Prof Hoffer 45 minutes. Use of Formulas, methods to improve accuracy, dealing with complex eyes, methods to deal with complications: Prof Hoffer 45 minutes:Toric IOL power calculation: Dr Savini, 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

• IC 37
• 
  New surgical approaches to glaucoma: which way to go and how to minimise the risk for the newcomer

  Leader: A. Fea | Course Level: Intermediate

• Faculty:    R. Craven   L. Au   S. Morselli   M. Nardi   I. Stalmans  

  COURSE DESCRIPTION:
  
  The course will give an overview of the current minimally invasive glaucoma techniques (trabecular, suprachoroidal, subconjunctival), starting from the pre and post-operative gonioscopy and illustrating in details the best methods for maximising the clinical results and minimising complications with each single method (iStent, Hydrus, Cypass, XEN, Innfocus). The presenters will show videos of potential complications which may happen during the surgical procedures. They will also show their post-operative protocols and the interventions to maximise the surgical success. At the end there will be a panel discussion with clinical cases to illustrate the best candidates for each type of surgery.
  
  COURSE OBJECTIVES:
  
  Attendees will learn about the appropriate patient selection, surgical technique, associated complications and post-operative management for these surgical procedures. Special attention will be devoted using videos to demonstrate the best insertion technique and the way of dealing with potential complications
  
  COURSE SCHEDULE:
  
  Pre and intra-operative gonioscopy (Antonio Fea) 15 min + 4 min questions Trabecular surgery: iStent (Leon Au) 12 min + 4 min questions Trabecular surgery: Hydrus (Antonio Fea) 12 min + 4 min questions Suprachoroidal surgery: Cypass (Randy Craven) 12 min + 4 min questions Subconjunctival surgery: XEN 45 (Ingeborg Stalmans) 12 min + 4 min questions Subconjunctival surgery: Innfocus (Marco Nardi) 12 min + 4 min questions Patient selection and clinical examples (Simonetta Morselli): the panel will be involved in the discussion of which method for which patient 20 min
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

• IC 40
• 
  Early quantitative and qualitative keratoconus diagnosis and progression criteria utilising a combination of modern cornea diagnostics

  Leader: G. Pamel | Course Level: Intermediate

• Faculty:    A. Kanellopoulos   R. Ambrosio   D. Reinstein        

  COURSE DESCRIPTION:
  
  Will present methodology and pearls in evaluating corneal ectasia and keratoconus diagnosis and progression assessment based on a multitude of most contemporary imaging modalities (Scheimpflug, Placido and color LED reflection Topography, Anterior-Segment OCT total Corneal and Epithelial mapping, wavefront analysis, and family imaging.
  
  COURSE OBJECTIVES:
  
  Attendees will share our extensive and long experience in diagnosing ectasia and progressive keratoconus by employment of new anterior-segment imaging modalities, also applicable to post-surgery follow up and assessment.
  
  COURSE SCHEDULE:
  
  1. Diagnosis and Classification of Keratoconus by Anterior-Segment Imaging: Current status and recent developments 10min 2. Scheimpflug imaging indices based on anterior-surface irregularity 10min 3. Cornea Visualization rigidity measurements (CorVis) 15min 4. Anterior-Segment OCT indices based on cornea asymmetry and focal thinning 15min 5. Epithelial thickness indicators based on 3-dimensional display 10min 6. Novel Multicolored-spot reflection topography 10min 7. Imaging of cross-linked corneas: Pearls and Alerts 10min 8. Atomic-Microscopy imaging in keratoconic and cross-linked corneas 15min 9. Corneal thickness imaging limitations 15min 10. Stray-light measurements in keratoconic and cross-linked corneas 10min
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 41
• 
  Femtophaco: advancing frontiers EBO Accredited

  Leader: A. Vasavada | Course Level: Advanced

• Faculty:    G. Auffarth   Z. Nagy   S. Vasavada   B. Dick     

  COURSE DESCRIPTION:
  
  This Video-Based course will discuss the extended applications of Femtosecond Laser-assisted Cataract Surgery in optimizing outcomes in routine as well as challenging scenarios such as shallow chamber, mature cataracts, posterior polar cataracts and so on. It will also discuss the pros and cons of FemtoPhaco versus Conventional Phaco in different situations.
  
  COURSE OBJECTIVES:
  
  The course aims to discuss the usefulness of Femtosecond Laser-assisted Cataract Surgery in difficult cataracts, and evaluate it with regards to conventional phacoemulsification
  
  COURSE SCHEDULE:
  
  2 hours
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 42
• 
  Management of dissatisfaction after multifocal IOL

  Leader: G. Muñoz | Course Level: Basic

• Faculty:    F. Llovet   J. Ortega   S. Rohrweck   M. Martinez   M. Cabanas  

  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 and the surgical treatment of negative dysphoptosia. How to detect patients likely to be dissatisfied after multifocal IOL surgery will also be discussed.
  
  COURSE OBJECTIVES:
  
  Attendees will learn how to face 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: Dra. S. Rohrweck, 10 minutes Posterior Capsule Opacification: Dra. M. Cabanás, 10 minutes Positive and Negative Dysphotopsias (video): Dra. M. Martínez, 15 minutes Insufficient vision at certain distances: Dra. S. Rohrweck, 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

• Sunday 8 October
  10:00-12:30

• IC 39
• 
  Comprehensive keratoplasty techniques (Part 2) Pre Requisite Course

  Leader: J. Guell | Course Level: Advanced

• Faculty:    M. Busin   H. Dua   R. Mohan        

  This is a pre-requisite course for the wetlab(s): DSEK and DMEK Keratoplasty

  COURSE DESCRIPTION:
  
  The course will be mostly directed to surgical technique details: microkeratome and/or trephine preparation of the donor in both penetrating and anterior and posterior lamellar techniques trephination, and techniques of suturing. Other surgical maneuvers commonly performed during keratoplasty such as cataract surgery, iris reconstruction, IOL extraction or anterior vitrectomy will also be reviewed. In this advance section, high risk keratoplasty management as well as a deeper view in the handling of complicated situations will be covered
  
  COURSE OBJECTIVES:
  
  At the end of the course, an overview of the most advanced but not yet regular techniques will also be reviewed. The main goal of this last part is to be updated every year because techniques and technology are constantly improving (for example: culture of endothelial cells or the use of femtosecond lasers)
  
  COURSE SCHEDULE:
  
  1. Surgical technique in anterior lamellar keratoplasty H. Dua/ J.L. Güell 2. Surgical Technique in Posterior lamellar keratoplasty- M. Busin 3. Additional surgery during keratoplasty: cataract, vitrectomy and iris reconstruction- J.L. Güell 4. Management of high risk keratoplasty- H. Dua 5. Regrafts. Glaucoma and keratoplasty- Rishi Mohan 6. Q&A/ Discussion of cases
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Sunday 8 October
  10:30-12:30

• IC 43
• 
  A video bouquet of phaco complications which should never have occurred: with tips on damage control and prevention to optimise postoperative outcomes

  Leader: A. Chakrabarti | Course Level: Basic

• Faculty:    R. Yeoh   B. Little   K. Tjia   S. Haldipurkar   N. Reus  

  COURSE DESCRIPTION:
  
  This video course deals with genesis, management and prevention of unexpected surgeon or technique related complications in phacoemulsification in uncomplicated cataracts. These complications may be more frequent in the hands of a novice surgeon though not uncommon in the hands of an experienced surgeon. Course demonstrates complications that may be encountered during all steps of phaco (both uncomplicated and difficult cataracts) and offers a stepwise strategy to prevent and manage them. Complications and remedial measures demonstrated in this video course include wound burns, wound length and size anomalies, capsulorhexis size anomalies, extension and retrieval, two stage rhexis, use of microrhexis forceps and scissors in tricky cases, incomplete/difficult hydrodissection, hurdles in phaco-chop, misplaced CTR, inappropriately used iris hook and iris hook induced trauma, intraoperative zonular dialysis, posterior capsular tear, challenges during nucleus removal, how to convert to a safer non-phaco technique in problem situations and many more. The complications will be demonstrated using video clippings. The management of these complications also will be demonstrated. And finally tips will be offered to minimize the incidence of these complications.
  There will also be a panel discussion at the conclusion of each presentation.
  
  COURSE OBJECTIVES:
  
  At the end of the course the attendee will learn how to avoid and successfully manage certain intraoperative phaco complications which can not only mar the postoperative outcome in uncomplicated as well as complicated cataracts but also can lead on to sight-threatening sequelae (if not managed scientifically).
  
  COURSE SCHEDULE:
  
  Speakers and Topics
  (15 to 20 minutes per speaker including panel discussion)
  
  Dr. Arup Chakrabarti: Introduction
  Dr. Ronald Yeoh:
  1. Wound Related Complications
  a. Incisions that are too large/too small
  b. Poor incision construction
  c. Phaco burn
  d. Incision suturing:
  2. Miscellaneous Complications
  
  1. Capsulorhexis Complications
  2. IOL Related Complications
  Dr .Arup Chakrabarti
  1. Hydrodissection Related Complications
  2. Assorted Complications
  Dr. Brian Little
  1. 'Things residents do':
  a. Wounds too short and too long
  b. Unseen anterior capsule puncture and then filling the break with viscoelastic to split the capsule
  c. Capsular tear out recovery
  d. Viscoat exchange to stop nucleus piece dropping
  e. IOL stuck in wound
  Dr. Khiun Tjia
  1. Intraop. Zonular Dialysis and Dense Nuclear Fragments
  2. Posterior Capsular Tear in Quadrant Removal
  3. Viscoshield Strategies
  
  Nucleus Management Related Complications (Including):
  1. Iris Trauma in Phaco
  2. Intraoperative Surge
  3. Phaco Chop- Difficulties & Complications
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 44
• 
  Corneal surgery assisted by femtosecond laser

  Leader: J. Alio | Course Level: Intermediate

• Faculty:    W. Sekundo   G. Baikoff   T. Neuhann   G. Carp     

  COURSE DESCRIPTION:
  
  Femtosecond laser has been introduced recently as a new high technology tool for corneal surgery. During recent years an increased number of applications and a clear improvement in the surgical performance has been described when using femtosecond laser for procedures such as LASIK, corneal grafting surgery (penetrating, deep anterior lamellar), corneal excision, intracorneal ring segment implantation, pockets for intracorneal inlays, corneal keratopigmentation techniques and corneal refractive surgery. During this course the instructors will provide details about the use of the different femtosecond technologies, the evidence that exists on the improvement and clinical outcomes and clinical and surgical pearls for the practical use of femtosecond laser for corneal surgery.
  
  COURSE OBJECTIVES:
  
  To instruct the corneal surgeon about the use of femtosecond lasers in corneal grafting surgery, surgery of keratoconus and special indications such as corneal keratopigmentation techniques, and presbyopia in corneal refractive surgery.
  
  COURSE SCHEDULE:
  
  1. Introduction: Jorge Alio: 10 minutes 2. Femtosecond LASIK: Tobias Neuhann: 10 minutes 3. Femtosecond corneal graft surgery: My technique: Jorge Alio: 15 minutes My technique: Georges Baikoff: 15 minutes My technique: Tobias Neuhann: 15 minutes 4. Femtosecond laser in keratoconus correction: Jorge Alio: 5 minutes 5. SMILE: introduction to a new type of refractive surgery: Walter Sekundo: 10 minutes 6. SMILE: Myths vs Science: Glenn Carp. 10 minutes 7. Other techniques: corneal excision, keratopigmentation and artificial cornea: Jorge Alio: 15 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 45
• 
  Multifocal IOLs: masterclass

  Leader: J. Karthikappallil | Course Level: Intermediate

• Faculty:    M. Wevill   M. Subramanian           

  COURSE DESCRIPTION:
  
  The course will extensively describe the following topics Patient selection for M-IOL. tips and tricks. Know the various types of Multifocal IOLs available in the market, Their mechanisms of action, advantages and disadvantages , How to choose the most appropriate IOL , Importance of managing preop astigmatism , Various Methods of dealing with astigmatim , Marking the axis, LRI, OCCI,AK , Toric IOLS, Mendez guage , Intraop verification of astig axis, Loss of effect by how much, Importance of capsulorhexis . femtosecond laser , IOL rotation , Reposition, CTR or not, Importance of residual refractive error , Excimer laser topup to manage any residual refractive error, Management of unhappy patients
  
  COURSE OBJECTIVES:
  
  This course will enable all participants to start offering Multifocal IOLs to their patients. It will also offer paricipants practical tips and tricks videos to manage pre-operative astigmatism. Some results from astigmatism correction and multifocal IOL s will be presented
  
  COURSE SCHEDULE:
  
  Introduction - J.Karthikappalil; Part 1 Patient selection for M-IOL Mark Wevill, M.Subramaniam Multifocal IOLs types mech of action- Mark Wevill; Importance and various methods of managing pre-op Astigmatism - J.Karthikappallil Videos tips and tricks - M.Wevill, J. Karthikappallil; M. Subramaniam Part 2 Management of unhappy patients after M-IOL - M.Wevill
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 46
• 
  DALK: from standard technique to the new frontiers

  Leader: E. Sarnicola | Course Level: Intermediate

• Faculty:    E. Holland   S. Hannush   V. Sarnicola   D. Tan     

  COURSE DESCRIPTION:
  
  Clinical case and video-based course will explain how to perform DALK in standard cases (cannula big bubble, airviscobubble, manual dissection, etc) and how to fix all kind of DM ruptures (micro and marco-perforations, excessive trephination, ruptures in pdDALK cases with disparity of curvature between donor and recipient). New indications for DALK surgery will also be discussed: keratoglobus, extreme ectasia, scar, active infection, penetrating trauma, decemetocele, corneal dystrophies, and all ocular surface diseases where the endothelium is healthy).
  
  COURSE OBJECTIVES:
  
  Attendee will be able to learn that DALK is the best procedure for all cornea diseases with an healthy endothelium, and not only for keratoconus. Attendee will also learn how to fasten the learning curve moving from PK to DALK, and how handle complications such as DM rupture and double anterior chamber.
  
  COURSE SCHEDULE:
  
  - Why preferring DALK over PK. - DALK standard technique (cannula big bubble, airviscobubble, manual dissection, bubble test, new opening of the bubble). - Common mistakes to be avoided during DALK surgery. - How to manage DM ruptures and double anterior chamber. - DALK in ocular surface diseases. - DALK in infections (HSV, scar, and active fungal or acanthamoeba infections). - DALK in penentrating corneal wound and descemetocele. - DALK in unusual cases (ectasia post RK, corneal dystrophy, keratoglobus, ect).
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 47
• 
  Combined cataract and glaucoma surgery: when, what and how

  Leader: L. Au | Course Level: Advanced

• Faculty:    S. Lim   K. Mercieca   A. Fea   A. Mermoud     

  COURSE DESCRIPTION:
  
  Cataract and glaucoma are two conditions that co-exist on a frequent bases. Surgeons are sometimes faced with the dilemma of performing either combined or sequential glaucoma and cataract surgery. Both approaches have their benefits and pitfalls. The emergence of minimally invasive glaucoma surgeries (MIGS) in recent years have sparked further interest in combined phaco-glaucoma surgery; there are now many surgical options but it can be difficult to choose the correct surgery for the right patient.
  
  COURSE OBJECTIVES:
  
  Candidate would learn about 1. The need and dilemma of combined cataract and glaucoma surgery 2. The IOP lowering effect of cataract surgery alone 3. The traditional approach of phace-trabeculectomy and phaco deep sclerectomy 4. The multiple options, surgical tips and results of all new MIGS devices including phaco istent/hydrus, ab-internal trabeculotomy, Xen implant and canaloplasty. 5. A comparison of all these surgical options and how to choose the right surgery for the right patient
  
  COURSE SCHEDULE:
  
  1. The need and dilemma of combined cataract and glaucoma surgery - Leon Au (10min) 2. The traditional approach: phaco trabeculectomy / deep sclerectomy - Karl Mercieca (20 min) 3. Phaco-istent: masterclass in abinternal approach - Antonio Fea (20 min) 4. Phaco abinternal trabeculotomy and aqueous outflow - Sheng Lim (20 min) 5. Phaco Xen implant - Andre Mermoud (20 min) 6. Phaco schlemm's canal dilation and scaffolding - Leon Au (15 min) 7. Summary of technology, learning curve and patient selection - Panel discussion (15 min)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, research is funded, fully or partially, by a competing company, 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 competing company

• IC 48
• 
  Managing phaco complications in rock hard cataracts

  Leader: K. Metha | Course Level: Intermediate

• Faculty:    J. Bovet   C. Mehta   S. Arshinoff   Z. Biro   M. Piovella  

  COURSE DESCRIPTION:
  
  Course will comprehensively discuss and demonstrate the techniques to manage complications which ensue when a rock hard cataract is done. Strategies in evaluating and saving the endothelium by managing ultrasound settings. Retrieving a difficult rhexis, splitting a reluctant lens, managing a surgically induced zonular dehiscence, and a split capsule half way through procedure. Using capsular stabilization devices and finally saving a sinking lens, and managing subsequent suturing of the IOL.
  
  COURSE OBJECTIVES:
  
  This course aims to equip the attendee with the ability to assess a hard cataract, judge how to split a sticky had lens, assess the capsular support , predict the problems which will occur, take preventive steps and effectively manage complications they arise at any stage of the procedure.
  
  COURSE SCHEDULE:
  
  Overview of the course topics. Advanced Surgical Techniques to Prevent Complications in Phaco, Prof. Keiki Mehta, 15 mins Stabilizing a sinking lens .Managing a capsular dehiscence with the anchor and suture with IOL stabilization, , 15 min Newer methods on splitting elastic and difficult lenses, Prof. Jerome Bovet, 15 mins Managing difficult cataracts in children using new novel techniques, Prof Zsolt Biro Optimization - The key to managing rocks. Dr. Cyres Mehta Hard cataracts with Optimizing viscoelastic devices, Prof. Steve Arshinoff, 15 mins.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  gains financially from 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 49
• 
  In-the-bag IOL dislocations

  Leader: I. Conde Prieto | Course Level: Intermediate

• Faculty:    B. Feijoo   M. Faria   R. Lorente   V. Rojas   B. Lorente  

  COURSE DESCRIPTION:
  
  Course will discuss the mechanisms and risks factors and the increasing incidence of this complication. Videos will illustrate different surgical approaches. Clinical cases and vignettes will highlight critical factors in the decision for the best surgical approach to each case.
  
  COURSE OBJECTIVES:
  
  Attendees will learn how to surgically manage this complication and how to prevent it in high risk cases.
  
  COURSE SCHEDULE:
  
  Introduction and epidemiology: 15 min Mechanisms of in the bag dislocation: 15 min How to prevent in the bag dislocation: 15 min Surgical management: Anterior approach: 20 min Surgical management: Posterior approach: 20 min Minimally invasive correction: How to reposition the complex 20 min Clinical cases and conclusion: 15 min
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Sunday 8 October
  10:30-13:30

• IC 50
• 
  Schlemm's canal surgery: ab-externo and ab-interno (viscocanalostomy and canaloplasty) Pre Requisite Course

  Leader: C. Peckar | Course Level: Advanced

• Faculty:    R. Stegmann   N. Koerber   M. Grieshaber   V. Jasinskas   J. Patel  

  This is a pre-requisite course for the wetlab(s): Glaucoma Canaloplasty (Enhanced Viscocanalostomy) & Viscocanalostomy (Glaucoma)

  COURSE DESCRIPTION:
  
  This course covers the surgical steps in internal draining ab-externoand and ab-interno Schlemm's canal glaucoma surgery with special attention to the procedures of viscocanalostomy and canaloplasty (in which Schlemm's canal is dilated prior to placing a tensioning device or expander in the canal).
  
  COURSE OBJECTIVES:
  
  The course faculty will present their long-term results with ab-externo viscocanalostomy and canaloplasty and early results of ab-interno canaloplasty. The course will also demonstrate how placing a tensioning device, or expander, within the canal, in canaloplasty, reduces IOP in the management of open-angle glaucoma.
  
  COURSE SCHEDULE:
  
  Introduction and history of Schlemm’s canal surgery: C. Peckar (10 mins) Viscocanalostomy and canaloplasty: step by step: C. Peckar (30 mins) Applied micro-anatomy of glaucoma: R. Stegmann (20 mins) Long-term results of viscocanalostomy: M. Grieshaber (15 mins) Long-term results of canaloplasty: (15 mins) Combined with phaco versus separate: (15 mins) Management of complications, value of channelography and results in previous trabeculectomy patients: (25 mins) Glaucoma observations and ‘The way ahead’: R. Stegmann (20 mins) Conclusions: C. Peckar (10 mins) Questions and answers: All Faculty (20 mins)
  
  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, research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

• Sunday 8 October
  14:30-16:30

• IC 51
• 
  Corneal biomechanics for the clinician: understanding the basics EBO Accredited

  Leader: C. Roberts | Course Level: Intermediate

• Faculty:    J. Hjortdal   W. Dupps   P. Vinciguerra   D. Epstein   F. Faria-Correia  

  COURSE DESCRIPTION:
  
  The course will cover the basic principles of corneal biomechanics, and then go on to elucidate the role of biomechanics in specific clinical situations such as keratoconus, refractive surgery, ectasia and crosslinking.
  
  COURSE OBJECTIVES:
  
  To provide the clinician with the understanding of the basic concepts of biomechanics in the normal, pathological and post-surgical cornea.
  
  COURSE SCHEDULE:
  
  Basics of biomechanics (J. Hjortdal) [ 20 min, 10 min discussion]
  Biomechanics of the keratoconic cornea (Cynthia Roberts) [ 15 min, 7 min discussion] Biomechanics of corneal refractive surgery (William J. Dupps Jr) [15 min, 7 min discussion]
  Biomechanics of postrefractive surgery ectasia (Fernando Faria-Correia) [15 min, 7 min discussion]
  Can biomechanics alone separate normal corneas from pathologic ones? (Paolo Vinciguerra) [15 min, 7 min discussion]
  Official Questions (Dan Epstein)
  
  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, receives nonNonemonetary benefits from a company producing, developing or supplying the product or procedure presented.

• IC 52
• 
  Converting to refractive lens exchange and presbyopia correction for the general cataract surgeon

  Leader: R. Morris | Course Level: Advanced

• Faculty:    P. Rosen   K. Bates           

  COURSE DESCRIPTION:
  
  Many highly competent cataract surgeons wish to transition to refractive lens exchange/presbyopia correction. These patients have very different characteristics and requirements to those with age related cataract. 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 lens exchange 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 lens exchange - whats the difference? PR 3) Patient characteristics, investigations rand their interpretation. RM 4) Surgical options and lens technologies KB 5) Managing the complications: creating the happy from the unhappy patient KB 4) Case presentations ALL 5) Conclusions KB
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  receives consulting fees, retainer, or contract payments from a competing company

• IC 53
• 
  Current state of CXL (corneal cross-linking): controversies and recommendations

  Leader: F. Hafezi | Course Level: Advanced

• Faculty:    C. Mazzotta   F. Raiskup   G. Kymionis   B. Randleman   T. Seiler  

  COURSE DESCRIPTION:
  
  This course will discus the latest controversies and trends in CXL and will give clear clinical recommendations on the use of CXL for a number of indications, including ectasia, refractive laser surgery, and corneal infection. The first presentation will give a concise overview about the established indications of keratoconus, postoperative ectasia, and PMD. The second talk will discuss the latest modifications of CXL technology (i.e. iontophoresis epi-on, accelerated protocols, pulsed CXL) and their clinical proof and relevance, and will summarize with concrete recommendations regarding intensities and irradiation times that should be used clinically. The third presentation shines a light on CXL Plus, the combination of CXL technology and refractive surgery techniques. The fourth presentation will cover new indications like Terrien’s marginal degeneration, CXL as a stabdalone refractive procedure, and new chromophores. The fifth presentation is on PACK-CXL for the treatment of corneal infiltrates and ulcers. It will summarize the current state of clinical application, new experimental findings, and recent improvements of the technique. The last presentation will give an outlook on the potential future of crosslinking technology.
  
  COURSE OBJECTIVES:
  
  The objective of the course is to make the clinician familiar with the indications and contraindications of CXL. The course will provide a comprehensive overview on the current state of CXL, its basic principles, the technique, clinical indications and recommendations. 1) To update the clinician with the latest modifications of the treatment protocol, 2) To enable the clinician to choose the ideal treatment parameters for each indication, 3) To demonstrate future trends in the use of CXL and 4) to give clear and concise guidelines for treatment.
  
  COURSE SCHEDULE:
  
  1) CXL for keratoconus, PMD and postoperative ectasia. Long­term results, Pediatric cases, structural changes, Brillouin microscopy, OCT findings (15 min + 5 min discussion, Cosimo Mazzotta) 2) New CXL protocols: accelerated, contact­lens assisted, pulsed, thin corneas, iontophoresis (15 min + 5 min discussion, Frederik Raiskup) 3) CXL in refractive laser surgery, CXL Plus: (CXL and PRK, CXL and ICRs, CXL and CK,) (15 min + 5 min discussion, George Kymionis) 4) New indications: Terrien’s disease, stabilize results in refractive laser surgery, standalone refractive procedure, repeated CXL, new chromophores (15 min + 5 min discussion, Bradley Randleman) 5) PACK­CXL for infectious keratitis (corneal infiltrates and ulcers) (15 min + 5 min discussion, Farhad Hafezi) 6) The future of Cross­ Linking (15 min + 5 min discussion, Theo Seiler)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  has significant investment interest in a company producing, developing or supplying product or procedure presented, research is funded, fully or partially, by a competing company, receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

• IC 54
• 
  Management of cataract in challenging cases

  Leader: A. Vasavada | Course Level: Advanced

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

  COURSE DESCRIPTION:
  
  This course will review surgical options for successfully managing difficult cataracts and challenging situations. The course will also encompass challenging situations, like shallow chamber, small pupil, pseudoexfoliation, and zonular compromise.
  
  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:
  
  2 hours presentation
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 55
• 
  Complications in LASIK: management and prevention

  Leader: J. Vryghem | Course Level: Basic

• Faculty:    M. Assouline   A. Kanellopoulos   S. Daya   G. Sallet   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:
  
  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: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 56
• 
  Overview of phakic IOLs Pre Requisite Course EBO Accredited

  Leader: A. Marinho | Course Level: Basic

• Faculty:    F. Carones   C. Budo   A. Eldanasoury   P. Stodulka   G. Baikoff  

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

  COURSE DESCRIPTION:
  
  The Course will be divided in three parts. In the first part the criteria for patient selection will be presented and discussed in detail. In the second part the available phakic IOLs (Artisan, Artiflex, ICL and IPCL) will be presented by experts with special emphasis on design, surgical techniques and adverse events. In the third part complications of phakic IOLs as well as future trends will be presented and discussed.
  
  COURSE OBJECTIVES:
  
  Presenting in one course different types of phakic IOLs, in an unbiased way, we hope to enable the refractive surgeon to begin or expand his/hers practice with phakic IOLs, having the complete knowledge of advantages as well as of adverse events of this type of refractive surgery.
  
  COURSE SCHEDULE:
  
  1) Introduction-A. Marinho (5 minutes). 2) Selection of patients-F. Carones (15 minutes). 3-Artisan/Artiflex- C. Budo (15 minutes). 4-ICL-Alaa El-Danassoury (15 minutes). 5-IPCL- Pavel Stodulka (15 minutes). 6-Complications of Phakic IOLs- A. Marinho (15 minutes). 7-Future trends of phakic IOLs-Georges Baikoff (15 minutes). 8) Final remarks (15minutes)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 57
• 
  Oculoplastic surgery for cataract and refractive surgeons

  Leader: V. Thaller | Course Level: Advanced

• Faculty:    D. Paridaens   F. Quaranta-Leoni   I. Mavrikakis        

  COURSE DESCRIPTION:
  
  This course focuses on the surgical management of selected eyelid disorders, which are common and relevant to the patient and the anterior segment surgeon. This includes the prevention and management of ocular surface disease due to eyelid malpositions, the evaluation and treatment of a watering eye, how to deal with periocular tumours in order to avoid ongoing malignant disease, and how to avoid functional problems in blepharoplasty. The speakers belong to a group of well-trained and experienced ophthalmic plastic surgeons and are all active members of the ESOPRS (European Society of Ophthalmic Plastic and Reconstructive Surgery).
  
  COURSE OBJECTIVES:
  
  Participants will be shown how to surgically manage certain disorders of the eyelid in this course.
  Participants will leave the course having been shown how to prevent and manage the selected eyelid disorders.
  
  COURSE SCHEDULE:
  
  Francesco Quaranta-Leoni (Italy): How to protect the ocular surface?
  Ioannis Mavrikakis (Greece): What to do with a watering eye? Causes and evaluation.
  Dion Paridaens (Netherlands): How to avoid problems in blepharoplasty?
  Vladimir Thaller (UK): What to do with "lumps and bumps" around the eye?
  
  The duration of each talk is 20-25 min with 5-10 min discussion.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 58
• 
  Teaching statistics in the overall context of preparing and writing a scientific paper EBO Accredited

  Leader: D. Young | Course Level: Basic

• Faculty:    S. Corson              

  COURSE DESCRIPTION:
  
  In 1938 Sir Ronald Fisher wrote “To consult the statistician after an experiment is often merely to ask him to conduct a post mortem examination. He can perhaps say what the experiment died of.” This short workshop will prepare you for designing, undertaking and reporting the findings of a scientific study. It will encourage you to adopt an evidence based approach on how best to execute your surgical and clinical procedures. It will give you some insight into the statistical methods that can bring understanding and enlightenment about the use of medical treatments and processes.
  
  COURSE OBJECTIVES:
  
  * To explain the various statistical approaches commonly associated with clinical and surgical eye studies * To guide you through the analysis of data using a statistical software package * To illustrate how to report study results in a scientific paper * To enable you to constructively criticise a scientific paper from the perspective of a statistical reviewer
  
  COURSE SCHEDULE:
  
  Introduction: the role of statistics in medical research, types of data, graphics and descriptive statistics, the normal distribution. Hypothesis Testing: basic concepts, parametric vs. non-parametric, significance level, Type I and Type II errors, randomization, per-protocol vs. intention to treat analysis Statistical Tests: t-tests, paired t-test, Mann-Whitney, Wilcoxon, chi-squared, Z-test for two proportions illustrated using Minitab (www.minitab.com) Case Study: Critical appraisal of a research paper from the Archives of Ophthalmology Time for questions and general discussion Note: Real data will be presented and analysed using the statistical package Minitab and the use of this software will be illustrated throughout the course. Participants may wish to download a free trial of the software at www.minitab.com and work interactively during the workshop on some of the data which will be made available at the course.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 59
• 
  Present state, developments and future of the capsular tension ring (CTR)

  Leader: J. Villada | Course Level: Intermediate

• Faculty:    B. Dick   J. Martinez de Aragon   T. Schultz   L. Werner     

  COURSE DESCRIPTION:
  
  The course will focus in one of the objectives of the implantation of a CTR, the prevention of capsular shrinkage and IOL dislocation. The course is based on the publications of some of the authors in their experience with properties and complications of currently used CTRs together with the research performed by the authors in new materials and designs.
  
  COURSE OBJECTIVES:
  
  Attendees will learn about the long term performance of PMMA CTRs, and their capability for preventing capsular shrinkage. Also they will be introduced into new materials and designs for future CTRs.
  
  COURSE SCHEDULE:
  
  Current state and principles of CTRs (Dr Villada, 15 minutes) . Spring constants of PMMA CTRs (Dr Schultz, 15 minutes). In vitro behaviour of PMMA rings when submitted to constant pressure (Dr Martinez, 15 minutes) Findings in eyes after dislocation of IOL-CTR complex (Dr Werner, 20 minutes). Principle and performance of the PMMA closed CTR (Prof Dick, 20 minutes). Alternative materials and designs, new solutions (Dr Villada/Dr Martinez de Aragon 20 minutes). Discussion (15 minutes)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 60
• 
  Visual field evaluation

  Leader: F. Rowe | Course Level: Intermediate

• Faculty:                  

  COURSE DESCRIPTION:
  
  The intention is to address the evaluation of visual fields using Humphrey, Octopus and Goldmann perimetry. Printouts of normal and abnormal visual fields will be reviewed. Consideration of global indices, probability plots, reliability indices and other indicators will be made for how these factors aid interpretation along with determination of true visual field loss or artefactual defects. This course will directly compare the specific uses of perimeters in the assessment of visual fields and consider differences in the operating mode of each perimeter and differences in programme options.
  
  COURSE OBJECTIVES:
  
  The purpose of this course is to educate ophthalmologists on the principles and evaluation of perimetry as an essential component of ophthalmic practice. The course will provide information on visual pathway anatomy, methods of perimetry use for Humphrey visual field analyser, Goldmann perimeter, Octopus 900 perimeter, visual field printout options and interpretation of results using statistical packages provided by the perimeter systems. In addition, aids to interpretation will include discussion of the ocular symptoms and signs associated with lesions along the various parts of the visual pathway, possible localisation of lesion according to type of visual field defect plotted plus artefacts of visual field defects and their avoidance.
  
  COURSE SCHEDULE:
  
  Introduction and basic concepts Visual pathway characteristics Perimeter options and results Statistical software
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 61
• 
  Multifocal, toric multifocal, extended depth-of-focus and pinhole IOLs: face the challenge

  Leader: M. Piovella | Course Level: Advanced

• Faculty:    J. Pepose   C. Mehta   C. Carbonara   L. Mastropasqua   D. Serafano  

  COURSE DESCRIPTION:
  
  Course will review the state-of-the-art knowledge on presently available multifocal. Their features, indications and contraindications, matching possibilities, and clinical results, pursuing highly satisfactory uncorrected distance, intermediate and near vision, will be examined. Advanced technologies IOL performance based on contrast sensitivity, light distribution, light loss and halos will be discussed. The new IOL generations (Trifocal, EDOF and Pinhole IOLs) have replaced the multifocal bifocal IOLs in Countries where available. After an introduction that describes IOLs technologies evolution, specific discussion will be focalized on toric correction indications.For a correction of two diopter of astigmatism if the axis is rotated of only 8 degree a toric IOL lost 100% of quality of vision (MTF) . Emmetropia is the perfect goal to provide best IOLs performances and patients satisfaction. So the importance of advanced technology adoption is determinant to achieve good outcomes. Faculty will discuss the most frequent locks of organization that are responsible for IOLs low efficiency. Best eye selection will be discussed and specific time will be dedicate to complications and their management. A specific test with important indications will be provided to the attendees to determinate if their organization is ready to switch to advanced technology IOLs or not.
  
  COURSE OBJECTIVES:
  
  Attendees will experience a structured approach on eye and IOL selection – based on accurate matching of IOL features and performance with advanced technologies and organization adoption. - will be provided. In Europe over 95% of eye surgeons has only experience with high volume low cost cataract surgery and do not really know advanced technology IOLs performances and positive results. To provide a positive adoption of personalized high tech cataract surgery our standard organization has to be changed and updated. This course should be a very positive option to share thepractical efficient experience of eye doctors that have adopted a new IOLs generation in the majority of their patients
  
  COURSE SCHEDULE:
  
  Multifocal bifocal and Accomodative IOLs 1. ReZoom NXG 2. Optivis 3. Acrilisa 4. ReSTOR SN60D3 – ReSTOR Toric 5. Tecnis ZM900 (AMO) 6. Synchrony 8. Chrystalens 9. AcriLisa – AcriLisa Toric 10. Multifocal Toric New Generation Multifocal IOLs : Trifocal Trifocal Toric Extended Depth of Focus Extended Depth of Focus toric Pinhole IOL Multifocal and Accomodative IOL Management 1. Contrast Sensitivity 2. Light distribution at different distances 3. Light loss 4. Mix-and-Match 5. Visual Neuroadaptation? 6. Intermediate and near vision evaluation 7. Ten Pearls 1. Eye selection 2. Management of complications 3. Visual habits 4. Dominant eye 5. Biometry 6. Pupil size Mesopic Photopic Near and distance vision as related to pupil size Pupil diameter and IOL efficacy 7. Astigmatism Amount of astigmatis 9. Time to second eye surgery 10. Residual defect correction (enhancement) 8. The role of pupil diameter 9. Matching the right IOL with the right eye Complications management 1. Adequate, flexible postop time schedule 2. How to get refractive plano results 3. Why 0.75 diopters SE refraction causes loss of one line of VA 4. How long to wait before laser refractive treatment 5. Explantation techniques :when and why
  
  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

• Sunday 8 October
  17:00-18:00

• IC 62
• 
  Strategies for very dense nuclei and other challenging and complicated cases

  Leader: K. Tjia | Course Level: Intermediate

• Faculty:    A. Vasavada              

  COURSE DESCRIPTION:
  
  Course will explain chop techniques in great detail how to manage very dense nuclei illustrated by animations and video clips of very dense cataracts, ultrasound power settings, fluid dynamic settings, appropriate incision sizes and phacotip choice will be discussed in particular in combination with torsional ultrasound technology. Specific back up manual techniques will be taught in case complete nucleus disassembly has not been completely successful. The mandatory steps to handle mature and hypermature intumescent cataracts will demonstrated with video.
  
  COURSE OBJECTIVES:
  
  Attendees will learn chop strategy guidelines and special techniques for very dense cataract surgery. Specific insight in phacotip and sleeve choice as well as good understanding of torsional ultrasound amplitude and fluidics settings are provided. Also a clear understanding of hypermature cataract management will be accomplished.
  
  COURSE SCHEDULE:
  
  Abhay Vasavada: Dense lens chopping theory and video (30 min) Posterior capsule tear management (30 min) Khiun Tjia: Dense nuclei phacotip choice and settings (15 min) Fluidics settings for complicated cases (15 min) Manual chop escape technique (15 min) Mature and Hypermature cataract (15 min)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

• IC 63
• 
  Improving refractive outcomes in corneal graft surgery

  Leader: R. Barraquer | Course Level: Intermediate

• Faculty:    J. Alio   J. Alvarez de Toledo           

  COURSE DESCRIPTION:
  
  As graft survival rates improve, the refractive outcome becomes an incresingly relevant factor for the success of a corneal transplant. The functionality of a perfectly clear graft may be hampered by a residual high astigmatism or other ametropia, or by the late progression of these refractive errors -as occurs often in the older grafts for keratoconus. This course will review (1) the available facts regarding the refractive outcomes of corneal grafts (in both penetrating and lamellar), (2) the influencing factors, from preoperative to intra- and postoperative, (3) the possible preventive measures or maneuvers, and (4) the options for the correction of residual astigmatism and other ametropia after a successful corneal graft.
  
  COURSE OBJECTIVES:
  
  After the course, the attendees will have a better understanding of the importance of refractive errors as a significant problem after the different modalities of corneal transpantation, as well as of their causes, and the options for their prevention and management.
  
  COURSE SCHEDULE:
  
  1. Introduction. The challenge of refractive outcomes in corneal graft surgery (5 min.). 2. Published data on astigmatism and other ametropia after penetrating and lamellar keratoplasty (5 min.). 3. Factors influencing astigmatism and spherical ametropia after corneal transplant: preoperative (recipient and donor factors), intraoperative (trephination, sutures, etc.), postoperative (healing, drugs, suture removal, complications). (10 min.) 4. Prevention of astigmatism and ametropia after corneal transplant: from donor selection to surgical techniques (i.e., laser trephination, trephination profiles, suture materials and tissue gluing, etc.), to postoperative maneuvers (suture adjustment and selective removal strategies). (10 min) 5. Treatment of post-keratoplasty astigmatism and ametropia. Role of laser techniques, incisional surgery (arcuate keratotomies, sutured wedge resection and scar repair), intracorneal implants, intraocular lenses, etc.(15 min.) 6. The problem of late progression of astigmatism after penetrating keratoplasty for keratoconus. Evidence and management options.(5 min.) 7. Discussion and conclusion. (10 min.)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 64
• 
  Anterior segment OCT in corneal diseases and surgery, and cataract surgery

  Leader: A. Barbara | Course Level: Intermediate

• Faculty:    B. Malyugin   I. Bahar           

  COURSE DESCRIPTION:
  
  Anterior segment. Anterior segment OCT (AS-OCT) is an important new noncontact imaging technology ,generates in vivo, cross-sectional scans of the tissue to assist in analyzing the cornea, anterior chamber angle, iris and lens .It can be used to assess anterior chamber biometry, corneal thickness, lens thickness, and angle ; to evaluate post traumatic postsurgical anatomy and to image. Because it is a noncontact technique, it can also be used intraoperatively, which could be useful during , cataract surgery and after deep anterior lamellar keratoplasty to detect abnormalities in the cornea and interface.The lectures will cover : the usefulness of AS-OCT in corneal diseases such as keratoconus diganosis and management ,AS OCT in cataract surgery pre, intra and post operatively, AS -OCT and corneal refractive surgery and AS-OCT and phakic IOLs
  
  COURSE OBJECTIVES:
  
  The participant will be exposed to comprehensive explanation on AS--OCT . What is an OCT? what it its importance in cataract surgery preo peratively , intrao peratively and post operatively ,AS- OCT and phakic IOLs pre and postoperatively , OCT and corneal surgery pre intra and post operatively ,AS- OCT for the evaluation of corneal pathologies , how this technology is used in the diagnosis of keratoconus and in the evaluation of current treatments of keratoconus , the role of OCT in refractive surgery pre opartively , intra operatively and post operatively
  
  COURSE SCHEDULE:
  
  AS-OCT in Corneal Pathology and Corneal Surgery , Irit Bahar 15 mintes
  AS-OCT and Keratoconus 10 minutes
  AS-OCT and Refractive Surgery 10 minutes
  AS-OCT in Cataract Surgery and Phakic IOLs Boris Malyugin 15 minutes
  Discussion 10 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 65
• 
  From bacterial keratitis to herpetic and Acanthamoeba infections: treatment protocol and management challenges EBO Accredited

  Leader: M. Tsatsos | Course Level: Intermediate

• Faculty:    I. Athanasiadis   P. Hossain   S. Jacob        

  COURSE DESCRIPTION:
  
  Microbial keratitis is a frequent reason for eye casualty attendance, with an estimated 71000 new cases per year in the United States, 1.1 per 10000 in the Netherlands and 0.36 per 10000 in Scotland. Ophthalmic Herpes Simplex Viral Keratitis (HSVK) is responsible for a range of ocular manifestations from superficial epithelial disease to stromal keratitis and endotheliitis. The Herpetic Eye Disease Study (HEDS) has guided the management of herpetic eye disease for almost twenty years, but newer medications such as valacyclovir are now available and are considered to have better bioavailability than acyclovir. Acanthamoeba although rare, is often associated with permanent visual impairement or loss. Medical management is also facing a paradigm shift with the advent of newer medicines. Uses of alternative surgical techniques like deep anterior lamellar keratoplasty, amniotic membrane transplantation and others have reportedly led to better outcomes in select groups. Current research is also focused on improving our knowledge on pathogenetic mechanisms. The course will describe different clinical presentations and clinical characteristic through photographs and videos. Management protocol, laboratory investigations and therapeutic options and challenges will be discussed.
  
  COURSE OBJECTIVES:
  
  Course participants will gain significant insight in pathogenic mechanisms, identification, clinical characteristics and medical and surgical options for bacterial, herpetic and acanthamoebic keratitis. Photo assay of typical and atypical cases will be shown and video presentation of techniques such CXL for severe bacterial keratitis, DALK and tarsorraphy will be shown.
  
  COURSE SCHEDULE:
  
  Introduction- Diagnostic challenges and newer medications (Mr M Tsatsos) 10 mins Herpetic Keratitis- THE HEDS study and need for update (Mr I Athanasiadis) 15 mins Microbial and Acanthamoeba Keratitis Newer Treatment options (Mr P Hossain) 15 mins Surgical Treatment options and long term outcomes (Mrs S Jacob) 15 mins Questions and Discussion 5 mins
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 66
• 
  Open sesame: dealing with the small pupil

  Leader: S. Bhattacharjee | Course Level: Intermediate

• Faculty:    G. Luthra   S. Jacob   D. Dutta        

  COURSE DESCRIPTION:
  
  Phaco surgery in small pupil eyes is associated with increased incidence of iris trauma, capsule rupture, vitreous loss, nucleus drop, endothelial loss and zonular dehiscence. IFIS adds a new dimension to this problem with the iris getting floppy and even moderately and well dilating pupils closing down during surgery. Pharmacological agents, viscomydriasis, mechanical stretching and various devices have been used with varying success for phaco in eyes with small pupil. Judicious use of one or more of these strategies may be required in a given case. MICS & FLACS present a different set of problems in small pupil eyes. Surgeons should be familiar with the indications, techniques for use of newer devices and their limitations. Despite the best equipments, devices and skills, some complications may occur. A calculated strategy and familiarity with all available options will be invaluable.
  
  COURSE OBJECTIVES:
  
  Attendees will learn techniques of dealing with the small pupil during phaco surgery. Surgical videos will be used to vividly demonstrate the use of various devices in Standard phaco, Coaxial MICS, Bimanual MICS, FLACS, Shallow anterior chambers etc. Pearls and pitfalls of Viscomydriasis, Malyugin Ring and B-HEX Pupil Expander (Bhattacharjee Ring) will be discussed. Strategies for IFIS and small pupil with other co morbidities will be discussed. Attendees will also have the opportunity of discussing the difficulties they faced during their own attempts with these techniques and devices, through interactive discussions with the faculty.
  
  COURSE SCHEDULE:
  
  IFIS – concepts & strategy : - Dr. Suven Bhattacharjee - 15 minutes;
  Iris Hooks & Malyugin Ring; Pearls & Pitfalls - Dr. Debashis Dutta -10 minutes;
  Newer Pupil Expansion Devices - Dr. Soosan Jacob - 10 minutes;
  Small pupils with coexisting morbidities – Dr. Gaurav Luthra – 10 minutes;
  Attendee Questions & Panel Discussion - 15 minutes.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  gains financially from product or procedure presented

• IC 67
• 
  Ocular surface masterclass: what’s new in management of ocular surface disease in glaucoma patients, herpes simplex and zoster, neurotrophic keratopathy and Stevens–Johnson syndrome for the cataract surgeon

  Leader: V. Saw | Course Level: Intermediate

• Faculty:    E. Messmer   M. Labetoulle   A. Di Zazzo        

  COURSE DESCRIPTION:
  
  The Course will bring together experts in ocular surface disease to discuss new developments in diagnosis and management relevant to preparing patients for cataract surgery and optimizing outcomes postoperatively. Discussions will be supported by video demonstrations and evidence based literature, along with data on new treatments.
  
  COURSE OBJECTIVES:
  
  Attendees will gain a masterclass update on new developments in management of ocular surface disease relevant to cataract surgeons, to enable them to improve management of these challenging patients before and after cataract surgery.
  
  COURSE SCHEDULE:
  
  Ocular Surface Disease in Glaucoma– E Messmer 13 mins
  HSV & H Zoster– M Labetoulle 13 mins
  Neurotrophic Keratopathy– A Di Zazzo 13 mins
  Stevens Johnson Syndrome– V Saw 13 mins
  Discussion 8 mins
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  has significant investment interest in a company producing, developing or supplying product or procedure presented

• IC 68
• 
  Wavefront optics for the non-mathematician

  Leader: G. Prakash | Course Level: Intermediate

• Faculty:    V. Jhanji              

  COURSE DESCRIPTION:
  
  Wavefront analysis is a fast growing essential tool in the armamentarium of the ophthalmologist. However, there is a lot of shared domain knowledge from topics from optics and mathematics, thus it is daunting task sometimes. The objective of this course is to summarize the major concepts in wavefront optics into simple, understandable medical terms and thus help increase the interpretation. The course would also look at the clinical situations where wavefront evaluation can be useful. This would not be limited to refractive surgery but to unique indications such as wound healing, ocular surface changes, keratoconus and surgical changes among others. Finally the course will look at the volume of wavefront data generally available to the specialist and help in making algorithms for interpretation
  
  COURSE OBJECTIVES:
  
  The course attendees can look forward to a medical interpretation of wavefront optics, with minimal mathematics and complex equations. It is meant towards increasing the understanding of wavefront disorders, various clinical conditions and the roles of wavefront optics in refractive and non refractive surgery setting. The attendees would be demonstrated the methods to gather useful information for analysis and interpretation of data from the various wavefront outputs and how this data can enhance their clinical practice.
  
  COURSE SCHEDULE:
  
  1) How much mathematics is needed? Very little to understand … a lot to confuse! 2) Complex terminologies : simple explanations 3) Making sense of wavefront data : the reverse approach 4) Clinical interpretations : case based examples from refractive surgery 5) Opening horizons : non refractive surgery uses of wavefront data 6) Choosing the right data 7) Conclusion
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 69
• 
  Transitioning to FLACS (femtolaser-assisted cataract surgery): benefits and limits

  Leader: J. Febbraro | Course Level: Basic

• Faculty:    B. Cochener   B. Khan           

  COURSE DESCRIPTION:
  
  Course will demonstrate the surgical skills needed to optimize the transition to FLACS. Benefits and limits of the technique will be discussed as well. Topics will include fundamentals of various laser platforms, workflow and economic evaluation. Instrumentation and surgical techniques will be detailed. Pre-operative patient selection, post-FLACS phaco techniques, laser astigmatic correction and platforms settings will be reviewed and illustrated with videos.
  
  COURSE OBJECTIVES:
  
  Attendees will be able to optimize transition to FLACS, learn practical information on surgical techniques and select nomograms for astigmatic laser keratectomy.
  
  COURSE SCHEDULE:
  
  Fundamentals of FLACS and cost-effectiveness considerations: (15') Pr. B. Cochener – Workflow optimization and management of astigmatism with laser arcuate keratectomy: (15') Dr. B. Khan – Tips and pearls to optimize surgical results: (15') Dr. JL Febbraro.
  
  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 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 70
• 
  Effective digital marketing and social media strategies that increase patient volume

  Leader: T. Evans | Course Level: Intermediate

• Faculty:                  

  COURSE DESCRIPTION:
  
  Digital marketing, including social media is the most cost effective way to generate new patients. Many practices have the major strategy pieces in place, but have not put them together properly. Studies show that prospective patients require 5 months to make a buying decision about elective eye surgery. Your digital footprint, including social media, particularly Facebook, plays a critical role in patient conversion during that decision process. This course will describe common mistakes that hold back online success and how to fix these mistakes as well as how to use Facebook and other social platforms to increase patient volume and revenue.
  
  COURSE OBJECTIVES:
  
  Attendee Will: Learn to use citations to build website traffic. Understand what information is important on the mobile site to increase patient conversion. Identify obsolete search engine optimization techniques that could get your website penalized by Google. Understand the various social platforms and why Facebook should be the focus of the practice. Learn to create a Facebook editorial calendar that increases engagement and brand awareness. Learn how to use Facebook to leverage online reviews to increase practice revenue.
  
  COURSE SCHEDULE:
  
  45 minute lecture 15 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

• IC 71
• 
  DSAEK or DMEK: how to choose the best 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 new techniques to improve their EK surgery, as well as how to distinguish the best technique for each case.
  
  COURSE SCHEDULE:
  
  Course Schedule Introduction and basic concepts: Prof Busin, 15 minutes Tissue preparation and surgical techniques: Dr Beltz, 15 minutes Case Discussions: Dr Santorum, 15 minutes Case Discussions: Dr Madi, 15 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

• IC 72
• 
  Anterior segment involvement in autoimmune diseases

  Leader: A. Iovieno | Course Level: Advanced

• Faculty:    L. Fontana   P. Neri           

  COURSE DESCRIPTION:
  
  Anterior segment involvement in autoimmune diseases encompasses a wide series of clinical manifestations. including keratitis, scleritis and anterior uveitis. Often times the ocular involvement can manifest before or at the early stages of the underlining systemic disorder. Differential diagnosis with similar conditions of different etiology (mainly infectious) can present considerable challenges. Topical treatment can often only provide partial therapeutic benefit, with systemic treatment and extensive teamwork with other specialties required for sheer disease control. This course will briefly outline the key elements of the diagnosis and treatment of keratitis, uveitis and scleritis in the context of autoimmune disorders, with a focus on differential diagnosis and surgical treatment.
  
  COURSE OBJECTIVES:
  
  - to familiarise the audience with common anterior segment conditions that present in association with autoimmune disease: - to illustrate the differential diagnosis and the diagnostic approach; - to discuss therapeutic management including the use of systemic medications; - to outline the role of surgical interventions in the treatment of these conditions and related complications
  
  COURSE SCHEDULE:
  
  - Peripheral Ulcerative Keratitis: infectious or autoimmune? (Alfonso Iovieno) 12 minutes - Discussion: 8 minutes - Anterior uveitis and scleritis in patients with autoimmune diseases (Luca Cimino) 12 minutes - Discussion: 8 minutes - When the drugs don't work: surgical management of peripheral ulcerative keratitis (Luigi Fontana) 12 minutes - Discussion: 8 minutes
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  None