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

• Tuesday 10 October
  08:00-10:00

• IC 112
• 
  Ocular trauma assessment and management

  Leader: T. Rudolph | Course Level: Intermediate

• Faculty:    C. Jansen   K. Svedberg   A. Bergstrom        

  COURSE DESCRIPTION:
  
  This course will cover basic aspects of ocular trauma assessment and both conservative and surgical management of ocular injuries. Existing evidence on trauma management will be presented together with case presentations and surgical videos. The panel represents different subspecialties and their respective view on ocular trauma. Focus will be laid on primary surgical repair, including immediate or delayed lens surgery and vitrectomy. Interactive discussion of the presented cases is encouraged.
  
  COURSE OBJECTIVES:
  
  To give a systematic approach on how to assess a patient with ocular trauma and how to initiate appropriate treatment.
  
  COURSE SCHEDULE:
  
  1. Trauma terminology and assessment 2. Eyelid and tear duct injury 3. Corneal and scleral injury 4. Lens and iris damage 5. Timing of vitrectomy, intraocular foreign bodies
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 113
• 
  Techniques and devices for surgical reconstruction of traumatic and developmental iris defects

  Leader: S. Srinivasan | Course Level: Intermediate

• Faculty:    K. Miller   M. Synder           

  COURSE DESCRIPTION:
  
  Iris reconstruction is required in cases of partial defects or total aniridia. This course will review all the currently available artificial iris implants in Europe and North America, techniques and practical tips on implantation. Topics will include (1) Preoperative assessment and surgical planning for iris defects (2) systematic approach to iris reconstruction, (3) review of currently available iris reconstruction implants (in USA and Europe), (4) indications, (5) surgical techniques of each type (demonstrated with videos), and (5) complications and management. Surgical videos will be used extensively to demonstrate the techniques of each modality and the management of complications.
  
  COURSE OBJECTIVES:
  
  Following the course, the attendee will have gained a greater insight into the assessment, indications and surgical strategies available for reconstructing the iris together with management of complications in iris reconstruction.
  
  COURSE SCHEDULE:
  
  I. Approaches to iris reconstruction a. How to assess patients with iris defects b. When to use artificial iris implants II. Review of currently available iris reconstruction implants a. Historical models and approaches b. Currently available Implants i. Morcher – Aniridia /partial aniridia rings and implants ii. Ophtec – Iris Prosthetic systems (Standard and Custom designed) 1. Aniridia lens 1 (Model 310) for scleral fixation 2. Aniridia lens 2 (Model 311) for scleral/sulcus fixation iii. Dr. Schmidt Custom Iris III. Indications for the use of artificial iris implants a. Patient selection i. Pros and cons of each implants ii. How to select an implant based on iris defect b. Assessment of intraocular anatomy i. Assessment of iris (aniridia and degree of partial aniridia) ii. Assessment of angle iii. Assessment of phakic status and capsular support IV. Surgical steps (demonstrated with videos) a. Implantation of various implants b. Pitfalls and problems during surgery with proposed solutions V. Potential complications and its Management a. Dislocation / Decentration of implants b. Glaucoma and persistent uveitis
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 114
• 
  Paediatric penetrating keratoplasty: to do or not to do?

  Leader: M. Fernandes | Course Level: Intermediate

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

  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. Recent advances in classification of congenital corneal opacities, phenotypic-genotypic correlations and alternative surgeries will also be elucidated upon.
  
  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 regimen, management of complications, early visual rehabilitation and amblyopia therapy
  5. Attendees will learn about alternative procedures like optical iridectomy, rotational autograft and lamellar keratoplasty.
  6. Attendees will learn the latest phenotypic and genotypic correlations related to congenital opacities and their implications in day to day practice
  
  COURSE SCHEDULE:
  
  Indications for pediatric PK : To Do or Not To Do? (20 min):
  Outcome of PK in Kids (20 min) Arundhati Borthakur
  Surgical Technique (20 min) NIbaran Gangopadhyay
  Post operative follow up and Complications (20 min) Jayansu Sengupta
  Alternative procedures : Rotational autograft, DALK, DSEK (15 min) Merle Fernandes
  Discussion (20 min)
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 115
• 
  Refractive and cataract surgery nightmares: management and prevention of advanced technology IOLs and laser vision correction complications

  Leader: D. Serafano | Course Level: Advanced

• Faculty:    M. Piovella   E. Donnenfeld   D. Epstein   M. McDonald   R. Zaldivar  

  COURSE DESCRIPTION:
  
  Course will present intraoperative and postoperative complications of refractive surgery (advanced technology IOL Implantation and laser vision correction surgery), discussing pathogenesis, technical caveats, planned approach to difficult patients, prevention, diagnostic workup, management and long-term follow up of complicated cases. Faculty will share their experience to prevent surgical complications and how to manage it if happens. Simple rules to provide the right eye and patient selection will be provides. Different complicated cases will put on in the interactive discussion
  
  COURSE OBJECTIVES:
  
  Attendees will experince state-of-the-art knowledge about prevention, management and follow up of the possible complications of refractive surgery and or cataract surgery adopting advanced technology IOLs, with a series of complicated cases. In our multi year experience this course helps attendees to detect preop possible eye complications and to avoid to apply the surgery on wrong eye and patient. The description of complications management provide to the attendees an efficient and confortable tool to overcome difficult situation if happens
  
  COURSE SCHEDULE:
  
  Course Outline I. The Nightmare Begins: preoperative evaluation criteria A. History B. Lacrimal film C. Topography D. Identification of form-fruste keratoconus and prevention of corneal ectasia E. The bigger the pupil, the bigger the problem F. Informed consent G. Patient selection: how not to treat 40% of patients II. PRK: is it all matter of pain ? A. Delayed reepithelialization B. The first months: management of hypo- and hypercorrection C. The great nightmare: decentration D. Haze: short or long-term proble F. Retreatments: hyper- and hypocorrection III. A. Flap problems and solutions B. Epithelial ingrowth C. Sands of Sahara: causes, surgical and medical management D. My worst LASIK cases and how I handled them G. Retreatments IV. LASEK and Epi-LASIK E. The most difficult ones: treatment of high myopia, hyperopia, and astigmatism V. Femtosecond laser: new nightmares or sweet dreams ? VI. Ectasia A. Diagnosis B. My patient has post-refractive surgery ectasia: and now ? C. Cross-Linking Healos and glare management with advanced technology IOLs When to decide to explant an advanced technology IOL. The role of an efficient biometry Dry Eye and advanced technology IOLs The most important weak points of multifocal bifocal
  
  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 116
• 
  Management of paediatric cataracts

  Leader: V. Vasavada | Course Level: Advanced

• Faculty:    A. Vasavada   M. Tassignon   V. Pfeifer        

  COURSE DESCRIPTION:
  
  This course highlights the paradigms for management of pediatric cataracts. Adhering to these shall facilitate the surgeon to enhance intraoperative performance and ensure a good technical and functional outcome.
  
  COURSE OBJECTIVES:
  
  At the conclusion of this course the attendee will understand the clinical pearls and tips for enhancing outcomes following pediatric cataract surgery.
  
  COURSE SCHEDULE:
  
  2 hours
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 117
• 
  Femto cornea

  Leader: R. Salgado | Course Level: Intermediate

• Faculty:    A. Marinho   R. Bellucci   J. Hjortdal   J. Bovet     

  COURSE DESCRIPTION:
  
  Course will present an extensive an up-to-date approach on femto-assisted refractive corneal procedures. Either single or in combination, the various techniques will be dealt with, concerning indications, surgical steps and results. Special cases will be addressed to, as well.
  
  COURSE OBJECTIVES:
  
  Attendees will be able to increase their refractive corneal options and attain optimal outcomes in their practice.
  
  COURSE SCHEDULE:
  
  Femto-Lasik: Dr. Jerome Bovet, 20 minutes SMILE/Flex: Prof. Jesper Hjortdal, 20 minutes PresbyLasik: Prof. Antonio Marinho, 20 minutes Corneal Inlays: Dr. Ramiro Salgado, 20 minutes Combined Procedures: Cornea & Phakic IOLs: 20 minutes Combined Procedures: Cornea & Lens: Prof. Roberto Bellucci, 20 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 118
• 
  Anterior segment surgical solutions for secondary repair of post-traumatic eyes Pre Requisite Course

  Leader: J. Talma | Course Level: Advanced

• Faculty:    M. Tassignon   G. Auffarth   B. Malyugin   E. Assia     

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

  COURSE DESCRIPTION:
  
  The aim of this course is to discuss the surgical solutions of post-traumatic ocular conditions of eyes with a potential functional recovery. Based on different clinical cases, the surgeon will explain the surgical strategies to follow in order to optimally restore the function of the eye. This course will be an interactive case-based discussion with the participation of the panel.
  
  COURSE OBJECTIVES:
  
  The objective of this course is to give the attendees an overview of demographics of ocular trauma (J. Talma), different strategies and medical devices that can be implemented to solve difficult cases of secondary repair of the anterior segment of the eye after trauma. Artificial iris, iris printed IOLs and iris suturing techniques will be presented (M.J. Tassignon). Capsular bag stabilisation techniques and direct or indirect IOL suturing techniques on the sclera (E. Assia – B. Malyugin). Special emphasis on sport/game related ocular trauma and surgical approach (G. Auffarth).
  
  COURSE SCHEDULE:
  
  Video based presentation and panel discussion on the presented cases. The panel is the following: Talma J., Tassignon M.J., Malyugin B., Auffarth G., Assia E.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Tuesday 10 October
  14:30-15:30

• IC 124
• 
  Good clinical practice

  Leader: M.J. Tassignon | Course Level: Intermediate

• Faculty:    D. Mathysen   P. Rosen   F. van den Biggelaar        

  COURSE DESCRIPTION:
  
  Improved care outcomes, measures of quality of care, recommended practice standards are new concepts introduced the last twenty years. Social security health care systems encourage all objective parameters that may improve their guarantee that the money spent in health care, also called cost-effective care, has been well spent. To achieve this goal they introduced new parameters and measurement tools. However, how to know which guidelines are valid or evidence based. This remains an extremely complex and sophisticated exercise. Preferred Practice Guidelines have been introduced by AAO to help implementation of clinical standards based on clinical knowledge and literature overview. Analysis of the literature in the daily practice is made difficult by the plethora of publications (including the booming of the online open access journals). It is therefore important that the young doctors follow strategies of how to analyze objectively the world of publications.
  
  Discussion of data management of registries: procedures of anonymization, limitations for analysis, registries and government, registries and insurance companies etc.
  
  COURSE OBJECTIVES:
  
  
  
  COURSE SCHEDULE:
  
  Good Clinical Practice (GCP): Danny Mathysen
  Evidence Based Medicine: Marie-José Tassignon
  Data management following Good Clinical Practice rules and what how these data can be interpreted: Paul Rosen
  Ethical committee issues when working multicentric clinical trials: Frank van den Biggelaar
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 125
• 
  Surgical options in iris reconstructive surgery

  Leader: J. Alvarez de Toledo | Course Level: Intermediate

• Faculty:    R. Barraquer              

  COURSE DESCRIPTION:
  
  Course will present the different surgical techniques to repair the iris alone or during anterior segment complex procedures and to describe the several iris prosthetic devices available nowadays. Description of the different suturing techniques in complex situations will be presented as well as their results and complications. Iris prosthesis in their various types will also be presented and discussed. Management of the pupil during complicated cataract cases will also be presented.
  
  COURSE OBJECTIVES:
  
  Show to the audience the different options surgeons have in the surgical armamentarium to successfully manage and repair the iris diaphragm in different complex situations. Describe the different iris prosthetic devices available nowadays and how to manage the small or difficult pupils during modern cataract surgery.
  
  COURSE SCHEDULE:
  
  1.-Iris suturing techniques in anterior segment surgery: Dr Juan Alvarez de Toledo. 30 minutes 2.- Iris prosthetic devices and management of the pupil in complex cataract cases. Dr Rafael I. Barraquer. 30 minutes.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Tuesday 10 October
  14:30-16:30

• IC 119
• 
  Managing complications in lamellar keratoplasty

  Leader: V. Sarnicola | Course Level: Intermediate

• Faculty:    R. Swarup   D. Tan   N. Sharma        

  COURSE DESCRIPTION:
  
  Course is aimed at creating awareness regarding surgical complications which can occur during anterior & posterior lamellar keratoplasty including DALK, DSAEK, & DMEK. Complications are usually the main reason for slow transition to lamellar keratoplasty techniques. In this course surgical videos of various complications along with its management will be presented. Panel discussion will focus on how to avoid such complications and various management techniques for optimal visual outcome.
  
  COURSE OBJECTIVES:
  
  Attendees will learn about various complications which can occur in the learning curve of lamellar keratoplasty. They will learn how to recognise and effectively manage such situations without compromising on final visual outcome. They will gain confidence to perform lamellar surgical procedures and shorten their learning curve.
  
  COURSE SCHEDULE:
  
  Difficult situations in Anterior Lamellar Keratoplasty - Namrata Sharma 15 mins, 15 mins, -
  Panel Discussion - 10 mins, -
  Managing complications in DSEK & DSAEK - Donald Tan 15 mins, Rishi Swarup 15 mins, -
  Panel Discussion - 10 mins, -
  How to avoid failures in DMEK surgery - Vincenzo Sarnicola 15 mins, Donald Tan 15 mins, -
  Panel Discussion - 10 mins
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 120
• 
  DMEK from D to K: a step-by-step approach to Descemet’s membrane endothelial keratoplasty

  Leader: N. Singal | Course Level: Intermediate

• Faculty:    M. Perez   K. Baig   J. Compan   A. Slomovic   D. Rootman  

  COURSE DESCRIPTION:
  
  This video based course will present a complete guideline to simplify Descemet's Membrane Endothelial Keratoplasty and include it into the corneal surgeon’s armamentarium, based on our experience with over 650 cases. We will go through a detailed description on patient selection, required surgical devices, and a step­ by step tutorial for each surgical stage, including a safe and unique method of corneal stripping and tissue preparation, insertion, positioning and attachment. Emphasis will be placed on tips & tricks for both standard and complex cases, with faculty panel discussion and interaction with attendees.
  
  COURSE OBJECTIVES:
  
  Attendees will be exposed to standard and challenging endothelial dysfunction cases, in which DMEK could be an alternative, and will be able to discuss the different surgical approaches and management with the faculty panel, in order to gather the necessary knowledge to either implement and perfect this technique.
  
  COURSE SCHEDULE:
  
  1) Introduction 2) History 3) Tissue preparation: Management of: - Circumferential tears - Vertical tears - Wrong plane - Scleral Spurectomy - Tissue marking 4) Descemetorhexis: - Standard - Femtosecond-assisted 4) Insertion: - IOL Cartridge - Glass tubing - AC maintainer timing - AC depth management - Upper triangle sign 5) Unfolding: - Tap & Displace: direct; reverse - Hold and Microtap - Paracentesis outflow - BSS flip - Air bubble under triangle 6) Air fixation: - Folds management 7) Postoperative care 8) Rebubbling techniques 9) Special cases: - Glaucoma (including Congenital Glaucoma) - Vitrectomized eyes - Post failed PK - Post failed DSAEK - Post failed DMEK - Post failed DLEK
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 121
• 
  Astigmatism evaluation and treatment: the current state of the art

  Leader: J. Murta | Course Level: Advanced

• Faculty:    R. Nuijts   J. Alfonso   F. Vaz   A. Rosa     

  COURSE DESCRIPTION:
  
  To describe and compare new diagnostic tools for astigmatism measurement. To present current approaches for astigmatism treatment. To understand the indications for each surgical procedure.
  
  COURSE OBJECTIVES:
  
  To review modern pre and intraoperative tools for astigmatism measurement and intraocular lens (IOL) alignment; to analyse toric calculators and cylinder choice in posterior chamber IOLs in cataract surgery as well as in special cases (keratoconus); to describe how to correct residual astigmatism after a previous refractive surgery; to present therapeutic options in the setting of irregular astigmatism, especially after corneal transplantation.
  
  COURSE SCHEDULE:
  
  1.Introduction (5 min.) - Joaquim Murta; 2. Astigmatism measurement and pearls on IOL alignment with intraoperative aberrometry (20 min.) – Joaquim Murta; 3. Toric posterior chamber IOLs in cataract surgery (20 min) – Rudy Nuijts; 4. Methodologies to correct residual astigmatism produced after corneal or lenticular surgeries (20 min) – Fernando Vaz; 5 – Cataract surgery in keratoconus (20 min) – Jose Alfonso; 6- Irregular astigmatism treatment (20 min.) – Andreia Rosa; 7- Final discussion and guidelines, (15 min.)
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 122
• 
  Customised excimer laser surgery

  Leader: J. Alio | Course Level: Advanced

• Faculty:    J. Castanera   A. Sedky   S. Arba   R. Krueger   E. Manche  

  COURSE DESCRIPTION:
  
  Irregular astigmatism causes loss of visual quality and is difficult to treat. Contact lenses offer a temporary solution in some cases but are frequently not well tolerated. The induction of corneal aberrations after refractive surgery or corneal irregularities following corneal graft surgery, corneal trauma or bacterial keratitis are frequent causes of visual loss. The aim of this course is to teach how to use customized excimer laser surgery in the correction of the aberrated cornea. The course will include the adequate use of corneal and total eye aberrometry, selecting the cases conveniently, can make these patients candidates for customized excimer laser surgery aiming to improve their vision and control their refractive outcome.
  
  COURSE OBJECTIVES:
  
  The course is focused on the study and selection of cases with irregular astigmatism and aberrated corneas to obtain positive visual outcomes, how to compensate the correction of aberration with spherical and astigmatic correction, and other important details in the management of customized excimer laser correction.
  The course Faculty will include experts on the topic in different technologies and long standing expertise in customized excimer laser surgery.
  Attendees will learn how to use total eye and corneal aberrometry to guide the decision of customized excimer laser surgery, how to build up the treatment, how to select cases and how to use algorithms to compensate correction of aberrations with the spherical equivalent of the patient.
  
  COURSE SCHEDULE:
  
  1. Introduction to the course: Jorge Alio
  2. Customized excimer laser surgery: when and why to decide it.
  3. The use of total eye and corneal aberrometry to guide customized excimer laser corrections. Sam Arba
  4. Selection and exclusion of cases. Clinical indications of success and failure. Jorge Castanera
  Preoperative evaluation and decision making process. Ahmed Sedky
  5. How to calculate the treatment with different excimer laser platforms: Schwind Amaris platform, VisX, Bausch & Lomb, Alcon Technologies. Jorge Alio, Ron Krueger, Jorge Castanera, Ahmed Sedky, Edward Manche
  6. Presentation of clinical cases successfully treated with customized excimer laser surgery by all the panel members.
  Adjourn.
  
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  is employed by a forNoneprofit company with an interest in the subject of the presentation

• IC 123
• 
  Topography-guided custom ablation in treatment of visually disturbing irregular astigmatism in complicated refractive surgery, in keratoconus and in other cornea pathology

  Leader: A. Stojanovic | Course Level: Advanced

• Faculty:    M. Mrochen   T. Archer   R. Vinciguerra   A. Kanellopoulos   A. Cummings  

  COURSE DESCRIPTION:
  
  How to plan custom ablation for your unhappy patient who underwent various types of refractive surgery treatments/retreatments? How to improve vision in your keratoconus patient or the patient with irregular cornea due to scaring after keratitis or eye injury? Choosing the right strategy is essential in optically and biomechanically compromised corneas with decreased amount of tissue available for treatment. The leading experts will present the advances in corneal diagnostics including corneal structural and biomechanical analysis, and the ablation planning with or without corneal collagen cross-linking. Practical guidelines of “dos and don’ts” will be presented. The surgeons with first hand experience with various commercially available systems will conduct an interactive discussion of their successful and failed cases.
  
  COURSE OBJECTIVES:
  
  To gain familiarity with necessary diagnostic methods and treatment options for topography-guided custom ablation in cases with visually disturbing irregular astigmatism. A special attention will be taken to measures for staying on the safe side when treating these high-risk cases.
  
  COURSE SCHEDULE:
  
  
  1. Michael Mrochen: o Do we need better diagnosis and lasers, our limitations and error budget (20 minutes)
  2. Tim Archer: o Limitations of Topo- or WF-guided therapeutic ablations require epithelial profile and sub-surface stromal shape (25 minutes)
  3. Riccardo Vinciguerra: Sequential Customized Therapeutic Keratectomy (SCTK) and the achievement of a safe and effective improvement of BCVA: quality or quantity of visual acuity (20 minutes)
  4.Arthur Cummings: Options for the management of irregular corneal astigmatism (20 minutes)
  5. Aleksandar Stojanovic: o Strategic planning in custom ablation of irregular astigmatism. Where can we compromise when we need to ration with corneal tissue? (10 minutes) o Clinical experience in treatment of complex cases with the iVis system (10 minutes)
  6. A. John Kanellopoulos: Athens Protocol (Topography-guided partial PRK and CXL) in the management for keratoconus and post LASIK ectasia (20 minutes)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  has significant investment interest in a company producing, developing or supplying product or procedure presented, receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented