Instructional Courses

Instructional Courses

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

• Saturday
• Sunday
• Monday
• Tuesday

• Sunday 23 September
  08:00-09:45

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

  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):

  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 23 September
  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   B. Ventura     

  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 (Cynthia Roberts) [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] Devices and Technologies Bruna Ventura 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, , receives consulting fees, retainer, or contract payments from a competing company

• IC 32
• Stabilising the subluxated lens: a medley of rings, segments and suture techniques

  Leader: K. Mehta | Course Level: Basic

• Faculty:    E. Assia   Z. Biro   C. Mehta   J. Bovet     

  COURSE DESCRIPTION:
  
  Course will demonstrate evaluation of the case prior surgery, the use of different techniques, using CTT, capsular segments, capsular clips, coupled with novel suturing techniques, use of tissue glue, to stabilize the capsule with advanced phaco techniques to permits safe removal of subluxated lenses following Marfans, trauma, and iatrogenic causes. Different IOL implanted to stabilize the capsule still further.
  
  COURSE OBJECTIVES:
  
  Attendees will identify the nuances of the cases and learn to apply the best method, with safeguards, to achieve well centered, stable, bag-IOL complex.
  
  COURSE SCHEDULE:
  
  Introduction to the course. Use of Femto Cataract to Manage the Subluxated Lens. Use of Tissue Glue to Stabilize the Subluxated Lens with an Implant. Prof. Keiki Mehta (15 mins). The Anchor System for looping the Subluxated Lens. Prof. Ehud Assia (15 mins. )Applying Variable Segments to Stabilize the Lens. Prof. Biro Zsolt (15 mins). My Technique of Managing a Subluxated Lens. (15 mins). A New Technique of Suturing a Subluxated Lens to the Sclera. Dr. Cyres Mehta (15 mins). Rotation of Lens to compensate for subluxation. Prof. Jerome Bovet (15 mins).
  
  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 33
• 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.
  
  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: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 34
• Complications and expanding applications of corneal cross-linking (CXL)

  Leader: S. Hamada | Course Level: Intermediate

• Faculty:    T. Seiler   D. O'Brart   A. Cummings   F. Hafezi   T. Koller  

  COURSE DESCRIPTION:
  
  This course will offer: - Comprehensive review of currently approved applications of corneal cross-linking by top experts in the field - CXL in children - Expanding applications of corneal cross linking in managing various corneal pathologies or as a prophylactic treatment - Intra and post-operative complications and its management - Future of CXL: What is new and innovative? - Discussion will be encouraged to involve the audience and maximise the benefits of the course.
  
  COURSE OBJECTIVES:
  
  Attendees will be able to update themselves with the current best practices in corneal cross linking for keratoconus and to understand/ introduce the expanding applications of corneal cross linking such as in ectatic corneal diseases (post-refractive surgery ectasia), Peripheral marginal degeneration; as well as other applications in bullous keratopathy, refractive surgery in abnormal corneas. Attendees will explore the role of CXL in managing infectious keratitis. Moreover, they will learn about complications of corneal cross-linking: these will be discussed in depth with its management. Finally, they will learn about the current and future innovations in CXL.
  
  COURSE SCHEDULE:
  
  Samer Hamada: - Introduction (5 mins) David OﾒBrart: - Applications in Keratoconus (20 mins) Samer Hamada: - CXL in children (15 mins) Arthur Cummings: - CXL in refractive treatment of keratoconus - RLE & cataract surgery in keratoconus and IOL calculations (20 mins) Farhad Hafezi: - PACK-CXL for infectious keratitis - CXL for the thin corneas: Can we it? (20 mins) Theo Seiler: - Brioullin scattering and its clinical applications - News snd further developpments in CXL (20 mins) Tobias Koller: - Customised CXL - Complications of CXL and its management (20 mins)
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 35
• 
  Therapeutic corneal refractive surgery: achieving excellent outcomes in complications after LASIK or PRK

  Leader: D. Reinstein | Course Level: Intermediate

• Faculty:    G. Carp   T. Archer           

  COURSE DESCRIPTION:
  
  Refractive complications of corneal surgery after previous corneal procedures (LASIK, PRK, RK, DALK, PK etc.) will be discussed. Patient complaints and diagnostic testing must lead to a specific diagnosis in order to best choose the therapeutic course of action (Wavefront-guided, Topography-guided, Trans-epithelial PTK or others). Subjective and objective tests will be discussed in the context of obtaining a diagnosis in the various types of complication (small optical zone, decentration, irregular astigmatism, irregularly irregular surfaces etc.).
  
  COURSE OBJECTIVES:
  
  The attendee will attain a sound understanding of the diagnostic approach and optimal therapeutic actions possible in complicated corneal refractive cases.
  
  COURSE SCHEDULE:
  
  Dan Reinstein - 15 mins - Diagnostic technology and techniques for complicated cases after refractive surgery Glenn Carp - 15 mins: Treatment options for small optical zone / high spherical aberration (induced night vision glare and halos) Glenn Carp - 15 mins: Treatment options for decentration Timothy Archer - 15 mins: Treatment planning and population outcomes of topography-guided custom ablation Dan Reinstein - 35 mins: Treatment options for irregularly irregular astigmatism Timothy Archer - 15 mins: Population outcomes of trans-epithelial PTK in irregularly irregular astigmatism Dan Reinstein - 10 mins: Stromal topography-guided treatment and conclusions
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , has significant investment interest in a company producing, developing or supplying product or procedure presented, , travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, , receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

• IC 36
• Manual small incision cataract surgery (MSICS): a video-based primer Pre Requisite Course EBO Accredited

  Leader: A. Chakrabarti | Course Level: Basic

• Faculty:    S. Jacob   S. Kodur   D. Megur   A. Agarwal     

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

  COURSE DESCRIPTION:
  
  This is a wet-lab pre-requisite video course designed for both beginning cataract surgeons as well as surgeons well versed with phaco. The instructors have been pioneers in the field with wealth of experience in teaching phaco as well as MSICS. The course will offer insights into safe navigation of the learning curve of MSICS. There will also be a panel discussion at the conclusion of each presentation.
  
  COURSE OBJECTIVES:
  
  At the end of the course the attendee will be familiar with the various steps of MSICS and learn how to avoid and successfully manage the common intraoperative challenges faced by a neophyte.
  
  COURSE SCHEDULE:
  
  -
  
  SINGLE PRODUCT COURSE: -
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 37
• 
  Salvaging your worst catastrophes and complications in refractive surgery: a video-based course

  Leader: D. Gatinel | Course Level: Intermediate

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

  COURSE DESCRIPTION:
  
  Interactive video-based course on how to react to and safely manage complications in corneal and lens-based refractive surgical procedures including LASIK, LASEK/PRK, SMILE, EpiLASIK and Phakic IOL implantation. Some complications presented include torn flaps, epithelial ingrowth, flap striae and rainbow glare with LASIK, lenticule creation and extraction issues and suction loss with SMILE, infective keratitis after LASEK, stromal incursion with EpiLASIK and retinal detachment and hypotony after Implantable Contact Lens (ICL) insertion.
  
  COURSE OBJECTIVES:
  
  Attendees will be given tips and pearls on how to manage and overcome the various types of refractive surgery complications so as to achieve safe and optimal outcomes for their patients.
  
  COURSE SCHEDULE:
  
  Video-based presentations on the following refractive surgery complications: 1. Damien Gatinel: rainbow glare, flap striae and epithelial ingrowth with LASIK 2. Cordelia Chan: torn flaps with LASIK, stromal incursion with EpiLASIK, black spots and epithelial ingrowth with SMILE. 3. Sheetal Brar: SMILE complications including retained lenticule, suction loss, difficult lenticule dissections and cap tears 4. Mohamad Rosman: Infective keratitis with LASEK, cataract and retinal detachment after ICL, traumatic flap dislodgement after LASIK 5. Lim Li: Suction loss and flap decentration with LASIK, hypotony after ICL, infective keratitis after PRK
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 40
• 
  Improving astigmatic outcomes using toric IOLs, LRIs and refractive laser surgery

  Leader: N. Alpins | Course Level: Basic

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

  COURSE DESCRIPTION:
  
  Course will address practical and theoretical aspects of the planning and analysis of astigmatism for toric IOLs, LRIs and excimer laser surgery. When to rotate, replace or perform LASIK surgery after a toric IOL procedure. Accurate corneal astigmatism measures including corneal topographic astigmatism (CorT) and Vector Planning to address corneal refractive differences in astigmatism by including the corneal shape into the refractive treatment plan.
  
  COURSE OBJECTIVES:
  
  Participants will be able to plan and analyze astigmatism treatments and understand how to predict and correct for any postoperative refractive surprises following refractive toric IOL and LRI procedures. Which is the procedure of choice after toric IOL surprises: rotation, exchange or LASIK? They will also understand how to improve astigmatic outcomes after refractive laser surgery.
  
  COURSE SCHEDULE:
  
  Toric IOLs and Refractive Surprises Planning and analysing limbal relaxing incisions Optimising toric IOL outcomes Incisional analyses Vector Planning incorporating corneal parameters into the refractive treatment plan Corneal-refractive differences in astigmatism Accurate corneal astigmatism measure - corneal topographic astigmatism (CorT)
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  , has significant investment interest in a company producing, developing or supplying product or procedure presented

• IC 41
• The very basic phaco course

  Leader: D. Spalton | Course Level: Basic

  

• Faculty:    R. Packard   A. Assaf   L. Benjamin        

  COURSE DESCRIPTION:
  
  Everyone has to start some time. This is a beginners course which will take you through the whole process of achieving a successful routine phaco procedure with case selection and preparation, anaesthesia, incision and rhexis, phacofluidics and power parameters, stop and chop, bimanual IA to IOL implantation.
  
  COURSE OBJECTIVES:
  
  Attendees will receive practical take home tips for safe and successful surgery for beginners.
  
  COURSE SCHEDULE:
  
  D. Spalton: Introduction 5 minutes D. Spalton: 20 minutes patient selection, anaesthesia, incisions, rhexis questions 10 mins R. Packard: 15 minutes hydrodissection, phaco dynamics A. Assaf: 15 minutes phaco fluidics Questions 10 mins L Benjamin nucleus removal 15 mins R Packard IA 10 mins D Spalton IOL implantation and finishing off 10 mins Questions 10 mins All: Q & A 10 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 53
• How to avoid the mistakes we made in converting to DMEK

  Leader: F. Badala | Course Level: Intermediate

• Faculty:    S. Hannush   A. Saad   H. Dua   D. Tan   M. Dirisamer  

  COURSE DESCRIPTION:
  
  Course will enable participants to learn from our mistakes and avoid complications while shortening their learning curve for DMEK. Videos and panel discussion will illustrate how to avoid the most common pitfalls in DMEK surgery in both straightforward and complex cases (phakia, anterior chamber IOLﾒs, post glaucoma surgery, etc.)
  
  COURSE OBJECTIVES:
  
  Attendees will learn simple steps that help avoid common complications when converting to DMEK surgery. The instructors will show different graft insertion and positioning techniques, supplemented by short videos to emphasize surgical challenges and how to overcome them. The handout outline will include different steps with references, that will lead to fewer complications and a greatly shortened learning curve.
  
  COURSE SCHEDULE:
  
  1) Introduction and Basics of DMEK - PRESENTER Federico Badala 2) Different DMEK techniques: ﾕ PRESENTER Alain Saad ﾕ PRESENTER Sadeer Hannush ﾕ PRESENTER Donald Tan - Hybrid DMEK ﾕ PRESENTER Harminder Dua - PDEK technique 3) DMEK: Complex Scenarios, Complications & Interesting cases ﾕ PRESENTER Martin Dirisamer, Federico Badala
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Sunday 23 September
  10:00-12:30

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

  Leader: J. Guell | Course Level: Advanced

  

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

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

  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. GUell
  2. Surgical Technique in Posterior lamellar keratoplasty- M. Busin
  3. Additional surgery during keratoplasty: cataract, vitrectomy and iris reconstruction- J.L. GUell
  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 23 September
  10:30-12:30

• IC 42
• Managing phaco complications in rock hard cataracts

  Leader: K. Mehta | Course Level: Intermediate

• Faculty:    E. Assia   J. Bovet   Z. Biro   C. Mehta   S. Arshinoff  

  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, Prof. Ehud I. Assia, 15 min; Newer methods on splitting elastic and difficult lenses, Prof. Jerome Bovet, 15 mins; Managing Difficult Cataracts using New Novel Techniques, Biro Zsolt, 15 mins; Optimization - The key to managing rocks. Dr. Cyres Mehta, 15 mins; Hard cataracts with Optimizing viscoelastic devices, Prof. Steve Arshinoff, 15 mins.
  
  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 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 Dr. Arup Chakrabarti 1. Capsulorhexis Complications 2. IOL Related Complications Dr .Suhas Haldipurkar 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 Dr. Nic Reus 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
• 
  Enhanced screening for ectasia susceptibility prior to laser vision correction: from corneal topography and pachymetry to 3D tomography and biomechanics EBO Accredited

  Leader: R. Ambrosio | Course Level: Intermediate

• Faculty:    M. Belin   P. Vinciguerra   W. Dupps   C. Roberts   J. Lyra  

  COURSE DESCRIPTION:
  
  The course describes the relevance of going beyond but not over classic Placido-disk based corneal front surface topography and central corneal thickness for screening ectasia risk prior to kerato-refractive surgery or laser vision correction. Corneal tomography with Scheimpflug, OCT and biomechanical evaluations are extensively discussed. These concepts are also considered for crystaline lens based refractive surgery and IOL selections
  
  COURSE OBJECTIVES:
  
  To goal of the course is to present the state of the art for screening refractive surgery candidates. From basic concepts to the most cutting edge research, the participants will learn about this fundamental part of Refractive Surgery.
  
  COURSE SCHEDULE:
  
  1. Why and how we need to go beyond classic screening based on corneal topography and central pachymetry - Renato Ambrósio Jr 2. Concepts for tomographic corneal elevation & ABCD System for Staging Ectasia - Michael W. Belin 3. Tomographic thickness evaluation, clinical studies and guidelines for interpretation - Renato Ambrósio Jr. 4. Corneal biomechanical assessment for screening refractive candidates: why and how? - Cynthia Roberts 5. My view on corneal biomechanics - William J. Dupps 6. My approach for screening refractive candidates - Paolo Vinciguerra 7. Artificial intelligence for screening refractive candidates � Bernardo T. Lopes 8. Clinical Cases and Discussion
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , gains financially from product or procedure presented, , travel has been funded, fully or partially, by a competing company, , research is funded, fully or partially, by a competing company, , receives consulting fees, retainer, or contract payments from a competing company

• IC 45
• 
  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:
  
  Introduction: How is a femtosecond laser. Jorge Alio 10 minutes Femtosecond Lasik Tobias Neuhann 5 minutes Use of femtosecond lasers in corneal grafting surgery: Femtosecond laser in PKP and DALK: My way Jorge Alio moderator and questions Georges Baikoff, Tobias Neuhann 15 minutes each + 5 Q&A Femtosecond laser in the surgery of keratoconus: intracorneal ring segments Jorge Alio 5 minutes All Femtosecond refractive surgery Walter Sekundo 15 minutes Dispelling myths of SMILE with science Glenn Carp 15 minutes Other applications: corneal keratopigmentation techniques, corneal excision, others. Jorge Alio 15 minutes Panel Discussion 10 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 46
• IOL power calculation update by the IOL power club EBO Accredited

  Leader: G. Savini | Course Level: Advanced

• Faculty:    J. Aramberri   T. Olsen   J. Shammas   K. Hoffer     

  COURSE DESCRIPTION:
  
  After a short overview of the current concepts the course will focus on the important steps to improve the refractive predictability with current formulas. Odd cases (post-LASIK) and toric IOLs may require special steps to overcome the prediction error seen with many formulas. Many new biometers have been introduced in recent years and the compatibility and accuracy of different devices should be addressed. Newer techniques for the estimation of the Estimated Lens Position (ELP) and ray tracing technology will be presented and what clinical results are to be anticipated
  
  COURSE OBJECTIVES:
  
  Attendees will learn the principles of modern IOL power calculation and understand the means to improve the predictability of the refractive outcome
  
  COURSE SCHEDULE:
  
  Kennet J Hoffer: Introduction and current concepts (10 minutes) John Shammas: Latest Formulas and Biometers (20 minutes) Wolfgang Haigis: Optimization of IOL constants (20 minutes) Thomas Olsen: Improved ELP estimation and ray tracing (20 minutes) Giacomo Savini: Torics IOLs calculation (20 minutes) Jaime Aramberri: Post-LASIK and post-ICL calculations (20 minutes) Discussion (10 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 47
• Customized cross-linking

  Leader: T. Seiler | Course Level: Intermediate

• Faculty:    T.G. Seiler   R. Rajpal   A. Behndig   F. Malecaze     

  COURSE DESCRIPTION:
  
  Course will present instructions for customized CXL. The theoretical background as well as different techniques will be explained. Morphological findings and clinical results of customized CXL will be compared to standard CXL. Possible complications will be discussed.
  
  COURSE OBJECTIVES:
  
  Attendees will learn a the new technique and the theoretical background of customized crosslinking and improve the results of crosslinking in keratectasia.
  
  COURSE SCHEDULE:
  
  Dr. Theo G. Seiler: Theoretical background and diagnostics of customized CXL, 15 min Dr. Raj Rajpal: Treatment patterns and protocols, 15 min Dr. Anders Behndig: Clinical experience with customized CXL, 15 min Prof. Francois Malecaze: Morphological Findings in customized CXL, 15 min Prof. Theo Seiler: Long-term follow-up and complications, 15 min
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , gains financially from product or procedure presented, , receives consulting fees, retainer, or contract payments from a competing company, , is employed by a forNoneprofit company with an interest in the subject of the presentation

• IC 48
• 
  Ocular trauma assessment and management EBO Accredited

  Leader: T. Rudolph | Course Level: Intermediate

• Faculty:    C. Jansen   K. Svedberg           

  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. The course is especially targeted at junior surgeons who have to manage emergency trauma cases.
  
  COURSE SCHEDULE:
  
  1. Trauma terminology and assessment 2. Trauma of the eyelid, lacrimal system and orbit 3. Corneal and scleral injury 4. Lens and iris damage 5. Posterior segment damage 6. Intraocular foreign bodies
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• Sunday 23 September
  10:30-13:30

• IC 49
• 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. Kearney   M. Khaimi

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

  COURSE DESCRIPTION:
  
  This course covers the surgical steps in internal draining Ab-Externo 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:
  
  10.30 ﾖ 10.40 Introduction & History of Schlemmﾒs Canal Surgery Clive Peckar
  10.40 ﾖ 11.10 Viscocanalostomy & Canaloplasty: Step by Step Clive Peckar
  11.10 ﾖ 11.30 Applied Micro-Anatomy of Glaucoma Robert Stegmann
  11.30 � 11.40 Use of Channelography in Ab-Externo Norbert Körber
  11.40 � 11.50 Advantages of Ab-Externo, Particularly in Revision Surgery Such as Failed Trabeculectomy Norbert Körber
  11.50 ﾖ 12.05 Ab-Externo Experience & Results Jack Kearney
  12.05 ﾖ 12.20 Complications Matthias Grieshaber
  12.20 ﾖ 12.35 Ab-Interno Experience & Results Mahmoud Khaimi
  12.35 ﾖ 12.45 Ab-Interno Experience & Results Vytautas Jasinskas
  12.45 ﾖ 13.05 Glaucoma Observations & ﾑThe Way Aheadﾒ Robert Stegmann
  13.10 ﾖ 13.15 Summing-Up & Conclusions Clive Peckar
  13.15 ﾖ 13.30 Questions to the Faculty The Faculty
  
  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 23 September
  14:30-16:30

• IC 50
• Current state of CXL (corneal cross-linking): controversies and recommendations

  Leader: F. Hafezi | Course Level: Advanced

• Faculty:    C. Mazzotta   F. Raiskup   G. Kymionis   J. 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. Presentation 1: will give a concise overview about the long-term results for keratoconus, postoperative ectasia, and PMD. Presentation 2: will discuss structure changes that can be observed after CXL. Presentation 3: shines a light on CXL Plus, the combination of CXL technology and refractive surgery techniques. Presentation 4: explains oxygen, the combining element that explains the effectiveness of modifications of CXL technology (i.e. iontophoresis, epiﾭon, accelerated, pulsed and customized CXL) and will summarize with concrete recommendations regarding intensities and irradiation times that should be used clinically. Presentation 5: is on PACK-ﾭCXL 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. Presentation 6: will discuss future diagnostics of corneal biomechanics as well as customised CXL. The 30 min panel discussion with questions from the audience on all aspects of CXL, practical and scientific, will give the opportunity to provide further, in-depth information to the attendants.
  
  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. Long-term results. (15 min, Frederik Raiskup) 2) Structural changes, OCT findings (15 min, Cosimo Mazzotta) 3) CXL Plus: (CXL and PRK, CXL and ICRs, CXL and CK,) (15 min, George Kymionis) 4) The essential role of oxygen in CXL (15 min, Farhad Hafezi) 5) PACK-CXL for infectious keratitis (15 min, Bradley Randleman) 6) Brillouin microscopy, customized cross-linking and CXL as a refractive procedure (15 min, Theo Seiler) 7) Panel discussion on the future of CXL technology, questions from the audience (30 min, All)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , gains financially from product or procedure presented, , travel has been 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, , receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, , has significant investment interest in a competing company

• IC 51
• Complications in LASIK: prevention and management

  Leader: J. Vryghem | Course Level: Basic

• Faculty:    M. Assouline   G. Sallet   G. Pamel   A. Kannelopoulos     

  COURSE DESCRIPTION:
  
  This video-based course will present challenging intra-operative situations in LASIK such as free caps, pseudosuction and keratome failures and how to manage them with safety. A planned approach to difficult patients will be reviewed. Management of post-operative complications such as epithelial ingrowth, flap striae, enhancement techniques, irregular astigmatism, decentrations, etc. will be discussed.
  
  COURSE OBJECTIVES:
  
  Several golden tips will be reviewed that enable the surgeon to prevent or minimize LASIK complications and maximize visual results.
  
  COURSE SCHEDULE:
  
  Structure of the workshop: complications bound to: -Pre-operative factors: the blepharostat, the size of the eye (small eyes, megalocornea, etc), the conjunctiva, the epithelium, the cornea. -surgical factors: the keratome (Hansatome, Moria, Intralase, etc.), -Laser ablation (decentrations, irregular astigmatism, over- and undercorrections, etc.), -Post-operative factors: diffuse lamellar keratitis, dryness, epithelial ingrowth, infection, infiltrations, abscesses, melting, etc. -Retreatment: re-cut or re-lift, topography-guided or wavefront-guided.
  
  SINGLE PRODUCT COURSE: Yes
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 52
• 
  Toric IOLs: planning for success and dealing with failure

  Leader: M. Goggin | Course Level: Intermediate

  

• Faculty:    B. LaHood   P. Hoffmann   L. van Zyl        

  COURSE DESCRIPTION:
  
  After a brief introduction of the data collected for toric IOL calculation and an explanation of why they are important, a review of the common useful features of on-line toric calculators and their drawbacks will be given. A description of corneal surgically induced astigmatism and how it is calculated will lead into its appropriate use in toric IOL power and axis calculation. The current status of posterior and total corneal astigmatism measurement will be explored and how this compares to calculated values. Practical hints on inclusion of these data to improve astigmatic outcome will be given. The prevalence of corneal astigmatism will be described leading into a discussion of which patients may gain most by use of toric IOLs and appropriate astigmatism thresholds for toric IOL use. This will be followed by some surgical hints to minimise refractive surprise. Optimal timing of postoperative assessment for astigmatic refractive surprise, analysis of the source of error (axis misalignment, power error or a combination) and planning of corrective surgery will be discussed. Step by step guidance on surgery to correct toric refractive surprise will be given.
  
  COURSE OBJECTIVES:
  
  So that attendees understand planning of toric IOLs to optimise outcome, surgical techniques to assist in that objective and how to deal with toric refractive surprises. This course will be for surgeons who have not used toric IOLs and are interested in using them or who have used them and wish to understand their use in greater depth, young ophthalmologists and trainees. It will be assumed the audience are familiar with the optics of astigmatism and the concept of toric IOLs.
  
  COURSE SCHEDULE:
  
  Data for toric IOLcalculation: A/Prof Goggin, 15 mins. Manufacturer and third party online toric IOL calculators including posterior corneal astigmatism: Dr LaHood, 15 mins. SIA and differing surgical techniques: Dr van Zyl, 15 mins. Methods of posterior corneal astigmatism measurement and calculation of effect: A/Prof Goggin, 15 mins. Astigmatism thresholds for treatment based on examination of outcome: Dr Hoffmann, 15 mins. Per-operative strategies to improve outcome: Dr van Zyl, 15 mins. Post-operative identification of refractive surprise: Dr LaHood, 15 mins. Analysis of astigmatic refractive surprise and planning of correction: A/Prof Goggin, 15 mins.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 54
• 
  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:
  
  , travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

• IC 55
• 
  Glaucoma surgery for the cataract surgeon: ways to improve your outcomes and to catch up with the latest

  Leader: S. Jacob | Course Level: Intermediate

• Faculty:    A. Crandall   K. Barton   S. Perera        

  COURSE DESCRIPTION:
  
  A video based course aiming at imparting knowledge to both the comprehensive Ophthalmologist as well as to the Glaucoma subspecialist regarding various newer techniques available for Glaucoma surgery as part of combined surgery for cataract and glaucoma. Newer modalities will be discussed as well as tips and tricks to make glaucoma surgery easier for the cataract surgeon. The attendees will gain insight into managing coexisting cataract and glaucoma via combined surgeries as well as management of complications. Recent advances will be included.
  
  COURSE OBJECTIVES:
  
  At the end of this course, the attendee will be aware of different techniques, advantages and disadvantages as well as will be more confident towards managing such cases. Video presentations showing recent advancements in making combined glaucoma and cataract surgery easy will be shown.
  
  COURSE SCHEDULE:
  
  Soosan Jacob: Phaco with Stab Incision Glaucoma Surgery (SIGS) technique and complication management? Alan Crandall: Successfully combining cataract with MIGS? Keith Barton: Problems encountered with MIGS and how to deal with them? Shamira Perera: Cataract and angle closure? Soosan Jacob: Complex cases: combining with shunt surgery (Ahmed valve)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , gains financially from competing product or procedure, , 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, , 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 nonNonemonetary benefits from a competing company., , receives nonNonemonetary benefits from a company producing, developing or supplying the product or procedure presented., , receives consulting fees, retainer, or contract payments from a competing company, , receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, , is employed by a forNoneprofit company with an interest in the subject of the presentation, , is employed by a competing company, , has significant investment interest in a competing company, , has significant investment interest in a company producing, developing or supplying product or procedure presented, , gains financially from product or procedure presented

• IC 56
• 
  Endophthalmitis after cataract surgery

  Leader: P. Montan | Course Level: Intermediate

  

• Faculty:    S. Kaynak   T. Chan   L. Cordoves   S. Arshinoff     

  COURSE DESCRIPTION:
  
  This is an instructional course on the prevention and management of endophthalmitis following cataract surgery. The course instructors have been involved in endophthalmitis research, particularly prophylaxis (development of intracameral antibiotic use, ESCRS Endophthalmitis Study Group, ESCRS study on antibiotic prophylaxis of endophthalmitis following cataract surgery, ESCRS Endophthalmitis Guidelines) The proven role of prophylactic povidone iodine and intracameral cefuroxime for cataract surgery - based on the ESCRS endophthalmitis study outcome and on subsequent published clinical reviews on the benefits of intracameral antibiotics from Sweden and several other countries (Europe, America, Asia)- will be presented. The use of other intracameral antibiotics (i.e. moxifloxacin) will be discussed. The course will teach the clinical, differential (Toxic Anterior Segment Syndrome ﾖ TASS) and laboratory (cultures, Polymerase Chain Reaction ﾖ PCR) diagnosis of post-cataract endophthalmitis. Investigation will include video footage on how to perform diagnostic and therapeutic vitrectomy with intravitreal antibiotic injection.
  
  COURSE OBJECTIVES:
  
  Course participants will be instructed on the current state of knowledge in endophthalmitis prevention and treatment based on ESCRS studies and critical review of the current literature. It will be interactive with discussion encouraged and all faculty will be present throughout the course.
  
  COURSE SCHEDULE:
  
  Introduction, Per Montan 5ﾒ I Clinical appearance, S�leyman Kaynak 15� II Differential diagnosis, TASS syndrome, Tat Chan 15ﾒ III Management and expected visual results, Luis Cordoves 15ﾒ IV epidemiology, Per Montan 20ﾒ V prophylaxis, Steve Arshinoff 20ﾒ Discussion 30ﾒ
  
  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   E. Dafgard-Kopp   Y. Ntountas        

  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 and lacrimal drainage system in this course.
  Participants will leave the course having been shown how to prevent and manage the selected eyelid disorders.
  
  COURSE SCHEDULE:
  
  Vladimir Thaller (UK): What to do with "lumps and bumps" around the eye?
  Eva Dafgard-Kopp (Sweden)): How to protect the ocular surface?
  Dion Paridaens (Netherlands): How to avoid problems in blepharoplasty?
  Yannis Ntountas (Greece): What to do with a watering eye? Causes and evaluation.
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 58
• 
  Overview of phakic IOLs Pre Requisite Course EBO Accredited

  Leader: A. Marinho | Course Level: Intermediate

• Faculty:    F. Carones   C. Budo   A. El Danassoury   P. Stodulka     

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

  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, EyePCL) will be presented by experts with special emphasis on design, surgical techniques and adverse events. In the third part the explantation of phakic IOls (causes and management) will be presented.
  
  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 of adverse events of this type of refractive surgery.
  
  COURSE SCHEDULE:
  
  1) Introduction-A. Marinho (5 minutes). 2) Selection of patients-F. Carones (20 minutes). 3) Artisan/Artiflex- C. Budo (20 minutes). 4) ICL Alaa El-Danassoury (20 minutes). 5) EyePCL- P. Stodulka (20 minutes). 6) Explantation of Phakic IOLs -A. Marinho (20 minutes). Discussion (15 minutes)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 59
• 
  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

• Sunday 23 September
  17:00-18:00

• IC 60
• 
  Keratitis from bacterial keratitis to herpetic and acanthamoeba infections: treatment protocol and management challenges

  Leader: M. Tsatsos | Course Level: Intermediate

• Faculty:    I. Athanasiadis   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 different surgical options for bacterial, herpetic and acanthamoebic keratitis. Photo assay of typical and atypical cases will be shown and video presentation of techniques amniotic membrane transplantation, CXL, DALK and tarsorraphy will be shown.
  
  COURSE SCHEDULE:
  
  Herpetic Keratitis- THE HEDS study and need for update (Mr I Athanasiadis) 18 mins Microbial and Acanthamoeba Keratitis Treatment options (Mr M Tsatsos) 18 mins Surgical Treatment options and long term outcomes- Fungal Keratitis (Mrs S Jacob) 18 mins Questions and Discussion 6 mins
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 61
• 
  Pull-through DMEK

  Leader: M. Busin | Course Level: Advanced

• Faculty:    J. Beltz   V. Scorcia   C. Bovone        

  COURSE DESCRIPTION:
  
  Course will use videos to explain a standardized technique for DMEK using a sterile soft contact lens as scaffold from which to insert a tri-folded DMEK tissue into the anterior chamber. In this way, DMEK tissue can be delivered in a similar way to DSAEK, thus avoiding many of the common difficulties encountered with this procedure. Different steps and instrumentation required will be illustrated and results and complications will be discussed. The ability to utilize pre-loaded tissue for this technique will also be discussed.
  
  COURSE OBJECTIVES:
  
  Attendees will learn a technique that will allow them to improve results and reproducibility of their DMEK surgery.
  
  COURSE SCHEDULE:
  
  Introduction and basic concepts: Prof Busin, 20 minutes Tissue preparation and surgical techniques: Dr Beltz, 15 minutes Results: Dr Scorcia, 15 minutes Complications: Prof Busin, 10 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 62
• 
  Cataract surgery in coexisting corneal pathology EBO Accredited

  Leader: M. Balidis | Course Level: Advanced

• Faculty:    B. Allan   V. Maurino           

  COURSE DESCRIPTION:
  
  Successful cataract surgery in coexisting corneal pathology can be challenging. Advances in modern cataract surgery and IOL technology can improve the final visual and refractive outspend even in complicated corneal cases.
  
  COURSE OBJECTIVES:
  
  The course will address cataract planning and outcomes in cases of corneal co-morbidity. Careful preoperative planning is essential in scarred corneas, dystrophies or endothelial disease. Decision making involves also considering for combined cataract and corneal surgery and or sequential procedures. Biometric calculations can be difficult in post laser refractive surgery, irregular astigmatism, ectatic disease and post corneal graft. In addition intraoperative tips for combined cataract procedures and PKP, EK,, DALK and peripheral lamellar grafts
  
  COURSE SCHEDULE:
  
  Cataract in scarred corneas (infective active or inactive) B. Allan Cataract and ectatic disease M. Balidis Cataract and Endothelial disease (dystrophies,injuries,degeneration) V. Maurino Videos of challenging cases / Discussion All and audience
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 63
• 
  Cataract surgery and IOL calculations in the setting of corneal disease

  Leader: E. Chan | Course Level: Basic

• Faculty:    R. MacIntyre   J. Beltz   A. Ang        

  COURSE DESCRIPTION:
  
  Topics that will be covered include optimising IOL calculations in the presence of ocular surface disease, previous refractive laser surgery, corneal scars, keratoconus, Fuchsﾒ endothelial dystrophy and corneal transplants. Case discussions will highlight the important points.
  
  COURSE OBJECTIVES:
  
  Attendees will learn how to maximise refractive outcomes in patients with corneal conditions who undergo cataract surgery.
  
  COURSE SCHEDULE:
  
  1. How to optimise IOL calculations (Ross MacIntyre) 15 min 2. Managing astigmatism (Andrea Ang) 15 min 3. Cataract surgery and IOL selection in corneal disease (Jacqueline Beltz) 15 min 4. Case discussions (Elsie Chan) 15 min
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 64
• 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 summarise 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:
  
  How much mathematics is needed? Very little to understand ﾅ 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 65
• Intraocular magnifying lenses for patients with macular degeneration EBO Accredited

  Leader: S. Srinivasan | Course Level: Intermediate

• Faculty:    G. Scharioth   N. Nielsen   F. Vargas Martin        

  COURSE DESCRIPTION:
  
  Synopsis: Intraocular magnifying lenses are gaining in popularity as a surgical option to provide visual rehabilitation for patients with macular degeneration. This course will review all the currently available intraocular magnifying devices in Europe and North America, techniques and practical tips on implantation. Topics will include (1) Preoperative assessment and surgical planning (2) review of currently available devices (in USA and Europe), (3) indications, (4) surgical techniques of each device (demonstrated with videos), and (5) design and optics of device. Surgical videos will be used extensively to demonstrate the techniques of each modality and the management of complications.
  
  COURSE OBJECTIVES:
  
  After the course, the attendee will have gained a greater insight into the assessment, indications, optics of each devices and surgical techniques of implanting various intraocular magnifying lenses for visual rehabilitation in patients with macular degeneration.
  
  COURSE SCHEDULE:
  
  Course Outline: I. Approaches to visual rehabilitation in patients with AMD a. How to assess patients b. When to use intraocular magnifying lenses II. Review of currently available intraocular magnifying devices a. Historical models and approaches b. Currently available Implants c. Implants Materials, Design and Models i. Scharioth Macula lens ii. Implantable miniature telescope iii. IOL AMD iv. Eye max mono III. Indications for the use of intraocular magnifying devices a. Patient selection i. Pros and cons of each implants ii. How to select an implant based on optical properties? b. Assessment of intraocular anatomy i. Assessment of pupil 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:
  
  , gains financially from product or procedure presented, , receives consulting fees, retainer, or contract payments from a competing company

• IC 66
• 
  Ocular surface masterclass: what's new in diagnosis and management of dry eye, ocular rosacea, allergic eye disease and cicatrising conjunctivitis for the cataract surgeon

  Leader: V. Saw | Course Level: Advanced

• Faculty:    E. Messmer   J. McCulley   A. Leonardi        

  COURSE DESCRIPTION:
  
  This 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 and tips on systemic immunosuppression.
  
  COURSE OBJECTIVES:
  
  Attendees will gain a masterclass update on new developments in diagnosis and 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:
  
  Dry Eye – Elisabeth Messmer 13 mins
  Ocular Rosacea – James McCulley 13 mins
  Allergic Eye Disease – Andrea Leonardi 13 mins
  Cicatrising Conjunctivitis – Valerie Saw 13 mins
  Discussion 8 mins
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  None

• IC 67
• Demystifying biometry with the Barrett IOL calculator

  Leader: T. Wee | Course Level: Intermediate

• Faculty:    G. Barrett   R. Yeoh           

  COURSE DESCRIPTION:
  
  Accurate biometry and a robust IOL formula are essential for IOL accuracy and successful cataract surgery outcomes. This is even more so with toric and multifocal IOLs. Our present understanding of relevant biometric parameters has improved the accuracy of our IOL calculations substantially in recent years. New concepts including the understanding of the influence of posterior corneal curvature and effective lens position on biometry and IOL selection, as well as the relevance of new technologies such as swept source OCT have further improved our accuracy over traditional considerations. The Barrett IOL calculator is a sophisticated new generation IOL formula that adopts these new understandings and revolutionizes IOL calculation and selection for greater precision. This course will summarise and simplify these new concepts and considerations. It will also introduce the Barrett IOL calculator which is an essential resource for any cataract practice today.
  
  COURSE OBJECTIVES:
  
  This course aims to summarise and simplify the seemingly technical and overwhelming concepts of biometric data and their impact on IOL selection and cataract surgery outcomes. Participants will leave with a good grasp of why these parameters matter for accurate biometry and IOL selection. They will also have a good introduction to the Barrett calculator which incorporates these new biometric parameters for more accurate IOL selection and improved cataract surgery outcomes. Presenters will also share clinical workflows that will streamline participants' current practice especially for toric and multifocal IOLs.
  
  COURSE SCHEDULE:
  
  Wee TL : Biometry - what's the new normal? (15 minutes) Graham Barrett: : A tour of the Barrett IOL Calculator (15 minutes) Ron Yeoh: Incorporating the Barrett IOL Calculator into your practice (15 minutes) Graham Barrett: Finer points of the Barrett IOL Calculator (15 minutes)
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , gains financially from product or procedure presented

• IC 68
• 
  MIGS: surgical indications and complications management

  Leader: A. Prinz | Course Level: Advanced

• Faculty:    H. Reitsamer   Z. Khoueir           

  COURSE DESCRIPTION:
  
  Course will present instructions for as well implantation of XEN (Allergan) and InnFocus (Santen) and management of related complications. Videos will illustrate surgical technique. Results and management of complications will be presented.
  
  COURSE OBJECTIVES:
  
  Attendees will learn how to select patients suitable for minimal invasive glaucoma surgery (MIGS) and how to manage related complications.
  
  COURSE SCHEDULE:
  
  Indication and Patient selection for MIG surgery: Prinz, 15 min XEN best practice and complication management: Prof Reitsamer, 20 minutes InnFocus best practice and complications: Khoueir 15 minutes
  
  SINGLE PRODUCT COURSE: No
  
  FINANCIAL DISCLOSURE:
  
  , receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, , travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

• IC 78
• Intracorneal rings for keratoconus and post-LASIK ectasia

  Leader: D. Touboul | Course Level: Intermediate

• Faculty:    G. Reggiani Mello   W.J. Dupps           

  COURSE DESCRIPTION:
  
  Several studies have demonstrated that intracorneal rings are able to improve the corneal shape and visual acuity of contact lens intolerant keratoconic patients with central clear cornea.
  Different models are currently available.
  The rings may be implanted into the stroma with a conventional manual dissection, or with the help of femtosecond laser technology. They are implanted at the periphery of the cornea at two-third depth. The goals of the rings are to improve vision acuity, to prevent or delay corneal grafts and to make contact lens intolerant patients become tolerant.
  More than 100,000 Intacs have been implanted worldwide, with an improvement of the vision in about 80% of cases.
  The procedure may be used in primary corneal ectasia, keratoconus, or in cases of post-LASIK ectasia.
  The procedure is reversible: the rings may be removed if needed.
  The course will include the discussion of sequential or simultaneous rings implantation and corneal collagen cross-linking. -
  
  COURSE OBJECTIVES:
  
  The attendees will be able to learn the principles, when to indicate the technique and how to diagnose and solve complications in patients with intracorneal rings. At the end of the course, the attendees will be able to participate in a surgical lab and learn how to implant the intracorneal rings. -
  
  COURSE SCHEDULE:
  
  D. Touboul: ICRS for keratoconus and post-LASIK ectasia: basic knowledge (15 + 5 mins)
  W.J. Dupps: Biomechanical concerns hiding behind the rings insertion (15 + 5 mins)
  G. Reggiani Mello : ICRS practice in routine: good and bad illustrated cases (15 + 5 mins) -
  
  SINGLE PRODUCT COURSE: No -
  
  FINANCIAL DISCLOSURE:
  
  None