Instructional Courses

The ESCRS is pleased to announce that all Instructional Courses at Milan Congress will be Free of Charge. There is no need to register for these courses.

• Saturday
• Sunday
• Monday
• Tuesday

• Saturday 17th September 2011
  10:30-12:30

• IC 1
• Course Handouts

  Corneal Cross Linking Therapy
  Author: K. Mikek | Session Time: 10:30-12:30 | Course Level: Ba

• Co. Authors :    C. Koppen   Z. Nagy   D. O Brart        

  Course Abstract:
  This Instructional Course is a pre-requisite for the "hands-on" wetlab training session in the Surgical Skills Transfer Programme. The practical session will include:
  
  • All delegates will be given an opportunity to practice on the different types of cross-linking systems on the market
  
  • "hands-on" training with pig eyes and operating microscope for each station,
  
  • Two delegates per station
  
  • Preoperative assessment protocols,
  
  • Corneal anesthesia, instrumentation, steps of de-epithelization and riboflavin instillation (dosage, how many times, for how long, etc).
  
  • Equipment - different types of cross linking systems and physical properties of the irradiating laser machine
  
  • Handling and storage of Riboflavin.
  
  • Postoperative care and treatment, follow-ups (how often, what to measure), management of complications to be discussed as a group.
  
  • Discussions on the results of cross linking treatments.
  
  
  Course Schedule
  
  1.Introduction: Aim of the instructional course together with the wet lab and introduction of the presented speakers. Kristina Mikek, Slovenia – 5 min
  
  2. Corneal Ectasias and Corneal biomechanics: Ectasias - epidemiology, genetics, pathophysiology, clinical features, overview of management options. Corneal biomechanics - Corneal Structure, possible measurement techniques in vitro and in vivo, limitations of current knowledge. Carina Koppen, Belgium – 25 min
  
  3. Principles of corneal collagen cross-linkage: Principles of corneal collagen cross-linkage with the review of initial laboratory studies in relation to efficacy and safety. Zoltan Nagy, Hungary – 20 min
  
  4. Review of published clinical studies: Update on RCT in London, efficacy, safety, complications, and limitations of current knowledge. David O Brart, UK – 30 min
  
  5. Operative techniques: Pre-operative assessment, patient counseling, the role of epithelial removal, riboflavin dosage regimens, UVA exposure regimens, UV lamps and calibration, post-operative care and follow-up, complications. Kristina Mikek, Slovenia – 20 min
  
  6. Other applications and future techniques with review of interesting cases from the panel – 15 min
  
  7.Open discussion – 10 min
  
  
  Course Description
  
  This course will provide principles of corneal cross-linking treatment. The course will cover the history and concept behind the cross linking, laboratory studies, pharmaceutical properties of riboflavin and the role of ultraviolet irradiation. Epidemiological data, aetiology, pathogenesis and diagnosis of Keratoconus and other Corneal Ectasias will be discussed. The indications and contraindications for Cross Linking therapy including details of different treatment protocols, dosage of Riboflavin, and postoperative care will be covered. The results from different centers of corneal cross linking treatment on its own and when combined with other corneal procedures will be presented. The complications of treatment, theories of corneal wound healing, secondary ultraviolet exposure and new processes such as flash linking etc., and finally new trends in the use of this technology will be discussed. An overview of the different technologies will be given.
  
  
  Financial Disclosure: None
  
  Single Product Course: No

• IC 2
• Course Handouts

  Basic phacoemulsification (Part 1)
  Author: K. Tjia | Session Time: 10:30-12:30 | Course Level: Ba

• Co. Authors :    A. Chakrabarti   N. Reus           

  Course Abstract:
  This is a wetlab pre-requisite course. These courses are designed for the beginning phaco surgeon. The faculty have a wealth of experience of both phaco and teaching principles. An insight will be offered into what phaco machines do and how, as well as technical details of how to set about safe removal of cataractous lens.
  
  
  Course Schedule
  
  Basic Ultrasound and Fluidics - 45 min Tjia
  Anaesthesia and potential for posterior vitreous pressure - 15 min Reus
  Incisions and Viscoelastics - 15 min Reus
  Capsulorhexis and risk for tear out and management - 15 min Arup
  Hydrodissection - 15 min Tjia
  Nucleus management, Soft Cataract - 15 min Arup
  
  Presentations should include enough time to answer questions
  
  
  Course Objective
  
  The beginning phaco surgeon should finish this course with an insight into the fundamentals of phacoemulsification, and be in a position to perform the surgery in a more structured and safe fashion.
  
  Single Product Course:N/A

• IC 3
• Course Handouts

  IOL Power Calculation
  Author: K. Hoffer MD | Session Time: 10:30-12:30 | Course Level: In

• Co. Authors :                  

  Course Abstract:
  To understand the basics of IOL power calculation and the use of the best instruments to obtain the most accurate biometric data. To know the formulas recommended today and which eyes to use them on. To know the best methods to deal with complicated situations such as LASIK eyes and multifocals. To know how to handle PO IOL power errors.
  
  
  Course Schedule
  
  Basics, Theory, Biometry, Formulas, Preventing Errors, Staphyloma eyes, Silicone oil eyes, Scleral buckle eyes, LASIK/PRK corneas, US/Optical AL measurement, Scheimpflug cameras, Pediatric eyes, Formula Usage, Multifocal IOL power, Treating IOL power errors
  
  Course Description
  
  The course has been taught in the USA and EU since 1974 and covers all aspects of how to obtain the most accurate IOL power for each individual patient regardless of the condition of the eye. The most up to date information on this subject will be presented in understandable terminology.
  
  Financial Disclosure: None
  
  Single Product Course: No

• IC 4
• Course Handouts

  Glaucoma Surgery: Modern perspectives
  Author: K. Barton | Session Time: 10:30-12:30 | Course Level: Ba

• Co. Authors :    S. Lim    N. Anand    T. Shaarawy   F. Grehn     

  Course Abstract:
  Course Description:The purpose of this course is to describe best practice in trabeculectomy, non-penetrating filtration surgery and aqueous shunt implantation. Safe and effective trabeculectomy Optimising non-penetrating filtering surgery: Tarek Shaarawy & Nitin Anand Modern Aqueous Shunts: Sheng Lim and Keith Barton Discussion: Keith Barton Previously presented in Berlin 2008
  
  Single Product Course: N/A

• IC 5
• Course Handouts

  Corneal Collagen Crosslinking - New Techniques and Biomechanics
  Author: D. Stulting | Session Time: 10:30-12:30 | Course Level: Ad

• Co. Authors :    P. Vinciguerra    E. Stagni    C. Dupps    C. Roberts    G. Waring    K. Maia Rocha

  Course Abstract:
  To discuss new technologies and techniques in corneal collagen crosslinking, including transepithelial treatments. Corneal biomechanics in keratectasia and crosslinking will also be discussed.
  
  
  Course Schedule
  
  R. Doyle Stulting MD, PhD: "Update on US clinical trial for corneal collagen crosslinking" (10 min). Paolo Vinciguerra MD: "collagen cross linking improves corneal curvature and vision at any age"(10 min). Edoardo Stagni "Transepithelial corneal collagen crosslinking - techniques and preliminary results" (10 min). BJ Dupps, MD, PhD: "Modeling crosslinking : how does crosslinking affect corneal shape and how can we manipulate it?" (10 min). Cynthia Roberts, PhD "Biomechanical properties before and after crosslinking" (10 min). Karolinne Maia Rocha MD, PhD "Fourier domain OCT analysis of corneal collagen crosslinking" (10 min). George O. Waring IV, MD: "New techniques in corneal imaging to better understand the effects of collagen crosslinking" (10 min).
  
  Course Description
  
  Corneal Collagen Crosslinking in a promising technology for the treatment of keratectasia. Techniques, outcomes and biomechanical studies will be discussed One or more of the authors: receives consulting fees, retainer, or contract payments from a competing company,
  
  
  Financial Disclosure: One or more of the authors: travel has been funded, fully or partially, by a competing company
  
  Single Product Course: No

• IC 6
• Course Handouts

  AlphaCor: Clinical and surgical management
  Author: N. Jiraskova | Session Time: 10:30-12:30 | Course Level: Ba

• Co. Authors :                  

  Course Abstract:
  AlphaCor in an artificial cornea for patients whose corneal blindness is unlikely to be managed successfully by means of standard penetrating keratoplasty. Course will provide basic and fundamental information about history of keratoprosthesis research, AphaCor design and functions, handling and implantation techniques, patient selection, pre- and post-operative care, management of complications, and maximising refractive outcomes with this device.The presenter will share her own experiences with AlphaCor and management of challenging cases (phacoemulsification in AlphaCor patients, etc). The background information will be provided in hands out (intructional CD) for each participant of the course.
  
  Single Product Course: N/A

• IC 7
• Course Handouts

  Management of Complications Encountered During Cataract Surgery
  Author: R. Osher | Session Time: 10:30-12:30 | Course Level: In

• Co. Authors :    G. Barrett              

  Course Abstract:
  To help the surgeon identify the early warning signs of a complication and then arm the surgeon with the best techniques and options for managing the problem successfully.
  
  Course Description
  
  This perennial course will review a spectrum of complications including thermal injury, descemet's damage, constricting pupil, positive pressure, anterior and posterior capsular tears, zonular dialysis, a dropped nucleus, intraocular hemorrhage, and several rare events. Videos will demonstrate the complications which will then be discussed by the faculty.
  
  
  Financial Disclosure: None
  
  Single Product Course: No

• IC 8
• Course Handouts

  IOL calculation after refractive surgery
  Author: W. Haigis | Session Time: 10:30-12:30 | Course Level: Ad

• Co. Authors :    J. Aramberri   D. Koch   N. Rosa   H. Shammas   J. Stevens  

  Course Abstract:
  To enable attendees to select the proper IOL power calculation method after refractive surgery based on the clinical information and measurement data available.
  
  
  Course Schedule
  
  Douglas D. Koch, MD:
  IOL calculation after refractive surgery: overview.
  
  Jaime Aramberri, MD:
  IOL calculation after refractive surgery: error sources.
  
  Wolfgang Haigis, PhD:
  IOL calculation after refractive surgery: results with the Haigis-L formula.
  
  Julian Stevens, MD:
  IOL calculation after refractive surgery: results with the BESSt formula.
  
  Nicola Rosa, MD:
  IOL calculation after refractive surgery: results with the R-factor method.
  
  H. John Shammas, MD:
  IOL calculation after refractive surgery: results with the no-history method.
  
  Course Description
  
  IOL calculation after corneo-refractive surgery is mainly compromised by three error sources: erroneous radius measurements, invalid corneal power formulas and IOL formulas inducing additional errors. Consequently, considerable hyperopic errors may be created e.g. after refractive surgery for myopia depending on the refractive procedure itself, ablation type, optical zone diameter, the amount of refractive correction and the measurement instruments used.
  
  The course will explain error sources in detail and will offer work-arounds. Currently available procedures and formulas for the different conditions will be summarized by leading experts and backed-up with clinical results.
  
  
  Financial Disclosure: One or more of the authors: research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
  
  Single Product Course: No

• Saturday 17th September 2011
  14:30-16:30

• IC 9
• Course Handouts

  Microincision Cataract Surgery (MICS) and MICS lenses
  Author: J. Alio | Session Time: 14:30-16:30 | Course Level: In

• Co. Authors :    A. Agarwal   T. AMZALLAG   B. Dick    M. Packer   R. Bellucci    H. Fine

  Course Abstract:
  To instruct the cataract surgeon in the most important steps in the transition from coaxial phacoemulsification to MICS, showing the advantages and the most recent developments in MICS instrumentation, surgical manoeuvres and MICS intraocular lens technology
  
  
  Course Schedule
  
  1. Fundamentals and key factors in performing a successful MICS transition: Jorge Alio (20 minutes)
  
  2. How to manage fluidics in MICS: Mark Packer (10 minutes)
  
  3. Why MICS is better: Pearls of the surgical technique: Roberto Bellucci (10 minutes)
  
  4. Power modulation and use of IOL through the corneal tunnel assisted technique in MICS: Thierry Amzallag (10 minutes)
  
  5. MICS IOLs. Burkhard Dick (10 minutes)
  
  6. MICS at the limits: 0.7 mm MICS. MICS in special cases: Amar Agarwal (10 minutes)
  
  7. Biaxial MICS for difficult and challenging cases: Howard Fine (10 minutes)
  
  Course Description
  
  MICS ( Microincision Cataract Surgery performed through incisions of 1.8 mm or less), targets at reducing surgical trauma and increasing efficacy in cataract surgery. MICS offers the demonstrated advantages of increased efficiency of cataract surgery, decreasing not only the incision size, but also the power and time of ultrasound energy delivered inside the eye during the cataract procedure. During this course, the basic elements of MICS will be shown in a didactic format, exploring the fundamentals in incision construction, surgical instruments and different surgical techniques that will show how to use MICS with low ultrasound phacoemulsification. The innovative topic of MICS IOLs will also be discussed and the main elements involved in the biomaterials and technologies used in the currently available lenses. The results of the clinical studies showing the advantages of MICS over coaxial and microcoaxial phacoemulsification and MICS IOLs will also be discussed. The course will be based on videopresentations to illustrate the practical landmarks useful for the surgeon in transition and scientific data obtained in independent clinical studies. One or more of the authors: research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
  
  
  Financial Disclosure: One or more of the authors: travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
  
  Single Product Course: Yes

• IC 10
• Course Handouts

  Pediatric Cataract: Hard Facts about Soft Cataracts
  Author: M. Fernandes | Session Time: 14:30-16:30 | Course Level: In

• Co. Authors :    N. Gangopadhyay    A. Borthakur   J. Sengupta    K. Nischal     

  Course Abstract:
  1. Examination of a child is difficult hence attendees will learn how to evaluate, diagnose and investigate a case of pediatric cataract.
  
  2. Intraocular lens implantation is the standard of care in pediatric cataracts however determining the appropriate IOL power in this amblyogenic age group is essential.
  
  3. Since the surgical technique differs from that in an adult, attendees will learn about the technical nuances in handling pediatric cataracts
  
  4. Attendees will learn how to handle certain situations like microophthalmos, posterior lenticonus, traumatic pediatric cataract, etc
  
  5. Since these children are prone to developing amblyopia, early visual rehabilitation is paramount and attendees will learn how to appropriately manage these cases post operatively
  
  
  Course Schedule
  
  Evaluation of a case of Pediatric Cataract (20 min): Dr Jayangshu Sengupta
  
  IOL Types and IOL Power calculation in children (20 min): Dr Merle Fernandes
  
  Surgical Considerations in Pediatric Cataract (20 min): Dr Nibaran Gangopadhyay
  
  Pediatric Cataract surgery in Special situations (20 min): Dr Ken Nischal
  
  Visual Rehabilitation after Pediatric Cataract Surgery (20 min): Dr Arundhati Borthakur
  
  Discussion (20 min): ALL
  
  Course Description
  
  Cataracts in children are a major cause of visual morbidity. Early diagnosis, appropriate surgical management and visual rehabilitation are the key factors for success. Despite this, there is a high risk of complications. Pediatric cataract management thus, revolves around comprehensive evaluation, diagnostic work up where appropriate, meticulous surgery and dedicated follow-up.
  
  
  Financial Disclosure: None
  
  Single Product Course: Yes

• IC 11
• Course Handouts

  Basic phacoemulsification (Part 2)
  Author: D. Allen | Session Time: 14:30-16:30 | Course Level: Ba

• Co. Authors :    K. Tjia    N. Reus   A. Chakrabarti        

  Course Abstract:
  These courses are designed for the beginning phaco surgeon. The faculty have a wealth of experience of both phaco and teaching principles. An insight will be offered into what phaco machines do and how, as well as technical details of how to set about safe removal of cataractous lens. Objective The beginning phaco surgeon should finish this course with an insight into the fundamentals of phacoemulsification, and be in a position to perform the surgery in a more structured and safe fashion.
  
  
  Course Schedule
  
  Nucleus management, Medium Cataract, Crack Techniques - 30 min Reus
  Nucleus management, Hard Cataracts, Chop techniques - 30 min Arup
  Small pupil management - 30 min Allen
  Posterior Capsule Rupture potential causes & management - 30 min Allen
  

• IC 12
• Course Handouts

  LASIK: Update with surgical tips in primary and secondary cases-basic comparison with surface ablation technique
  Author: D. Elies Amat | Session Time: 14:30-16:30 | Course Level: Ad

• Co. Authors :    T. Kohnen   F. Malecaze   A. Marinho   C.W. Von Mohrenfels   J. Gaytan  

  Course Abstract:
  Introduction: Outline and main goals of the Course
  
  1.-Thomas Kohnen Preoperative evaluation: “what are the critical evaluations and considerations before the surgery?”
  
  2.-Francois Malecaze LASIK surgical technique: basics “step by step” tricks
  
  3.- Javier Gaytan Main surgical tips with the different approaches for LASIK reoperations
  
  4.- C.W.von Mohrenfels BASIC comparison (advantages-disadvantages) between LASIK and Surface ablation techniques
  
  5.- Daniel Elies How to handle the main and most common peroperative complications including his own tips for basic LASIK surgery
  
  6.- Antonio Marinho The limits on corneal ablation techniques: main concepts in anatomical and refractive data
  
  All: Guided discussion. Question and answers from the audience
  

• IC 13
• Course Handouts

  Phakic IOL Implantation:How To Improve Patient Safety, Satisfaction and Complication Management
  Author: D. Dementiev | Session Time: 14:30-16:30 | Course Level: Ad

• Co. Authors :    M. Piovella    G. Baikoff    D. Hardten   S. Slade   M. Knorz  

  Course Abstract:
  Attendees will be able to assess phakic IOLs as a valuable tool in refractive surgery. Experience, imaging, and long-term follow up will provide a safer approach to phakic IOLs.
  
  
  Course Schedule
  
  Seven experts in refractive cataract surgery will manage the course through seven specific presentations of 12 minutes each.
  
  After each presentation 4 minute discussions will be provided. Before the end of the course an extra 6 minute discussion will be manged by the Faculty .
  
  I. How to evaluate the best IOL
  
  II. Patient Selection
  
  
  
  a. A surgery for all patients ?
  
  b. Psychological and occupational selection criteria
  
  III. Eye selection
  
  a. High myopia
  
  b. Hyperopia
  
  c. Astigmatism
  
  d. Anatomical considerations
  
  e. Preoperative evaluation
  
  IV. Factors in selecting Phakic IOLs
  
  a. Anterior Chamber
  
  i. Artisan
  
  ii. Artiflex
  
  iii. Icare
  
  iv. Vivarte
  
  v. Kelman Duet
  
  vi. Toric Verysize flexible
  
  b. Posterior Chamber
  
  i. PRL
  
  ii. ICL
  
  V. Phakic IOL Follow Up: a life commitment ?
  
  a. Follow up in the first five years
  
  b. Angle-fixated IOLs: endothelial damage
  
  c. Angle-fixated IOLs: explantation technique and concomitant clear-lens exchange
  
  d. AC OCT
  
  e. Future developments
  
  VI. OCT: a new diagnostic device for evaluation and follow up ?
  
  a. Anterior Chamber OCT: principles and practice
  
  b. OCT and anterior chamber IOLs
  
  c. OCT and posterior chamber IOLs
  
  d. Detection of complications with OCT
  
  e. Future developments
  
  Course Description
  
  Course will present a review of state-of-the-art knowledge on phakic IOLs, with information on patient, eye, and IOL selection, surgical techniques, management of intra- and postoperative complications. Special interest will be dedicated to diagnostic instruments for patient selection and follow up. One or more of the authors: receives consulting fees, retainer, or contract payments from a competing company.
  
  
  Financial Disclosure: One or more of the authors: travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
  
  Single Product Course: No

• IC 14
• Course Handouts

  Management of Coexisting Cataract and Glaucoma. Surgical challenges
  Author: S. Obstbaum | Session Time: 14:30-16:30 | Course Level: Ad

• Co. Authors :    B. Malyugin, MD    A. Crandall    H. Fine   A. Mermoud   G.B. Scharioth  

  Course Abstract:
  This course will cover current concepts of cataract and glaucoma treatment. The pros and cons of different surgical approaches in chronic closed and open angle glaucoma will be highlighted. The roles of phaco/IOL alone, combined procedures, and glaucoma surgery before or after cataract surgery will be reviewed. Attendees will be familiarized with a broad range of surgical techniques that can be coupled with phacoemulsification to best control IOP. Surgical techniques including non-penetrating Schlemm canal approaches will be discussed. Surgical videos, tips and pearls will be presented.
  
  
  Course Schedule
  
  Steve Obstbaum
  
  An overview of the approaches to the patient with cataract and open angle glaucoma
  
  Boris Malyugin
  Surgical strategies in cataract associated with closed angle glaucoma.
  
  André Mermoud
  Non-penetrating approaches in combined surgery
  
  Gabor Scharioth
  Blebless surgical techniques in management of glaucoma combined with cataract
  
  Howard Fine
  Innovative approaches to cataract and glaucoma surgeries
  
  A.Crandall
  Cataract surgery in glaucoma eyes. Management of weakened zonules and miotic pupils.
  
  Course Description
  
  The course is focused on the advanced techniques of coexisting cataract and glaucoma surgical management. Participants will benefit from learning different approaches for combining cataract and glaucoma procedures, including proper selection of treatment algorithms, indications, as well as the pre- and postoperative treatment modalities.
  
  
  Financial Disclosure: None
  
  Single Product Course: No

• IC 15
• Course Handouts

  Strategies and techniques for IOL exchange
  Author: M. Tassignon | Session Time: 14:30-16:30 | Course Level: Ad

• Co. Authors :    G. Auffarth   N. Mamalis   M. Tetz    S. Masket     

  Course Abstract:
  The aim of this course is to show different surgical approaches for IOL exchange.
  
  
  Course Schedule
  
  The difficulty to exchange an IOL after YAG laser capsulotomy will be addressed.
  
  The final message of all faculty members is to be sure patient's complaints are related to the capsular bag opacification and is not secondary to misalignment of the IOL causing glare, reduced quality of vision and decreased contrast sensitivity
  
  Course Description
  
  The number of IOL exchange is increasing lately because of postoperative complication after premium IOL implantation available for the last 10 years.
  
  
  Financial Disclosure: None
  
  Single Product Course: Yes

• Saturday 17th September 2011
  16:00-18:00

• IC 16
• Course Handouts

  PRK, LASEK and Epi-LASIK
  Author: D. Epstein | Session Time: 16:00-18:00 | Course Level: Ba

• Co. Authors :    I. Pallikaris              

  Course Abstract:
  The course will cover the indications and patient selection criteria for these three procedures, and discuss in detail the advantages of modern surface ablation as compared to LASIK.In addition, the special characteristics of PRK, LASEK and Epi-LASIK as well as the use or non-use of ethanol will be elucidated. The role of wavefront-guided strategies with respect to excimer-induced higher-order aberrations will be demonstrated. Outcomes achievable with cutting-edge technology will also be presented. A range of complications will be identified, and compared with adverse events associated with LASIK. Brief videos of the surgical techniques will be shown.

• Saturday 17th September 2011
  17:00-18:00

• IC 17
• Course Handouts

  Intracorneal rings for Keratoconus and post-LASIK ectasia
  Author: J. Colin | Session Time: 17:00-18:00 | Course Level: Ba

• Co. Authors :    A. Kilic Uzbek              

  Course Abstract:
  The objective is to teach the indications , and surgical procedures of rings for corneal ectasia
  
  
  Course Schedule
  
  Corneal rings for keratoconus J Colin
  
  Corneal rings for ectasia J Colin
  
  Rings and Corneal crosslinking A Uzbek
  
  Course Description
  
  The course will present the rationale for using rings to reshape ectasic corneas , the indications , surgical techniques ,results and complications .It will also discuss the possible combinations of rings and other technologies such as CXL.
  
  
  Financial Disclosure: One or more of the authors: receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented
  
  Single Product Course: No

• IC 18
• Course Handouts

  Scleral fixation techniques
  Author: S. Prasad | Session Time: 17:00-18:00 | Course Level: Ad

• Co. Authors :    A. Agarwal   G. Scharioth    S. Bhattacharjee        

  Course Abstract:
  Attendees will learn how to choose the appropriate method of scleral fixation for each situation and be familiar with the steps needed for secure lens fixation in the ciliary sulcus.
  
  
  Course Schedule
  
  1. Overview of alternatives for the management of aphakia, or a subluxed IOL which needs revision. Som Prasad 5 mins 2. Sutured Capsular tension Rings and Segments. Som Prasad 10 mins. 3. Haptics secured in scleral tunnels. Gabor Scharioth 10 mins 4. Glued Haptics. Amar Agarwal 10 mins 5. Fixating dislocated IOLs. Suven Bhattacharjee 10 mins 6. Discussion: 15 mins
  
  Course Description
  
  This course uses high quality surgical video to teach various techniques of scleral fixation of IOLs when adequate capsular bag support is not available. Practical instruction on techniques used both in relocating subluxed IOLs and in primary placement of scleral fixated IOLs will be demonstrated. Scleral suturing (for IOLs and capsule tension rings and segments), glued haptics, and methods for securing haptics in scleral tunnels will be taught, including tips for success.
  
  
  Financial Disclosure: None
  
  Single Product Course: No

• IC 19
• Course Handouts

  Pearls for Success with the Dual Optic Accommodating IOLs
  Author: J. Vukich | Session Time: 17:00-18:00 | Course Level: In

• Co. Authors :    G. Auffarth   I. Ossma    E. Marques        

  Course Abstract:
  Following completion of this course, attendees will have a comprehensive understanding of dual optic accommodating IOLs. Surgeons will have the essential information required to select and counsel patients, implant the lens and manage the post-operative clinical course. Avoidance, recognition and management of complications will be an essential element of the course.
  
  
  Course Schedule
  
  J. Vukich Introduction & Mechanism of Accommodation 15 minutes
  
  G. Auffarth Patient Selection & Biometry 15 minutes
  
  I. Ossma Surgical Technique 15 minutes
  
  E. Marques Synchrony - Outcomes 15 minutes
  
  Course Description
  
  Dual optic accommodating IOLs are designed to facilitate forward movement of the anterior optic in response to accommodative effort which translates into dynamic optical power change and improved near vision for patients. This course will feature international clinical experience with the Synchrony dual optic IOL and its performance as an accommodative IOL. Outcomes from international clinical trials will be presented, including comparative studies of presbyopia correcting lenses now available. This course will cover the history and development of dual optic IOLs, their mechanism of accommodation as defined by both subjective and objective methods and the basics of the lens design. Patient selection, biometry, lens calculation, the evolution of the surgical technique and the post-operative clinical course will be discussed. Course content includes lectures utilizing animation and live video to illustrate key concepts. Emphasis will be placed on surgical technique and the avoidance and management of complications. Visual acuity, functional range of vision, contrast sensitivity and subjective quality of life with dual optic IOLs will be reviewed. A course syllabus including the video media will be provided. One or more of the authors: receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, One or more of the authors: travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, One or more of the authors: travel has been funded, fully or partially, by a competing company,
  
  
  Financial Disclosure: One or more of the authors: receives consulting fees, retainer, or contract payments from a competing company
  
  Single Product Course: Yes

• IC 20
• Course Handouts

  Meibomian Gland Dysfunction and Chronic Blepharitis
  Author: J. McCulley | Session Time: 17:00-18:00 | Course Level: In

• Co. Authors :                  

  Course Abstract:
  Familiarize ophthalmologists with the place of MGD amongst the chronic blepharitides as well as the differing pathophysiological mechanisms associated with different sub groups. Ophthalmologists will be advised about optimal acute phase therapies as well as chronic therapies to maintain control of the lid and ocular surface expressions of disease.
  
  
  Course Schedule
  
  Dr. McCulley will present all elements of the course.
  
  The major sections will be: I Diagnosis, II Classification, III Pathogenesis, IV Therapy and V Q&A
  
  Course Description
  
  The understanding of the role of meibomian gland dysfunction (MGD) in chronic blepharitis and ocular surface disease is rapidly evolving. MGD can be considered one of the chronic blepharitides and is increasingly being recognized as a cause of dry eyes and ocular surface disease. Its place among the blepharitides as well as the sub groups of MGD will be discussed in detail along with the presumed pathophysiological mechanisms involved in each of the sub groups including the role of bacteria and their lipolytic exoenzymes, meibum/lipid biochemical changes, and aqueous tear evaporation. Acute phase therapy to bring the conditions under control will be presented as well as optimal long term therapy to maintain control. The role of topical therapies as well as systemic therapies will be discussed as they relate to both lid and ocular surface abnormalities.
  
  
  Financial Disclosure: One or more of the authors: receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented
  
  Single Product Course: No

• IC 21
• Course Handouts

  Artificial Iris Implantation
  Author: K. Miller | Session Time: 17:00-18:00 | Course Level: In

• Co. Authors :    K. Rosenthal    S. Masket    F. Price        

  Course Abstract:
  At the conclusion of the course, attendees will be able to describe the artificial irises that are available commercially. They will understand the directions for use associated with each device. They will know which devices are suitable for capsular bag implantation and which devices are suitable for sulcus implantation with or without suture fixation. They will be able to discuss how ocular comorbidities affect the choice of artificial iris implant. They will also be able to describe common intraoperative problems and their solutions. Lastly, they will be able to describe anticipated outcomes, common postoperative complications, and the management of such complications.
  
  
  Course Schedule
  
  The course will consist of a series of 10-minute lectures covering the various topics. Lectures will be supplemented by surgical video and followed by panel discussion and opportunity for audience questions and comments. The course is intended to focus on the “how to” so that participants can take the information learned back to their practices and immediately begin applying it.
  
  Course Description
  
  This course will provide a comprehensive overview of the devices available from Morcher, Ophtec, and HumanOptics to reduce light and glare sensitivity in congenital and acquired aniridia. It will be taught by a group of ophthalmologists who are experienced in artificial iris clinical trials. Faculty will share their experiences using iris devices including indications, availability, preoperative planning, implantation tips, and outcomes. They will discuss how ocular comorbidities influence the decision-making process. They will also discuss how the amount of iris loss, partial versus complete, influences the decision-making process. Devices to be discussed include modified capsule tension rings, iris reconstruction lenses, and foldable silicone wafers.
  
  
  Financial Disclosure: None
  
  Single Product Course: No

• IC 22
• Course Handouts

  Achieving Satisfaction with Refractive Lens Surgery
  Author: M. Packer | Session Time: 17:00-18:00 | Course Level: Ad

• Co. Authors :                  

  Course Abstract:
  Describe the determinants of satisfaction in refractive lens surgery.
  
  Provide concise communication tools to create effective counseling of surgical candidates.
  
  Facilitate the decision-making process among presbyopia-correcting intraocular lenses by providing information on frequency of spectacle independence, unwanted optical side-effects and specific visual characteristics of each lens.
  
  Describe the use of adjunctive technology to improve the outcome of refractive lens surgery, including corneal topography, wavefront aberrometry, anterior and posterior segment optical coherence tomography, interferometry, IOL calculation software and 3D high definition imaging and guidance systems.
  
  Explain the rationale and utilization of enhancement techniques, including excimer laser and piggyback IOLs.
  
  
  Course Schedule
  
  One hour, single speaker, plentiful opportunities for interactive discussion. Achieving satisfaction with refractive lens surgery, whether or not in the setting of cataracts, has a high success rate. Participants will learn the major factors impacting patient satisfaction, including knowledge of technological innovations in IOL design, effective counseling and communication, accurate preoperative measurements and calculations, and meticulous surgical technique. Review of outcomes with Refractive Lens Exchange with multifocal or accommodative IOLs will complement the didactic content and provide a practical perspective. One or more of the authors: has significant investment interest in a company producing, developing or supplying product or procedure presented, One or more of the authors: receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented, One or more of the authors: travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented,
  
  
  Financial Disclosure: One or more of the authors: research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented
  
  Single Product Course: No

• IC 23
• Course Handouts

  The management of angle closure glaucoma- an update
  Author: S. Perera | Session Time: 17:00-18:00 | Course Level: Ba

• Co. Authors :    D. Su    D. Goh    R. Husain        

  Course Abstract:
  The attendee will be able to safely and efficiently manage angle closure glaucoma, knowing when to institute the various treatment options. They will be able to incorporate the investigatory findings from the latest imaging equipment into their practice.
  
  The attendee will be able to recognise, treat and followup these patients better using the advice from this course
  
  
  Course Schedule
  
  1. Definitions
  A. Primary angle closure suspect
  B. Primary angle closure
  C. Primary angle closure glaucoma
  
  2. Epidemiology
  
  3. Imaging in angle closure
  
  4. Making the diagnosis and differential diagnoses
  
  5. Managing acute primary angle closure
  
  6. Theraputic options and their indications
  A. Medications
  B. Laser treatment
  C. Surgery
  
  7. Prognosis
  
  8. Differences between open angle and closed angle glaucoma
  
  Course Description
  
  Our understanding of the mechanisms involved in Angle Closure Glaucoma have helped shape the current management of this potentially devastating condition. This course will provide a review of the latest advances in diagnosing and treating Angle Closure Glaucoma including highlighting newer imaging modalities. Our wide experience with this medical emergency and especially the more difficult cases in asian eyes place us in an ideal position in which to filter the current literature on and advise on treatment: be it medical, laser or surgical. A treatment algorithm for the medical control of the raised IOP will be discussed. The indications for iridoplasty, lens extraction and tips on performing laser peripheral iridotomy and lens extraction in these challenging eyes will be covered. Advice on glaucoma surgery in these eyes will be offered. The session will be concluded with an overview of the differences between angle closure glaucoma and open angle glaucoma.
  
  
  Financial Disclosure: None
  
  Single Product Course: No