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.

Course Handouts
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22 September 2018
10:30-12:30 - IC 2
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Malpositioned lenses: optimal surgical management techniques
Pre Requisite Course
Leader: B. Malyugin | Course Level: Advanced
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Faculty: M.J. Tassignon E. Assia V. Pfeifer A. Crandall S. Yamane
This is a pre-requisite course for the wetlab(s):
COURSE DESCRIPTION: : The course is focused on advanced surgical techniques in management of ectopic lenses and cataracts complicated by zonular weakness and/or dialysis utilizing various
capsular supporting devices. Participants will benefit from learning
different IOL centration and re-fixation modalities, as well as IOL exchange techniques followed by lens iris and scleral fixation techniques.
COURSE OBJECTIVES: : Moderate to severe subluxation of the natural crystalline lens can be effectively
treated using the conventional and modified CTRs, capsular tension segment or capsular Anchor sutured to the scleral wall. Video presentation of a series of cases
will provide tips for safe and efficient surgery. Capsular peeling as a part of the
technique to restore the integrity of the capsular bag will be shown in different
cases of postoperative capsular contraction. The implications of torqued IOL in
inducing reduction in visual quality and lenticular astigmatism will be discussed.
Participants will benefit from learning the techniques of suturing various types of
malpositioned IOLs to the sclera and/or to the iris in order to provide stable and long term
fixation. Novel intrascleral haptic fixation techniques including Scharioth tunnels and flanged IOL haptics will be described in details.
COURSE SCHEDULE:
Boris Malyugin (15 min.) Overview of the course topics. Discussion of the main
reasons of IOL explantation and exchange. Microendoscopy assisted vs
conventional scleral fixation techniques of different IOL models. Management of
cataract cases complicated by the large zonular dialysis with the new CTR model.
Discussion (5 min.) Ehud I. Assia (15 min.) Moderate to severe subluxation of the
crystalline lens using the Capsular Anchor. Different malpositioned IOL suturing
techniques. Combined iris- scleral IOL suturing. Discussion (5 min.) Vladimir Pfeifer (15 min.) Iris and ciliary sulcus fixation of three piece IOL using straight needle. Surgical tactics in natural lens subluxation. Iris-claw lenses. Discussion (5 min.) Shin Yamane (15 min.) IOL intra-scleral fixation with flanged haptics. Nuances of surgical technique and instrumentation. Discussion (5 min.) Marie-Jose Tassignon (15 min.) Dislocated IOL exchange with Bag-in-the lens implantation techniques. New bean-shaped CTRs. Discussion (5 min.) Alan Crandall (15 min.) Gore-Tex sutures, Cionni modified capsular tension rings and Ahmed capsular tension segments. Discussion & Final Remarks (5 min.) SINGLE PRODUCT COURSE: No
FINANCIAL DISCLOSURE: , gains financially from product or procedure presented