General Film

High definition live video feed from the operated eye is projected on to the other eye of the patient. This is done with the help of a special thumbnail LCD placed in front of the other eye. This ultimately forms a virtual screen 78 inches diagonally and about 2 metres away from the patient. This is only possible if the patient has a reasonably good vision in the other eye. Initial results are really encouraging, willing patients are really happy, to see the live feed.

There are many new techniques evolved to perform scleral fixation of secondary IOL in recent past. It is mandatory to have scleral flap, sclerotomies along with conjunctival dissection as well. Although it has further made sutureless by using the glue as fixation medium.

Scleral spacer surgery is a less popular but very effective technique for cases of severe upper lid retraction/ lagophthalmos impending to exposure keratopathy.

Purpose Smart phones apps are being increasingly used among health care professionals. Ophthalmological toric axis marking apps are easily available and can turn smartphones into sophisticated medical devices. We used TorAxis mobile app for reference marking and compared its accuracy with Verion digital axis marker and manual bubble marker.

To demonstrate the surgical technique for reconstruction of large full-thickness upper eyelid (UL) defects. Reconstruction of full-thickness UL defects for optimal cosmetic and functional outcome is challenging. Cutler-Beard is a classic two-staged procedure utilizing full-thickness vertical advancement bridge flap from lower eyelid (LL). Modifications in the technique such as leaving LL tarsus intact, division of flap into anterior & posterior lamina, careful re-attachment of LPS and “fixing” of lid height in stage 1, differential division of lamina (conjunctiva longer than skin-muscle lamina) and Tisseel glue for conjunctivalized UL margin in stage 2 can give excellent results. This video shows important steps in surgical management of large UL defects by modified Cutler-Beard technique.

To demonstrate the surgical techniques to widen horizontal palpebral fissure (HPF) in blepharophimosis. Blepharophimosis-ptosis-epicanthus inversus syndrome (BPES) is a rare autosomal dominant condition characterized by typical eyelid malformations- blepharophimosis, ptosis, epicanthus inversus and telecanthus. Correction of epicanthus and telecanthus can be done by C-U plasty with medial canthal tendon plication, moving the medial canthus medially.

To Simplify failed DCR Surgery by no flap technique with best possible result.

This video describes the common problems encountered by a refractive surgeon while transitioning from LASIK to RELEX SMILE. Tips and tricks to refine outcomes such as for docking, surgical technique,energy optimisation etc hve been discussed . Also, management of common complications such as suction loss, lebticule and cap tear etc hve been discussed. the video would provide all basic informtion about the procedure which a beginner in SMILE should be aware of, to improve their confidence and surgical outcomes.

Dermoid cysts are the most common benign orbital lesions in pediatric population. Depending on the site of origin they can be sutural, anterior orbital, deep orbital, trans-orbital, intraosseous or conjunctival. Complete surgical excision is the treatment of choice. Inflammation, recurrence and fistula can complicate capsular breach and incomplete excision. Dermoids pose a surgical challenge due to their periosteal or sutural attachment, bony erosion, fistula formation and risk of intra-operative rupture. This video demonstrates step-by-step approach to excision of an external angular dermoid.

Appropriate primary management is the key to success in tumors of the eye & adnexa. Surgical techniques have to be highly precise to ensure complete tumor removal without capsule disruption or microscopic residual. In the era of ‘no touch’ surgical techniques in the field of ocular oncology, cryotherapy works as the third efficient hand of the surgeon in managing eyelid, ocular surface, intraocular & orbital tumors. It is used to definitively treat small tumors of the eyelid and ocular surface and as adjuvant for the surgical margins following excision. Cryotherapy is extensively used to treat intraocular tumors, specifically small peripheral retinoblastoma, as chemo-cryotherapy & in safety-enhanced intravitreal chemotherapy.

Frontalis suspension with a silicone rod sling is the standard of care in patients with ptosis, having poor levator action.This gives decent cosmetic results, with the lid height of the operated eye being comparable to the normal eye. However, we found that our patients were still unhappy with the cosmetic results, despite the eyelid margin of the operated eye being at the same level as the normal eye.

A patient presented to us to treat the asymmetry in eye sizes, between the two eyes. She had been suggested oculoplastic surgery by another surgeon for her eyelid to treat the left eye, which was smaller and appeared asymmetrical compared to her right eye. She did not want eyelid surgery, but wanted to evaluate a non-surgical option. We decided to treat her with an under eye filler injection treatment and Botox injections. While the filler fills the under eye tear trough deformity and reduces the “valley’ below the eye; the Botox injection in the under eye area flattens the ‘mountain’ – the rolled out hypertrophic orbicularis oculi eyelid muscle, which was making the left eye appear even smaller, on smiling

Acquiring high quality surgical videos in the operating room is intimidating and prohibitively expensive.This film elucidates the essentials of,and options for recording cameras and accessories,some of which are not dedicated medical imaging systems.It will educate surgeons on the principles and logistics involved in surgical video recording and suggest practical,inexpensive,easy to use systems

To describe a series of cases with poor view during cataract surgery and the role of chandelier illumination in various steps of cataract surgery

Iridoplasty a surgical technique of iris defect repair become handy in certain situation like trauma /iatrogenic defects This surgical video demonstrate repair of various degree of iridodialysis using 10-0 prolene suture by various suturing technique like sewing machine ,Hoffmann pocket and other methods This video also demonstrate repair of iris defect in case of sectoral iris defect and eccentric pupil

RB;most common pediatric intraocular cancer.Most of the patients present at advanced stages (Group D/E)Genetic testing and counseling will help in better management of siblings and off springs with RB.Family1-Mother and child were affected with Bilateral RB and wanted to know the risk of RB for next sibling.Family2-Twins seen at orbit clinic and treated for RB;TwinA;Bilateral RB{Group B(RE)D(LE)}TwinB;Suspicious lesion{Group A(RE)}Methods;Sanger Sequencing;Multiplex Ligation dependent probe amplification

Management of eyelid trauma may be quite challenging. This presentation brings out the techniques in repair of eyelid lacerations with or without tissue loss, marginal injuries, injury to the levator complex, canthal avulsions (medial or lateral) and canalicular lacerations. Each technique is brought out by a separate video film The video also presents the principle of management of sequelae of trauma like eyelid notches, colobomas , cicatrical ectropion , and repair of canthal displacements by a variety of surgical procedures like Z or V -Y plasty, flaps and grafts

Small pupils can result from pseudoexfoliation, chronic uveitis, chronic usage of eye drops (Pilocarpine), insufficient usage of dilating drops, old age etc. Whatever is the cause, performing cataract surgery through small pupil is a tough task, sometimes even a nightmare, especially when there are other odds like hazy cornea, hard brown cataract & zonular weakness. The video presentation aims at covering all the management options, possible for small pupil, including pharmocological & surgical

Dr.Madhu Kumar R, Dr.Mahesh Shanmugam P, Dr.Rajesh Ramanjulu, Dr.VINAYA KUMAR KONANA PURPOSE: To demonstrate a novel technique of internal fixation of dropped PMMA IOL with dialing hole. METHODS: Scleral fixation of dropped poly methyl methacrylate (PMMA) intraocular lens (IOL) was done in cases with posteriorly…

We expect the imported IOLs to remain clear for the patient’s lifetime. We accept glistenings in some of our patients. With intense oblique illumination several layers of opacification can be identified in imported hydrophobic lenses

Challenges faced are small miotic pupil, pupillary membrane ,iris pigments on lens,iris atrophy etc.The pre-op considerations- are quiet eye for three months,treating the inflammation,use of corticosteroids and NSAIDS

Orbital floor fractures can result in severe aesthetic and functional complications, if inappropriately managed. Floor is the most common site of fracture in the orbit

Dr.Ramesh Dorairajan, Dr.Devi Radhakrishnan Stand alone video camera systems with Hi Def digital video capacity are expensive for the solo practitioner. Video cameras in cellphones have improved in quality and now exceed the quality of most dedicated ophthalmic video cameras. This movie shows how any…

To display various techniques of visual acuity testing in children of various age groups

Cataract surgery is commonest procedure in ophthalmology.Tertiary institues face challenging aphakias everyday.In such cases,sulcus fixation,ACIOL,iris sutured,scleral fixated,glued & iris claw IOL are options.Sulcus fixation is safest but cant be done if capsule or zonules are compromised.ACIOL is obsolete.

Coloboma is failure of the embryonic fissure to close results in the typical form of congenital coloboma. Closure defects can involve the iris, ciliary body, lens, retina, choroid, optic nerve and lid

To describe surgical technique of SLET from cadaveric graft in cases of bilateral limbal stem cell deficiency Case: A 63yr old female presented with keratinization of cornea with superficial vascularization in all quadrants in both eyes. In left eye, SLET was planned using cadaveric limbal cell graft tissue.

Sebaceous gland carcinoma is a rare, potentially fatal malignant tumor of eyelid, with high rates of local recurrence, and regional and systemic metastasis