Packed crowd applauds winning videos

The 2012 Video Competition attracted a huge audience. The judges were very impressed by the imagination and innovation

shown in the videos which attracted 124 entries.

The overall winner was Graham Barrett, Australia, whose video was both scientifically stimulating and visually entertaining.

The spectacular introduction to Dr Barrett’s video “Zen and the Art of Monovision Maintenance” shows him riding on a motorbike with the 1970s rock classic “Born to Be Wild”, written by Mars Bonfire and performed by Steppenwolf, playing in the background.

Dr Barrett then goes on to described the science behind his video. The video provides a review of the trade-offs and compromises involved with the various methods available today for allowing presbyopes and cataract patients to achieve spectacle independence, with a special focus on monovision and how it might best be achieved.

His presentation also included contributions from other leading cataract and refractive surgeons, including Robert Cionni MD, who noted that while modern multifocals can provide the majority of patients with complete spectacle independence they involve a compromise in the form of reduced contrast sensitivity. Gerd Auffarth MD said that accommodative IOLs provide better optical quality but less predictable near vision, while Michael Knorz MD, who currently uses corneal inlays employing the pinhole effect said proof of their biocompatibility must await longer term follow-up. Finally Karl Stonecipher MD recommended PresbyLASIK but noted that it is still not clear how corneal remodelling will affect the results over the long term.

Dr Graham noted a core principle of Zen is having a clear focus and he said that if near distance vision is the icing on the cake for cataract and refractive procedures, the cake itself is a sharp distance focus. For that reason, he advocates monovision with the caveat that the amount of defocus of the near acuity eye should not be so great as to reduce stereoacuity by too great a margin. He therefore recommends what he calls modest monovision where refractive discrepancy between the two eyes is no greater than 1.25 D. He also describes very encouraging preliminary results achieved with implantation of a new aspheric IOL, the EDF, with a 1.0 D depth of focus, in the dominant eye, combined with a lens with a -1.25 D defocus in the non-dominant eye.

Educational Category 1st prize in the Educational Category went to Athiya

Agarwal, India, for the presentation “Handshake Technique for Glued IOL”. The video describes a technique for manipulating the haptics of a three-piece IOL with forceps, when using the glued IOL technique. The glued IOL technique involves securing the IOL’s haptics beneath a scleral flap using fibrin glue in an eye with a deficient or absent posterior capsule.

2nd Prize in the Educational Category went to Renato Ambrosio Jr, Brazil, for “Advances in Diagnosis and Treatment of Keratoconus. Are we Facing a New Sub-specialty?” His presentation reviewed the recent scientific literature on the aetiological factors contributing to the disease and outlined the history of diagnostic technology for the condition and highlighted the future potential for tomography to screen patients before they undergo corneal refractive surgery. Namrata Sharma rounded off the educational category with a bang taking 3rd Prize for “Volcanic Explosion”.

Innovative Category Raj Shetal, India, was awarded 1st prize in the Innovative Category for his presentation “Many Faces of the Anterior Vitreous – Season 2”. The video describes how breaches in the anterior hyaloid can occur even in cases where the posterior capsule remains intact. It also demonstrated such breaches can result from excessively high fluidic parameters, and can result in a dangerous interchange between the fluids of the anterior chamber and the vitreous body.

The 2nd Prize in the category went to Robert Osher, US, for “In search of

New Solutions”. It described how in patients with stable diplopia an increase in anisometropia can enable the patient to switch between eyes as necessary for the task at hand without any double vision. The 3rd Prize went to V Tao Tran, India, for “Pseudoexfoliation washout combined with cataract surgery”. It provided a demonstration of a new technique for lowering intraocular pressure in patients with pseudoexfoliation by washing out the trabecular meshwork with a special cannula.

Scientific Category Hiroyuki Matsushima won 1st prize in the Scientific Category for “New Concept to Prevent Anterior Capsulorhexis Contraction”. His presentation described the visual consequences of excessive anterior capsule contraction and compared IOLs composed of different materials in terms of the risk they entail for the complication. The presentation also described in-vitro and rabbit eye experiments which showed how pre-treating IOLs with UV-ozone slows the spread of lens epithelial cells across the IOL by increasing their cellular adhesiveness.

The 2nd Prize went to Abhay Vasavada,

India, for “Lights, Camera, Action” which demonstrated a technique for recording surgery in slow motion. Jaime Zacharias, Chile, took third prize in the category for “Thermal Characterisation of Phaco technology” which provided evidence that self-heating of phaco probes is greater with axial than torsional phaco

Special Cases Jagat Ram, India, received 1st prize in the Special Cases Category for “Intraocular Lens Implantation in an Infant with Double Crystalline Lens” which describes the case of an infant who presented with a very large eye with an unusual pupil. Examination by CT scan and MRI confirmed that the child’s eye had two crystalline lenses side-by-side, each with their own capsular bag. Dr Ram and his team extracted the lenses and implanted a specially designed IOL, placing one haptic in each capsular bag. Postoperative retinoscopy showed that the child had a postoperative refraction of +5.0 D.

Soosan Jacob, India, took the 2nd prize in the category for “Tube Tribulations” which outlined techniques for implanting an Ahmed valve in different clinical situations. The 3rd prize went to Armando Crema, Brazil, for “Toric IOLs in Special Cases”.

Young Ophthalmologists Jaspreet Sukhija, India, won 1st prize for “Phaco with Tremors”, which provided a demonstration of how cataract surgery with local anaesthesia is possible even in patients with violent tremors, when they are unfit for general anaesthesia.

3rd EuCORNEA CONGRESS

12TH EURETINA Congress2nd WORLD CONGRESS OF PAEDIATRIC OPHTHALMOLOGY AND STRABISMUS

XXX Congress of the ESCRS

3rd EuCORNEA CONGRESS

12TH EURETINA Congress2nd WORLD CONGRESS OF PAEDIATRIC OPHTHALMOLOGY AND STRABISMUS

XXX Congress of the ESCRS

The judges were very impressed by the imagination and innovation shown in the videos which attracted 124 entries

Graham Barrett, overall winner of the ESCRS Video Competition 2012 receives his award from ESCRS president Peter Barry

Jaspreet Sukhija, First Prize winner in the Young Ophthalmologists Category for his video “Phaco with Tremors”