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16 | EYEWORLD DAILY NEWS | MAY 16, 2020 DAILY NEWS ASCRS VIRTUAL ANNUAL MEETING More than 150 on-demand films available 60302: Another IOL Suture Fixation Technique for Dislocated Lenses Using Gore-Tex Suture A new suture-fixation tech- nique for dislocated IOLs was showcased in a video presented by Huck Holz, MD, Santa Clara, Califor- nia. The technique uses 8.0 Gore-Tex passed through the bore of a 30-gauge TSK needle, then passed under the haptic. The suture is retrieved with microfor- ceps, and after the suture is tied, the knot is buried into a sclerostomy. 67954: What Not to SMILE of What's there not to smile about with SMILE? Ac- cording to María Zapata Cuevas, MD, Mexico City, Mexico, as the number of this relatively new refrac- tive procedure increases, complications that can oc- cur with it have emerged. These include lenticule extraction difficulties, ectasia, suction loss, and others. "When any of these complications happen, the most important thing is to be calm, analyze the situation, and apply the specific protocols for each one of them," Dr. Cuevas said, providing brief recommendations for certain complications in the video. Editors' note: The information on these films represents excerpts from the filmmakers. For complete film information, view them on demand, along with hundreds of others featured in the ASCRS Virtual Annual Meeting. 61008: Thinking Outside the Box: Crosslinking the Impossibly Thin Cornea with a Lamellar Corneal Graft While crosslinking is a gold standard for stopping keratoconus progression, patients with thin corneas can be excluded from the procedure for safety purposes. Rushad Shroff, MD, Delhi, India, provided insights on how to work around these thin cor- neas. One option is using a lenticule from a SMILE procedure, but what if you don't have access to a SMILE lenticule? "We de- cided to think outside the box," he said showing how they created their own, using therapeutic-grade corneal tissue. The lenticule was soaked with isotonic riboflavin for 20 minutes. The patient's epithelium was removed and a riboflavin soak applied. After the riboflavin portion of the procedure, Dr. Shroff said the lenticule was placed on the area of the defect and the crosslinking proce- dure continued. 63060: Mission Impossible – MIGS for the Developing World MIGS is widely discussed and adopted in the devel- oping world, but the cost and unavailability of MIGS is leaving some develop- ing countries behind on this opportunity. Pavan Kumar, MD, Pondicherry, India, presented a film that showcased a stepwise ap- proach for low-cost MIGS procedures in developing countries. Step 1: Become adept at intraoperative gonioscopy. Step 2: Adopt low-cost MIGS procedures, such as su- ture GATT, bent ab interno needle goniectomy (BANG), or perform multiple Trabectome (NeoMedix) procedures in one day. Step 3: Create and adopt low-cost MIGS devices. W hile the ASCRS Virtual Annual Meeting features con- tent being streamed live in two rooms, it will also have a wealth of films available on demand during and after the meeting. 8.0 Gore-Tex and a 30-gauge needle were used in this suture-fixated IOL technique. Source: Huck Holz, MD, screenshot from video Dr. Shroff shares how therapeutic corneal tissue was used to create a lenticule, soaked in riboflavin, then applied to a thin cornea to allow for a safe epi-off crosslinking procedure. Source: Rushad Shroff, MD, screenshot from video One step to better adopt MIGS in developing countries includes becoming more adept at intraoperative gonioscopy. Source: Pavan Kumar, MD, screenshot from video Loss of or incomplete suction is the most common complication with SMILE. Source: Maria Zapata Cuevas, MD, screenshot from video More than 150 films are available for viewing. Here are pre- views of just a few.

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