Eyeworld Daily News

EW SHOW DAILY 22 ASCRS Symposia by Chiles Aedam R. Samaniego EyeWorld Asia-Pacific Senior Staff Writer Marathon surgery on a 61-year-old patient who had bilateral ocular disease in childhood but said he lost his left eye due to a triple procedure performed by another surgeon. Guadalupe Cervantes, MD, Mexi- co City, Mexico, presented a com- pletely white subluxated cataract with posterior synechiae in a young patient, offering the pearls "first do no harm," "fight to get sight back," and be prepared as surgery can be like opening Pandora's box. Grand prize winners Team North America's team captain Kevin "the Mad Man" Miller, MD, Los Angeles, presented a case in which he managed severe cosmetic iris complications. Rosa "the Bouncer" Braga-Mele, MD, Toronto, Canada, performed freestyle cataract surgery, in which she dealt with an Argentin- ian flag sign. Kerry "the Scary" Sol- omon, MD, Mount Pleasant, South Carolina, performed IOL exchange for an extended depth of focus IOL. Finally, Mitchell "Wild Man" Weikert, MD, Houston, "grabbed his toolbox" to manage a traumatic cata- ract in the Cataract Pentathlon. EW Editors' note: The physicians have no financial interests related to their comments. Ayr, Scotland, held his own in the Cataract Pentathlon competition despite presenting an aphakic case with iris repair similar to Dr. Chee's marathon case. "Baby Driver" Bur- khard Dick, MD, Bochum, Germa- ny, presented an unusual gymnastics case of double IOL explantation in which he had to explant an early accommodating IOL full of silicone oil. "Acceleration" Ehud Assia, MD, Tel Aviv, Israel, performed marathon surgery on a cataract so hard the femtosecond laser barely scratched the surface. The LASCRS Curling Team, Dr. Orlich said, chose curling because it is played in teams of four, with each team taking turns to slide a round stone reminiscent of the hard cata- racts familiar to their practice. Dr. Ventura's award-winning case was a 9-month-old who was observed to have no visual contact with caregivers since birth. On examination, she found the baby to have only light perception in both eyes. She operated using her regu- lar technique first, changing I/A to phaco to remove the hard cataracts, returning to I/A for the remaining cortex, performing posterior cap- sulotomy and anterior vitrectomy. Finally, she partially cut the haptics off a 5.5-mm diameter optic in order to implant it safely in the bag. Enrique Suarez, MD, Riyadh, Saudi Arabia, performed Cataract to secure, Shin Yamane, MD, PhD, Yokohama, Japan, brought cheers with his gymnastics case. In a case of traumatic lens dislocation, he used a 27-gauge needle bent into the shape of a Japanese katana as a "needle guide" to hold and lift the dislocated lens. He then proceeded to rotate the dislocated lens, setting it to a spin like a Japanese street perform- er rolling a box along the rim of a spinning umbrella as he aspirated the lens. Team captain John Chang, MD, Hong Kong, competed in the Cataract Pentathlon with an IOL exchange case in which he used four different instruments. Vaishali Vasavada, MS, Hyder- abad, India, energetically concluded her team's run demonstrating her "Art of the Hands" bimanual tech- nique, "using the mind with style" to perform IOL optic capture. Judges María José Cosenti- no, MD, Buenos Aires, Argentina, Thomas Samuelson, MD, Minneap- olis, David Spalton, MD, London, U.K., and Ronald Yeoh, MD, Singa- pore, gave the team a total score of 35 out of a possible 40. The ESCRS Formula 1 Team then took the stage, with team captain Dr. Cochener reciting the mantra "Clear eyes. Full hearts. Can't lose." Before Dr. Cochener took the audience's breath away with her Freestyle nanophthalmos case, Sathish "Speedy" Srinavasan, MD, A SCRS Team North Ameri- ca took the grand prize by a combination of judges' scores and audience votes at the 2018 ASCRS Cat- aract Surgery Olympics. The Latin American Society of Cataract and Refractive Surgery (LASCRS) Curling Team took the lead in individual medals, with Bruna Ventura, MD, Recife, Brazil, winning the Cataract Pentathlon with a case of congenital cataract and team captain Claudio Orlich, MD, San Jose, Costa Rica, winning the Gymnastics in IOL Complications competition with a case of a rotating IOL. The APACRS Taekwondo Team's Soon Phaik Chee, FRCS(Ed), FRCOphth, Singapore, won the Cat- aract Marathon with a truly mara- thon 4-hour case of a young apha- kic, aniridic patient, while ESCRS Formula 1 team captain Béatrice Cochener, MD, Brest, France, won the Freestyle competition with a case performing cataract surgery in a "very risky" nanophthalmic eye. The APACRS Taekwondo Team set a high bar sweeping the audience off their feet as they kicked off the games. In addition to Dr. Chee's near-flawless handling of her mar- athon cataract case, in which she performed intrascleral IOL haptic fixation and artificial iris implanta- tion using not four but five stitches Tuesday, April 17, 2018 Team North America takes grand prize at 2018 ASCRS Cataract Surgery Olympics Slam dunk for Team North America: Drs. Miller, Solomon, Weikert, and Braga-Mele stand victorious at this year's ASCRS Cataract Surgery Olympics.

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