MID-TERM IIRSI 2018, AMRITSAR
IIRSI (Intraocular Implant and Refractive Society, India) organised the 2018 Mid Term conference from January 19th to 21st, 2018. The conference was organised in the holy city of Amritsar in the state of Punjab by the Dr Om Parkash Eye Institute.
The Mid-Term IIRSI conference offered a top-notch scientific programme and a wide range of sessions, symposia and surgical skill transfer courses covering most major fields in Ophthalmology.
Interactive talks were delivered by Dr. Mangat Dogra, Dr. Santosh Honavar, Dr. Rashmin Gandhi and Dr. Krishna Prasad on the first day marked an exceptional start to the conference. The live surgery session by eminent surgeons covered all aspects of phacoemulsification and glued IOL. Dr. Richard Packard covered cataract surgery extensively from the basics of phacoemulsification to developments in IOL technologies. The conference also had dedicated Young Ophthalmologists sessions.
In the video symposium of challenging cases, Dr. Amar Agarwal, showcased the latest hypersonic vitrectomy which removes vitreous efficiently with less traction and turbulence. In his video on the Jacob paperclip capsule stabilizer, Dr. Agarwal, explained the new technique of sutureless, trans-scleral fixation of the capsular bag using a glued capsular hook technique. The glued capsular hooks, according to him, anchored the capsular bag to the sclera, providing vertical and horizontal bag stability both intra and postoperatively.
The ‘Learning from Masters” session offered many great tips – Dr. George Beiko addressed the option of an L shaped incision for IOL explantation and implantation of 6 mm optic IOL through a 3 mm corneal incision. The L shaped incision, he said, provided advantages of good chamber stability and ease of IOL explantation and insertion with the added advantage of safe intrascleral extension to facilitate IOL manipulation. Furthermore, there was superior wound stability, reduced induced astigmatism, and no requirement to suture the tunnel at the end of the procedure. Dr. Suven Bhattacharjee explained the nuances of the B-Hex ring in small pupils. He explained that the ring could be inserted through 0.9 mm and that hexagonal pupil expansion was better than a square one. Cataract in corneal opacities is always challenging and Dr Mahipal Sachdev in his talk titled “Phaco in darkness” explained different illumination systems for successful management.
In the “Top Guns” session, Dr. Rohit Om Parkash won the Audience Top Gun vote for the Flap Motility sign that detects the extent of peripherally extended anterior capsular tear. It was emphasised that an everted and fluttering flap indicated that the anterior capsular tear was pre equatorial. However, a non-fluttering and inverted flap indicated posterior extension of the tear.
The Surgical Skill Transfer courses, organised by Dr. Satanshu Mathur and his team, had more than 180 sessions spanning over two days. A session on manual small incision cataract surgery was organised in the IIRSI after a long time and Dr. Ranjit Singh Dhaliwal explained the relevance of 3.5 mm incision MSICS. In the cataract co-morbidities sessions, Dr. Atul Kumar covered treatment protocols for patients with cataract and diabetic retinopathy. Dr. Rohit Shetty emphasised on the importance of connecting research to clinics and also addressed the problem of complex corneas faced by refractive surgeons. He elucidated on dealing with such corneas using custom laser. The FLACS session was highlighted by Dr. Keiki Mehta with his talk on the use of the femtolaser for cataract surgery in children followed by multifocal IOL implantation.
“Pearls” was a new session introduced for the first time. Rapid fire two minutes time was allotted to each speaker to showcase their pearls on topics like small pupils, white cataracts, hard cataracts, subluxations and posterior polar cataracts. Dr. Kiranjit Singh explained advantages of oval capsulorhexis in posterior polar and hard cataracts. Finally, the OPL session showcased excellent videos by the surgeons and was filled with education and entertainment.