Thursday, 25 April 2019

21st Annual Islamabad Congress Of Ophthalmology

26th to 28th April 2019

"STRIVING FOR A BETTER FUTURE, SPREADING KNOWLEDGE OF OPHTHALMOLOGY"

The most sought after academic event of the year is round the corner. A blend of knowledge and leisure gives you an opportunity to redeem your professional skills amid the relaxing environment in the picturesque summer resort. A well deserving break you need from your monotonous hectic routine. Bhurban 2018 awaits your esteemed presence and promises to be the unforgettable event of the year.

Dr. Zia Ul Mazhry Schedule For Fedral Opthalmo Bhurban 2019

26-04-19 1700-1800 Shazia Hall Panel Discussion Majeed Malik "Aqil Qazi

Zia Mazhry

Mazhar Ishaq

Amir Israr

Shareef Hashmani

Afzal Naz "

27-04-19 1000-1100 Mirajan Hall How to tackle difficult cataract cases Khalid Masood Ashraf

27-04-19 1430-1440 Kashmir Hall Interpretation of digital Hess Test Syed Abdullah Shad Muhammad Mustafa Iqbal

27-04-19 1631-1638 Kashmir Hall Psychophysics of Neuroadaptation and its relationship with Aphakic Visual Rehabilitation

28-04-19 0900-1000 Shazia Hall Basic and Advance Phacoemulsification Zia Ul Mazhry

28-04-19 1138-1145 Mirajan Hall Why should we target emmetropia in Pediatric cataract surgery Inam ul Haq Imran Azam Butt Mubashir Jalis

TIME: 3 hrs (9am- 12pm)

DATE: 26th April 2019

INSTRUCTORS: Prof Teyyeb Afghani

Dr Omar Durrani (UAE)

Prof Amer Yaqub

SYMPOSIUM [S001] : Surgical / Procedure Videos

26th April 2019

Shazia Hall 1500-1600

Chairman Mukhtar Ahmed

Co-chairman M Tayyab

Moderator : Atif Chohan

S No Time Topic Speaker

1 1500-1507 RD with 4 quadrant break Amir Arain

2 1508-1515 Lid laceration Repair Zia Mazhry

3 1516-1523 Nightmare in Phaco Naqaish Sadiq

4 1524-1531 Tackling a dense subluxated cataract using Zia Mazhry

Iris hooks, tension ring and needle assisted

haptic externalization.

5 1532-1539 Foldable capsular vitreous body Hussain Khaqan

6 1540-1547 Phacoemulsification in a challenging case M Tayyab

7 1548-1555 Triple procedure Mir Ali Shah

8 1555-1600 DALK; an alternative to PKP in keratoconus Abdul Moqeet

SYMPOSIUM: [S002]: Medical Retina

26th April 2019

Kashmir Hall 1500-1600

Chairman: Shahid Jamal Siddique

Co Chairman: Rashad Qamar

Moderator : Shakaib Anwar

S No Time Topic Speaker

1 1500-1507 Treatment of DME with anti-VEGF Irfan Qayyum

2 1508-1515 A new classification of DME Mustafa Iqbal

3 1516-1523 Management of uveal effusion syndrome Tariq Khan

4 1524-1531 What if DME fails to respond Rashad Qamar

5 1532-1539 Cataract surgery in DME patients Usman Mahmood

(UAE)

6 1539-1546 Management of DME with Anti-VEGF Shahid Jamal

Siddique

7 1546-1553 Burden of retinal diseases in Pakistan Tariq Aziz

8 1553-1600 Audience interaction

IC 1: [S003]: FFA

26th April 2019

Mirajan Hall 1500-1600

Moderator : Kashif Jahangir

S No Time Topic Facilitator

1 Introduction to FFA

2 Fluorscence

3 Side effects and management Kashif Jahangir

4 Procedure (Phases)

5 Interpretation

6 Case discussion

IC 2: [S004]: Squint

26th April 2019

Bhurban Hall 1500-1600

Moderator : Mubasher Jalis

S No Time Topic Speaker

1 1500-1520 Squint evaluation FFH Team

2 1520-1527 Patterns in squint Sana Nadeem

3 1528-1535 Management of vertical squints Khalid Shoaib

4 1536-1543 Adjustable sutures in Children Mubashir Jalis

5 15441551 Simplified approach to horizontal Zia Mazhry

deviation management

6 1552-1600 Tips on squint management Imran Akram Sahaf

PD 1 [S005] : Cornea [DALK] & [DMEC]

26th April 2019

Shazia Hall 1600 - 1700

Chairman Anwar Khan

Co-chairman Intisar Rana

Moderator Abdul Muqeet

S No Time Topic Panelists

1 1600-1630 Big Bubble Technique (Anwar Khan) Anwar Khan (SA)

Rony Sayegh (UAE)

Wajid Ali Khan

2. 1630-1700 Introduction to DMEK (Rony Intisar Rana

Sayegh) Mehfooz Hussain

Abdul Muqeet

SYMPOSIUM [S006]: Paed Ophth 1

26th April 2019

Kashmir Hall 1600 - 1700

Chairman Zia Muhammad

Co-chairman Khalid Shoaib

Moderator Rabia Chaudhry

S No Time Topic Speaker

1 1600-1607 Presentation: management of Khalid Shoaib

advanced congenital glaucoma

2 1608-1615 Aphakic glaucoma after cataract Zia Muhammad

surgery

3 1616-1623 Paediatric ectopia lentis etiology and Ajmal Chaudhry

management

4 1624-1631 Red reflex screening in infants Asad Ali

5 1632-1639 Malignant pediatric orbital tumors Rabia Chaudhry

6 1640-1655 Understanding fusion Usman Mahmood (UK)

7 1655-1700 Q & A

MEDICAL EDUCATION [S007]: Teachers Training Program

26th April 2019

Mirajan Hall 1600-1800

Chairman: M Daud Khan

Co-chairman: Nadeem Hafeez Butt

Moderator : M Moin

S No Time Topic Speaker

1 1600-1615 Emotional Intelligence Shakaib Anwar

2 1615-1630 Teaching in Clinic Imran Basit

3 1630-1645 Adult Learning Principles Nadeem Hafeez Butt

4 1645-1700 Teaching Professionalism M Daud Khan

5 1700-1715 Publishing Research M Moin

6 1715-1730 Curriculum Development 1-3 Hamid M Butt

7 1730-1745 Curriculum Development 4-6 Hamid M Butt

8 1745-1800 Program Evaluation M Moin

IC 3 [S008] : ABC of Ref Surgery

26th April 2019

Bhurban Hall 1600 - 1700

Moderator Sadia Humayun

S No Time Topic Instructors

1 1600-1610 History and examination Aisha Fawad

2 1610-1620 Corneal topography and tomography Sadia Humayun

3 1620-1630 Aberrometry Mazhar Ishaq

4 1630-1640 Assessment and calculation Sadia Humayun

5 1640-1650 Per-op and post-op complications Mazhar Ishaq

6 1650-1700 Audience interaction

Panel Discussion 2 [S009]: Cataract

26th April 2019

Shazia Hall 1700-1800

Moderator Majeed Malik

S No Time Topic Panelists

1 Panel Discussion Aqil Qazi

Zia Mazhry

Mazhar Ishaq

Amir Israr

Shareef Hashmani

Afzal Naz

IC 4 [S010]: Anti VEGF “Drafting our own Methodology”

26th April 2019

Kashmir Hall 1700-1800

Moderator Shahzad Saeed

S Time Topic Speaker

No

1 1700-1705 Team Selection Shahzad Saeed

2 1705-1710 Pre-Injection formalities Huma Saigol

3 1710-1720 The Ds: Dose, dozing and doubling Shahzad Saeed

4 1720-1730 The Ss: Site, size, schedule and scheme Huma Saigol

5 1730-1735 After the storm Shahzad Saeed

6 1735-1800 The Ts: Tips Tricks and Totkaas The Audience

IC 5 [S011] : Facial Palsy

26th April 2019

Bhurban Hall 1700-1800

Moderator Amer Yaqub

S No Time Topic Speaker

1 1700-1710 Introduction: Facial musculature and Amer Ya q u b

facial nerve anatomy

2 1710-1720 Etiology and pathophysiology Rashad Qamar

3 1720-1730 Clinical examination and investigations Zahid Kamal

4 1730-1740 Medical management Muhammad Moin

5 1740-1750 Surgical options for acute facial palsy Omar Durrani

6 1750-1800 Gold weight implant and other options TBC

for chronic facial palsy

MEMORIAL LECTURE

&

INAUGURATION

FRIDAY

26th APRIL 2019

1800-1900 HOURS

SHAZIA HALL

DAY 2

SATURDAY

27th APRIL 2019

Plenary Session [S012] : OREF

27th April 2019

Shazia Hall 0900-1000

Chairman Daud Khan

Co-chairman Shahid Wahab

Moderator Mehfooz Hussain

S No Time Topic Speaker

1 0900-0915 Ophthalmic registry system Mehfooz Hussain

2 0915-0930 Differentiating true from pseudo disk Usman Mahmood

swelling (UK)

3 0930-0945 Implementation of ICO OSCAR Hamid Mehmood

phacoemulsification training rubrics

4 0945-1000 Diabetic Retinopathy Screening Khalid Ta l p u r

Program By S.I.O.V.S

IC 6 [S013] : Ocular Surface Disease

27 April 2019

Kashmir Hall 0900-1000

Moderator Sameera Irfan

S No Time Topic Facilitator

1 What is “Ocular Surface”

2 Common immune mediated disorders

• Allergic conjunctivitis

Sameera Irfan

• VKC

• Dry Eyes

• Post Adenoviral Keratitis

IC 7 [S014] : ILM Peel

27th April 2019

Mirajan Hall 0900-1000

Moderator Asfandyar Asghar

S No Time Topic Facilitator

1 0900-1000 ILM peel in vitreo-macular interface Fawad Rizvi

disorders

PGA 1 [S015] : Diagnostics in Glaucoma

27th April 2019

Bhurban Hall 0900-1045

Chairman Afzal Bodla

Co-chairman James Bacon

Moderator Ayesha Shakeel

S No Time Topic Speaker

1 0900-0915 Structural and Functional Diagnosis of James Bacon

Glaucoma

2 0915-0930 Portable Perimetry Yousuf Jamal

3 0930-0945 Van Herrick Method of angle Assessment Afzal Bodla

4 0945-1000 Role of IOP in Glaucoma P S Mahr

5 1000-1030 Assessment of Optic Disc in glaucoma Rashid Zia (UK)

6 1030-1045 Question and Answers

PANEL DISCUSSION 3 [S016]: Surgical Retina

27th April 2019

Shazia Hall 1000-1130

Chairman Imran Ghayoor

Co-chairman Mir Ali Shah

Moderator Amir Awan

S No Time Topic Panelists

Scenarios

Mazhar Ishaq

1 1000-1015 Retinal Detachment

Tariq Khan

Fawad Rizvi

2 1015-1030 Diabetic Vitreous Haemorrhage

Nadeem Qureshi

Mir Ali Shah

3 1030-1045 Endophthalmitis Azam Ali

Hussain Khaqaan

4 1045-1100 Coats Disease Waqar Muzaffar

Kashif Iqbal

5 1100-1115 Myopic Foveoschisis

6 1115-1130 Audience queries

SYMPOSIUM [S017] : Orbit

27th April 2019

Kashmir Hall 1000-1130

Chairman Ibrar Hussain

Co-chairman Zahid Kamal

Moderator Omar Durrani

S No Time Topic Speaker

1 1000-1010 Introduction to Medical Treatment of Amer Ya q u b

Orbital Tumors

2 1010-1020 Intra-arterial chemotherapy for Muhammad Moin

Retinoblastoma

3 1020-1035 Vascular tumors of the orbit Omar Durrani (UAE)

4 1035-1045 Orbital Lymphoma Zahid Kamal

5 1045-1055 Chemotherapy of Rhabdomyosarcoma Ibrar Hussain

6 1055-1105 Medical treatment of BCC Khalid Shoaib

7 1105-1115 Metastatic Orbital Tumors Rao Rashad Qamar

8 1115-1125 Solitary Fibrous tumour Nausheen Hayat

9 1125-1130 Q & A

IC 8 [S018] : Cataract

27th April 2019

Mirajan Hall 1000-1100

Moderator Khalid Masood Ashraf

S No Time Topic Instructors

1 How to tackle difficult cataract cases Zia Ul Mazhry

1000-1100

Majeed Malik

Women In Ophthalmology Pakistan

IC 9 [S019] Endopthalmitis [Fast & Furious]

27th April 2019

Mirajan Hall 1100-1200

Chairman Lateef Chaudhry

Co-Chairman Huma Saigol

Moderator Sorath Norani

S No Time Topic Panelists

1 1100-1110 Diagnosis of Endopthalmitis Shadab Hassan

2 1110-1130 Medical treatment of endophthalmitis; Sofia Iqbal

Vitreous tap and Intravit treatment stratagy

3 1130-1150 Role of vitrectomy in endophthalmitis; Huma Saigol

When and How

4 1150-1200 Discussion

PGA 2 [S020] : Challenges in Glaucoma

27th April 2019

Bhurban Hall 1100-1245

Chairman P S Mahar

Co-chairman Rashid Zia

Moderator Naqaish Sadiq

S No Time Topic Speaker

1 1100-1115 Neovascular Glaucoma Dr James Bacon

2 1115-1130 Steroid Induced Glaucoma and Cataract Nadeem Hafeez

3 1130-1145 ALT Vs SLT P S Mahar

4 1145-1200 Uveitic Glaucoma Ayisha Shakeel

5 1200-1230 Plateau Iris Syndrome Rashid Zia (UK)

1230-1245 Question and Answers

Panel Discussion 4 [S021]: Refractive Surgery

27th April 2019

Shazia Hall 1130-1300

Chairman Shareef Hashmani

Co-chairman Qasim Lateef

Moderator Atif Chohan

S No Time Topic Panelists

* 5 Minute presentation followed by 7 minutes panel discussion

1 1130-1142 LASIK Flap Complications Mazhar Ishaq

2 1142-1154 Fluid interface syndrome Sadia Humayun

3 1154-1206 Re-treatment after PRK Atif Chohan

4 1206-1218 LASIK Flap complications Qasim Lateef

5 1218-1230 To p o-guided LASIK Shareef Hashmani

6 1230-1238 Pre-docking epithelial abrasion during Shahzad Iftikhar

Femto LASIK

7 1238-1250 Management of epithelial ingrowth Munira Shakir

8 1250-1300 Audience queries

SYMPOSIUM [S022] : Uveitis

27th April 2019

Kashmir Hall 1130-1300

Chairman Shafi M Jatoi

Co-chairman Javed Chaudhry

Moderator Naveed Qureshi

S No Time Topic Speaker

1 1130-1145 Managing paediatric uveitis in a Usman Mahmood

university hospital (UK)

2 1145-1200 Endpoints for uveitis including Alastair Denniston

EQUATOR Network (UK)

3 1200-1215 Pearls for treating difficult uveitis cases Noman Nazir

4 1215-1230 Assessment and investigation of uveitis Alastair Denniston

(UK)

5 1230-1245 Diagnosing ocular genetic conditions Usman Mahmood

(UK)

6 1245-1300 Diagnosis of free living amoeba Pablo Goldschmidt

infections (France)

IC 10 [S023] : Non-Penetrating Keratoplasty

27th April 2019

Mirajan Hall 1200-1300

Moderator Mehfooz Hussain

S No Time Topic Speaker

1 1200-1240 Non-Penetrating Keratoplasty Mehfooz Hussain

Inayat Ullah Khan

2 1240-1250 Keratoplasty with triple procedure Mir Ali Shah

3 1250-1300 Outcome of tectonic corneal graft in Shadab Hassan

children

Saturday 27th April, 2019

1300 – 1400 Hrs

Lunch (Chinar Hall)

&

Prayers

Panel Discussion 5 [S024] : Retinoblastoma

27th April 2019

Shazia Hall 1400 - 1530

Chairman Imran Akram Sahaf

Co-chairman Fawad Rizvi

Moderator Sorath Norani

S No Time Topic Panelists

1 1400-1408 Grouping of retinoblastoma Khalid Shoaib

2 1408-1416 Indications and technique of focal Fawad Rizvi

therapy

3 1416-1424 Indications and role of intra-arterial Hussain Khaqan

chemotherapy

4 1424-1432 Metastatic workup in retinoblastoma Nuzhat Yasmeen

5 1432-1445 Discussion

6 1445-1530 National Guidelines of retinoblastoma Zia Ul Islam

Imran Akram Sahaf

Fawad Rizvi

Sorath Norani

Khalid Shoaib

Hussain Khaqaan

Haleema Saeed

Nuzhat Yasmeen

SYMPOSIUM [S025] : Diagnostics

27th April 2019

Kashmir Hall 1400-1530

Chairman Shad Muhammad

Co-chairman Mustafa Iqbal

Moderator Syed Abdullah

S No Time Topic

1 1400-1410 Ultra Wide Field Photography Mustafa Iqbal

2 1410-1430 OCT on tour; the value of mobile flex Xiaoxuan Liu (UK)

unit

3 1430-1440 Interpretation of digital Hess Test Zia Ul Mazhry

4 1440-1450 Different patterns of vein occlusions on Sidrah Riaz

FFA fluorescein funds angiography

5 1450-1500 Assessment of sub retinal fluid using Sharjeel Sultan

OCT after surgery of macula-off RRD

6 1500-1510 OCT Angiography Asfandyar Asghar

7 1510-1520 Portable perimetry Yousaf Jamal Mehsood

8 1520-1530 Audience interaction

IC 11 [S026]: Amniotic Membrane

27th April 2019

Marajan Hall 1400 - 1500

Moderator Abid Naqvi

S Time Topic Facilitators

No

1 1400-1410 Introduction , Rationale & Uses Syed Abid Naqvi

2 1410-1420 Harvesting , Preparation & Preservation Shahid Tarar

3 1420-1430 Demonstration Muhammad Awais

4 1430-1500 Hands on Training

PGA 3 [S027] : Surgical Management of Glaucoma

27th April 2019

Bhurban Hall 1400-1500

Chairman Mazhar Qayyum

Co-chairman Naqaish Sadiq

Moderator Mahmood Ali

S No Time Topic Speaker

1 1400-1410 Failed Bleb and its Management P S Mahar

2 1410-1420 Laser Suturelysis in Trab Naqaish Sadiq

3 1420-1430 Modified trabeculectomy, Preliminary results Nasir Saeed

4 1430-1240 First Baerveldt Tube Surgery in Pakistan Ayisha Shakeel

5 1440-1450 Cyclo G6 Micropulse cyclodiode Mahmood Ali

6. 1450-1500 Questions and Answers

Panel Discussion 6 [S028]: Orbit & Oculoplastics

27th April 2019

Shazia Hall 1530-1700

Chairman Zia Ul Islam

Co-Chairman Tayyab Afghani

Moderator Amer Yaqub

S No Time Topic Participants

5 min Presentation followed by 10 min discussion

1 1530-1545 TBC Zahid Kamal

2 1545-1600 TBC Omar Durrani (UAE)

3 1600-1615 TBC M Moin

4 1615-1630 TBC Ibrar Hussain

5 1630-1645 TBC Tayyab Afghani

6 1645-1700 Dry eye or ocular neuropathic pain Rony Sayegh (UAE)

SYMPOSIUM [S029] : Cataract “All You Need to Know”

27th April 2019

Kashmir Hall 1530 - 1700

Chairman Ejaz Latif

Co-Chairman Saeed Iqbal

Moderator Irfan Qayyum Malik

S No Time Topic Speaker

1 1530-1537 Tips for the Management of Posterior Polar Irfan Qayyum

cataracts

2 1538-1545 Phacomulsification in senile white mature Ambreen Gul

cataracts; its safety and efficacy

3 1546-1553 Replacement of IOLs; When & Why Majeed Malik

4 1554-1604 Vitrectomy for complicated cataract surgery Usman

Mahmood (UAE)

5 1605-1611 Present and future of refractive IOLs Khalid Ta l p u r

SYMPOSIUM [S029] : Cataract “All You Need to Know”

27th April 2019

Kashmir Hall 1530 - 1700

S No Time Topic Speaker

6 1612-1619 Monofocal vs Multifocal IOLs. Saeed Iqbal

7 1620-1630 Molecular diagnosis of endopthalmitis Pablo Goldschmidt

(France)

8 1631-1638 Psychophysics of Neuroadaptation and Zia Ul Mazhry

its relationship with Aphakic Visual

Rehabilitation

9 1639-1649 Post RK Phaco; Pits and falls Usman Mahmood

(UAE)

10 1650-1700 Changing trends in cataract surgery Azam Ali

IC 12 [S030] : Corneal Topography

27th April 2019

Mirajan Hall 1500-1600

Moderator Sadia Humayun

S No Time Topic Speaker

1 1500-1520 Pentacam Nauman Hashmani

2 1520-1540 Galelli Sadia Humayun

3 1540-1600 Audience queries

PGA 4 [S031] : Glaucoma Overview

27th April 2019

Bhurban Hall 1500-1630

Chairman Nasir Saeed

Co-chairman Imtiaz Ali

Moderator Yousaf Jamal

S No Time Topic Speaker

1 1500-1515 Role of PGA- Future Vision Daud Khan

2 Glaucoma Through the eyes of the James Bacon (UAE)

1515-1530

patient

3 1530-1545 OCT- Past, present and future Syed Imtiaz Ali

4 RNFL damage in pre-perimetric Afzal Bodla

1545-1600

Glaucoma

5 1600-1615 Small Incision Trab Naqaish Sadiq

6 1615-1630 Titrable IOP Lowering Mazhar Qayyum

IC 13 [S032] : Artificial Intelligence

27th April 2019

Mirajan Hall 1600-1700

Moderator Hina Khan

S No Time Topic Speaker

1 1600-1610 Albasr ; Use of artificial intelligence Noman Nazir

2 1610-1640 Artificial intelligence Alastair Denniston (UK)

Xiaoxuan Liu (UK)

3 1640-1700 Discussion

Panel Discussion 7 [S033] : BBS Retinopathy

27th April 2019

Shazia Hall 1700 - 1800

Chairman Tariq Aziz

Co-chairman Azam Ali

Moderator Waqar Muzaffar

S No Time Topic Speaker

1 1700-1730 OCT Grading and classification of BBS Hina Khan

Retinopathy Alastair Denniston

2 1730-1800 Panel Discussion Panelists

Mehfooz Hussain

Amjad Akram

Khalid Ta l p u r

Shakaib Anwar

SEMINAR [S034] : Corneal Banking

27th April 2019

Kashmir Hall 1700 - 1800

Chairman Asad Aslam

Co-Chairman Qazi Wasiq

Moderator Wajid Ali Khan

S No Time Topic Speaker

1 1700-1710 Pakistan Eye Banking Network Wajid Ali Khan

2 1710-1720 Religious aspects of eye donation Mazhar Qayyum

3 1720-1730 Hospital based corneal recovery program Collin Ross

4 1730-1740 Review of fungal infection and options to Erik A Hellier

reduce contamination

5 1740-1745 Update on Lahore Eye Bank Asad Aslam

6 1745-1750 Update on Karachi Eye Bank Qazi Wasiq

7 1750-1755 Update on Peshawar Eye Bank Mehfooz Hussain

8 1755-1800 Update on Rawalpindi / Islamabad Eye Bank Umar

IC 14 [S035] : Research in Oculoplastics

27th April 2019

Mirajan Hall 1700-1800

Chairman: Hamid Butt

Co-chairman Sameera Irfan

Moderator : Waqar Ahmed

S No Time Topic Speaker

Research in Oculoplastics

1 1700-1710 Study Protocols Ibrar Hussain

2 1710-1720 Normal Interpupillary, Inner Canthal Nausheen Hayat

Distance and Outer Canthal distance in a

normal population of Pakistan

3 1720-1730 How to perform exophthalmometry Khalid Shoaib

4 1730-1740 Preliminary results Tayyab Afghani

5 1740-1750 Future studies M Moin

6 1750-1800 Discussion

Panel Discussion 8 [S036]

Medical Management of Glaucoma

27th April 2019

Bhurban Hall 1630 - 1800

Moderator Nadeem Hafeez Butt

S No Time Topic Speaker

1 Scenarios James Bacon (UAE)

P S Mahar

Nasir Saeed

Rashid Zia (UK)

Afzal Bodla

Naqaish Sadiq

Central Council Meeting

(Taipan Hall)

1800 Hours

President: Nadeem Hafeez Butt

Executive Vice President: Amer Yaqub

General Secretary: Javed Chaudhry

DAY 3

SUNDAY

28th APRIL 2019

IC 15 [S037] : Basic and Advance Phacoemulsification

28th April 2019

Shazia Hall 0900-1000

Moderator Zia Ul Mazhry

S No Time Topic Speaker

1 0900-1000 Basic & Advance phacoemulsification Zia Ul Mazhry

IC16 [S038]: LASIK

28th April 2019

Kashmir Hall 0900-1000

Moderator Shahzad Iftikhar

S No Time Topic Facilitator

1 0900-0910 Patient selection Omar Zafar

2 0910-0920 Combined corneal topography and Omar Zafar

biomechanical index in LASIK Screening

3 0920-0930 Comparative analysis of Conventional vs Saeed Iqbal

Femto LASIK

4 0930-0940 Zeba Matin

Epithelial ingrowth in LASIK

5 0940-0950 Partial PRK in Keratoconus Omar Zafar

Medical Edu [S039]: LDP Project Presentation

28th April 2019

Mirajan Hall 0900-1000

Moderator Daud Khan

Nadeem Hafeez Butt

M Moin

SYMPOSIUM [S040] : YO Forum 1 (UG)

28th April 2019

Bhurban Hall 0900-1000

Judges Kamal Akbar Hamid Butt

Moderator Imran Basit Imtiaz Ali Mazhar Ul Haq

Ashok Kumar Afzal Naz

S No Time Topic Speaker

1 0900-0905 Visual function tests for screening DR Faryal Ahmed

2 0906-0911 Association of hypertension with diabetic Abdullah Nasir

retinopathy

3 0912-0917 Myopia Hajra Omar

4 0918-0923 Immediate effect of IVA on IOP Rabeeah Zafar

5 0924-0929 TBC Usman

6 0930-0935 Accuracy of mobile applications with Snellen chart Rehan Naqaish

7 0936-0941 Workup for refractive surgery Aiza Mazhar

8 0942-0947 TBC Sania (PIMS)

9 0947-0952 The Comfort Paradox Faarea Haroon

10 0952-0957 Awareness of DR in diabetes patients Abu Sufyan

Symposium[S041] : Surgical Retina

28th April 2019

Shazia Hall 1000-1130

Chairman Tariq Khan

Co-chairman Sana Ullah Jan

Moderator Waqar Muzaffar

S No Time Topic Speaker

1 1000-1007 My Initial Experience With Suprachoroidal Zaheer Qureshi

Injection

2 1008-1015 Small gauge PPV for managing Diabetic Kashif Iqbal

TRD.

3 1016-1023 PPC for IOFB Hussain Khaqan

4 1024-1031 Evaluation od RD and choice of surgery Mustafa Iqbal

5 1032-1039 Traumatic GRT Repair Usman

Mahmood (UAE)

6 1040-1047 Flattening of retina under oil Tariq Khan

7 1048-1055 Sutureless PPV in endophthalmitis Amir Arain

8 1056-1103 Inverted flap for large macular holes Qasim Lateef

Symposium[S041] : Surgical Retina

28th April 2019

Shazia Hall 1000-1130

S No Time Topic Speaker

9 1104-1111 Innovative ideas and instruments for Hussain

retinal surgery Khaqaan

10 1112-1119 Pars plana vitrectomy with or without IVA Amber Gul

as a pretreatment in diabetic vitreous

hemorrhage and TRD

11 1120-1127 Management of war on terror injuries Asfandyar

PVR RD; How can we improve the Amir Awan

outcome

IC 17 [S042] : Endoscopic DCR

28th April 2019

Kashmir Hall 1000-1130

Moderator Shahid Tarar

S No Time Topic Speaker

1 1000-1020 Functional Endoscopic Sinus Surgery Maqbool Raza

and orbit

2 1020-1035 Steps of Procedure Syed Abid Naqvi

3 1035-1050 Difference between Conventional & Shahid Tarrar

Transcanalicular Diode Laser DCR

4 1050-1100 Demonstration Muhammad Awais

5 1100-1130 Hands on Training

Symposium [S043] : Experts Forum 1

28th April 2019

Mirajan Hall 1000 - 1130

Chairman Abdul Qayyum

Co-chairman Munira Shakir

Moderator Faud Niazi

S No Time Topic Speaker

1 1000-1007 Post traumatic primary repair of levator Shahid Tarar

aponeurosis

2 1008-1015 Different techniques of pterygium surgery for Irfan Qayyum

recurrence prevention

3 1016-1023 Pterygium Excision using Pre OP injection of Zia Mazhry

MMC (Video)

4 1024-1031 Unusual case presentation of bilateral Tehmina Nazeer

acute congestive glaucoma

5 1032-1039 Pterygium excision with MMC; with & without Naila Obaid

pre-op Avastin

6 1040-1047 Traumatic superior oblique palsy Tayyaba Burhan

Symposium [S043] : Experts Forum 1

28th April 2019

Mirajan Hall 1000 - 1130

S No Time Topic Speaker

7 1048-1055 Choroidal Osteoma Sarah Zafar

8 1056-1103 Management of malignant eyelid tumours M Idris

9 1104-1111 Comparison of two mucle uniocular and two Sidra Naseem

muscle binocular recession in large angle

exotropia

10 1112-1119 Postoperative complications of levator M Idris

resection in congenitalblephroptosis with poor

levator function

11 1120-1130 Audience interaction

Symposium [S044] : YO Forum 2 (PG)

28th April 2019

Bhurban Hall 1000 - 1130

Judges Kamal Akbar Shahid Wahab

Moderator: Saqib Naeem Tayyab Afghani Mehfooz Hussain

Rashad Qamar Afzal Naz

S No Time Topic Speaker

1 1000-1005 Management of ptosis in children Nida Shamim

2 1006-1011 Findings of OCTA in patients of PDR & Rayyan Zakir

comparison with FFA

3 1012-1017 IVR in the management of CSCR Kamran Shahzad

4 1018-1023 OCTA analysis of perifoveal capillary arcade in Nida Wajid

RVO

5 1024-1029 Outcome of 27 gauge needle assisted modified Javeria Muid

sutureless scleral fixation of PC IOL.

6 1030-1035 Bilateral complete cryptophthalmos and its Mehak Fatima

surgical lid reconstruction

7 1036-1041 Pellet gun injuries on festive occasions Farah Huma

8 1042-1047 Role of Nepafenac 0.1% in preventing Sairam Ahmed

intraoperative miosis

[S044]

Judges Kamal Akbar Shahid Wahab

Moderator: Saqib Naeem Tayyab Afghani Mehfooz Hussain

Rashad Qamar

S No Time Topic Speaker

9 1048-1053 Management of TRD with vertical scissor Qurat ul Ain

10 1054-1059 Orbital maggots infestation and its management Ayesha Parvaiz

11 1100-1105 TBC FFH

12 1106-1111 Success rate of 25 gauge PPV in RRD Fiza Shaheen

surgery

13 1112-1117 TBC FFH

14 1118-1123 Incidence of retinopathy of prematurity in Aqdus Haq

the babies born at Shifa Int Hospital

15 1124-1129 Necrotizing retinitis after IVT Ammarah Ashraf

16 WL OCTA; An overview Nida Armoghan

[S044]

Judges Kamal Akbar Shahid Wahab

Moderator: Saqib Naeem Tayyab Afghani Mehfooz Hussain

Rashad Qamar

S No Time Topic Speaker

17 WL Intra-arterial Chemotherapy for Husnain Muhammad

retinoblastoma Baksh

18 WL Removal of IOFB with vertical scissors Fatima Jabeen

19 WL

Plenary Session [S045]: Experts Forum 2

28th April 2019

Shazia Hall 1130 - 1230

Chairman Mehmood Saeed

Co-chairman Khan Muhammad Nangrejo

Moderator Arif Khan

S No Time Topic Instructors

1 1130-1140 Breaking News about DR & DME Azam Ali

treatment

2 1140-1150 Chlamydia, poverty, trachoma and Pablo Goldschmidt

blindness (France)

3 1150-1200 Ultimate treatment of dry eyes Mehmood Saeed

4 1200-1210 Endo-resection of choroidal haemangioma Hussain Khaqaan

5 1210-1220 Preference and trends in management of Amir Awan

RRD

1220-1230 Audience Interaction

Symposium: [S046] : Cornea

28th April 2019

Kashmir Hall 1130-1230

Chairman Wajid Ali Khan

Co-chairman Omar Zafar

Moderator Saif Ullah Tareen

S No Time Topic Speaker

1 1130-1137 CXL and it’s various modalities. Saeed Iqbal

2 1138-1148 Consensus for the management of corneal Pablo Goldschmidt

ulcers (France)

3 1149-1159 An overview of kerato-prosthesis Rony Sayegh (UAE)

4 1200-1207 ICRS plus CXL in keratoconus Omar Zafar

5 1207-1214 Current trends in the Management of Khalid Shoaib

Pterygium

1215-1223 ICRS for keratconus with manual technique Abdul Moqeet

6 1224-1230 Clinical outcomes following Accelerated Saeed Iqbal

Trans-epithelial CXL in Progressive

Keratoconus.

SYMPOSIUM [S047] : Paed Ophth

28th April 2019

Mirajan Hall 1130-1230

Chairman Imran Azam Butt

Co-chairman Mubashir Jalis

Moderator Inam ul Haq

S No Time Topic Speaker

1 1130-1137 Update on pediatric cataract surgery Majeed Malik

2 1138-1145 Why should we target emmetropia in Zia Ul Mazhry

Pediatric cataract surgery

3 1146-1153 Lymphangioma Ayesha Khalid

4 1154-1201 Management of Ocular Myasthenia in Sameera Irfan

children

5 1202-1209 Refractive errors in children Mubashir Jalis

6 1210-1217 Final visual outcome of open globe Ambreen Gul

injuries in paediatric patients

7 1218-1230 Audience Interaction

SEMINAR [S048]: TOACS

28th April 2019

Bhurban Hall 1130 - 1230

Moderator Zahid Kamal

S No Time Topic Instructors

1 1130-1230 TOACS Examination Ali Raza

Tayyab Afghani

Javed Chaudhry

Zahid Kamal

Rao Rashad Qamar

Amjad Akram

* For post-graduate students

Closing

Ceremony

1230 Hrs

Thursday, 11 April 2019

2019-Recent Advances and Innovations in Cataract Surgery

Dr.Zia Ul Mazhry's Presentation

Recent Advances and Innovations in Cataract Surgery

Professor Zia ul Mazhry

Recent Advances and Innovations in Cataract Surgery

OSP KPK honoured Professor Doctor Zia ul Mazhry as he was invited to deliver a talk in plenary session of Khyber Eye Con 2019. The topic was "Recent Advances and Innovations in Cataract Surgery". This prestigeous session was chaired by living legend Professor Dawood Khan. It was really a great oppertunity to present and talk along with international speakers like Professor Babar Qureshi and Professor Carlo Schonfeld from Germany. The summary of the talk with glimpses is presented in this article.

Discussion Plan

  1. The Cataract Treatment Strategies
  2. The Concept of Neuroadaptation
  3. Innovations and Advances in Cataract Diagnosis
  4. Trends in Cataract Surgery
  5. The Pursuit of an Ideal Intraocular Lens
  6. Innovations to Manage Challenging Cataract Cases
  7. Prevention and Management of Complications
  8. Summary and Conclusion

Section -1

The Cataract Treatment Strategies

  • Uniqueness of The Crystalline Lens
  • Cataract Surgery in Antiquity
  • Cataract – Can it be Prevented or Slowed ?

No definitive proof that intake of vitamins or nutrients or ‘catalina’ eyedrops decrease incidence of cataract

Anatomic Types of Cataract & Their Visual Implications

Cataract is an Age Related Eye Disease

Treatment Strategies

  • When cataract mild, a change in eyeglasses helps vision
  • In patients with more advanced cataracts or in patients with glare, surgical treatment is indicated
  • Cataract Dissolving Eye Drops reported Successful in Dog Eyes

Section - 2 Neuroadaptation

خود ہی تو کہتے تھے مجھے خود کو بدل لو

بدلا ہوں تو کہتے ہو کہ اب وھ نہ رہا میں

آنکھ سے اک روز بے حد ناز سے بولا دماغ

عقل کی اندھی ہے تو الٹا نظر آئے تجھے

آنکھ بولی میں نہیں تو الٹا سیدھا کچھ نہیں

میں ہوں دریچہ نور کا کون سمجھائے تجھے

Lens Changes and Psychophysics of Vision

The image on the top left was painted when Monet had a moderately progressed cataract (1915), and the image on the top right provides us with the perspective of how Monet would have seen the picture.  The lower image shows us the great detail and contrast that Monet was capable of seeing, and subsequently creating, once the cataract was removed in 1926

Section -3

Innovations in cataract Diagnosis

  • Advances in Diagnosis and Pre Op Planning
  • The Biometric Accuracy
  • Understanding of Corneal Biophysics
  • Role of OCT
  • Intraoperative Aberometery

Section -3-B

Advances in Cataract Surgery

Cataract Surgery

  • Most commonly performed eye surgery
  • Among most successful surgeries that can be performed on the human body.
  • Still Not a procedure without risk.
  • Topical Anesthesia, out-patient procedure

What Criteria are Most Important to Surgeons

  • Wound size and Construction
  • Rhexis Techniques and Centration
  • Phacoemulsification
  • Ease of Insertion of IOL
  • Optical Quality
  • Biocompatibility
  • PCO rates
  • YAG Resistance
  • Post-op Inflammation
  • Dysphotopsias

Wound Construction

  • Location
  • Size
  • Contour
  • Neutral

Capsular Rhexis

  • Rhexis Margin
  • The Rhexis
  • Needle Assisted
  • Forceps Assisted
  • Femto/Zapto/RF Assisted
  • Femto CCC
  • Most advanced way of making a perfectly sized, absolutely circular CCC
  • Depth and diameter of CCC is determined by OCT and rhexis done automatically
  • The detached flap is manually removed by forceps

Hydrodissection/ Hydrodelineation

Phacoemulsification

  • The greatest fear known to man is a new idea.
  • Phacoemulsification was first introduced in 1967

1969 “Charlie has produced an operation which will take all the fun out of cataract surgery.”

1974 “The use of the phaco machine for the removal of a cataractous lens is analogous to the shooting of game birds with guided missiles.”

If you have strong reasons to believe in your ideas, have confidence—face the brickbats and go ahead.—Harold Ridley, MA, MD, FRCS.

Evolution of Phaco

The 1960s - The Beginning

The 1970s - Moving Posteriorly

The 1980s - The Capsulorrhexis Era

The 1990s - The Era of Reduced Emulsification Energy

From 1985 to 1995- a “dramatic phaco revolution” The less than 10% of surgeons using phaco in the early 1980s rocketed to 95% by 1995.

The 2000s - An Era of Alternative Energies and Further Reduction of Ultrasound Energy

Phaco with Preloaded RayOne Hydrophilic aspheric Implantation

Step 1. Insert OVD into cartridge via port

Step 2. Lock cartridge ready for implantation

Phaco Preloaded RayOne Hydrophobic aspheric Implantation

Step 1. Insert OVD into cartridge via port

Step 2. Lock cartridge ready for implantatione

Section - 5

The Pursuit of an Ideal Intraocular Lens

آنکھ کا بینائی سے منظر کا اپنے عکس سے

رشتہ نازک سا ہے لیکن جوڑتے جاتے ہیں ہم

The Ideal Foldable IOL

  • Smaller Incisions
  • Surgeon friendly implantation
  • Durable and flexible
  • Compatible delivery system
  • Centration & Fixation in Capsular Bag
  • Excellent visual out come
  • No Inflammatory response
  • No PCO
  • Spectacle Independence

History of foldable IOLs

“I longed for a method of IOL insertion

that would not require me to

enlarge the [phaco] wound.”

Thomas R Mosacco MD

So How Do We Choose?

  • No one perfect lens
  • Many very good to excellent IOLS
  • Patient Selection
  • Try and get good with several
  • Continually re-evaluate

Choosing an IOL

Surgeon’ View

  • The Lens
  • Material
  • Design
  • Cost
  • The Procedure
  • Wound Size
  • Easy, Safe, Quick, Insertion
  • Post Op
  • Visual Outcome
  • Inflammation
  • PCO
  • Dysphotopsia

Patient Factors

  • Motivation
  • Life Style
  • Different Models and Makes?
  • Cost Cost Cost

Choosing an IOL- The Procedure

  • Avoid small errors to add up into a big surprise
  • minimize SIA
  • Aim at Thorough Cortical clearance&
  • In the Bag Implantation with sub optical Rhexis

Cataract Surgery-Refractive Surgery

  • Refractive IOLs involve the same skills set as that of cataract surgery
  • Multifocal and accommodating lenses are dramatically changing the way all eye doctors practice refractive surgery

Recent Advances in Cataract Surgery

  • Cataract Surgery may be looked upon as an opportunity to give patients freedom from eyeglasses
  • This is possible with the use of newer IOLs that focus light at most distances
  • (these lenses are multifocal as opposed to previous lenses which are monofocal)

The Mindset

Patients are interested in lifestyle, not pathology and are happy to pay for the enhanced quality of life

  • Old paradigm: Patient want to see better than they did with their cataracts
  • New paradigm: Patients want to see better than they did before they developed cataracts

Presbyopia IOL options

  • Monovision
  • Refractive
  • Diffractive
  • Accommodative
  • Extended depth of Focus(EDOF)

Multifocal IOLs-The basics

  • Diffractve
  • Refractive
  • Diffractive Refractive
  • Extended Depth of Focus
  • Accomodative

The focality

  • Monofocal
  • Bifocal
  • Trifocal
  • Panfocal
  • EDOF
  • Variable Focus

The Concerns

  • problems with intermediate vision
  • reduced contrast sensitivity
  • halos
  • glare
  • ‘Vaseline vision’ / waxy vision
  • reduced tolerance to astigmatism

Combining Economy with Quality

LUCIDIS is an advanced monofocal lens designed to correct the vision post-cataract surgery. Raising the standard of the IOLs, LUCIDIS ideally combines the proven robustness of the monofocal lenses with the unprecedented performances of the revolutionary EDOF technology “Instant Focus”.

The future

  • Configure Your Lens
  • https://sav-iol.com/products/harmonis/

Lenses with Variable Focus

  • Shifting fluid from haptic Pockets
  • Minimizing Glare halos and Dysphotopsia

Sifi Miniwell Progressive with EDOF Technology

Refractive Lens Exchange

  • New IOLs have an out-of-pocket cost similar to LASIK surgery
  • Considerable freedom from eyeglasses possible with these IOLs
  • Some surgeons/patients extend the above to patients who don’t have a cataract but want freedom from reading glasses (Refractive Lens Exchange)

Section - 7

Innovations in Management of Challenging Cataract

Cataract Challenges

Phaco of a dense hypermature cataract using Dye Staining

Cataract Challenges

Argentinian Flag Management

Cataract Challenges

Posterior polar cataract

Cataract Challenges

Posterior polar cataract Hydrodelineation

Cataract Challenges

Phaco Trab

Cataract Challenges

Cataract and uveitis

Cataract and uveitis

Pupillary Hooks and Iris Expanders

Cataract Challenges

Phaco IOL in siliconized eye

Cataract Challenges

Marphanoid Subluxation - Iris hooks, tension ring, haptic externalization

Take Home Message

Clinicians wishing to undertake implantation of multifocal (non-accommodative) IOLs during cataract surgery should ensure that patients understand the risks of the procedure, including the possibilities of halo and glare, and reduced contrast sensitivity. Patients should also be made aware that the lenses may be difficult to remove or replace. They should be provided with clear written information.

Cataract - Summary

  • Cataract Surgery only when patient bothered by existing vision
  • Cataract surgery among most successful surgical procedures but is not without risk
  • Cataract - Summary
  • Cataract surgery is an outpatient procedure done using local anesthesia and involves removal of cataract with Ultrasound and placement of IOL
  • For patients desiring freedom from eyeglasses, options of new IOLs available

Conclusion

  • Innovations in IOL design and phacoemulsification instrumentation have potentiated:
  • improved surgical outcomes,
  • reduced perioperative morbidity
  • and increased likelihood of spectacle independence.
  • As a result, surgeons are attaining unprecedented safety, efficiency and precision.

The Whole Package

Rapid, Safe, Smooth Two Handed Surgery with time tested lens implant aiming at true spectacle independence. Remember that you are now a refractive surgeon

Contact Our Team:

If you are looking for any of below services, please fill the form below, one of our team member will get in to provide you with full facilitation:


1- Comprehensive Primary Eye Exam/ Consultation

Consultation ::: Adult Eye Examination and Consultation
Consultation ::: Children Eye Examination Refraction Consultation
Consultation ::: Infant Eye Examination Refraction Consultation
2-Secondary Follow up Eye Exaamination and Consultations

Followup ::: Examination under Sedation for Kids (After Initial Consultation)
Followup ::: Dilated Fundus Examination(DFE)
Followup ::: Cycloplegic Refraction and DFE
3-Diagnostic Eye Test

Diagnostic ::: OCT
Diagnostic ::: Angio OCT
Diagnostic ::: Anterior Segment OCT
Diagnostic ::: Pachymetery
Diagnostic ::: Perimetery/Visual Fields
Diagnostic ::: Hess Chart/Digital Squint Assessment/Digital Diplopia Test
Diagnostic ::: Digital Colour vision test