Presentations On Demand | ASCRS
May 3-7, 2019   |   san diego, ca

2019 ASCRS ASOA Annual Meeting

2019 ASCRS Annual Meeting

ASCRS Members may now access 200+ sessions from the 2019 Annual Meeting, including General Sessions, Symposia, and Instructional Courses. Expand the tabs below to view the available sessions.

Refractive Cataract Surgery Essentials
Moderator: Kevin M. Miller, MD
9 videos
This session is sponsored by the ASCRS Cataract Clinical Committee
Lessons Learned- Challenging Cases and Complication Management
1 videos
This video symposium will highlight complicated and challenging cases for young eye surgeons.
Retina Essentials: Everything You Need to Know about Intravitreal Injections
Moderator: Steve Charles, MD
8 videos
Sponsored by the ASCRS Retina Clinical Committee
Keratoconus: Consensus and Controversy
Moderators: Anthony J. Aldave, MD, ABO and Elmer Y. Tu, MD
10 videos
In this Symposium, the invited faculty with present the audience with both expert consensus and disagreement regarding the etiology, diagnosis and management of keratoconus.
From Learning to Leading: Gaining Clinical and Management Skills in Your First 10 Years of Practice
Moderators: John P. Berdahl, MD, Daniel H. Chang, MD, and Nicole R. Fram, MD
11 videos
Sponsored by the Vanguard Ophthalmology Society
Survive or Thrive in the Modern Healthcare Environment: Clinical Changes to Practice
Moderators: Kerry D. Solomon, MD and Eric D. Donnenfeld, MD
3 videos
Nailing the Best IOL Refractive Outcomes - Let the Experts Update You
Moderator: Richard B. Packard, MD, FRCS
7 videos
Surgical Essentials: Getting You out of Trouble in Cataract Surgery
Moderators: Edward J. Holland, MD, Hiroko Bissen-Miyajima, MD, PhD, Beatrice Cochener, MD, PhD, and William C. De La Peña, MD
8 videos

MIGS: Talkin’ Bout a Revolution
Moderator: Jacob Brubaker, MD
9 videos
Sponsored by the ASCRS Glaucoma Clinical Committee.
Cornea Essentials
Moderators: Francis S. Mah, MD and Terry Kim, MD
10 videos
Sponsored by the ASCRS Cornea Clinical Committee
Is This the End of Fee-for-Service?
Moderators: Parag D. Parekh, MD, MPA and Harold D. Miller, MS
3 videos
Sponsored by the ASCRS Government Relations Committee
Mastering It All: Tips for Success from Successful Female Leaders
Moderators: Preeya K. Gupta, MD and Susan M. MacDonald, MD
10 videos
Global Efforts in Addressing Avoidable Blindness and Models of Care/Training
Moderators: Alan S. Crandall, MD and David Hunter Cherwek, MD
7 videos
The Winning Pitch Challenge
Moderators: Vance Thompson, MD and Edward J. Holland, MD
5 videos
An Ophthalmology Shark Tank without the Bite
Sweating Bullets: A New Competition
Moderator: Robert H. Osher, MD
13 videos
Sweating Bullets lives up to its name. Each faculty member on the star-studded American and International Teams will present a case which caused acute distress for the operating surgeon.
The Complete Guide to Management of Astigmatism: Everything You Need to Know to Optimize Cornea and Lens-based Options
Moderators: Daniel H. Chang, MD and William F. Wiley, MD
16 videos
Sponsored by the ASCRS Refractive Surgery Clinical Committee
Communicating and Evaluating Adverse Events Associated with an FDA-Approved Medical Device
Moderator: Natalie A. Afshari, MD
1 video
Sponsored by the ASCRS FDA Committee
Symposium of Challenging Cases
Moderator: Eric D. Donnenfeld, MD
9 videos
Sponsored by BRASCRS (Brazilian Association of Cataract and Refractive Surgery)
Challenging Cases in Cataract Surgery Video Symposium
Moderator: Kevin M. Miller, MD
9 videos
Crosslinking Essentials: When to, How to, What to Expect, and What to Avoid
Moderators: John A. Vukich, MD Francis S. Mah, MD
9 videos
Sponsored by the ASCRS Cornea Clinical Committee and ASCRS Refractive Clinical Committee
SYM-303 Glaucoma Essentials
Moderators: Amy Zhang, MD, Michael F. Oats, MD, and Thomas D. Patrianakos, DO
9 videos
Sponsored by the ASCRS Glaucoma Clinical Committee
Highlights From the Military Refractive Surgery Safety & Standards Symposium held in San Diego in January, 2019
Moderators: J. Richard Townley III, MD, Elizabeth M. Hofmeister, MD and Gary L. Legault, MD
13 videos
Controversies in Anterior Segment Surgery
Moderators: Nick Mamalis, MD and Sathish Srinivasan, FRCSEd, FRCOphth
9 videos
Sponsored by the Journal of Cataract & Refractive Surgery
EyeConnect Live: Anchorman Edition
Moderator: John Odette, MD
9 videos
Sponsored by the ASCRS EyeConnect Committee
Managing the Unhappy Post-Refractive Patient
Moderators: Jessica B. Ciralsky, MD and Michelle K. Rhee, MD
9 videos
Sponsored by the Eye and Contact Lens Association (ECLA)
ASCRS TOPGUN 2019: Essential Pearls from the Best International Phaco Instructors
Moderator: David F. Chang, MD
22 videos
In this 2-hour program, attendees will be transformed by TOPGUN phaco instructors into elite cataract surgeons.
The Perfect Save: Challenging Cases Managed by International Experts
Moderators: Eric D. Donnenfeld, MD and Stephen G. Slade, MD, FACS
7 videos
Sponsored by the International Intra-Ocular Implant Club (IIIC)
SYM-403: X-Rounds: Refractive Cataract Surgery to the Max
Moderator: Eric D. Donnenfeld, MD
33 videos
This fast-paced session will feature the latest and greatest in refractive cataract surgery.
Instructional Courses
2019 Legislative & Regulatory Affairs Update
Instructor: Nancey McCann
1 video
This course will provide an up-to-the-minute look at the key legislative and regulatory issues affecting ophthalmology from ASCRS’ director of government relations, Nancey McCann. Attendees will achieve an understanding of recent developments on Capitol Hill and learn about 2019 requirements to comply with Medicare programs, such as MIPS.
One Donor Cornea for 3 Recipients: DALK, DMEK, KLAL
Instructor: Caterina Sarnicola, MD
1 video
This clinical case and video-based course will explain how to perform Deep Anterior Lamellar Keratoplasty, Descemet's Membrane Endothelial Keratoplasty, and Cadaver Keratolimbal Allograft using a single donor cornea. Attendee will be able to gain insights about increasing availability of corneal grafts obtained from the same donor tissue.
How Much Should a Cataract Surgeon Know about Corneal Optics
Instructor: Nimrata B. Dhami, MD
1 video
This lecture will highlight the role of tear film, corneal biomechanics, and topography in cataract surgery. Topics will range from planning for post-refractive surgery patients, regularization, biometry of irregular corneas, impact of higher order aberrations, and posterior corneal astigmatism in cataract surgery. Attendees will learn from illustrations and case examples to incorporate these simple tools into their premium cataract practice.
Comprehensive Strategy for Unplanned Vitrectomy Technique for Anterior Segment Surgeons
Instructors: Steve Charles, MD and Lisa Arbisser
1 video
This video-based course will address prevention, early recognition, damage control, and specific actions to achieve optimum outcomes in cataract surgery complicated by vitreous presentation from anterior and pars plana approaches. This video-based course will address prevention, early recognition, damage control, and specific actions to achieve optimum outcomes in cataract surgery complicated by vitreous presentation from anterior and pars plana approaches.
Astigmatism Management at the Time of Cataract Surgery
Instructor: Ashu Agarwal, MD
1 video
Course will present the techniques available for astigmatism control at the time of cataract surgery using a didactic and video-based approach. Techniques covered include modulation of phacoemulsification incisions (size, placement and opposite clear corneal incisions), incisional techniques like LRIs (Limbal Relaxing Incisions- Manual and Femto laser LRIs), Toric IOLs and the use of newer intraoperative Image Guided Systems for enhanced results.
Phaco Nightmares and Worst Case Scenarios: Video-Based Course
Instructor: Amar Agarwal, FRCS
1 video
Course will include topics such as posterior capsular ruptures, glued IOLs, dropped nuclei, endocapsular rings, and vitreous loss, which can cause the surgeon to have sleepless nights. Managing nightmares like subluxated cataracts and posterior polar cataracts are a daunting challenge and will be covered in the course. IOL scaffold and single-pass 4-throw pupilloplasty will also be discussed. The format will be through videos.
Automated Anterior Capsulotomy Options
Instructor: Kevin L. Waltz, MD, OD
1 video
This course will provide an update of the options for automated anterior capsulotomies. Surgical videos and didactic lectures will illustrate the advantages and disadvantages of the various automated capsulotomy options. Automated capsulotomies have been shown to be more resistant to tearing than manual and femto capsulotomies. The recently approved category III CPT code for intraoperative visual axis alignment will be discussed.
New Frontiers for the Treatment of Keratoconus
Instructor: César C. Carriazo, MD
1 video
Course will highlight current topics in keratoconus surgery. Topics will include corneal topography and biomechanics, corneal crosslinking, excimer laser, phakic IOLs and advanced techniques to treat keratoconus. Attendees will learn several surgical techniques to control this pathology and how to apply these techniques in their clinical practice.
Strategically Backing off Intraoperatively to Lose a Battle but Win the War
Instructor: Suven Bhattacharjee, MD
1 video
Video presentations and panel discussions will highlight situations where the surgeon strategically aborted or deferred an intervention intraoperatively in order to achieve better outcomes. Cases include intraoperative hard eye, PC tear, nucleus drop, subluxated cataract, refractive surgery complications and glaucoma surgical situations. Attendees will learn to constantly weigh merits of intervention to deferment intraoperatively and that restraint and revisiting is a useful option in certain situations.
Descemet Membrane Endothelial Keratoplasty: Simplified Technique to Shorten the Learning Curve and Avoid Complications
Instructor: Mark A. Terry, MD
1 video
Course will feature videos of a simplified and standardized DMEK technique that reduces the learning curve and minimizes complications. Emphasis will be given to initial case selection, with maneuvers for correct orientation and easy unscrolling that avoid intraoperative mishaps in routine and complex DMEK. Management of postop complications will also be presented. Attendees will learn specific methods that can shorten their learning curve.
Vampire on the Vanity: Ingredients and Habits that Impact Dry Eye Disease
Instructor: Cynthia Matossian, MD
1 video
Course will review the use of cosmetic procedures and products with their effect on the tear-film and ocular surface. Cosmetic procedures involving the lids or lashes, eye creams, serums and makeup remover all may exacerbate dry eye disease. Topics will include lash extensions, eyelash embellishments, periorbital neurotoxins, and aesthetic lid procedures. Attendees will learn how to better identify co-conspirators of ocular surface disease.
Secondary IOL Implantation: What I Have Learned and My Current Technique
Instructor: George H. Beiko, BM BCh, FRCSC
1 video
Course will cover various techniques for secondary IOL placement in the presence of IOL exchange, poor capsule support, or aphakia. Using videos, it will include a step-by-step description of techniques and tips for optimal outcomes, and will review iris fixation of IOLs, bag-in-the-lens, scleral suture fixation, and intrascleral haptic fixation.
Phacochop and Prechop
Instructor: Ronald Yeoh, MD
1 video
This course will instruct 3 different nucleofracture techniques by phaco chop, phaco prechop and femtosecond laser. The pioneer of each technique will explain the tips and tricks of the procedures and instrumentation using video clips. Attendees will learn how to master techniques in order to be able to manage the nucleus of any density from soft to rock hard. Application of each technique for complicated cases will be also presented using videos.
The 3 Keys to Effective Physician Leadership: Understanding Style, Gender, and Generational Issues
Instructor: Elizabeth Yeu, MD
1 video
Course will focus upon 3 key variables affecting physician leadership effectiveness: leadership style, gender, and generational issues. This course will provide a deeper perspective on how understanding the 3 variables can allow for each of us to be more effective as leaders and communicators. The content will provide leadership perspectives through the experiences of ophthalmologists and a psychologist. Participant interaction is encouraged, and the audience should feel free to ask their most important questions pertaining to 1 or more of the focal areas being covered.
Mastering the Applications of Small-Aperture IOL Technology: Irregular Corneal Astigmatism, Depth-of-Focus Extension, Iris Defects, and Multifocal IOL Dissatisfaction
Instructor: Claudio C. Trindade, MD, PhD
1 video
Course will highlight how small aperture IOL technology can be successfully applied in different scenarios. The course is organized in 4 sections: management of irregular corneal astigmatism; near vision improvement through Depth-of-Focus extension; pinhole implants as a method of iris repair; reverting multifocal IOL dissatisfaction. Faculty will cover indications, preoperative evaluations, surgical techniques, adjunct treatments, and complication management.
Anterior Vitrectomy for the Cataract Surgeon – The Road Not Taken
Instructor: Abhay R. Vasavada, MS, FRCS
1 video
Managing vitreous disturbance is a challenge for the cataract surgeon. The way the vitreous is managed will decide the final outcome. This video-based course focuses on different approaches to ensure safe, adequate anterior vitrectomy that allows for stable IOL fixation. Three surgeons, including a retinal specialist, and anterior segment surgeons with extensive experience in their fields, will share their views on the pros and cons of different approaches, as well as provide a step-by-step guide to manage a variety of clinical scenarios.
Managing Astigmatism in Cataract Surgery
Instructor: Manuel Nicoli, MD
1 video
The correct management of preoperative astigmatism prior to cataract surgery is key for an excellent refractive outcome. This course will cover all the surgical options we have today, starting from the cornea (LRI, manual and femtosecond laser-assisted incisions) to the lens (toric IOLs), in order to improve postoperative results.
Minimally Invasive Glaucoma Surgery for the Comprehensive Ophthalmologist: Exploring Various Microstents and Devices
Instructor: Nir Shoham-Hazon, MD
1 video
This video-based course will demonstrate step-by-step techniques using MIGS as a stand-alone procedure and in combination with phacoemulsification. Various MIGS devices will be presented in the didactic session and practiced in the skills transfer session. (Separate registration is required for the skills transfer session). Also discussed will be the proper choice for each procedure tailored to the individual patient and the use of adjunctive therapy. Management of complications will be discussed as well.
IOL Power Calculations – When Biometry is Not Enough
Instructor: Giacomo Savini, MD
1 video
The purpose of this course is to demonstrate how modern instrumentation and software can improve accuracy of intraocular lens power selection beyond what is possible with conventional biometry. Lessons will be case and evidence based and will focus on abnormal and post-surgical eyes. The attendee will understand when ray tracing, optimization of IOL formulas, intraoperative biometry, and topographers may be especially beneficial.
Learning Phaco Chop: Pearls and Pitfalls
Instructors: David F. Chang, MD, Barry S. Seibel, MD
1 video
A stepwise game plan for transitioning to phaco chop will be presented, along with phacodynamic principles for machine parameters and instrumentation. Pearls for brunescent nuclei will be covered. The audience will don stereo glasses to view 3-D high-definition videos that uniquely illustrate the angle and depth of the instrument tips for both horizontal and vertical chopping. Pre-chopping methods, including miLOOP will also be demonstrated.
Custom Cataract Surgery: Matching Lens-Based Presbyopia Correction for Personalized Vision
Instructor: Mark A. Kontos, MD
1 video
This course will provide an overview of available options for presbyopia correction and will provide a discussion of techniques to effectively mix-and-match lens options. A mix- and-match technique can be employed to provide improved range of vision while limiting potential side-effects and unwanted visual phenomena. Panelists will discuss tools and their thought processes to maximize success in customizing lens choices to help meet patient expectations with refractive cataract surgery.
Fundamentals of Postoperative Antibiotic-Steroid Injections after Cataract Surgery: Current Experiences and Future Challenges
Instructor: Kamran M. Riaz, MD
1 video
Course will be a lecture and panel discussion regarding advantages and challenges of antibiotic-steroid injections after cataract surgery. Topics will include currently available formulations, methods of injection, technique pearls, and the role of supplemental pharmacotherapy. An opposing viewpoint against injections will also be presented. Attendees will learn about current practice patterns and how to apply this technique in their surgical practice.
Modern Understanding of Accommodation: Treatment Approaches, Current and Future
Instructor: Daniel B. Goldberg, MD, ABO
1 video
Course will demonstrate an in-depth overview of the mechanism and action of accommodation and the predicting factors associated with the development of presbyopia. New therapeutic and surgical technologies will be presented including accommodation restoration, accommodative IOLs and scleral intervention. A comparison of the existing techniques with multifocal systems (multifocal, Depth-of-focus IOLs, and corneal procedures) will also be reviewed.
Iris-Suturing Techniques
Instructor: Steven B. Siepser, MD, FACS
1 video
Course will cover the present stretching, suturing, and repairing of formerly “untouchable” iris defects. Maneuvers to aid in the use of the iris as critical to focusing and stabilization of implantable devices will also be discussed. The instructional format will provide advanced surgeons with pearls while acting as a prerequisite to practical skills transfer sessions.
How to Calculate Topographic-Guided Laser-Assisted In Situ Keratomileusis Treatments: Pearls and Pitfalls
Instructor: Mark C. Lobanoff, MD
1 video
This course will cover the methodology of calculating topographic-guided LASIK procedures on the Alcon Contoura platform. The calculation of topographic-guided LASIK treatments is far more complex than previous LASIK treatments. Care must be taken to consider the effects that treating corneal topography has on refractive outcomes. There will be an emphasis on the new artificial intelligence analytic software for better treatment calculations.
State-of-the-Art Drop-Free Cataract Surgery: Intracameral Antibiotics, NSAIDs and Corticosteroids, and More
Instructor: Neal H. Shorstein, MD, ABO
1 video
Course will show how-to source, prepare, and administer injections for the prevention of endophthalmitis and macular edema and postop inflammation. We will review the evidence base in support of and against a variety of commonly used medications and routes of administration-debunking old myths and potentially opening up new avenues of treatment for our audience.
State-of-the-Art Drop-Free Cataract Surgery: Intracameral Antibiotics, NSAIDs and Corticosteroids, and More
Instructor: Nick Mamalis, MD
1 video
Course will discuss the causes, treatments, and prevention of sterile postoperative inflammation including, Toxic Anterior Segment Syndrome (TASS), Toxic Posterior Segment Syndrome (TPSS), and Hemorrhagic Occlusive Retinal Vasculitis (HORV), as well as endophthalmitis.
Introduction to Small-Incision Cataract Surgery for the Phaco Surgeon
Instructors: John D. Welling, MD and Jeff Pettey, MD
1 video
This course will provide an introduction to sutureless small-incision cataract surgery (SICS) for the phaco surgeon. Worldwide, SICS is routinely performed when phacoemulsification is unavailable or not practical. Even in developed settings, SICS has largely replaced traditional ECCE as the backup plan for the phaco surgeon. Understanding how to perform this surgery competently is crucial when faced with challenging cases not safe for phaco, complications during phaco, or when involved with international ophthalmology. The SICS technique should be in every phaco surgeon’s toolbox.
Curing World Blindness and Cataract Surgery in the Developing World: Lessons Learned by Members of the ASCRS Foundation International Committee
Instructor: Lisa Park, MD, ABO
1 video
Course is geared toward the cataract surgeon interested in surgical missions in the developing world. Members of the ASCRS Foundation International Committee will present their experiences, objectives, and lessons learned. Practical tips to prepare for overseas surgery will be discussed. Video teaching of manual small-incision cataract surgery and nucleus disassembly with the miLoop will also be presented.
Mastering the Details of Phacoemulsification with Active Fluidics
Instructor: Kevin M. Miller, MD
1 video
Course will cover how to adjust ultrasound and fluidics settings on the Alcon Centurion phacoemulsification system to optimize surgical outcomes in normal and high-risk eyes. Attendees will learn about many of the unique features of this device and find out how to navigate the graphical user interface and "get under the hood" to optimize machine performance.
Iris Prostheses in Action: Surgical Tips for Challenging Cases
Instructors: Michael E. Snyder, MD, ABO and Nicole R. Fram, MD, ABO
1 video
This course with internationally acclaimed faculty will teach iris prosthesis indications and a variety of surgical techniques for several kinds of iris prostheses available worldwide. The course will demonstrate both custom and off-the-shelf devices. In-the-bag and sutured prosthesis techniques will be included.
IC-210 Advanced Astigmatism Management to Achieve the Best Refractive Cataract Surgery Outcomes
Instructor: Matteo Piovella, MD
1 video
Course will discuss why advanced cataract surgery requires accurate planning, perfect execution, and impeccable refractive results. Course will present the current understanding and management of failing refractive results after femtosecond laser-assisted cataract surgery, and multifocal and toric IOLs. Astigmatism correction is a key point for getting plano results after cataract surgery. The faculty will analyze planning and intraoperative errors and technical caveats.
Management of the Extreme Cataract: White and Black
Instructor: Soon-Phaik Chee, FRCSEd, FRCOphth
1 video
This course will discuss the management of the extreme white or black cataract. The presentation will review preoperative evaluation, surgical techniques (manual phaco versus femtosecond), and intraoperative tips for uneventful surgery. Videos will highlight how to avoid and manage more commonly encountered challenges, such as the runaway or incomplete capsulorhexis, fragmenting the rock-hard nucleus or Morgagnian cataract, and managing associated zonular weakness.
DMEK from D to K: A Step-by-Step Approach to Descemet’s Membrane Endothelial Keratoplasty
Instructor: Neera Singal, FRCS, MD
1 video
This video-based course will present a complete guideline to simplify Descemet's Membrane Endothelial Keratoplasty and include it in the corneal surgeon’s armamentarium, based on our experience with over 650 cases. We will go through a detailed description on patient selection, required surgical devices, and a step-by-step tutorial for each surgical stage, including a safe and unique method of corneal stripping and tissue preparation, insertion, positioning and attachment. Emphasis will be placed on tips and tricks for both standard and complex cases, with faculty panel discussion and interaction with attendees.
International Video Symposium of Challenging Cases and Complication Management
Instructor: Robert H. Osher, MD
1 video
Course will give the attendee the opportunity to observe highly experienced surgeons tackle challenging cases and manage intraoperative complications that every cataract surgeon may encounter.
Tackling Posterior Capsule Rupture and IOL Implantation: Video-Based Course
Instructors: Amar Agarwal, FRCS and Ashvin Agarwal, MD
1 video
The video-based course will showcase videos on various aspects of inadvertent occurrence of posterior capsule rupture (PCR) during cataract surgery, followed by its effective management. At the conclusion of this course, the attendees will be able to effectively handle a case of PCR and perform a posterior capsulorhexis and also will be able to retrieve a sinking nucleus or an IOL followed by its effective placement.
Deep Anterior Lamellar Keratoplasty: From Basic-to-Advanced
Instructor: Vincenzo Sarnicola, MD
1 video
Course will explain how to perform DALK using videos and diagrams. The course will debate the pros and cons of different techniques (big bubble, viscobubble, peeling off, manual dissection, etc.) discussing tips and tricks and reporting long-term outcomes. The course will also show how to manage intraoperative DM rupture and postoperative double anterior chamber.
Management of Preexisting and Postoperative Corneal and Ocular Surface Problems During Phacoemulsification
Instructor: Namrata Sharma, MD
1 video
Course will discuss ways to tackle corneal opacities (local and diffuse; partial vs. total) combined with cataract. Indications for phacoemulsification in partial corneal opacities, preop investigations, surgical planning (incision site, capsulorrhexis, emulsification technique and IOL type), outcomes, intraoperative and postop issues will be highlighted. Use of trypan blue dye, endoilluminators and nylon hooks will be demonstrated. Combined procedures such as phototherapeutic keratectomy, anterior lamellar keratoplasty (automated lamellar therapeutic and deep lamellar),and posterior lamellar keratoplasty (Descemet-stripping automated endothelial keratoplasty and Descemet membrane endothelial keratoplasty triple), and phacoemulsification will be elucidated. Attendee will gain knowledge on managing coexisting corneal opacity and cataract.
Ocular Surface Procedures in the Treatment Room
Instructor: Clara C. Chan, MD, FRCS
1 video
Course will present current surgical techniques in the minor treatment room for managing diverse ocular surface diseases. Topics include superficial keratectomy, band chelation, pterygium surgery, amniotic membrane grafts, conjunctival flaps, gluing corneal perforations, relaxing incisions, management of conjunctival chalasis and corneal tattooing. Emphasis will be placed on technical tips and tricks for challenging clinical situations.
Understanding Topography and Corneal Aberrations
Instructor: Warren E. Hill, MD, FACS
1 video
The course will review how to correctly use and interpret the various features of Placido topography, many of which are not commonly used, but contain valuable, decision-making preoperative and postoperative information. Emphasis will be placed on understanding a standard aberration profile by combining this with image simulation and an understanding of the corneal power distribution shown on a topographic axial curvature map.
Perioperative Pharmaceutical Management of Ophthalmic Surgery
Instructor: William G. Myers, MD, ABO
1 video
Course will provide a better understanding of pharmaceuticals for perioperative management using dilute antiseptics and intraocular agents in place of patient administered drops. Topics to be covered include compounding, antisepsis, intracameral dilation/IFIS prophylaxis, NSAIDs versus steroids, intracameral antibiotics; (pros/cons), patient independent protocols; intravitreal versus intracameral versus topical versus subconjunctival. An international team of experts will participate in a panel discussion following each short didactic presentation.
Pearls and Pitfalls in Challenging Capsular Surgical Scenarios: Video-Based Course
Instructor: Rohit om Parkash, MS
1 video
Course will showcase challenging capsular scenarios. Videos will include anterior capsulorhexis challenges, fibrotic capsule, weak zonules, capsular exfoliations, small rhexis nuclear emulsification, continuous curvilinear capsulorhexis rescue, Argentinean flag sign prevention, flap motility sign for pre-equatorial anterior capsular tears and safe phacoemulsification techniques. Course will also discuss posterior capsular rupture (PCR) and identification of flap motility sign, end-point safe phacoemulsification with ECCE conversion, PCR prevention with IOL scaffold, PCR during emulsification, and PPC with preexisting PCR. Compromised capsular support with scleral fixation and bag IOL complex fixation will also be discussed. Pearls and pitfalls of capsular complexities will improve surgical outcomes.
Deep Anterior Lamellar Keratoplasty: New Frontiers
Instructor: Enrica T. Sarnicola, MD
1 video
This video-based course will show how to manage all types of intraoperative DM ruptures (eg, microperforations, macroperforations, excessive trephination) during big-bubble and manual dissection. New indications for DALK will be discussed as well. Instructors will present videos and results of DALK in active infections unresponsive to medical treatment, post-RK ectasia, corneal penetrating wounds without loss of substance, keratoglobus, descemetocele, and ocular surface diseases.
Keratoprosthesis in the Management of Corneal Blindness: An Update on Recent Advances, Expanding Indications, Challenging Cases and Improving Outcomes
Instructor: Jose M. Vargas Sr., MD
1 video
The purpose of this course is to present the most widely used artificial cornea or keratoprosthesis for the treatment of corneal diseases not amenable to standard penetrating keratoplasty. An update will be given on recent advances in design, treatment strategies to decrease postoperative complications, how to improve outcomes, expanding indications, and challenging case presentations.
Phaco Follies: How I Wish I Had a Second Chance
Instructor: Deepak Megur, FRCSEd
1 video
Course will share practical tips in identifying the factors responsible for intraoperative complications during phacoemulsification. Course suggests strategies to prevent complications. Surgical videos with intraoperative complications will be critically analyzed by the instructor highlighting the reason for occurrence of the complication and then demonstrate how the surgery would be done differently if given a second chance.
Data-Driven Management of Diabetic Macular Edema for the Comprehensive Ophthalmologist
Instructor: Michael W. Stewart, MD
1 video
Course will provide a detailed description of the management of diabetic macular edema (DME) that is tailored specifically for the comprehensive ophthalmologist. This course provides the comprehensive ophthalmologist with a solid understanding of the pathophysiology of DME followed by an evidence-based treatment algorithm that can be used to properly manage most patients with DME. Safe and effective treatment techniques for laser photocoagulation, and intravitreal anti-VEGFs and corticosteroids will be detailed.
Mastering Pre-Descemet's Endothelial Keratoplasty
Instructor: Lional Raj Daniel Raj Ponniah, MD
1 video
This course will demonstrate effectiveness and reproducibility of Pre Descemet's Endothelial Keratoplasty (PDEK) in varied endothelial dysfunction. Video-based teaching of graft preparation and transplantation, comparable effectiveness of pneumatic dissection (PDEK) in improving endothelial preservation, corneal morphology in younger donors against mechanical separation in DMEK, DSAEK, and PK will be discussed. PDEK in complex cases will be highlighted.
Mastering Pre-Descemet's Endothelial Keratoplasty
Instructor: Adi Abulafia, MD
1 video
The course will cover preoperative assessment, indications and contraindications for toric IOL implantation, basic and advanced toric IOL power and axis calculations, preoperative marking techniques, intraoperative IOL alignment, intraoperative aberrometry, and surgical tips, followed by case presentation and panel discussion. Attendees will be equipped with a systematic approach to patient selection and calculation of toric IOL power and axis to obtain optimal results. Practical pearls will help optimize toric IOL outcomes.
2019 Cataract Surgery Update: Correcting Refractive Defects and Overcoming Presbyopia Limitations
Instructor: Barbara Kusa, MD
1 video
Course will review state-of-the-art new generation presbyopic IOLs. Trifocal, pinhole, and extended depth-of-focus IOL features, indications, and clinical results will be discussed. The importance of eye selection to obtain best biometry outcomes for emmetropia after surgery will be a focal point. The need for different organization with the best technology application is a determinant tool to increase the percentage of advanced technology implants up to 50 percent.
Innovative Techniques and Technologies to Conquer Brunescent Cataracts
Instructor: Arup Bhaumik, MS
1 video
Phacoemulsification of brunescent cataracts is challenging. Grading systems of cataracts probably cannot predict hardness, thickness, and leatheriness of these nuclei. This video-based course will highlight all types of techniques and newer technologies to conquer the hardest nuclei. Course will also highlight all probable complications management.
Getting the Right Outcome after Crosslinking
Instructor: Pooja Khamar, MD
1 video
Keratoconus and iatrogenic ectasia are progressive vision threatening etiologies. Choosing the right treatment protocol is crucial. Primary intervention such as corneal collagen cross linking (CXL) is considered to potentially increase the biomechanical stability of the cornea and halt progression of disease process, which may postpone the need for keratoplasty. Course will use a didactic approach to address the indications of CXL and combined custom laser ablation procedures, interpretation of topographic indices after CXL, diagnosing progression, integration of other diagnostic modalities that may affect the clinical outcomes of CXL, and how to address these modifiable factors to attain better clinical outcomes.
Famous Under 45: Innovative Contributions from Young Surgeons Across the Globe
Instructor: Samaresh Srivastava, MD
1 video
Course features young, innovative surgeons from across the globe who will share their contributions to cataract/refractive surgery that have led to changes in practice. Delegates will pick up useful tips and techniques that can change the way they operate or approach a problematic situation. The course will highlight the usefulness of out-of-the box thinking to enhance one’s own practice, as well as contribute to the betterment of science.
Phacoemulsification in Complicated Cases: Simplify the Complex
Instructor: Mahipal S. Sachdev, MD
1 video
This course discusses simple and innovative tricks to handle phacoemulsification in complex situations. Pars plana vitrectomy for anterior segment surgeons will be simplified. Tackling small pupil and pupilloplasty techniques will be discussed. Use of chandelier illumination and implantation of IOLs with deficient capsular support will be illustrated. This course will equip attendees with detailed knowledge of tackling complicated cataract cases and complications.
Optimizing Toric IOL Outcomes
Instructor: Ronald Yeoh, MD
1 video
Course will discuss the science and practice of toric IOL implantation. When and how should toric calculations be done? The creator of the constantly updated Barrett Toric Calculator will teach us to use it effectively and we will go ‘live’ on the online calculator. Practical tips on reference and axis marking with various toric marking devices, toric IOL positioning/malpositioning and complications will also be discussed comprehensively.
Corneal Topographic Analysis and Anterior Segment Imaging: Pearls for Your Clinical Practice
Instructor: Mitchell P. Weikert, MD, ABO
1 video
Course will present a systematic approach to the interpretation of corneal topographies and anterior segment imaging studies using didactic instruction combined with numerous clinical examples. Course will highlight practical applications of several imaging systems and technologies, including Placido-based topography, single- and dual-Scheimpflug imaging, and optical coherence tomography.
Understanding and Managing Patients Unhappy with Visual Quality and/or Night Vision Symptoms after Presbyopia-Correcting IOL Implantation
Instructor: Daniel H. Chang, MD
1 video
Course will use lectures and case presentations to present a systematic approach to presbyopia-correcting IOL patients unhappy with their visual quality and/or night vision symptoms. Diagnostic testing, including refraction, examination, and clinical imaging will be outlined. Refractive, medical, and surgical treatments will be discussed. Attendees will learn how patients perceive vision and ways to assess and treat problems.
Different Methods for Intraocular Lens Exchange
Instructor: Maria S. Romero, MD
1 video
During this instructional course, panelists will review and update surgical approaches for performing IOL exchanges using a video-based format. Topics will include how to tailor the preoperative evaluation for IOL exchange, out-of-the bag IOL dislocation after PCR, IOL exchange to correct refractive surprise after cataract surgery, and IOL/bag complex dislocation with different intrascleral fixation techniques. Attendees will learn how to perform a pertinent preop evaluation for strategic surgical planning, using different techniques to manage the implants. Secondary IOL implantation approaches and pearls on how to optimize outcomes to make this procedure safer will also be covered.
Use of Surgical Adhesives and Amniotic Membrane in Ocular Surgery
Instructor: John A. Hovanesian, MD
1 video
Course will present techniques for fibrin and other surgical adhesives as well as amnionic membrane in pterygium/autograft, pterygium/amnionic membrane, conjunctival chalasis treatment, LASIK epithelial ingrowth removal, cataract surgery, secondary PCIOL implantation, ocular surface reconstruction with amnionic membrane, and lamellar corneal transplants. Experienced instructors will review pearls, practical tips, and pitfall avoidance.
Application of Small-Aperture Intraocular Lens Technology in Cataract and Refractive Surgery
Instructor: Gerd U. Auffarth, MD, PhD
1 video
This course includes lectures, videos, and panel discussions and will introduce the technology of small aperture IOLs in the cataract and refractive practice. As these lenses are in the final phases of FDA approval, they will be available in the USA in the future. An international panel will share their experiences from controlled studies and an interventional case series in the areas of application of technology as a refractive implant, using these implants to correct irregular corneas, and RK cases. In addition, approaches to deal with traumatic cataracts combined with aniridia will be discussed.
Best Practices for IOL Power Selection in 2019
Instructor: Li Wang, MD, PhD
1 video
This course will be presented by the members of the ASCRS IOL calculation subcommittee. This lecture will discuss 8 things you need to know for the best refractive outcomes following cataract surgery. Topics will include the role of the surgeon, accuracy standards, preoperative biometric data validation, an update on IOL power selection methods, IOL power selection in high axial myopia, high axial hyperopia, eyes with toric IOL, and eyes with previous corneal refractive surgery.
Small-Incision Lenticule Extraction: Understanding a New Paradigm
Instructor: Chitra R. Ramamurthy, MD
1 video
This video-based course will discuss the evolution of SMILE technology and an evidence-based discussion on its biomechanics. It will provide insight into ironing out learning curve difficulties and mastering challenging scenarios. Innovative uses of SMILE and hyperopia correction will be highlighted. A critical appraisal of the current clinical evidence on SMILE vs LASIK will be followed by a discussion on marketing strategies for SMILE.
Customizing Cataract Surgery
Instructor: Karl G. Stonecipher, MD, ABO
1 video
Course will review how to screen cataract patients for potential complications, preoperative measurements, and selection of the IOL, as well as preoperative, intraoperative and postoperative regimens.
Mastering MIGS: Pearls for Beginner and Intermediate Surgeons
Instructor: Carlos Buznego, MD
1 video
Course will introduce beginner and intermediate surgeons to Micro Invasive Glaucoma Surgery. Attendees will learn case selection, surgical techniques, novel techniques and devices, and perioperative management.
Intraocular Lens Exchange
Instructor: Nicole R. Fram, MD, ABO
1 video
This course will discuss the indications and methods of intraocular lens exchange. Tools-of-the trade will be demonstrated. Various means of IOL fixation (including scleral and iris suturing)and glued IOL methods will be considered.
Cataract Surgery: What I Say – Conversations that Improve the Physician-Patient Relationship
Instructor: Jack Parker, MD, PhD
1 video
Course will guide participants through a number of difficult conversations that they may commonly encounter relating to the performance of cataract surgery, including the ruptured posterior capsule, the dropped nucleus, postoperative refractive surprise, and the unhappy patient. Attendees will learn how to communicate with patients and their families – honestly and effectively – in these and other potentially emotionally charged situations.
Fundamentals of Anterior Segment Reconstruction
Instructor: Brandon D. Ayres, MD
1 video
Course will consist of lecture, video, and panel discussion highlighting various current topics in anterior segment surgery. Topics will include iris repair, IOL exchange, sutured IOLs, anterior vitrectomy, use of iris and capsule support devices, and complex cataract surgery.
Advanced Descemet Membrane Endothelial Keratoplasty
Instructor: Gerrit Melles, MD
1 video
Course will demonstrate pitfalls and provide tips and tricks for challenging DMEK surgeries on how to be successful with different indications and intraoperative conditions. Preoperative planning will be addressed and solutions to various intraoperative and postoperative complications will be provided. Furthermore, tips on surgical techniques in challenging cases using illustrative surgical videos will be shown.
Cornea Lumps, Bumps, and Bruises
Instructor: Sumitra S. Khandelwal, MD, ABO
1 video
Course will highlight cornea pathology using a case-based format with discussions on medical, procedural, and surgical options. Topics will include recurrent erosion, cornea dystrophies, Salzman nodules, and corneal scars. Treatments discussed will include medical management, procedures such as superficial keratectomy, diamond burr, laser ablation, and surgical procedures in the operating room. Attendees will learn several approaches and how to apply these methods to clinical practice.
Latest in IOL Power Calculation
Instructors: Kenneth J. Hoffer, MD, ABO and Giacomo Savini, MD
1 video
Course will present complete essentials for clinicians and technicians to fine tune their IOL power calculations for normal eyes as well as learn the instruments, techniques and formulas needed to improve accuracy in problem eyes such as post-refractive surgery corneas and planning for premium IOLs. Also, how to handle errors that may arise in clinical practice based on 45 years of experience will be addressed.
Glued IOLs and the Yamane Double-Needle Flange Technique: Intrascleral Haptic-Fixation Methods—Video-Based Course
Instructor: Ashar Agarwal, MBBS, MS, FRCS
1 video
Course will cover intrascleral haptic fixation techniques. The techniques of glued IOLs and refixation of subluxated IOLs using glue will be covered, as well as the Yamane technique. Complications and problems encountered with both glued IOL and Yamane technique will be shown. Session format will be video-based.
Managing Complications in Lamellar Keratoplasty
Instructor: Rajesh Fogla, MD, FRCS
1 video
This video-based course will create awareness regarding surgical complications, which can occur during anterior and posterior lamellar keratoplasty, including DALK, DSAEK, and DMEK. Complications are usually the main hurdle for successful transition to lamellar keratoplasty techniques. In this course, experts will present surgical videos on varying complication management during lamellar keratoplasty. Panel discussion will focus on how to avoid such complications and discuss various techniques for optimal visual outcomes.
Mastering the Posterior Capsule: Thinking-Out-of-the-Bag Paradigm Shift
Instructor: Lisa Arbisser
1 video
This course will review the hyaloid-sparing posterior capsulorhexis and optic capture techniques. Attendees will better understand automated technology for capsulotomy and its learning curve and understand the paradigm changing advantages of making cataract surgery a permanent visual solution for all ages, eliminating the need for Nd:YAG capsulotomy and planned pediatric anterior vitrectomy.
Correction of Astigmatism Using Toric IOLs, LRIs, and Refractive Laser Surgery
Instructors: Noel A Alpins, MD and George Stamatelatos, BScOptom
1 video
Course will address practical and theoretical aspects of the planning and analysis of astigmatism for toric IOLs, LRIs and refractive laser surgery. A systematic approach to planning astigmatism treatment and correcting for refractive surprises will be discussed. This will include measurement of accurate corneal astigmatism using corneal topographic astigmatism (CorT). Participants will be able to plan and analyze astigmatism treatment using both corneal and refractive parameters and gain an understanding of how to predict and correct for postoperative refractive surprises following refractive toric IOLs.
Intraocular Lens Placement When Capsule Is Not Normal: Video-Based Course with Practical Advice on How to Assess, Plan, and Learn Advanced Techniques
Instructor: Cathleen M. McCabe, MD
1 video
This video-based course will provide practical advice on how to plan, assess, and learn advanced techniques when placing IOLs in an abnormal capsule.
How to Avoid Ectasia after LASIK: Update on New Concepts and Technologies
Instructor: Marcony R. Santhiago, MD, PhD
1 video
This course brings updates on how we should interpret risk factors such as PTA, and corneal imaging such as topography, tomography (Scheimpflug, Dual Scheimpflug, and OCT), all integrated with biomechanical analysis, epithelial map, and intraoperative variables.
Pearls and Pitfalls While Performing Intrascleral Fixation of Intraocular Lenses with the Yamane Technique
Instructor: Surendra Basti, MD
1 video
Course will provide a step-wise approach to predictably perform intrascleral fixation of IOLs using the Yamane technique. Critical elements of surgery to achieve proper fixation of a well centered IOL will be highlighted and demonstrated using video footage. Case examples of situations where complications arose from improper technique will be shown as well as strategies to identify the causes and rectify them.
Best of the Best: An Update on Advanced Cataract Surgery
Instructor: Richard L. Lindstrom, MD
1 video
Course will discuss how advances in technology, IOLs, phaco machines, and femtolaser are making cataract surgery extremely similar to refractive surgery. An ideal result of cataract surgery is plano correction. The cataract surgeon must provide optimal vision quality, which requires accurate customization of IOL choice, obsessively accurate biometry, and adoption of new technology IOLs, including multifocal, toric, and multifocal toric.
The Intersection of Cornea and Glaucoma
Instructor: Ross MacIntyre, MD, FRANZCO
1 video
Course will present current evidence and management strategies for treating coexisting corneal disease and glaucoma. We will highlight the impacts that glaucoma and its treatment options have on corneal health, how corneal disease and its treatment affect glaucoma, and the effects and possible mechanisms of glaucoma surgery on endothelial cells.
Transition to DMEK and Beyond, Tips and Techniques for Success
Instructor: Michael D. Straiko, MD
1 video
Course will utilize a combination of surgical videos and didactic lectures from our experienced international faculty to enable attendees to transition to DMEK or to enhance their current DMEK skill set. Emphasis will be placed on evidence- based tips and techniques to minimize complications. Special attention will be given to the latest frontier, Descemet Stripping Without EK (DWEK), including appropriate case selection for this newer technique.
Hot Topics on Myopia Correction Through All Stages of Life
Instructor: Ashraf Armia Balamoun, MD, FRCS, FACS
1 video
During this instructional course, the panelists will use videos to discuss different medical and surgical alternatives to correct myopia through all stages of life. Some of the refractive procedures are not yet FDA approved in the US. Topics will include small incision lenticule extraction (SMILE) as an alternative treatment of myopia during childhood. Clear lens exchange, phakic IOLs, challenges for performing intraocular surgery in high myopic eyes, including preventing refractive surprises, and how to decrease the chances of retinal complications will be covered. Also, we will address challenges for treating presbyopia in myopic patients with and without cataracts.
Crosslinking: Past, Present, and Future—The View from 3 Continents
Instructor: Roy S. Rubinfeld, MD, MA
1 video
Course will provide a comprehensive overview of the current state of CXL and combinations with other treatment modalities of ectatic diseases (ECDs). Course will have several presentations discussing parameters for CXL, and after CXL monitoring loss of effect or progression of the disease; a concise overview of the long-term results of CXL for ECDs; the indications and protocols; indications and results of CXL customized laser vision correction; and indications and results of CXL and conductive keratoplasty (CK); and the indications and results of CXL intracorneal ring implantation. The 30-min interactive panel discussion with allow questions from the participants.
State-of-the-Art Corneal Tomographic Indices in the Screening of Keratoconus Risk for Refractive Surgery
Instructor: Ronald R. Krueger, MD, MSE
1 video
Course will describe the signs of keratoconus: ectasia, asymmetry and thinning, and how they are represented by topographic indices like the keratoconus prediction index (KPI), keratoconus probability (KProb), Inferior-Superior (I-S), cone location and magnitude index (CLMI), Kmax, and by tomographic indices like the squared eccentricity (e2), best fit sphere (BFS) and best fit toric aspheric (BFTA) elevation, total corneal wavefront, the aspheric-asymmetric index (AAI), the CLMI.X, the thickness progression index (TPI), the Belin-Ambrosio display (BAD), and the percentage tissue altered (PTA).
Photorefractive Keratectomy
Instructor: Arun Sethi, MS
1 video
Photorefractive Keratectomy (PRK), the pioneer technique in refractive surgery, has stood the test of time. The instructional course will highlight ideal patients for PRK; technique and methodology; indications and contraindications; role of Mitomycin C; complications and management.
Simplified Approach to Lamellar Keratoplasty
Instructor: Hazem Yassin, MD
1 video
Video-based course will highlight important aspects of both anterior and posterior lamellar keratoplasty including manual DALK, Big bubble DALK, Femtosecond laser-assisted ALK, DSEK, DSAEK, Ultrathin DSAEK and DMEK. Attendees will gain knowledge from the vast clinical experiences of the presenters and be able to apply the same into their clinical practice. This will help with smoother learning curves, improve outcomes, and reduce complication rates.
Keratoconus Management: What, When, and How-to-Do
Instructor: Elias F. Jarade, MD
1 video
Course will provide a complete treatment algorithm combining all available treatment modalities for adult and pediatric keratoconus. Also, a new alternative to treat surgical complications of keratoconus treatment will be discussed.
Four Strategies to Combat Burnout
Instructor: Thandeka Myeni, MD, MPH
1 video
Physicians in the US have the highest suicide rate of any profession. One study found that 41% of ophthalmologists report some degree of burnout. In this course physicians will learn to recognize early symptoms of burnout and how to successfully combat them. Through implementation of the techniques taught in this course, doctors will be able to recreate the feelings of joy and purpose that first attracted them to medicine.
Volunteer Eye Surgeons: Reaching the Unreached
Instructor: Reena Sethi, DO, MS
1 video
The course is designed for delegates who are exploring the opportunities for doing volunteer work, and to highlight effective intervention, in eye care projects, in the developing world.
Optimizing Toric IOLs: Management of Corneal Astigmatism in Cataract Surgery
Instructor: Arulmozhi Varman, MD
1 video
Course will present and overview the current concepts of astigmatism management in Cataract Surgery, participants will gain information on work up, management options and troubleshooting in astigmatism management. Course will cover management techniques for preexisting astigmatism at the time of implant surgery, with focus upon pre-operative work up, patient selection, corneal marking techniques, surgical pearls, options available for management which includes Toric IOL and Limbal Relaxing Incision, when to choose which technique. Recent advances which include marker less solutions for implanting toric IOLs, LRI using femtosecond laser, and newer toric implant.
Bifocal, Trifocal, and EDOF IOLs for Presbyopia Correction: Choosing the Best Option
Instructor: Sebastian Onnis, MD
1 video
Course will cover advantages and disadvantages of different types of presbyopia correcting intraocular lenses.
Safe Steps for Systematic Successful Keratoplasty with the Aid of Femtosecond Laser: From PKP through DALK Double-Bubble Pachymetry-Guided Technique
Instructor: Eric Y. Oregon Miranda, MD
1 video
Course will show case presentations and use videos to demonstrate how the use of femtosecond lasers utilizes a systematic approach to enhance clinical results for successful DALK surgery using more exact incisions and safer surgical steps shown by the double bubble pachymetry-guided technique. Topics will include possible complications and how to solve them, follow up of patients, indications, and experience with different laser platforms.
2019 ASCRS Subspecialty Day

All attendees of 2019 ASCRS Subspecialty Day may access all three Subspecialty Day programs on demand. Expand the tabs below to view the available sessions from ASCRS Glaucoma Day, ASCRS Refractive Day, and Cornea Day.

How to View Presentations

Click an Annual Meeting or Subspecialty Day session type above to expand the relevant tab. Once expanded, you will see a selection of available sessions. Click a session name to begin watching the videos within the session.

The first time you access a session, you will be prompted to log in with your ASCRS username and password. You will be provided access to sessions based on your ASCRS membership status and/or meeting attendance according to the access rules outlined in the Information & FAQs page

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