REFRATIVA R.I.O. course - MARCH 29th - APRIL 2nd - 2023
PRELIMINARY SCIENTIFIC PROGRAM | COORDINATION: DR. MARCONY R. SANTHIAGO
The whole course is translated into English and Spanish
IN 2023 THERE WILL BE MORE THAN 100 THEORETICAL CLASSES AND MORE THAN 30 WET/DRY LABs
THE COURSE BEGINS AT 7:30 AM ON MARCH 29, Wednesday.
ENTRANCE TO THE ROOM FOR THE FIRST CLASSES on the 1st DAY WILL BE ALLOWED WITHOUT A BADGE
PICK UP BADGE AND MATERIAL OPEN from the afternoon of TUESDAY, MARCH 28TH
OR WEDNESDAY 29TH THROUGHOUT THE DAY
03/29/2023 Wednesday
Course presentation and format
New concept of REFRACTIVE SURGERY
Marcony Santhiago
Propaedeutics Part I: We need to talk about all this
7:30am Systemic conditions/medications that impact the refractive surgery candidate
Larissa Pegorin
7:50am What I need to know about Retina and Glaucoma: Key Points
Germana Mariz
8:05am What I need to know about Ocular Motility: Key Points
Luis Eduardo Morato Carvalho
8:20am Structured and ethical thinking to increase surgical volume
Liane Iglesias
8:40am Informed consent in refractive surgery
What does it mean and how to do it properly
Claudia Morgado
8:55am Pregnancy and Refractive Surgery
Lycia Pedral
9:10am Eye allergy and the relationship with keratoconus and refractive surgery
Denise Wajnsztajn
Propaedeutics Part II: The surface
9:25am Refractive surgery candidate slit lamp
Lids, transparency, dry eye, corneal diameter and other details
Luiz Fernando Chaves
9:40am Herpes and refractive surgery: How and when to do prophylaxis
Luiz Fernando Chaves
9:50am Does the endothelium matter?
Specular microscopy and its role in the preoperative period
Vitor Carvalho
The Invisible hand
10:00am The economic and marketing aspects of refractive surgery
cost effectiveness
Vitor Carvalho
10:10am History and development of Excimer Laser Refractive Surgery
John Marshall
10:30 COFFEE BREAK
11:00am Dry eye epidemic?
What the new epidemiological studies show us
Monica Alves
11:10am Diagnosis of dry eye syndrome
Which Dry Eye? The case for accurate diagnostic terminology in ophthalmology
Symptoms, signs, criteria, stains and automated surface analysis
Monica Alves
11:30am Ocular Rosacea Microbiome: When and How to Use Doxycycline
Diogenes Caldeira
11:40am Inflammatory dry eye treatment
Artificial tear vs topical anti-inflammatory
Adriana Forseto
11:50am Inflammatory dry eye treatment
Oral Medications
Harumi Burga Kuroda
12:00pm Detailed review of new treatments for meibomitis
Pulsed Light, Thermotherapy, Oral Azithromycin, Massage and Automated Cleaning
Carolina Angeloni
12:20pm Dry eye and refractive surgery
Flowchart on how to conduct pre- and post-operatively
Monica Alves
You are in the right place at the right time
12:40pm Prevalence of candidates and patient satisfaction in refractive surgery
Evidence they need to know
Marcony Santhiago
1:10pm LUNCH
Propaedeutics Part III: The construction of structured thinking
2:00pm My flowchart for decision making
Refractive surgery: Understand ALL risk factors for ectasia
How to analyze studies on the risk of ectasia
Screening methods for early keratoconus
Posterior interface matter?
Conceptual explanation of all indexes: Where they come from and what they analyze
Analysis of what we have from scientific evidence and clinical practice
Marcony Santhiago
Propedeutics Part IV: Corneal Imaging
2:40pm Image of the cornea
The basics you need to know
J. Bradley Randleman
Topography module
What the corneal topography exam reveals
3:20pm Understanding the pattern of topographic images
Risk grades for ectasia based on topography
Marcony Santhiago
4:00p COFFEE BREAK
4:30pm - 10:30 pm WET/DRY LABs - HANDS ON
*There will be more than 30 wet/dry labs divided into 3 time slots
4:30pm - 6:30pm
6:30pm - 8:30pm
8:30pm - 10:30pm
15 rooms during the 5 days of the course
There will also be Special Sessions with extra content.
Special Session I
Special session at REFRATIVA R.I.O.
4:30 pm – 7:00 pm Specific Device Series
Coordination Isadora de Castilhos and Harumi Burga
4:30 Understanding Orbscan
4:50 Understanding iTrace
5:10 Understanding OPD Scan
5:30 pm Understanding Sirius
5:50 Understanding MS39
6:10 Understanding Anterion
6:30 Understanding Aladdin
03/30/2023 Thursday
Tomography Module I
Origin of indexes, rationality, theoretical aspects,
practical applicability and clinical examples
Tomography by Scheimpflug (Pentacam)
7:30am What do they mean and how to use each of the Pentacam screens/displays
Nicole Larivoir
7:40am Tomography through Scheimpflug (Pentacam)
Integration of Scheimpflug-Based Tomography and Biomechanical Assessments (Corvis)
Renato Ambrosio Jr.
8:00am Belin Display - What it means, Indexes and Cutoffs
Michael Belin
8:20am Ambrosio Display - What it means, Indexes and Cutoffs
Renato Ambrosio Jr.
8:30 am ABCD Display
Michael Belin
8:50am Dual Scheimpflug Tomography and Placido Disc (Galilei)
What do they mean and how to use each of the Galilei screens/displays
9:10am CLMI.X Display - Indices and Cutoffs
Maria Ximena Nunes
9:30am Elevation maps: How to use front and back interfaces seamlessly
κ angle and its effect on corneal elevation maps in refractive surgery candidates
Carlos Arce
9:50am Differences (and correlations) between Galilei and Pentacam devices
Nicole Larivoir
10:00am Corneal thickness analysis: When is it too thin and why?
Marcony Santhiago
10:30 COFFEE BREAK
beyond the obvious
11:00am Epithelial map in the preoperative period of refractive surgery
Integrating Structural Tomographic Data and Epithelial Map in identifying the patient at risk
Marcony Santhiago
11:40am Artificial intelligence in diagnosing subclinical keratoconus
poojar khamar
12:00pm Percent Tissue Altered (PTA):
Concept and how to apply it in everyday life
Marcony Santhiago
12:40pm Artificial intelligence in the preoperative refractive surgery assessment
Marcony Santhiago
12:50pm Structured thinking (Flowchart) for decision making
Marcony Santhiago
1:10pm LUNCH with lunch box and
SPECIAL ROUND TABLE on DRY EYE
Coordination: Lycia Pedral and Barbara Dutra
Panelists: Monica Alves, Adriana Forseto and Anderson Martins
Perspectives
2:00pm What's happening in the eye care market
Amaury Guerreiro
structurally speaking
2:10pm Translational biomechanics in refractive and corneal surgery
William J. Dupps
2:30pm Biomechanical principles for the refractive surgeon
William J. Dupps
2:50pm The Fragility of Knowledge
J. Bradley Randleman
3:30pm Why Q: Does asphericity manipulation work?
Marcony Santhiago
3:45pm Refractive Surgery as a turning point in the human Experience
Guy M Kezirian
4:00p COFFEE BREAK
4:30pm - 10:30 pm WET/DRY LABs - HANDS ON
*There will be more than 30 wet/dry labs divided into 3 time slots
4:30pm - 6:30pm
6:30pm - 8:30pm
8:30pm - 10:30pm
15 rooms during the 5 days of the course
There will also be Special Sessions with extra content.
Special Session II
Special session at REFRATIVA R.I.O.
4:30 pm – 8:30 pm Management: You are your business
Coordination Carla Medeiros and Carolina Angeloni
03/31/2023 Friday
we need to know more
7:30am Pupil size matters. Oh! Does it?
Glauco Mello
7:40am Optical Zone and Centralization
(Coaxial with light reflex or pupil center?)
Glauco Mello
7:50am The importance of cyclotorsion compensation
Ways to align astigmatism with different braces
Is it still necessary to mark the axes in the supine position?
Fabio Marujo
8:00am Effect of anisometropia on the predictability and accuracy of refractive surgery
Isadora de Castilhos
8:10am OCT in anterior segment
How to use this tool in the daily life of the refractive, cataract and cornea patient
Norma Allemann
Evolution and reality
8:30am "From broad beam to flying spots and such"
Evolution of the way the laser is applied to the cornea
Jackson Barreto Jr
8:45am Evolution of ablation profiles
How and why we got at the optimized profile and aspheric treatments
Jackson Barreto Jr
Therapeutic refractive surgery I
9:00am Topography-guided surgery on irregular corneas
Adriana Forseto
9:20am Excimer laser vision correction in patients with amblyopia
Julie Schallhorn
9:40am PTK: Indications and planning
Ramon Ghanem
10:00am Special Launch event for something that could change your life forever
Marcony Santhiago
10:30 COFFEE BREAK
enlighten me
11:00am Topography-guided LASIK on virgin corneas
Avi Wallerstein
11:20am Interpretation of higher order preoperative aberrations
Surgical manipulation of optical aberrations and their clinical effect
Jackson Barreto Jr
11:40am Ray tracing optimization of excimer laser ablation
Any room for AI?
John Kanelloupollous
Yeah... Technically that's it I
12:00pm PRK: Indications, particularities and scientific evidence | transepithelial PRK
What we know about post PRK pain
Myths and truths about haze: What is the evidence
Marcony Santhiago
12:45pm Delayed epithelial healing after photorefractive keratectomy
Why it happens and what to do?
Julie Schallhorn
1:00pm Topical losartan as prevention of corneal haze
Lycia Pedral
1:10pm LUNCH
Yeah... Technically that's it II
2:00pm LASIK part I: Indications, particularities and scientific evidence
Marcony Santhiago
2:30pm Perspectives: Available devices for LASIK with FS and MK
Barbara Dutra
2:40pm LASIK Flap/Interface Complications and how to handle
J. Bradley Randleman
3:00pm Infectious keratitis after laser vision correction: Incidence and risk factors
Julie Schallhorn
3:10pm Deep analysis of regression rates (and their risk factors/rationality)
Michael Mimouni
3:20pm Low postoperative visual acuity: possible explanations, what to do and when?
wallace chamon
3:40pm Interview with American Academy CEO Stephen McLeod
The global refractive surgery landscape, new FDA regulations,
the future of ophthalmology with consolidations and much more
4:00p COFFEE BREAK
4:30pm - 10:30 pm WET/DRY LABs - HANDS ON
*There will be more than 30 wet/dry labs divided into 3 time slots
4:30pm - 6:30pm
6:30pm - 8:30pm
8:30pm - 10:30pm
15 rooms during the 5 days of the course
There will also be Special Sessions with extra content.
Special Session III
Special session at REFRATIVA R.I.O.
4:30 pm – 8:00 pm The OTHERS: other techniques or software available that are worth being presented in detail
Coordination Terla Castro and Isadora de Castilhos
4:30pm FLACS Femtosecond laser-assisted cataract surgery
Technique (in details), refractive outcomes, safety, and cost-effectiveness
Charles Lin
4:50pm LAL Light Adjustable Lens
5:00pm LASEK (not LASIK) and Epi LASIK
Adriana Tytun
5:10pm LIRIC laser-induced refractive index change
Liliana Werner
5:20pm LIKE lenticule intrastromal keratoplasty
Majid Moshirfar
5:30pm FILI Femtosecond Intrastromal Lenticule Implantation
sheetal brar
5:50pm Lenticule Intrastromal Implantation for Keratoconus
6:00pm Relaxing incision: applications and nomogram
Adriana Forseto
6:10pm Femtosecond Laser–Assisted Arcuate Keratotomy
6:20pm Corneal Remodeling Technique: crescent keratectomy
Cesar Carriazo
6:30pm Bio-synthetic Collagen Presbyopic Corneal Inlay
6:40pm Pupiloplasty for visual rehabilitation
6:50pm Artificial iris: Indications and results
Ramon Ghanem
7:00pm Intrastromal ring for high myopia
Sandro Coscarelli
7:10pm Scleral lens in patient with keratoconus
Terla Castro
7:20 to 8:00pm How to use Phorcides Analytic Engine™️
Mark Lobanoff walks through this software designed to assist in planning topo-guided surgery treatments with Contoura.
01/04/2023 Saturday
In addition to the excimer laser
7:30am Anterior chamber phakic lens: results and complications
Pedro Bertino
7:45am Posterior chamber phakic lens
Perspectives: Correcting astigmatism with a phakic lens: Posterior vs anterior
8:00am Lenticle extraction: Options, technique, results and management of complications
Marcia Toledo
details matter
8:20am Limits in refractive surgery how far to steepen or flatten?
Maria Ximena Nunes
8:40am Perspectives: Differences (and similarities) between excimer laser devices
Fernando Marquez
Nomogram adjustments, centering, optical zone and tips on transposing refraction to excimer
8:50am Planning to optimize the outcome of treating astigmatism
Glauco Mello
9:00am Special features of the excimer laser for myopia
Rafael Kobayashi
9:10am Special features of the excimer laser for hyperopia
Carla Medeiros
9:20am What Just Happened?
Complicated Complications in Refractive Surgery (medical errors)
J. Bradley Randleman
9:40 Epithelial map in postoperative monitoring
Marcony Santhiago
10:05am Myths and truths in refractive surgery
wallace chamon
10:30 COFFEE BREAK
11:00 Round table: Discussion of clinical situations and illustrative cases
Coordination: Marcony Santhiago and Larissa Stival
Panelists: J. Bradley Randleman, Julie Schallhorn, Wallace Chamon, Marcia Toledo, Glauco Mello, Maria Ximena Nunes and Ramon Ghanem
Dilated patient with a lot of difference in refraction, how much hyperopia to treat?
Correct static or dynamic refraction? | Astigmatism: axis of top or refraction?
Patient is not satisfied, what could it be?
The epithelium does not close, what to do?
Cataract or Cornea: Where to Go? | How to treat dry eye?
Myopic presbyopic patient, what is the best option? What if you are hypermetropic?
Altered topography and normal tomography: Can I operate?
Is this cornea too thin or can it be operated on?
Questions like these and many others in 2 hours of discussion with lightness and information
1:10pm LUNCH
2:00pm Keratoconus: Rewriting the Textbook
J. Bradley Randleman
2:30pm Keratoconus: diagnosis and natural history of the disease
Evolution criteria and management flowchart in ectatic disease
Marcony Santhiago
2:40pm All about CROSSLINKING
Beyond UV Light: The Role of Riboflavin and Its Vehicle
Correct indications, results, different situations and age
Different techniques and customization
Marcony Santhiago
3:00pm Critical review of oral riboflavin: What's the evidence?
Rafael Arantes
3:10pm Minimal thickness, techniques for thin cornea and role of oxygen
Marcony Santhiago
3:20pm CXL on thin corneas
Hyposmolar Riboflavin | Customized Sub400 protocol | contact lens assisted protocol
Marcony Santhiago
Understanding complications and unexpected results
Critical analysis of other CXL applications
Practical tips and my flowchart for doing CXL
Marcony Santhiago
3:40pm Perspectives: The Coming Age of Pharmacological Control of the Corneal Opacity
Topical Losartan: prophylactic and therapeutic treatments in the eye.
Steven E. Wilson
4:00p COFFEE BREAK
4:30pm - 10:30 pm WET/DRY LABs - HANDS ON
*There will be more than 30 wet/dry labs divided into 3 time slots
4:30pm - 6:30pm
6:30pm - 8:30pm
8:30pm - 10:30pm
15 rooms during the 5 days of the course
There will also be Special Sessions with extra content.
Special Session IV
Special session at REFRATIVA R.I.O.
4:30 pm – 8:00 pm Do you have a cornea to operate on?
Coordination Lycia Pedral and Pedro Bertino

4:30pm Critical analysis: Rho Kinase (ROCK) enzyme inhibitors and surgical procedures
4:50pm Microinvasive Glaucoma Surgery
What the anterior segment surgeon should know
5:10pm CAIRS corneal allogenic intrastromal ring segments
5:20pm How to use imaging tests for planning corneal transplant
5:40pm Recovering from a penetrating transplant
5:50pm DALK Deep anterior lamellar keratoplasty
6:00pm Bowman Layer Transplantation
6:10pm DMEK Descemet's Membrane Endothelial Keratoplasty DMEK
6:20pm The endothelium and cataract surgery
What is the role of femtosecond laser cataract surgery
6:30pm DWEK Descemetorhexis without endothelial keratoplasty
6:40pm PDEK pre-Descemet Endothelial Keratoplasty
6:50pm Understanding Your Patient's Central and Peripheral Image Quality
7:00 - 8:00pm Analysis of the pharmacological treatment of myopia
Wallace Chamon
8:00 - 8:30pm Nanotechnology and drug delivery systems for topical ocular therapy
David Smadja
02/04/2023 Sunday
7:30am Post op. recomendations of refractive surgery and why | be patient
Claudia Morgado
Towards presbyopia
7:40am Strategies to take the edge off presbyopia with excimer laser
Marcony Santhiago
8:10am Comparison and correlation between biometric devices
My practical tips
Aileen Walsh
8:20am Biometrics and calculation of the IOL after refractive surgery
The most important basic aspects and formulas
Artificial intelligence in IOL
Felipe Taguchi
8:40am Biometrics of the patient with Keratoconus or Pelucida Marginal Degeneration
Aileen Walsh
8:50am Critical analysis of the optical characteristics of aspherical IOLs
Newton Kara-Junior
9:00am Toric IOL: Planning indications and results
Murilo Bertazzo
9:10am Leftover Astigmatism: The Missing Link
Douglas Koch
9:30am Prevention and Management of Positive and Negative Dysphotopsias
Newton Kara-Junior
9:40am Presbyopic IOL Overview: Current options and Future Innovations
Julie Schallhorn
10:05am How my experience contributes to lens selection,
in identifying the ideal patient and post op satisfaction.
Armando Crema
10:30am COFFEE BREAK
11:00am Corneal Topography for the Cataract Surgeon
J. Bradley Randleman
11:10am Pharmacological treatment for presbyopia
Marguerite mcdonald
Therapeutic refractive surgery II
11:30am Pinhole implant for irregular corneas
Bruno Trindade
11:40am Correction of post-TX ametropias
Pedro Bertino
11:50am Optical Evaluation of Intracorneal Ring Segment Surgery in Keratoconus:
The clinical impact
Susana Marcos
12:10pm Overview on intrastromal corneal ring
Frederico Bicalho
12:30pm Intrastromal corneal ring in the patient with keratoconus:
Step by step planning
Henrique Possebon
12:40pm Intrastromal corneal ring in advanced cases
Jordana Sandes
12:50pm Modulating the cornea in patient's off target with refractive IOLs
Lycia Pedral
1:00pm Photograph/Post Award Ceremony and closing
See you in 2024