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REFRATIVA R.I.O. COURSE - MARCH 20thto 24th

PRELIMINARY SCIENTIFIC PROGRAMMING

COORDINATION: DR. MARCONY R. SANTHIAGO

 

March 20th, 2019  Wednesday

 

12:50 pm Presentation of the Course: Format and Goals

          The new concept of Refractive Surgery

 

Propaedeutic Part I: Before the Cornea

1:00 pm Refractive Surgery and systemic diseases: What we need to know

1:20 pm What I need to know about Retina: Key Points

1:30 pm What I need to know about Glaucoma: Key Points

1:40 pm What I need to know about Ocular Motility: Key Points

 

1:50 pm Infection and refractive surgery: How to identify and treat

2:30 pm Ocular Surface - Report of the International DEWS

3:00 pm Pregnancy and refractive surgery

 

Propaedeutic Part II: Understanding the risks adequately

3:20 pm Refractive Surgery: Risk Factors Vs Screening Methods

 

4:00 pm COFFEE BREAK

 

Propaedeutic Part III: Imaging of the Cornea

4:30 pm Analysis of corneal thickness: When it is too thin and why

5:00 pm Corneal Topography with Placido disc

5:30 pm Differences between technologies for corneal topography 

6:00 pm Epithelial Map in refractive surgery

 

7:00 pm - 10:00 pm WET LABS - HANDS ON

* Details about the wet labs in the "WET LABs" icon

 

March 21st2019 Thursday

 

Propaedeutic Part III: Beyond Topography

7:30 am Tomography by Scheimpflug / Pentacam

8:15 am Tomography by Dual Scheimpflug with Placido / Galilei 

9:00 am Tomography by Scanning slit / Orbscan

9:30 am Methods that inform about the corneal tensile strength

10:00 am OCT in Refractive Surgery

 

10:30 am COFFEE BREAK

 

Understanding the Intraoperative information

11:00 am LASIK part I: Indications, particularities and scientific evidence

11:45 am LASIK part II: Practical tips

12:00 pm LASIK part III: Management of complications

12:30 pm Photorefractive keratectomy (PRK) part I: Indications, particularities and scientific evidence.

1:15 pm Photorefractive keratectomy (PRK) part II: Practical tips

 

1:30 LUNCH

 

Beyond the obvious customization

2:30 pm Transepithelial PRK: Concept and results

3:00 pm Surgical manipulation of optical aberrations and their clinical effect

3:30 pm Topography-guided surgery: New concepts

4:00 pm Phototherapeutic keratectomy (PTK) in refractive surgery

 

Optimizing Results

4:30 Learn how to optimize the excimer laser correction of myopia

4:40 Learn how to optimize the excimer laser correction of hyperopia

5:05 Learn how to optimize the excimer laser correction of astigmatism

 

5:30 INTERVALO - COFFEE BREAK

 

6:00 - 10:00 pm HANDS ON - WET LAB

 

March 22nd2019 Friday

 

Enhancing knowledge:

7:30 am Wound healing after refractive surgery

8:00 am Optical Zone and Centration (Coaxial to light reflex or pupil center?)

8:30 am Dry Eye and Refractive Surgery: The Importance of Properly Diagnosing and Treating

9:00 am Understanding patient dissatisfaction

9:30 am Pupil size matters?

9:50 am Limits in refractive surgery: How much can we steepen or flatten?

 

Space Innovation

10:10 am Nanotechnology applied to refractive surgery: Closer than ever

 

10:30 am COFFEE BREAK

 

Given the specific demands

11:00 am Strategies to soften the presbyopia with excimer laser

11:50 am Correction of post-transplant ametropias

 

In addition to the Excimer LASER I

12:20 pm Anterior Chamber Phakic IOL: models, indications, and results

12:40 pm Posterior Chamber Phakic IOL: models, indications, and Results

 

1:00 pm LUNCH 

 

In addition to the Excimer LASER II

2:00 pm SMILE: Indications, particularities and scientific evidence

3:00 pm Corneal Inlays: How They Work

3:20 pm Implant with pinhole effect: Xtra Focus

3:40 pm Limbal relaxing incision (LRIs): applications and nomogram

 

Session Practical Tips:

4:00 pm Practical tips on Zeiss Excimer laser 

4:15 pm Practical tips on Schwind Excimer laser 

4:30 pm Practical tips on VISX Excimer laser 

4:45 pm Practical Tips on Wavelight Excimer laser 

 

5:00 pm Myths and Truths in Refractive Surgery

 

5:30 pm COFFEE BREAK

 

6:00 - 10:00 pm HANDS ON - WET LAB

 

March 23rd2019 Saturday

 

7:30 am The market for refractive surgery: How can I operate more?

 

8:00 am Flowchart for decision making: LASIK, PRK, SMILE or Lente Fácica?

9:00 am Percent Tissue Altered (PTA): Concept and how to apply on a daily basis

10:00 am A critical analysis of the main risk factors in refractive surgery

 

10:30 am COFFEE BREAK

 

11:00 am DISCUSSION OF ILLUSTRATIVE CASES - FROM THE BASIC TO THE ADVANCED

Patient dilated with much difference in refraction, how much of farsightedness to treat?

Should we always correct the cycloplegic refraction?

Astigmatism: topography or refraction axis?

Myopic presbyopia, which is the best option? What if it's hyperopic?

Abnormal topography and normal tomography: Can I operate on?

Is this cornea too thin to have excimer laser?

Doubts like these and many others in 2 and a half hours of discussion with lightness and information

 

1:30 pm LUNCH

 

2:30 pm Intrastromal corneal ring: How to Plan

3:00 pm Endothelial Dysfunction, Cataract and Refractive Surgery: What do we need to know?

3:20 pm Femtosecond and the crystalline: Literature and experience

3:40 pm Biometry and IOL calculation PART I: the importance of the appropriate tool

4:00 pm Biometry and IOL calculation PART II: post keratorefractive surgery

4:30 pm Toric IOL: indications and practical tips

5:00 pm Multifocal and trifocal IOL: options and strategies

 

5:30 pm COFFEE BREAK

 

6:00 - 10:00 pm HANDS ON - WET LAB

 

March 24th, 2019  Sunday

 

8:00 am Understanding the corneal topography and its signs of weakening

Reviewing concepts to take home

 

9:00 am Diagnosis of keratoconus and flowchart of conduct in ectatic disease

 

9:30 am CROSSLINKING Part I: Beyond UV light: The role of riboflavin and its vehicle

10:00 am CROSSLINKING Part II: Correct indications, different situations, and age

10:30 am CROSSLINKING Part III: Different techniques and personalization

11:30 am CROSSLINKING Part III: Understanding Complications and Unexpected Results

11:45 am CROSSLINKING Part IV: Practical tips and flowchart

 

12:00 pm How can we apply tomorrow all we have learned here.

 

12:30 * CLOSURE - TILL THE YEAR COMES

* schedule for course closure may be adjusted.