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2026 SCIENTIFIC PROGRAM  

WHAT YOU WILL LEARN at REFRATIVA R.I.O.

The scientific program of REFRATIVA R.I.O. reflects respect and empathy for our students.

The 2027 edition will be from march 10th thru 14th

See below our detailed scientific program

+ 75h of theory, + 100 classes and +50 HANDs ON wet/dry labs, in addition to special sessions,

live discussion tables, interviews and the  "universo basico" with basic content (presentations and cases)

 

The whole teaching format developed by REFRATIVA R.I.O. that you only find here.

​Below the 2026 edition 

Wednesday, March 25th

The Power of a Plan: The Strategy to Follow

07:30 Anatomy of the First Consultation

From preliminary questionnaires to more complex exams

From patient expectations to the best indicated technique

The path to follow and the decisions to make

Carla Medeiros


Propaedeutics Part I:

Know what to look for, and what to do with the answers.

07:45 What we need to know about Ocular Motility

Thays Albhy

08:00 What we need to know about Glaucoma and intraocular pressure

Are drusen in the optic nerve a risk for excimer laser?

Sarah Mariz


08:10 Neuropathic pain and surface

Carolina Angeloni


08:20 What we need to know about the Retina

When the patient needs laser treatment on the retina, how long after can we perform refractive surgery?

Carolina Hilgert


08:35 Pterygium and Refractive Surgery

When and how to perform pterygium surgery on a candidate for refractive surgery?

And then what is the best technique for refractive surgery for this patient?

Germana Mariz


08:50 Blepharoplasty and Refractive Surgery

When and how to perform blepharoplasty on a candidate for refractive surgery?

Diogenes Caldeira


09:00 Systemic Conditions or Diseases that Impact the Candidate for Refractive Surgery

Which diseases are contraindications or require caution?

Carla Medeiros


09:20 Systemic Medications that Impact the Candidate for Refractive Surgery

Which medications require our attention? Do weight-loss pens contraindicate refractive surgery?

What do we need to ask and investigate?

Larissa Pegorin


09:35 Pregnancy, breastfeeding and refractive surgery

Lycia Pedral


When does it make sense to be on the surface, part I

09:45 Optimization of the ocular surface in the candidate for refractive surgery

Eyelid irregularities, blepharitis, inflammation or irregularity of the ocular surface

The preoperative surface alteration algorithm and the SPEED questionnaire

Marilia Trindade


10:00 Diagnosis and treatment of dry eye

What new epidemiological studies show us

What type of dry eye is it?

The case for precise diagnostic terminology in ophthalmology

Monica Alves

Risk factors for dry eye

Symptoms, signs, criteria and dyes

Inflammatory treatment for dry eye


Preventive Measures | Artificial Tears | Topical Anti-inflammatory | Oral Medication

Nasal Spray for Dry Eye in Individuals with Autoimmune Diseases?

Detailed Review of New Treatments for Meibomian Throat

Pulsed Light, Thermotherapy, Oral Azithromycin, Massage, and Automated Cleansing

Ocular Rosacea Microbiome: When and How to Use Doxycycline


Dry Eye and Refractive Surgery

Flowchart of Pre- and Post-Operative Care

Monica Alves

10:20 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

11:00 Does the endothelium matter?

Specular Microscopy and its Role in Pre-op

Lycia Pedral


11:10 Herpes and Refractive Surgery

How and When to Perform Prophylaxis

Claudia Morgado


Understanding the Market You're Part of

11:25 Structured and Ethical Thinking to Increase Surgical Volume

Christiana Hilgert


11:40 Social Media: How to Use It Ethically, Functionally, and Effectively

Cláudia Del Claro


Learn How to Inform Them

12:00 Pre- and Post-operative Guidelines

What the Patient Should Avoid and What They Need to Know

How Long Without Contact Lenses Before Exams?

What are the signs and when do you suspect we'll need to wait longer?

Patient Questions and How to Answer Them


When Can I Return to Exercise? Can I Dive? Can I take a flight?

Informed Consent in Refractive Surgery: What it Means and How to Do It Properly

Claudia Morgado

You're in the Right Place at the Right Time

12:20 The Refractive Surgery Market

Where is the Bottleneck?

Marcony Santhiago


12:30 Prevalence of Candidates for Refractive Surgery

The Boom Isn't Just About Myopia

Marcony Santhiago


12:40 The Concept of Shared Decision-Making in Refractive Surgery

The Shared Decision to Operate and the Maturing of the Doctor-Patient Relationship

How Can I Inform Patients About Risks and Benefits?

Marcony Santhiago

12:50 Patient Satisfaction Rates in Refractive Surgery

Evidence They Need to Know

Marcony Santhiago

 

13:00 Lunch Time


Propaedeutics Part II: Understanding Risk Factors for Ectasia

How to Structure Thinking and Make Decisions Based on Scientific Evidence


2:10PM My Decision-Making Flowchart

Refractive Surgery: Understand ALL the Risk Factors for Ectasia

Start Understanding Where Risk Factors Come From and What They Mean

How to Analyze Risk Studies

How to Interpret Screening Methods

Building a Flowchart for Decision Making

Marcony Santhiago


3:00PM Percentage of Altered Tissue (PTA):

How can patient variables such as thickness and magnitude of correction interact safely?

Marcony Santhiago

4:00PM Coffee Break offered by REFRATIVA R.I.O. to replenish your energy​​

Special Session I 

You Are Your Business | Management in Ophthalmology from 4:00PM to 9:00PM
Special session at REFRATIVA R.I.O. dedicated to office-related issues
Such as taxes, purchasing equipment, insurance partnerships, ways to increase patient acquisition, and improving management. In this special session, we will hear from experts who will share their experiences and provide valuable tips.

Coordination: Carolina Angeloni and Carla Medeiros

4:30 PM - 10:30 PM Practical WET/DRY LABs

There will be more than 40 wet/dry labs in 3 time slots per night, divided into 16 rooms during the course days – see the wet labs on the "wet labs" page.

Thursday, March 26th

Propedeutics Part III:
The Image of the Cornea and the Development of Critical Thinking

 

07:30 OCT, UBM, and Ultrasound in Surgical Optics
From anterior chamber depth to macular edema:
How to apply these technologies in anterior segment surgeries

Norma Alleman

07:45 Practical Interpretation of Higher-Order Aberrations in the Pre-Operative Phase
What do aberrations measure, and what is relevant in the pre-operative phase for anterior segment surgeons
Does pupil size matter?

Savio Milbratz

Back to the maps part I - Modulo Tomography module

08:00 Corneal imaging

The basic concepts you need to know

J. Bradley Randleman

08:20 Update and Differences Between Technologies for Corneal Tomography

Understand what the Scheimpflug (Pentacam), Dual Scheimpflug (Galilei), and MS39, Anterion OCT technologies and others show

What the displays mean and how to interpret them

Nicole Larivoir

**Here we remind you that during the course there are specific classes (dry labs lasting 2 hours) for each device, delving deeply into each of the available features and displays.

See below for the schedule and plan accordingly:

PENTACAM

THU 26.03 16:30 – 18:30 | 18:30 – 20:30

In addition to extra video material available for up to 30 days after the course.

GALILEI

FRI 27.03 16:30 – 18:30 | 18:30 – 20:30

In addition to extra video material available for up to 30 days after the course.

ANTERION

THU 26.03 16:30 – 18:30

OPD-Scan

THU 26.03 20:30 – 22:30

MS-39

THU 26.03 18:30 – 20:30

OCT – Optovue / Solix

FRI 27.03 16:30 – 18:30 | 18:30 – 20:30

CORVIS

WED 25.03 16:30 – 18:30 | 18:30 – 20:30

In addition to the above hands-on dry labs, we provide video classes as extra material for students of REFRATIVA R.I.O.

  • Understanding the Orbscan 

  • Understanding the iTrace 

  • Understanding the SIRIUS 

  • Understanding Aladdin

Resuming the Schedule for Thursday, 03/27

08:50 Structural Imaging Analysis: The "Biomechanics" of the Cornea
What is known about biomechanics and what are the practical applications of this technology
 J. Bradley Randleman

09:10 Artificial Intelligence in Refractive Surgery

Wallace Chamon


What the corneal topography exam reveals

09:30   Understanding the pattern of topographic images

Risk gradations for ectasia based on topography

​Marcony Santhiago

10:20 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy​​

Enlighten Me

11:00 Evolution of the Way Laser is Applied to the Cornea
"From broad beam to flying spots and such"

Savio Milbratz

11:10 Optical Zone and Centralization

(Coaxial to the light reflection or center of the pupil?)
Renato Garcia

11:20 Corneal thickness analysis: When is it too thin and why?

Marcony Santhiago

12:10 Epithelial map in the preoperative period of refractive surgery

What epithelial mapping tells us about patient selection and procedure recommendations

Integrating structural tomographic data and epithelial map in identifying at-risk patients

Marcony Santhiago

13:00 Sponsored LUNCH Time with lunch box

EVO ICL Staar Symposium 

Coordination and Moderation - Marcony R. Santhiago

 

Systematic Review: What is the current evidence? 
Marcony R. Santhiago

 

Practical Preoperative Tips For optimal outcomes 
Carlos Gordillo

Intraoperative Tips 
Adriana Forseto 

Vault Assessment and Postoperative Follow-up 
Carlos Gordillo

Clinical Cases and Discussion 
Glauco Mello presents and moderates the discussion with participation from all panelists

Enlighten Me II

14:10 Available Excimer Laser Platforms

Ablation rates, differences, and technological advances across platforms

Savio Milbratz

Every Detail Matters

14:20 Planning to Optimize Outcomes in Astigmatism Treatment

Refraction details and planning strategies for patients with astigmatism

What happens to the cornea? What are the limits?

What is the relationship between topographic and refractive astigmatism?
Does it influence treatment planning?

Ways to align astigmatism using different devices

Is it still necessary to mark the axes before the patient lies down?

Glauco Mello

14:40 Excimer Laser Particularities for Myopia

Refraction details and planning strategies for myopic patients

What happens to the cornea? What are the limits?

Savio Milbratz

15:00 Excimer Laser Particularities for Hyperopia

Refraction details and planning strategies for hyperopic patients

What happens to the cornea? What are the limits?

Carla Medeiros

15:20 Personalization Strategies

Aspheric Treatment | Custom Q

Topography-Guided Surgery

Wavefront-Guided Surgery

Ray-Tracing–Guided Surgery

Understanding the concepts and rationale behind these techniques, their indications, and clinical outcomes.

André Torricelli

Here we remind you that during the course there are still specific classes (dry labs lasting 2 hours, basic and advanced modules) for each excimer laser, delving into detail about each of the available features, planning, and indications.

See below for the schedule and plan accordingly:

WaveLight Alcon – Coordination: Glauco Mello

Basic Module – THU 26.03 4:30 – 6:30pm

Advanced Module – THU 26.03 6:30 – 8:30pm

Schwind Amaris – Coordination: Ramon Ghanem

Basic Module – FRI 27.03 16:30 – 6:30pm

Advanced Module – FRI 27.03 18:30 – 8:30pm

Zeiss MEL 80 / MEL 90 – Coordination: Márcia Toledo

SAT 28.03 4:30 – 6:30pm

VISX – Coordination: Luciano Haddad

SAT 28.03 6:30 – 8:30pm

Bausch & Lomb Teneo – Coordination: Fernando Marquez

SAT 28.03 8:30 – 10:30pm

Returning to the Friday program – 26.03

3:40 PM Special Lecture – 10 Years of REFRATIVA R.I.O.

The Future of Refractive Surgery: The Reasons Why You Are Here

J. Bradley Randleman

Myopia has reached epidemic proportions and, in the coming decades, may affect up to 70–75% of the world’s population, imposing a substantial clinical, economic, social, and environmental burden. In light of the limitations of a model based primarily on optical aids, recent advances in corneal biomechanics, ray tracing, and artificial intelligence are positioning refractive surgery as an increasingly precise, personalized, and sustainable solution. With the proper development and integration of these technologies, it becomes possible to achieve visual outcomes approaching each patient’s individual optical ideal, consolidating refractive surgery as one of the central pillars of ophthalmic practice throughout the careers of the surgeons practicing today.

4:00PM Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

 

Special Session II

UNIVERSO BASICO of REFRATIVA R.I.O. from 5:00 PM to 9:00 PM

Our great session all focused on basic content is back 

Basic topography, tomography and pachymetry classes

Basic case review from start to finish

Basic review of techniques with practical tips

Bring your case. Open session for questions – Open Mic

Marcony Santhiago, Carla Medeiros, Claudia Morgado and Juliana Feijó

4:30 PM - 10:30 PM Practical WET/DRY LABs

There will be more than 40 wet/dry labs in 3 time slots per night, divided into 16 rooms during the course days – see the wet labs on the "wet labs" page.

 

Friday, March 27th

 

Technically Speaking I

7:30 AM Anterior Chamber Phakic IOL

Indications, outcomes, and complications

Adriana Forseto

7:45 AM Posterior Chamber Phakic IOL

Indications, outcomes, and complications

Key intraoperative tips

Carlos Gordillo

8:05 AM Anterior Segment Imaging

Parameters for phakic IOL selection and postoperative follow-up

Norma Allemann

8:15 AM Keratorefractive Lenticule Extraction (KLEX)

Progress and current status of corneal lenticule extraction

SMILE, CLEAR, SILK, and SMARTSIGHT

Baja Mohac

We would also like to highlight that, in addition to the theoretical lectures, we offer hands-on wet labs with a duration of 2 hours for anterior chamber phakic IOLs (Artisan | Artiflex), posterior chamber phakic IOLs (ICL | Eyecryl | Intralens), and SMILE. Please see the schedule below and plan accordingly:

Posterior Chamber Phakic IOL (ICL)

WED 25.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

THU 26.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Posterior Chamber Phakic IOL (Eyecryl)

FRI 27.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

SAT 28.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Posterior Chamber Phakic IOL (Intralens)

WED 25.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

THU 26.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Anterior Chamber Phakic IOL (Artisan | Artiflex)

FRI 27.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

SAT 28.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Returning to the Friday program – 27.03

It's Complicated; But We Know What to Do – Part I

8:35 AM Oops! The Wrong Laser Treatment Was input

What to do immediately — if it is safe

Glauco Mello

8:45 AM Infectious Keratitis After Laser Vision Correction

Incidence and risk factors

Cláudia Morgado

9:00 AM Losartan: The Rationale for Topical Treatment of Corneal Opacity

Practical cases

Lycia Pedral

Technically Speaking II

09:15 PRK: Indications, Particularities, and Scientific Evidence
What we know about post-PRK pain
Myths and truths about haze: What is the evidence?

​Marcony Santhiago

09:50 Delay in Epithelial Healing After Photorefractive Keratectomy
The epithelium does not close after PRK: Prevention and treatment
Marcony Santhiago

10:05 Transepithelial PRK
What are the available alternatives and when to perform it?

Juliana Feijó

We would also like to highlight that, in addition to the theoretical lectures, we offer hands-on wet labs with a duration of 2 hours for PRK using different epithelial removal techniques. Please see the schedule below and plan accordingly:

PRK (Different Epithelial Removal Techniques)

WED 25.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

THU 26.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

FRI 27.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

SAT 28.03 4:30 PM – 6:30 PM | 6:30 PM – 8:30 PM | 8:30 PM – 10:30 PM

Returning to the Friday program – 28.03

10:20 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

 

Technically Speaking II

11:00AM Technologies for LASIK with Femtosecond Laser and Mechanical Microkeratome

Filipe Guidotti

11:10AM LASIK: Indications, techniques, particularities and scientific evidence.

Marcony Santhiago

**Here we remind you that in addition to the theoretical classes, we offer practical wet labs lasting 2 hours for LASIK with femtosecond lasers

Resuming the Schedule for Friday, 03/28

It’s complicated 

12:00 Flap striaes after LASIK: How to avoid and handle (early and late)

Marcony Santhiago 

12:20 Flap-related complications

Intraoperative complications related to lamella formation

Videos with situations that you don't want to live in, but need to know how to recognize and manage

Ramon Ghanem

12:15 PM Interface-Related Complications

Learn how to recognize and manage DLK, CTK, PISK, and epithelial ingrowth

Renata Bueno

12:30 PM Excimer Laser Nightmare – Video Session

When things do not go as planned

A session featuring videos of challenging and undesirable situations in refractive surgery

Ticiano Giobellina

12:40 PM Special Lecture – 10 Years of REFRATIVA R.I.O.

Myths and Truths in Refractive Surgery

Wallace Chamon

What you thought you knew about refractive surgery — and what may not be exactly as it seems. This lecture revisits established concepts, challenges widely held beliefs, and separates solid scientific evidence from narratives driven by market pressure. An invitation to critical thinking, responsible use of the literature, and practice grounded in science rather than trends.

 

13:00 Sponsored LUNCH Time with lunch box

ALCON  Symposium 

Coordination and Moderation - Debora Espada e Marcony R. Santhiago

The rationale and science behind Ray tracing guided excimer laser
Marcony R. Santhiago

 

Clinical cases Ray tracing

Paulo Schor

Discussion

Debora Espada

Beyond the Obvious

2:10 PM Flattening Limits in Myopic Treatments

Understanding the proportion of keratometric change per diopter of attempted spherical equivalent (∆K/∆SEQ)
for myopia correction in LASIK, PRK, and KLEX.

Marcony R. Santhiago

2:30 PM Perspective – Treatment Options for High Myopia

Building a decision-making flowchart

Marcony R. Santhiago

2:50 PM Epithelial Mapping in Postoperative Monitoring

How epithelial mapping should be used and how it helps explain postoperative findings,
such as transient residual refractive error

Marcony R. Santhiago

3:10 PM Enhancements: When and How – Restoring Outcomes and Patient Satisfaction

Analysis of regression rates in refractive surgery (and their risk factors/rationale)

Can epithelial mapping guide our retreatment planning?

Review of current safety limits

Marcony R. Santhiago

3:40 PM Special Lecture – 10 Years of REFRATIVA R.I.O.

The Invisible Patient: What I Learned by Looking Beyond the Tests

Paulo Schor

Refractive surgery does not begin with diagnostic tests, nor does it end with the laser. Over the years, it becomes clear that excellent outcomes depend as much on surgical technique as on understanding the personality, expectations, and behavior of the patient undergoing the procedure. This lecture invites participants to look beyond maps and numbers, exploring in a practical and engaging way the most common patient profiles, warning signs, and human nuances that directly influence satisfaction and surgical success—because the most decisive patient is often the one who does not appear in the diagnostic tests.

 4:00PM Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

Special Session III

PRESBYOPIA up close at REFRATIVA R.I.O. from 5:00 PM to 9:00 PM

A 4-hour comprehensive review of all excimer laser platforms for presbyopia treatment.

With numerous case examples — understand step by step how to apply each approach.

• Open Q&A
• Highly interactive session
• Special and complex clinical scenarios
• Discussion on IOL selection and calculation, and much more

Coordinators:
Marcony R. Santhiago, Carla Medeiros, Claudia Morgado, and Natalia Amorim

4:30 PM - 10:30 PM Practical WET/DRY LABs

There will be more than 40 wet/dry labs in 3 time slots per night, divided into 16 rooms during the course days – see the wet labs on the "wet labs" page.

Saturday, March 28th

Therapeutic Refractive Surgery Part I: Visual Rehabilitation with Excimer Laser

7:30 AM Excimer Laser in Patients with Amblyopia

Effect of anisometropia on the predictability and precision of refractive surgery

Claudia Morgado

7:40 AM Special Ablations in Refractive Surgery

Luisa Anaya

7:50 AM Indications and Planning for PTK

Understanding which corneal opacities can be treated with this technique

Ramon Ghanem

8:10 AM Topography-Guided Surgery in Irregular Corneas

Small optical zones, decentration, irregular astigmatism, scars, or complaints of imperfect vision, including post-incisional RK

Marcony R. Santhiago

8:30 AM Special Lecture – 10 Years of REFRATIVA R.I.O.

Refractive Surgery: A History of Continuous Innovation

Cesar Carriazo

From the early days of the microkeratome—whose development he directly helped advance—to the consolidation of the femtosecond laser, this lecture presents the living history of refractive surgery through the perspective of someone who helped build it. Cesar Carriazo shares decades of experience in continuous innovation, highlighting technological milestones, key lessons learned, and the evolution of surgical thinking that shaped the present and continues to guide the future of refractive surgery.

Presbyopia and Excimer Laser – Part I

8:50 AM Strategies to Mitigate the Effects of Presbyopia with Excimer Laser

Patient selection and defining realistic expectations

Effectiveness of excimer laser for presbyopia

Concepts and available treatment strategies

Marcony R. Santhiago

9:40 AM Excimer Laser in Patients with Previous Cataract Surgery and Residual Refractive Error

LASIK vs PRK after cataract surgery?

How much does the implanted IOL model influence the laser technique for residual correction?

Glauco Mello

10:00 AM Special Lecture – 10 Years of REFRATIVA R.I.O.

TED Talk

Marcony R. Santhiago

10:15 Fiuza Award ceremony  for Best Scientific e-Posters

10:20 Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

11:00 Cataract Surgery in irregular corneas 

Bruno Trindade

Keratoconus and CrossLinking
We Need to Talk About This

11:10AM The Genetic Environment of the Patient with Keratoconus
Gene Therapy in Keratoconus Patients: What is Real?
Rosália Antunes-Foschini

11:20AM Hormonal Evaluation of the Patient with Keratoconus
Larissa Stival

11:30AM Crosslinking – Everything I Need to Know
Keratoconus: Natural History of the Disease
Criteria for Progression and Management Flowchart for Ectatic Disease
Beyond UV Light: The Role of Riboflavin and Its Carrier

Marcony Santhiago

Correct Indications and Outcomes: When to Treat?

Crosslinking in the pediatric age
How to Know if it Failed and When?
Different Techniques and Customization

Marcony Santhiago

13:00 Sponsored LUNCH Time with lunch box

Schwind / Rocol  Symposium 

30 Years of Schwind Technology: A Story of Success and Continuous Improvement
Cesar Carriazo

FORESIGHT Intelligent Mathematical Prediction Platform
Ramon Ghanem

PresbyMAX as a Universe of Possibilities for Presbyopia (final title pending)
Ruben Berrospi

ATOS Lenticule Extraction

14:10 Round table: Discussion of clinical situations and illustrative cases

Coordination: Marcony Santhiago and Claudia Morgado

Discussants: Ramon Ghanem, Glauco Mello, Carla Medeiros, Adriana Forseto, Marcia Toledo

Maja Bohac, Cesar Carriazo, Carlos Gordillo, Wallace Chamon e Paulo Schor

 

Patient Dilated and with Significant Refractive Difference: How Much of the Hyperopia Should Be Treated?
Static or Dynamic Refraction Correct? | Astigmatism: Principal Axis or Refractive Axis?

Patient Has an Exam and Wants to Operate. But They Are Still Very Young or Have a Very Thin Cornea.
What Do Experts Advise You to Do?

Patient Is Not Satisfied; What Could Be Wrong?
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? And What If You Are Hyperopic?

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

15:55 Awards for Best Photos and Posts

4:00PM Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

 

Special Session IV 

COMPLICATION STATION – 4:30 PM to 6:30 PM

Two hours focused on everything you need to know about intraoperative and postoperative complications.

• Numerous case examples
• How to recognize and manage complications
• Open Q&A
• Highly interactive session

Coordinators: Marcony R. Santhiago, Renata Bueno, and Claudia Morgado

4:30 PM - 10:30 PM Practical WET/DRY LABs

There will be more than 40 wet/dry labs in 3 time slots per night, divided into 16 rooms during the course days – see the wet labs on the "wet labs" page.

Sunday, March 29th

 

New Drugs Available

7:30 AM Autologous Serum Eye Drops: Rationale and Indications
Lycia Pedral

7:40 AM Topical Insulin and Alternative Therapies for Neurotrophic Keratopathy
Lycia Pedral

Beyond Excimer Laser

Therapeutic Refractive Surgery – Part II

7:50 AM Therapeutic Keratopigmentation
Alexandre X. da Costa

8:00 AM Keratoprosthesis and Ocular Surface Reconstruction: Indications and Innovations
Aline Moriyama

8:10 AM CAIRS – Corneal Allogenic Intrastromal Ring Segment
Carlos Gordillo

8:20 AM Phakic IOL in Keratoconus Patients
Can it be an option for visual correction in these patients?
Carlos Gordillo

8:30 AM Pinhole Implant for Irregular Corneas
Bruno Trindade

8:40 AM Surgical Corneal Remodeling in Eyes with Ectasia
Cesar Carriazo

8:50 AM How Contact Lenses Can Support the Cornea Surgeon
When subspecialties complement each other
Terla Castro

Presbyopia Beyond Excimer Laser

9:00 AM Perspectives: Pharmacologic Treatment for Presbyopia
Marcela Barros

9:10 AM Biometry and IOL Calculation After Refractive Surgery
Key fundamental aspects and formulas

Practical tips for biometry and IOL calculation: sharing my experience
Biometry in patients with keratoconus or PMD

Felipe Taguchi

9:30 AM Trifocal vs Extended Depth of Focus IOLs: Differences and Current Indications
Armando Crema

9:50 AM Perspectives: Lens Surgery in the Presbyopic Ametropic Patient
Armando Crema

10:00 AM IOLs for Presbyopia After Laser Refractive Surgery: Details That Matter
Marcela Barros

10:15 AM Refractive Solutions with Supplementary IOLs: Methods and Indications
Adriana Forseto

10:30 am Coffee Break offered by REFRATIVA R.I.O. to replenish your energy

 

Cataract, Cornea, and the Implications of Advanced Surgical Optics

11:00 AM Prevention and Management of Positive and Negative Dysphotopsias
Juliana Feijó

11:15 AM Cataract Surgery in Patients with Phakic IOLs
How to plan and how to perform the procedure technically
Natalia Amorim

11:30 AM Cataract Surgery in Patients with Keratoconus
Harumi Burga

11:45 AM Introducing MIGS for the Anterior Segment Surgeon
Options and indications
Luis Beniz

12:00 PM Astigmatism Management in Cataract Patients
Incision vs Toric IOL
Natalia Amorim

Surgical Visual Rehabilitation

We Need to Talk About It

12:10 PM Why Should We Learn Intrastromal Ring Surgery?
Frederico Bicalho

12:15 PM Key Tips for Indication and Selection of Intrastromal Rings
Frederico Bicalho

12:30 PM Intrastromal Rings for High Myopia
Sandro Coscarelli

12:45 PM Rings in Advanced Cases
What to do in eyes with very high keratometry?
Jordana Sandes

1:00 PM Closing Session – Sadly It’s Over, but Next Year There Will Be More

----

*Between July and October, there will be review classes exclusively for alumni covering the main topics of the course.

 

 

**ALSO Extra video classes are available as supplementary material for students of REFRATIVA R.I.O.
This material complements the theoretical scientific program, but given the heterogeneous demand from students, we understand that it is more appropriate to make it available on-demand (online).


We also remind you that in addition to these video classes, we provide video material on the topics of our wet/dry labs.

 

Still on refractive surgery:
How to Use Phorcides for Topography-Guided Surgery
Mark Lobanoq explains this software developed to assist in the planning of guided surgical treatments with Contoura.

LASEK (not LASIK) and EpiLasik
Adriana Tytiun

Beyond the Excimer Laser Part II:
Residual Astigmatism: The Missing Link
Douglas Koch

FLACS: Femtosecond Laser-Assisted Cataract Surgery
Technique in Details, Refractive Results, Safety, and Cost-Benefit
Charles Lin

Nanotechnology and Drug Delivery Systems for Topical Ocular Therapy
David Smaja

Light Adjustable Lens
Larissa Gouvea

Diving Deeper into the Cornea:
Critical Analysis: Rho Kinase (ROCK) Inhibitors and Surgical Procedures
Aline Moriyama

Practical Tips in Refraction for Patients with Keratoconus
Rosália Antunes-Foschini

Therapeutic Ceratopigmentation
 

Corneal Prosthesis:
Visual Rehabilitation, Technique, Indications, and Available Models
Geetha Ayer

Endothelial Cell Regeneration Therapy
Ellen Koo

MIGS: Minimally Invasive Glaucoma Surgery
Vitor Cvintal

How to Use Imaging Tests in Planning Transplants
Danyelle Medeiros

DALK
Ramon Ghanem

DMEK – Endothelial Keratoplasty
Nicolás Pereira

DWEK – Descemet's Membrane Stripping without Endothelial Keratoplasty
Lucio Maranhão

PDEK: Pre-Descemet Endothelial Keratoplasty
Amar Agarwal

In a detailed structured way, the course addresses, in a storytelling format, from basic to advanced, everything the surgeon needs to know.

 

Therefore, the REFRATIVA R.I.O. is not just about surgical techniques;

AND when it talks about techniques, it goes far beyond excimer laser, PRK, and LASIK.

The structure of our scientific program, which is updated every year,

follows the sequence below:

 

  • What we need to know in the refractive surgery candidate's first consultation

  • We will also talk about how the clinic's structure should be to increase the flow of uptake and conversion ethically and even how to make a text of informed consent based on the suggestions of regulatory bodies.

  • Then we will learn together how to evaluate the surface, examine all the layers of the cornea with a slit lamp with a refractive surgery possibility perspective, and calmly detail everything about dry eye, its diagnosis, and treatment.

  • Let's understand together what we need to see in each exam, what we look for, and what to do depending on each finding.

  • Then we will evaluate all imaging exams with classes and discussions with experienced speakers who will present and discuss all available topography and tomography devices.

  • To go deeper into this, in addition to the theoretical classes for each device, we have special sessions and dry labs where the student understands exactly how to use each display.

  • After understanding what the findings in the imaging exams mean, we also talk about the indications and the construction of our flowchart to define the direction to go and, if applicable, the best surgical technique.

  • We then entered the classes on techniques and talked about all of them, either in the main room, the special sessions, or the dry labs. We cover everything you need to know.

  • All this is combined with a construction that goes from the most basic to the most innovative. Every year we add new classes, and even themes from previous years are carefully updated with publications so recent that sometimes they are from the month in which the course takes place; such is our obsession with up-to-date teaching.

Everything said above applies to

  • surface exam and dry eye

  • all about imaging exams (including the latest generation)

  • All about excimer laser planning of all models

  • Everything about techniques like PRK, LASIK, lenticule extraction (ex SMILE or CLEAR), phakic IOL, keratoconus, crosslinking, and intrastromal ring segment implantation and more.​

  • In addition, we set aside prime time for presbyopia treatment with planning and selection of excimer for presbyopia strategy, presbyopia IOL selection and planning (all models for cataract patients and clear lens extraction), toric IOL selection and planning, and other news.

There​ is a lot more

  • The special sessions cover everything about other corneal surgeries such as DMEK, DALK, new treatments, and medications.

  • And a thematic session with everything you need to know about business, administration, and taxes with experienced speakers in this area.

  • This is just a summary of everything that happens in this great experience that is REFRATIVA R.I.O. with more than 100 classes and more than 40 wet labs, in addition to special sessions, live discussion tables, and interviews.

OUR APPROACH

We Empower You to Reach Your Full Potential

At REFRATIVA R.I.O., we believe that education is the key to unlocking your full potential. That's why our approach is centered around providing you with the tools and knowledge you need to succeed.

 

Our team of expert educational consultants works with you to create a personalized learning experience that meets your unique needs and goals. We offer a wide range of educational services, including training, coaching, and mentoring, all designed to help you reach your full potential.

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WE ARE INTERNATIONAL 

Professional translation

ENGLISH | SPANISH | PORTUGUESE

At REFRATIVA R.I.O., we believe that education is the key to unlocking your full potential. That's why our approach is centered around providing you with the tools and knowledge you need to succeed.

 

Our team of expert educational consultants works with you to create a personalized learning experience that meets your unique needs and goals. We offer a wide range of educational services, including training, coaching, and mentoring, all designed to help you reach your full potential.

Our Journey So Far

2016

REFRATIVA R.I.O. IS FOUNDED

REFRATIVA R.I.O. was founded with a mission to provide refractive surgery education like never seen before. Our team of experts has been working tirelessly to create a unique learning experience that is both clear and logical, providing all relevant data in a didactic way.

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NEWS & EVENTS

Stay Up-to-Date with REFRATIVA R.I.O.

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REFRATIVA R.I.O. ®

©REFRATIVA R.I.O. cursos e eventos LTDA 

email: cursorefrativario@gmail.com

Phone number:  +55 (17) 997239711

Our Office Av das Américas 2480 unidade s124

Barra da Tijuca, Rio de Janeiro, RJ CEP22640-101

CNPJ: 51.308.325/0001-77

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