Dr.Sujatha Mohan, Dr.Mohan Rajan
Big-bubble DALK has been a game changer in anterior lamellar corneal transplants. Creating the air-filled cavity separates the deep stroma from Descemets and allows the baring of descemets membrane which results in minimal interface haze and a good post op visual outcome. However perforation while trying to open the bubble can be a substantial complication which may result in conversion to full thickness keratoplasty. This video highlights how the bubble was retrieved inspite of the perforation and the DALK was completed with good visual outcome.
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