Journal article

Novel Technique for Descemet Membrane Remnant Stripping in Hazy Cornea During DSAEK

Namrata Sharma, Vijay K Sharma, Tarun Arora, Kumari Reena Singh, Tushar Agarwal, Rasik B Vajpayee

CORNEA | LIPPINCOTT WILLIAMS & WILKINS | Published : 2016

Abstract

PURPOSE: To describe a novel technique for removal of Descemet membrane (DM) tags or remnants in hazy corneas during Descemet stripping automated endothelial keratoplasty. METHODS: The DM tags or remnants may be difficult to visualize in the presence of hazy corneas. To identify and remove the residual DM remnants and tags, a crescent knife is introduced into the anterior chamber through the 3.2 mm temporal corneoscleral tunnel and is placed intracamerally, parallel to the iris plane underneath scored DM (which had been previously stained with the trypan blue solution). Under direct illumination from the operating microscope, the crescent blade acts as a light reflector so that the blue DM r..

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