Int Ophthalmol (2018) 38:1313–1316 https://doi.org/10.1007/s10792-017-0540-4 CASE REP O RT Double bubble with the big-bubble technique during deep anterior lamellar keratoplasty . . Stephanie Wise Paul Dubord Sonia N. Yeung Received: 18 November 2016 / Accepted: 17 April 2017 / Published online: 28 April 2017 Springer Science+Business Media Dordrecht 2017 Abstract Deep anterior lamellar keratoplasty (DALK) is a Purpose To report a case of intraoperative double surgical procedure indicated for anterior corneal bubble that formed during big-bubble DALK surgery diseases where endothelial cell function is preserved in a patient with corneal scarring secondary to herpetic . In the big-bubble technique, pneumatic injection stromal keratitis. results in dissection of posterior stroma from Desce- Methods Case report. met’s membrane (DM) . Results A 22 year old woman presented with a large The most frequent complications of big-bubble corneal scar, likely secondary to previous herpetic DALK are DM tear or perforation , unintentional stromal keratitis. She underwent big-bubble DALK air injection into the anterior chamber and inadver- surgery for visual rehabilitation. Intraoperatively, a tently leaving behind stromal tissue after dissection mixed bubble with persistent type 2 bubble postoper- [4, 5]. Another complication of DALK that is gaining atively was noted. The second bubble
International Ophthalmology – Springer Journals
Published: Apr 28, 2017
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