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Fig. 2 | BMC Ophthalmology

Fig. 2

From: Case series and techniques of Descemet’s Stripping Automated Endothelial Keratoplasty for severe bullous keratopathy after birth injury

Fig. 2

Representative surgical video images of case 3. a Before surgery, a severe bullous change prevented complete visualization of the anterior chamber. b After removal of the corneal epithelium, visualization of the anterior chamber became possible. c, d Continuous curvilinear capsulorhexis and phacoemulsification was possible with the aid of anterior capsule staining by Trypan blue and illumination of the cornea. e, f The Descemet’s membrane, 8.0 mm in diameter, with a cord-like lesion was circularly removed. g The donor graft, 8.0 mm in diameter, was inserted using a Busin glide and an IOL sheet glide, which is also known as the Kobayashi double-glide technique. h After the wound was secured with three interrupted 10–0 nylon sutures, air was injected into the anterior chamber to press the donor graft against the recipient cornea

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