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Published on: July 7, 2023
Ophthalmic viscosurgical device-assisted incision modification for the big-bubble technique in deep anterior lamellar
Jeffrey Goshe1, Mark A Terry, Neda Shamie
1Devers Eye Institute, Portland, Oregon 97210, USA.
Unlabelled:
We describe several simple modifications of the big-bubble technique to improve surgeon comfort and reduce the risk for complications, with emphasis on our ophthalmic viscosurgical device (OVD)-assisted incision technique. By coating the overlying stroma with OVD prior to entering the big bubble, space is maintained in the pre-Descemet plane. This prevents collapse of the big bubble and allows an air-OVD exchange. We have successfully used this technique in 72 consecutive cases without a perforation during the entry incision to the bubble space of the DALK procedure.
Financial Disclosure:
No author has a financial or proprietary interest in any material or method mentioned. Additional disclosures are found in the footnotes.
