Ophthalmic viscosurgical device-assisted incision modification for the big-bubble technique in deep anterior lamellar keratoplasty

Jeffrey Goshe, Mark A. Terry, Neda Shamie, Jennifer Li

Research output: Contribution to journalArticle

3 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1923-1927
Number of pages5
JournalJournal of Cataract and Refractive Surgery
Issue number11
StatePublished - Nov 2011
Externally publishedYes


ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Surgery

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