MAR 16, 2016
This video demonstrates a challenging situation in which deep anterior lamellar keratoplasty (DALK) was performed successfully in a different way. First, a partial trephination is completed, then the area near descemetocele is cleaned properly to find out the cleavage plane. The anterior chamber is also decompressed. Descemet membrane separation is done with the help of a low-molecular-weight dispersive viscoelastic substance. Anterior stromal dissection is then completed, and the next part is similar to regular DALK. Looking down from the edge of an abyss, one can still hope to bring out sunshine. Even in a case of descemetocele with impending perforation in a one-eyed person, DALK can be done successfully to provide a ray of hope.