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    By Rajesh Fogla, MD, FRCS
    Annual Meeting 2012
    Cornea/External Disease

    The big bubble technique of deep anterior lamellar keratoplasty (DALK) helps retain the healthy host endothelium with good visual outcome comparable to penetrating keratoplasty without the risk of endothelial rejection. This video demonstrates newer instruments that simplify the technique, minimize complications, and make the procedure reproducible. A novice surgeon can now perform "big bubble with no trouble!"