By J Brian Foster MD; Keith A Walter MD; Jeremy J Bonkowske MD
    Cornea/External Disease

    PURPOSE: To describe a new small incision Descemet-stripping automated endothelial keratoplasty (DSAEK) technique utilizing a unique corneal injector device that limits endothelial damage. METHODS: A video demonstration of the first 5 consecutive eyes of 5 patients that underwent DSAEK with donor cornea insertion using a novel corneal injector through a 4mm clear corneal insertion RESULTS: The injector facilitated placement of the endothelial grafts in all 5 cases. They were observed to unfold without the aid of additional maneuvers or manipulation. All 5 cases were inserted in the proper "stroma up" orientation, and 1 was successful despite the presence of a high posterior pressure and collapsed anterior chamber. CONCLUSION: Our unique DSAEK insertion device provides an atraumatic, small-incision platform for donor cornea insertion without folding or crushing the tissue.