Big Bubble Deep Anterior Lamellar Keratoplasty for Management of Deep Fungal Keratitis
Figure 1
Surgical procedure of deep anterior lamellar keratoplasty for deep fungal keratitis. (a) Deep fungal ulceration with hypopyon before surgery. (b) A big bubble formed after 1.5 mL sterilized air is injected into the posterior stroma. (c) Debulking of the posterior stroma is performed with a 45° micro knife. (d) Descemet membrane is bared after the diseased stoma was cut off. (e) The donor Descemet membrane and endothelium are stripped off using 0.12 mm untoothed forceps. (f) The donor cornea is sutured to the recipient with 16 interrupted 10/0 nylon sutures.
