title: Variant of the big bubble technique in deep anterior lamellar keratoplasty.
abstract: We describe a variant of the big-bubble technique that involves placement of a stromal corneal nick and nontraumatic intrastromal insertion of a blunt cannula following anterior lamellar keratectomy. The goal of this technique is to reduce the risk for intraoperative corneal perforation and to obtain a large air bubble between Descemet's membrane and the corneal stroma. Deep anterior lamellar keratoplasty is easier and safer with this technique.
authors.affiliation: Service d'Ophtalmologie, Hôpital Purpan, Place du Docteur Baylac, 31059 Toulouse Cedex, France. pierrefournie@yahoo.com
authors.forename: Pierre
authors.initials: P
authors.lastname: Fournié
authors.forename: François
authors.initials: F
authors.lastname: Malecaze
authors.forename: Julien
authors.initials: J
authors.lastname: Coullet
authors.forename: Jean-Louie
authors.initials: JL
authors.lastname: Arné
mesh_terms: D000388:Air; D002404:Catheterization / Q000379:methods; D003319:Corneal Stroma / Q000601:surgery*; D016039:Corneal Transplantation / Q000379:methods*; D003886:Descemet Membrane / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D007640:Keratoconus / Q000601:surgery*