title: Shifting bubble-guided sutureless technique for performing descemetorhexis for retained Descemet's membrane after penetrating keratoplasty.
abstract: We describe the use of anterior segment optical coherence tomography in the diagnosis of inadvertent retention of Descemet's membrane (DM) after penetrating keratoplasty, and a novel technique for its removal in a case of congenital hereditary endothelial dystrophy. In this technique, we use a modification of the shifting bubble technique, commonly used in deep anterior lamellar keratoplasty where a viscocohesive ophthalmic viscosurgical device is injected into the false anterior chamber which causes migration of the central air bubble placed in the anterior chamber peripherally and helps in confirming the correct space. The DM is then peeled in a circular fashion with the help of 23-G vitreoretinal micro forceps.
authors: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
authors: Sudarshan
authors: S
authors: Khokhar
authors: Tushar
authors: T
authors: Agarwal
authors: Shikha
authors: S
authors: Gupta
authors: Srivats
authors: S
authors: Sehra
authors: Anita
authors: A
authors: Panda
mesh_terms: D002648:Child; D003316:Corneal Diseases / Q000601:surgery*; D003886:Descemet Membrane / Q000601:surgery*; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D011183:Postoperative Complications; D013536:Suture Techniques