Soosan Jacob FRCS
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Soosan Jacob, FRCS, shows her top 10 tips for creating a predescemet endothelial keratoplasty (PDEK) Type 1 big bubble successfully.
Posted: 11/25/2014
Soosan Jacob FRCS
Soosan Jacob, FRCS, shows her top 10 tips for creating a predescemet endothelial keratoplasty (PDEK) Type 1 big bubble successfully.
Posted: 11/25/2014
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Soosan Jacob
10 years ago
I would also like to add here that if the Type 1 BB is not successful with air, bubble expansion should be attempted with storage medium before attempting with Viscoelastic as OVD may hinder with graft attachment in the post-operative period unless washed off well. Viscoelastic is helpful in case of central endothelial perforation where you cannot use a blunt instrument to block the perforation for fear of endothelial loss. Here OVD gives sufficient viscosity to enlarge the PDEK bubble despite leakage from the perforation
Soosan Jacob
10 years ago
Thanks Anna!! Good to hear that!
elisabeth swann
10 years ago
Dear Soosan, I am in Philadelphia at Wills Eye Hospital and this video is very useful in order to explain this technique. thank you!!! annamaria