From questions on page 1311

1. How can an astigmatically neutral wound be achieved in DSAEK?

The creation of a self-sealing scleral tunnel in DSAEK using an “anti-smile” incision, as described in this surgical technique, does not require application of sutures, making the wound astigmatically neutral.

2. How can the surgeon ensure an easy and atraumatic insertion of the donor lenticule into the recipient’s AC?

The use of the Busin glide eliminates folding of the lenticule. The graft can be easily pulled from the glide inside the AC of the host using forceps. Also, the leading edge of the donor lenticule can be stained with Gentian Violet to facilitate its visualisation while attempting to grasp it with crocodile forceps. Furthermore, reducing the …