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Step-by-step breakdown of double infusion cannula technique for bullous keratopathy
Pseudophakic or aphakic bullous keratopathy with a cloudy cornea requires some form of endothelial keratoplasty to replace the compromised host corneal endothelium with a healthy donor endothelium along with Descemet’s membrane, with or without adjacent corneal stroma, in order to restore host corneal clarity and visually rehabilitate the patient. Additional surgical maneuvers are piggybacked to the EK procedure when an existing IOL is suboptimal and requires an IOL exchange. In EK procedures, a secondary IOL is usually not placed within the anterior chamber as this would occupy space