Double-infusion cannula technique minimizes complications, optimizes outcomes

Endothelial keratoplasty helps to restore the sanctity of the corneal endothelium from both a functional and structural aspect. Graft tissue adherence to the corneal surface is a matter of concern in eyes with pseudophakic bullous keratopathy or aphakia that need either an IOL explantation or an IOL placement, respectively, along with an endothelial keratoplasty procedure. Hypotony and graft adherence are the two major concerns in eyes undergoing secondary IOL placement with an endothelial keratoplasty procedure.The double-infusion cannula technique (DICT) is a method in which two infusion cannulas are introduced inside the eye. The primary one is introduced for fluid infusion at the pars plana level and the second one at the level of the limbus as a trocar anterior chamber maintainer (T-ACM) that is employed for air infusion inside the eye. DICT is aimed at solving both issues simultaneously, thereby decreasing the chances of complications and optimizing surgical outcomes.