Abstract

Video of 2 cases with DMD post cataract surgery& non resolving striate keratopathy .DMD was noted from 3 to 9 o clock position in 1st case & 3 to 7 o clock position in 2nd case, as seen on on AS OCT. Air descmetopexy was done from 1 o clock position. Intra operatively on air bubble injection, with insulin syringe due to contact with limbal bleeders, air bubble was broken into numerous small bubbles giving a foamy appearance. Venting incisions did not help. The tiny air bubbles with underlying large air bubble was left in place and incision was sutured. Post operatively, clear cornea was noted along with attached DM as seen on ASOCT with improvement in V/A.
CONCLUSION: Cautious injection of air bubble from insulin syringe/ hydro cannula while placing air bubble, avoiding touch with limbal bleeders is recommended. In case of break of air bubble into multiple bubbles, it is better not to disturb the existing bubble, suture the incision and plan for rebubbling next day.