Abstract

Penetrating keratoplasty is called an open-sky procedure, after trephining off the diseased cornea&before suturing of the donor button the intraocular contents are completely exposed to the atmospheric pressure.Case Series,We describe a novel technical adaptation during trephining &excision of host cornea,‘partial open sky technique’ technique has been used in our centre while performing triple procedure/PK. The technique was introduced as a novel step during triple procedure done by a single surgeon frm Jan -Sep 2023. 27 cases were operated, Though of short span &with minimal cases, we believe, adaptation of this technique can help cornea surgeons deal with management of Vitreous push, Lens, Iris prolapse in a more effective manner. Conclusion The technique enables creation of a hinged flap of corneal tissue perfectly sized to instantly cover the surgical defect. The tissue can be immediately used to close the wound in case signs of expulsion are encountered during open sky prodedures

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