{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:33:25Z","timestamp":1787758405749,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>Anterior lamellar keratoplasty (ALK), of late, has gained popularity because of its prolonged graft survivability as a result of reduced endothelial cell loss. A 56-year-old female with bilateral granular corneal dystrophy was taken up for ALK in the left eye. Because of unforeseen errors during the procedure, the surgeon was obliged to customize a novel technique by using a deep stromal lenticule after removal of Descemet\u2019s membrane. Post-op visual recovery was equivalent to conventional ALK with complete epithelization of the graft. This new or adapted technique has an added advantage for surgeons to prevent forfeiture of the valuable donor tissue. In the developing world, manual dissection is still the primary technique of lamellar keratoplasty and many precious corneas get wasted because of intra-operative unintended errors of dissection and trephination. Therefore, this novel technique holds its importance in saving the precious corneal tissue, especially in developing countries, and opens a new area for exploration.<\/jats:p>","DOI":"10.4103\/ijo.ijo_190_22","type":"journal-article","created":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T05:38:02Z","timestamp":1661751482000},"page":"3409-3411","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["An inadvertent usage of the deep stromal lenticule in anterior lamellar keratoplasty \u2013 An emancipator technique"],"prefix":"10.4103","volume":"70","author":[{"given":"Anju","family":"Pannu","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Command Hospital (SC), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alok","family":"Sati","sequence":"additional","affiliation":[{"name":"Cornea and Anterior Segment Services, New Delhi, India"},{"name":"Department of Ophthalmology, Army Hospital (Research and Referral), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay K","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Army Hospital (Research and Referral), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,8,26]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/S0002-9394(14)72898-3","article-title":"Corneal endothelium \ufb01ve years after transplantation","volume":"118","author":"Bourne","year":"1994","journal-title":"Am J Ophthalmol"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1136\/bjo.81.9.726","article-title":"Survival analysis and visual outcomes in a large series of corneal transplants in India","volume":"81","author":"Dandona","year":"1997","journal-title":"Br J Ophthalmol"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"332","DOI":"10.47102\/annals-acadmedsg.V38N4p332","article-title":"Paradigm shifts in corneal transplantation","volume":"38","author":"Tan","year":"2009","journal-title":"Ann Acad Med Singapore"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.ajo.2004.09.045","article-title":"Corneal endothelium and postoperative outcomes 15 years after penetrating keratoplasty","volume":"139","author":"Patel","year":"2005","journal-title":"Am J Ophthalmol"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/S0161-6420(92)31960-8","article-title":"Factors predictive of corneal graft survival. Report from the Australian corneal graft registry","volume":"99","author":"Williams","year":"1992","journal-title":"Ophthalmology"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1016\/j.ophtha.2007.08.049","article-title":"Penetrating keratoplasty in Asian eyes:The Singapore corneal transplant study","volume":"115","author":"Tan","year":"2008","journal-title":"Ophthalmology"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1097\/ICO.0b013e31820c9fd1","article-title":"Microkeratome-assisted superficial anterior lamellar keratoplasty for anterior stromal corneal opacities after penetrating keratoplasty","volume":"31","author":"Patel","year":"2012","journal-title":"Cornea"},{"key":"B8-20240828","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1034\/j.1600-0420.2001.790308.x","article-title":"Risk factors for corneal graft failure and rejection in penetrating keratoplasty","volume":"79","author":"Inoue","year":"2001","journal-title":"Acta Ophthalmol Scand"},{"key":"B9-20240828","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1097\/01.ico.0000611412.50159.33","article-title":"Femtosecond laser-assisted endothelial keratoplasty:A laboratory model","volume":"27","author":"Mehta","year":"2008","journal-title":"Cornea"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_190_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:12:17Z","timestamp":1787757137000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_190_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,26]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_190_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,26]]},"assertion":[{"value":"2022-01-20","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}