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(A) Intraoperative photo showing emphysema of the stroma after a failed big bubble attempt. (B) A crescent blade is used to debulk the anterior 50% of the emphysematous cornea. (C) A lamellar plane is created in a quadrant of the stroma with blunt scissors dissection. (D) The dissected lamella of the stroma is then excised. (E) A similar blunt scissors dissection is carried out when pre-Descemet’s stroma is reached. (F) Bare Descemet’s membrane is reached.
