Pannu, AnjuSati, AlokMishra, Sanjay K2023-08-252023-08-252022-09Pannu Anju, Sati Alok, Mishra Sanjay K. An inadvertent usage of the deep stromal lenticule in anterior lamellar keratoplasty – An emancipator technique. Indian Journal of Ophthalmology. 2022 Sep; 70(9): 3409-34111998-36890301-4738http://imsear.searo.who.int/handle/123456789/224591Anterior 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’s 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.Anterior lamellar keratoplastyfemtosecond laser?assisted lamellar keratoplastymicrokeratome?assisted lamellar keratoplastyJournal ArticleIndiaDepartment of Ophthalmology, Command Hospital (SC), Pune, Maharashtra, IndiaCornea and Anterior Segment Services, New Delhi, IndiaDepartment of Ophthalmology, Army Hospital (Research and Referral), New Delhi, India