**17. Mini-DMEK**

It is another [67] procedure described in literature. Bachmann and associates described a novel technique of replacing the torn DM with a well-circumscribed donor DM. In this technique, the peripheral torn DM is trimmed and stripped up to the center of the cornea. But the crux of the matter here is that all the maneuvers are performed with an intraoperative OCT-enabled microscope. The donor DM is prepared depending on the defect and is introduced into the anterior chamber with the help of the lens cartridge. Rolled DM enters into the anterior chamber and is unrolled with the help of 2 Sinskey hooks by pressing one end and ironing the other end of corneal lenticule over the anterior corneal surface. Determination of the correct orientation of the lenticule in the anterior chamber is essential for surgeons, which is not possible with a routine microscope because the visibility of the anterior chamber remains poor. With the dense corneal edema, this procedure is highly inappropriate in the routine clinical settings. Hence, approaching through the anterior surface of cornea rather than posterior corneal surface is preferable.
