Ashvin Agarwal, MD, focuses his blog on interesting cases and experiences he encounters as an anterior segment surgeon.

SURGICAL VIDEO: How to reduce open-sky time in complex combination cases

This case explains the method of performing a four-in-one combination procedure: IOL explantation, glued IOL implantation and single-pass four-throw pupilloplasty with an optical penetrating keratoplasty. The specialty of the procedure shown is that it reduces the open-sky time that one would normally employ.