Purpose: Lamellar dissection is one of the most delicate maneuvers in corneal surgery. We describe a new method that uses Ferrara ring instrumentation.

Methods: A 360 degrees tunnel is created at half of the stromal depth in porcine corneas. A suture (nylon 6-0 or Vicryl 6-0) was passed through the tunnel by using the Ferrara spatula. By means of alternate traction on the end of the suture thread, complete lamellar dissection was achieved.

Results: Light microscopy examination of the cornea confirmed that the dissection had a constant thickness and dissection depth. Scanning electron microscopy showed a homogeneous stromal surface without irregularities.

Conclusions: This technique permits a homogeneous and safe lamellar dissection, which may prove useful in specific surgical procedures of the cornea.

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http://dx.doi.org/10.1097/ICO.0b013e31814fa847DOI Listing

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