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We present a 59 year-old patient with a decompensated bullous keratopathy and cataract.
Cataract surgery was performed and two months later the DSAEK (Descemet stripping with Automated Endothelial Keratoplasty).
During the preparation of the graft, an incomplete gibbous-shaped cut was obtained.
Since we did not have other donor tissue, we used the incomplete graft, achieving excellent results.