Fig. 01 Left. Forceps trauma suffered at birth caused a posterior Descemet’s tear and posterior corneal scars in the right eye of this 23-year-old male. His cornea was ectatic, he had 5.2 D of irregular astigmatism and visual acuity of 20/400, which was correctable to 20/50.

Fig. 02 Right. Rather than perform a lamellar transplant to stabilise the cornea and improve its shape, corneal inserts were placed with careful selection of incision axis.

Fig. 03 Left. Forceps trauma suffered at birth caused a posterior Descemet’s tear and posterior corneal scars in the right eye of this 23-year-old male. His cornea was ectatic, he had 5.2 D of irregular astigmatism and visual acuity of 20/400, which was correctable to 20/50.

Fig. 04 Right. Rather than perform a lamellar transplant to stabilise the cornea and improve its shape, corneal inserts were placed with careful selection of incision axis.

Fig. 05 Left. Forceps trauma suffered at birth caused a posterior Descemet’s tear and posterior corneal scars in the right eye of this 23-year-old male. His cornea was ectatic, he had 5.2 D of irregular astigmatism and visual acuity of 20/400, which was correctable to 20/50.

Fig. 06 Right. Rather than perform a lamellar transplant to stabilise the cornea and improve its shape, corneal inserts were placed with careful selection of incision axis.