TechniquesDSAEK Centration and Interface Folds: Surgical ManagementGadhvi, Kunal MBBS, FRCOphth*; Pagano, Luca MD*; Menassa, Nardine MD, FRCOphth*; Borroni, Davide MD*; Kaye, Stephen B. MD, FRCS, FRCOphth*,†; Levis, Hannah J. PhD†; Romano, Vito MD*,†Author Information *St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom; and †Department of Eye and Vision Science, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, United Kingdom. Correspondence: Vito Romano, MD, Department of Corneal and External Eye Diseases, St Paul's Eye Unit, Royal Liverpool University Hospital, Prescot St, L7 8XP, Liverpool, United Kingdom. Email: [email protected] The authors have no funding or conflicts of interest to disclose. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.corneajrnl.com). Cornea: November 2020 - Volume 39 - Issue 11 - p 1457-1459 doi: 10.1097/ICO.0000000000002411 Buy SDC Metrics Abstract Purpose: To describe a method to center a Descemet stripping automated endothelial keratoplasty lamellar graft and address interface folds. Methods: A novel technique to center a Descemet stripping automated endothelial keratoplasty graft without undue manipulation of endothelial surface using a STC-6 needle passed obliquely through the anterior corneal surface to engage and progress the lenticule along the posterior surface after injection of air. Result: Centration of graft achieved and macroscopic folds resolved. Conclusions: Here, we describe an atraumatic and reproducible method for graft centration. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.