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Cataract Surgery after Banana patch graft A banana patch graft is a surgical technique used to treat peripheral ulcerative keratitis (PUK). It involves placing a crescent-shaped piece of donor corneal tissue (resembling a banana) over the area of corneal thinning. Avoiding the thinning area while making the incision in cataract surgery after banana patch graft. — Side ports were created at the 10 and 1 o’clock positions, avoiding the corneal thinning area. — Synechiolysis was performed using a hydro cannula while injecting balanced salt solution (BSS). —BSS was used instead of viscoelastic to prevent difficulty in staining the capsule with dye later. —Trypan blue dye was injected to stain the anterior capsule and then washed out with BSS. —The anterior chamber (AC) was formed with viscoelastic. —Continuous curvilinear capsulorhexis (CCC) was initiated with a cystitome by making a vertical incision. —As the rhexis margin extended outward due to the presence of a thick membrane , a new CCC was started from the opposite end and merged with the previous one. —The remaining CCC was completed using capsulorhexis forceps and scissors. —The main port was created with a 2.8 mm keratome. —A trench was made using the phaco probe without applying manual pressure. —The nucleus was rotated, the trench was completed, and the nucleus was divided into two halves, which were then fragmented into smaller pieces. —The fragmented nuclear pieces were emulsified one by one at the pupillary plane. —Viscoelastic was injected to from the AC.. —A hydrophobic monofocal intraocular lens (IOL) was loaded into a cartridge. —The IOL was injected with injector and was rotated into the capsuler bag using a dialer. —A viscoelastic wash was performed. —Both side ports and main port were hydrated with BSS.