The injector uses controlled fluid flow to move the prepared donor graft through a small corneal incision. This flow supports a measured insertion rather than requiring broad access to the eye, while the graft can unfold and be positioned against the posterior corneal surface. The mechanism therefore links delivery control with tissue placement and a less invasive surgical approach.
The Busin Injector's loading stage places the prepared donor graft within a device designed for controlled advancement. Once loaded, the surgeon can deliver the tissue through the incision and direct it toward the posterior corneal surface. This separates graft preparation from intraocular placement, supporting a more standardized insertion sequence and reducing the need for extensive direct manipulation.
Limiting surgical manipulation is important because the described approach aims to reduce handling while inserting donor tissue. The injector helps standardize how the graft enters the eye, and controlled delivery supports positioning at the posterior corneal surface. Together, these features are relevant when a procedure must replace diseased endothelial cells without removing much of the recipient cornea.
At a high level, the surgeon prepares donor corneal tissue, loads the graft into the injector, advances it through a small corneal incision using controlled fluid flow, and allows it to unfold against the posterior corneal surface. These stages connect tissue preparation, delivery, unfolding, and final positioning without requiring replacement of the recipient cornea as a whole.
The small incision provides the entry route for the loaded graft while supporting the minimally invasive character of endothelial keratoplasty. Because the tissue is advanced through this limited opening rather than introduced through broad corneal access, the injector must coordinate delivery with fluid flow and subsequent unfolding. The incision therefore connects device operation to preservation of much of the recipient cornea.
It may be considered when diseased corneal endothelial cells contribute to edema and reduced vision and endothelial keratoplasty is selected to replace those cells. In this setting, the instrument supports donor-tissue insertion while preserving much of the recipient cornea. Its practical value lies in combining a focused therapeutic target with controlled graft delivery and limited surgical manipulation.