The article highlights the findings of Massimo Busin, professor of ophthalmology at the Villa Serena Hospital in Forli, Italy, which suggests that a novel method of Descemet's stripping automated endothelial keratoplasty that requires less graft manipulation may reduce postoperative endothelial cell loss. Busin said that unfolding the graft with forceps may kill a large number endothelial cells. He adds that grabbing with the forceps is deadly for the endothelium.