D Anterior Lamellar Keratoplasty (DALK) over the last decade is rapidly becoming the preferred procedure of choice for pathologies of the cornea that do not involve the endothelium. DALK offers certain obvious advantages over Penetrating Keratoplasty (PK). As the donor endothelium is not replaced, the risk of endothelial rejection is negated and also obviates the need for long term steroid use....

Stromal disease (ectasia, opacities, scars, or melting) that occurs after penetrating keratoplasty (PK) can variously affect visual outcome.1,2 To date, even in the presence of healthy endothelium, this typeof complicationhasbeen treatedwith subsequentPK.3 Instead, the selective replacement of the diseased stroma by means of deep anterior lamellar keratoplasty (DALK) using pneumatic dissection ...

Background: Keratoconus is a progressive, non-inflammatory corneal ectasia with central thinning. The aim of this work was to evaluate intra and post-operative complications final visual outcome deep anterior lamellar keratoplasty (DALK).Methods: This prospective cohort interventional study carried out on 20 patients aged from 65 years old superficial stromal opacities based clinical examinatio...