MANY of the stationary corneal opacities causing diminution of vision are central, avascular, and superficial, and are surrounded by clear cornea or have a neighbouring peripheral clear corneal area of 4 x 4-5 mm. Donor homogenous corneal grafts are not always available, but a rectangular lamellar autogenous corneal. graft can be dissected and turned 1800 so that the clear lamellae are brought ...

PURPOSE To evaluate corneal biomechanics with the Ocular Response Analyzer (ORA; Reichert Ophthalmic Instruments, Depew, NY) after penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty (DALK). SUBJECTS AND METHODS Sixty-three eyes of 63 patients were included in this prospective comparative study. Patients were divided into 3 groups: the first included 21 eyes of normal subjec...

PURPOSE To report the recurrence of keratoconus 49 months after deep anterior lamellar keratoplasty (DALK). CASE REPORT A 21-year-old man with history of bilateral keratoconus who had undergone DALK in his right eye, presented with gradual visual loss 49 months after corneal transplantation. Slit lamp biomicroscopy revealed graft ectasia together with Vogt's striae in the posterior stroma and...

Deep anterior lamellar keratoplasty (DALK) is a promising technique for corneal transplantation that avoids the chronic immunosuppression comorbidities and graft rejection risk associated with penetrating keratoplasty (PKP), the standard procedure. In DALK, surgeons must insert a needle 90 % through the 500 μm cornea without penetrating its underlying membrane. This pushes surgeons to their man...

Herein we describe a technique for management of large inadvertent full-thickness trephination during deep anterior lamellar keratoplasty using the big-bubble technique without converting to penetrating keratoplasty. First, the anterior chamber is formed with an ophthalmic viscosurgical device (OVD). Then, the full-thickness wound is secured with one X-type 10-0 nylon suture. A 27-gauge needle ...