The use of femtosecond lasers has created an evolution in modern corneal and refractive surgery. With accuracy, safety, and repeatability, eye surgeons can utilize the femtosecond laser in almost all anterior refractive procedures; laser in situ keratomileusis (LASIK), small incision lenticule extraction (SMILE), penetrating keratoplasty (PKP), insertion of intracorneal ring segments, anterior ...

AIMS To describe a new surgical technique for deep stromal anterior lamellar keratoplasty. METHODS In eye bank eyes and sighted human eyes, aqueous was exchanged by air, to visualise the posterior corneal surface--that is, the "air to endothelium" interface. Through a 5.0 mm scleral incision, a deep stromal pocket was created across the cornea, using the air to endothelium interface as a refe...

lar keratoplasty is not new. Mühlbauer was the first to describe a technique for anterior lamellar keratoplasty (ALK) in 1840.1 Penetrating keratoplasty (PKP) has long been the standard treatment for severe corneal pathology. Lamellar surgery has endured significant technical challenges since its inception. The posterior corneal surface is invisible through an operating microscope, due to the s...

Microkeratome-assisted anterior lamellar keratoplasty has emerged as a surgical option for conditions affecting the clarity of the outer 200 mum of the cornea. Herein we describe the outcome of a simple procedure in which the excimer laser can be used to augment deep tissue removal after both recipient bed and donor graft are prepared with the microkeratome. Our noncomparative interventional ca...

Deep anterior lamellar keratoplasty (DALK) is a surgical technique for cornea replacement, which the healthy host corneal endothelium is preserved. Keratoconus patients are those who benefit most from a successful DALK procedure, once the endothelium of these patients is usually normal and should therefore be maintained. Several studies comparing visual outcomes between penetrating keratoplasty...

392 A 17‐year‐old female with a several‐year history of bilateral keratoconus was visited about 1 year prior to deep anterior lamellar keratoplasty (DALK) in her right eye (OD). History‐wise, she was intolerant to glasses and contact lenses and her past medical history and family history were unremarkable. On ocular examination, she had visual acuity (VA) of 2 meters counting fingers (CF) in ea...

PURPOSE To evaluate and record the common complications that face surgeons when they perform their first few series of deep lamellar keratoplasty and measures to avoid these. SETTING Dar El Oyoun Hospital, Cairo, Egypt. METHODS Retrospective study of the first 40 eyes of 40 patients carried out by two corneal surgeons working in the same center. All patients were planned to undergo a deep a...

RATIONALE To report a case of late spontaneous reattachment of Descemet membrane (DM) detachment after deep anterior lamellar keratoplasty (DALK). PATIENT CONCERNS A 50-year-old woman with stromal corneal scarring underwent a DALK with the big bubble technique. The DM detachment and double anterior chamber were observed on the first day after operation. DIAGNOSES Descemet membrane detachmen...