Keratoplasty is considered the most successful organ transplantation procedure in the world. Reisinger was the first to use the term keratoplasty (Reisinger, 1824), when he suggested using an animal’s eye to provide donor corneal tissue for corneal transplantation in a human. In 1906, the first successful penetrating keratoplasty was performed by Edward Konrad Zirm on a patient suffering from b...

After preliminary testing with pig, dog, rabbit, monkey, cat, and human cadaver eyes the CLCC system has been used for penetrating and lamellar keratoplasty in human subjects. Clinical experience covers a broad range of corneal pathology. Detailed operative instructions and observations are given. In the experimental situation the CLCC is being used to achieve deep lamellar corneal dissection f...

Keratoconus is a bilateral non-inflammatory corneal ectasia with an incidence of approximately one per 2000 in the general population. Contact lenses are the most common treatment. When contact lenses fail, a surgical approach is necessary for visual rehabilitation. Penetrating keratoplasty has been the traditional and most common mode of treatment and has excellent results. 3 However, more rec...

PURPOSE To evaluate the safety and efficacy of customized transepithelial photorefractive keratectomy (PRK) for the correction of iatrogenic ametropia after penetrating keratoplasty (PKP) or deep lamellar keratoplasty. SETTING Eye Clinic, Department of Neurological and Visual Sciences, University of Verona, Verona, Italy. METHODS This study comprised 9 patients who had irregular astigmatism...

Aims: To analyse the outcome of DALK in patients with keratoconus terms best corrected and uncorrected visual acuity, average K topographic astigmatism. Settings design: Prospective interventional case series study Material methods: 28 eyes diagnosed were evaluated from August 2009 – July 2011 a tertiary eye care hospital. All underwent outcomes assessed on 4 parameters: Average Keratometric re...

Aim: To improve the deep lamellar keratoplasty technique. Method: For the easy and reliable perfomance of deep lamellar keratoplasty (DLKP), detachment of Descemet’s membrane through the corneal limber flap was improved. To expose Descemet’s membrane, the parenchyma was detached by hydrodelamination through a sclerocorneal flap made in the corneal limbs. The parenchyma was removed after the pse...