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...

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...

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...

purpose: to determine the effect of retained donor descemet membranes (dms) on visual outcomes following deep anterior lamellar keratoplasty (dalk). methods: in this retrospective comparative study, keratoconic eyes undergoing dalk using the big-bubble technique were enrolled. a bared dm was achieved in all cases. a donor cornea without (group 1; 48 eyes) or with (group 2; 22 eyes) dm was sutur...