purpose: to report the possible transmission of zygomycetes infection by a corneal graft harvested from a donor with signs of trauma to the orbital region to a keratoconic patient who underwent deep anterior lamellar keratoplasty (dalk). case report: a 19-year-old keratoconic man underwent dalk in the right eye. the corneal graft was harvested from a donor with signs of orbital trauma. on posto...

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...

We describe a new surgical technique of microkeratome-assisted deep lamellar keratoplasty for treating patients with corneal stromal disease and normal endothelium. A microkeratome is used to create a hinged anterior stromal flap in the host cornea, and the diseased stroma is resected or ablated. A complementary donor stromal button, prepared using a microkeratome and an artificial anterior cha...

Purpose: To report 2 cases that underwent deep anterior lamellar keratoplasty (DALK) and developed visually significant cataract and subsequently underwent femtosecond laser assisted cataract surgery (FLACS). Methods: Both patients underwent FLACS with implantation of toric intraocular lens (IOL) for correction of postkeratoplasty astigmatism. Capsulorrhexis was performed with the femtosecond l...

Deep lamellar endothelial keratoplasty (DLEK) has become an alternative procedure for bullous keratopathy. Herein, the histopathological characteristics of corneal wound healing after DLEK were reported. A 71-year-old man suffering from left psuedophakia bullous keratopathy received small incision DLEK. Twenty months later, another penetrating keratoplasty (PK) was performed because of the graf...

Midstromal implant of an isolated Bowman layer graft is a new approach to reduce ectasia in eyes with advanced keratoconus. The procedure should postpone penetrating or deep anterior lamellar keratoplasty. Ten eyes of 9 patients with progressive, advanced keratoconus and contact lens intolerance underwent the procedure with no intraoperative adverse events. Throughout the study period, we obser...

We used a surgical technique that combines deep lamellar keratoplasty, phacoemulsification, and intraocular lens implantation for treating patients with cataract and corneal stromal disease. Deep lamellar dissection of the cornea was first performed with viscoelastic substances (hyaluronate sodium) until the highly transparent Descemet membrane solely remained. We then created a short corneal t...

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...