lamellar keratoplasty (lk) has been a well established technique of corneal transplantation. recent improvements in surgical instruments have revolutionized the procedure introducing a new technique employing deeper corneal dissection. this review article describes the indications, techniques, outcomes and complications of deep anterior lk.

purpose: to evaluate the influence of donor characteristics (age, death-to-preservation time, preservation-to-surgery time, graft rating, and endothelial cell features) on clinical outcomes following deep anterior lamellar keratoplasty (dalk) in patients with keratoconus. methods: in this retrospective study, 290 consecutive keratoconic eyes underwent dalk using donor corneas of different quali...

purpose: to compare the clinical and paraclinical outcomes following deep anterior lamellar keratoplasty (dalk) using frozen versus fresh corneas in patients with keratoconus. methods: in this prospective, comparative interventional study, 16 frozen and 19 fresh corneas were used during dalk in keratoconus patients. big bubble technique was used in all patients. the two groups were compared at ...

PURPOSE To compare the measurement of contrast sensitivity at a distance in patients submitted to penetrating keratoplasty versus patients submitted to deep anterior lamellar keratoplasty for keratoconus treatment. METHODS Contrast sensitivity of fourteen subjects submitted to penetrating keratoplasty and fourteen subjects submitted to deep anterior lamellar keratoplasty have been analyzed th...

purpose: to report a case of bilateral acanthamoeba keratitis with recurrence after keratoplasties case report: here we report a case with bilateral acanthamoeba keratitis who initially responds to medical treatment, after discontinuation of treatment the disease flared up and not responded to medical therapy so superficial keratectomy was done and medical treatment continued and the ulcer impr...

purpose: to compare clinical outcomes following penetrating keratoplasty (pk) versus deep anterior lamellar keratoplasty (dalk) for keratoconic patients with vernal keratoconjunctivitis (vkc). methods: in this retrospective comparative study, the records of 69 keratoconic eyes with vkc that underwent pk (n=43, group 1) or dalk (n=26, group 2) were compiled. postoperative best-corrected visual a...

purpose: to assess parameters that had a capability of influencing the rate of big bubble formation during deep anterior lamellar keratoplasty (dalk) in keratoconus. methods: a total of 290 consecutive eyes from 257 patients with keratoconus that underwent dalk using the big-bubble technique were enrolled. the influence of patient age and sex, family history of keratoconus, history of contact l...

purpose: to compare the clinical outcomes following deep anterior lamellar keratoplasty (dalk) for keratoconic patients with vernal keratoconjunctivitis (vkc) and without vkc. methods: in this retrospective comparative study, the records for 262 eyes with keratoconus only (group 1) and 28 keratoconic eyes with vkc (group 2) that underwent dalk were complied. the parameters reviewed included the...

background: astigmatism is the leading complication in visual recovery after penetrating keratoplasty (pkp) and deep anterior lamellar keratoplasty (dalk); in this study, we evaluated the outcome of femtosecond laser arcuate keratotomy (flak) after dalk and pkp in iranian keratoconic patients. materials and methods: in this prospective interventional case series, refractive and keratometric pre...

purpose: to compare outcomes of two techniques (anwar vs. melles) of deep anterior lamellar keratoplasty (dalk) in patients with keratoconus. methods: this randomized double-blind clinical trial was performed on 57 eyes of 57 patients with keratoconus. patients aged 20-35 years with a clinical diagnosis of keratoconus who were contact lens intolerant and had corrected distance visual acuity (cd...