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Deep anterior lamellar keratoplasty
Author(s) -
FONTANA L
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.5134.x
Subject(s) - medicine , corneal transplantation , cornea , ophthalmology , surgery , corneal graft , corneal disease
Despite the long term risk of endothelial rejection, full‐thickness corneal transplantation is still considered the gold standard surgery for replacing a diseased cornea. Deep anterior lamellar keratoplasty (DALK) is not a new procedure, but in the past, its use has been of limited popularity owing to the challenging, lengthy and tedious surgery involved. With the advent of newer surgical techniques and instruments for performing lamellar corneal surgery, DALK has gained in popularity. This presentation discusses the techniques for performing the procedure as well as the clinical outcomes, especially focusing on Big bubble DALK. Results will be compared with the outcomes of penetrating keratoplasty (PK). Results suggest that DALK is the logical choice in the surgical management of corneal stromal disease, in presence of a functional endothelium.