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Deep Anterior Lamellar Keratoplasty for Keratoconus: A Review

Maharana, Prafulla K. M.D.; Agarwal, Kanika B.A.; Jhanji, Vishal M.D., F.R.C.S.; Vajpayee, Rasik B. M.S., F.R.C.S.Ed., F.R.A.N.Z.C.O.

Eye & Contact Lens: Science & Clinical Practice: November 2014 - Volume 40 - Issue 6 - p 382–389
doi: 10.1097/ICL.0000000000000076
Review

Abstract: Deep anterior lamellar keratoplasty (DALK) is a surgical technique that involves the removal of pathological corneal stroma down to Descemet membrane and replacing it with a donor cornea. Over the last decade, there has been a paradigm shift in the surgical techniques of DALK, which has made it safer with visual outcomes comparable with penetrating keratoplasty. This review aims to discuss the existing popular techniques of DALK, their advantages and limitations. We will also describe techniques of DALK that are useful in special situations.

L.V. Prasad Eye Institute (P.K.M.), Bhubaneswar, India; The Commonwealth Medical College (K.A.), Scranton, PA; Department of Ophthalmology and Visual Sciences (V.J.), The Chinese University of Hong Kong, Hong Kong, China; Centre for Eye Research Australia (V.J., R.B.V.), University of Melbourne, Melbourne, Australia; and Vision Eye Institute, Royal Victorian Eye and Ear Hospital (R.B.V.), North West Academic Centre University of Melbourne, Melbourne, Australia.

Address correspondence to Rasik B. Vajpayee, M.S., F.R.C.S. (Edin.), F.R.A.N.Z.C.O., Vision Eye Institute, Royal Victorian Eye and Ear Hospital, North West Academic Centre University of Melbourne, Melbourne, Australia; e-mail: rvajpayee@gmail.com

The authors have no funding or conflicts of interest to disclose.

Accepted July 28, 2014

© 2014 Contact Lens Association of Ophthalmologists, Inc.