Case ReportDeep Anterior Lamellar Keratoplasty on a Previously Failed Full-Thickness GraftRamamurthi, S FRCS; Cornish, K S MD; Steeples, L MBChB; Ramaesh, K FRCOphthAuthor Information From the Tennent Institute of Ophthalmology, Glasgow. Received for publication January 9, 2008; revision received August 1, 2008; accepted August 4, 2008. Reprints: S. Ramamurthi, FRCS, Tennent Institute of Ophthalmology, Great Western Road, Glasgow G12 OYN, United Kingdom (e-mail: [email protected]). Cornea: May 2009 - Volume 28 - Issue 4 - p 456-457 doi: 10.1097/ICO.0b013e31818c2af7 Buy Metrics Abstract Purpose: To report a case of deep anterior lamellar keratoplasty (DALK) on a previously failed full-thickness graft in a case of herpetic keratitis. Methods: A 70-year-old patient with a history of penetrating keratoplasty for herpetic keratitis performed 30 years ago presented with blurry vision in her left eye. She had corneal stromal scarring secondary to herpetic keratitis. The endothelium was spared. We performed a DALK with big-bubble technique. Results: Postoperatively, corneal edema was noticed initially, which resolved in 3 months. Her best-corrected visual acuity is 6/12 in her left eye. Conclusion: DALK on a previous penetrating keratoplasty is a technical possibility when there is a functioning endothelium. Copyright © 2009 Wolters Kluwer Health, Inc. All rights reserved.