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Large Diameter Deep Anterior Lamellar Keratoplasty

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Modern Keratoplasty

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

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Abstract

Despite its well-documented advantages, deep anterior lamellar keratoplasty (DALK) has failed to gain widespread popularity among corneal surgeons. This is probably because the safety benefits of DALK including eliminating the risk of immune endothelial rejection and avoiding progressive endothelial cell loss become fully evident only several years postoperatively. An improvement in visual and refractive outcomes, which are directly perceived by patients soon after suture removal, could provide the same surgeons with a greater incentive to transition to DALK. Using a standardized technique, large 9.0-mm DALK can provide superior visual outcomes at higher levels of Snellen BSCVA and significantly lower degrees of astigmatism without an increased risk of immune rejection and graft failure.

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Authors and Affiliations

  1. Department of Translational Medicine University of Ferrara, Ferrara, Italy

    Angeli Christy Yu & Massimo Busin

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  1. Angeli Christy Yu
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  2. Massimo Busin
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Editors and Affiliations

  1. Vissum Miranza, Miguel Hernández University, Alicante, Spain

    Jorge L. Alió

  2. Vissum-Instituto Oftalmologico de Alica, Miguel Hernandez University, Alicante, Alicante, Spain

    Jorge L. Alió del Barrio

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Large (9 mm) Deep Anterior Lamellar Keratoplasty with Limited Stromal Clearance of the 6-mm Optical Zone (MP4 246048 kb)

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Yu, A.C., Busin, M. (2023). Large Diameter Deep Anterior Lamellar Keratoplasty. In: Alió, J.L., del Barrio, J.L.A. (eds) Modern Keratoplasty. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-031-32408-6_23

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  • DOI: https://doi.org/10.1007/978-3-031-32408-6_23

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