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Phacoemulsification with deep anterior lamellar keratoplasty (DALK) in cases of co-existing cataract and endothelium sparing corneal opacification

Poster Details

First Author: N.Sharma INDIA

Co Author(s):    N. Aron                    

Abstract Details


To describe the technique of sequential anterior stromal lamellar dissection followed by phacoemulsification and subsequent DALK in cases of coexisting cataract with endothelium sparing corneal opacity.


Tertiary eye care centre


In 23 cases of endothelium sparing stromal opacities,ASOCT guided anterior stromal lamellar dissection was done so as to reach a relatively clear plane of stromal dissection so as to aid visualization f underlying structures. This was followed by phacoemulsification and foldable intraocular lens implantation. Subsequently the deep lamellar keratoplasty was done using layer by layer manual dissection baring the descemet's membrane.


The BCVA of better than 20/40 was obatined in 22 eyes. The endothelial cell loss was 3.2( 2.1 SD)% . There were no intraoperative complications. Mean SEQ was 0.75 +/- 0.25 D. Mean astigmatism was less than 1 D in all eyes.


DALK is safe and feasible when combimed with phacoemulsification. A sandwich technique of phacoemulsification is advocated between the superficial and deep lamellar dissections.

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