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Deep anterior lamellar keratoplasty after excimer laser assisted anterior lamellar keratoplasty: a case report

Poster Details

First Author: B.Aydın TURKEY

Co Author(s):    E. Yuksel   N. Yalcin   M. Ozmen   K. Bilgihan     

Abstract Details


To report a case who underwent deep anterior lamellar keratoplasty(DALK) after excimer laser-assisted anterior lamellar keratoplasty (ALK)


Gazi University Faculty of Medicine, Department of Ophthalmology, Ankara, Turkey


A twenty eight years old male patient diagnosed with keratoconus had undergone eximer laser-assisted ALK for both eyes 3 years ago. He complained about his right eye unchanged vision after the treatment. His visual acuity was 20/250. DALK was planned. After trepenisation of corneal graft, former ALK graft was removed from recipient bed by dissection with fine spatula. Thereafter, modified big bubble technique was performed. The operation completed without any complications.


His best corrected visual acuity was 20/200 one month after the treatment. On slit-lamb biomicroscopy the graft was clear and attached to the recipient bed. Endothelial cell count, as measured by specular microscopy, was 2179 cells/mm.


Excimer laser assisted ALK can be performed as a first step surgical option in advanced stage keratoconus. If this surgery fails, DALK still remains an option and can be performed successfully in patients who underwent excimer laser assisted ALK.

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