[Perspectives of deep anterior lamellar keratoplasty]

Ophthalmologe. 2011 Sep;108(9):833-9. doi: 10.1007/s00347-011-2331-z.
[Article in German]


Purpose: The current indications, techniques, results and complications of deep anterior lamellar keratoplasty are described.

Methods: The study comprised a literature review and own clinical and experimental results.

Results: The main advantage of DALK in patients with keratoconus and other anterior stromal diseases is the avoidance of endothelial immune reactions and the main drawback is the conversion rate to penetrating keratoplasty of around 15%.

Conclusions: Using the big bubble approach DALK is a safe and reliable technique for treating keratoconus and anterior stromal dystrophy.

Publication types

  • Comparative Study
  • English Abstract
  • Review

MeSH terms

  • Corneal Diseases / surgery*
  • Corneal Dystrophies, Hereditary / surgery
  • Corneal Transplantation / methods*
  • Descemet Stripping Endothelial Keratoplasty / methods
  • Follow-Up Studies
  • Humans
  • Keratoconus / surgery
  • Postoperative Complications / diagnosis
  • Postoperative Complications / prevention & control
  • Tissue and Organ Harvesting / methods
  • Tomography, Optical Coherence
  • Visual Acuity / physiology