Deep Anterior Lamellar Keratoplasty(DALK) is performed to remove and replace the pathologic corneal stroma while preserving host healthy endothelium thereby eliminating the risk of endothelial graft rejection. It also avoids m ost complications associated with an open system surgery, such as anterior synechia, expulsive hemorrhage, and endophthalmitis. This article is the continuation of our previous article of keratoplasty for replacement of diseased corneal layers Deep anterior lamellar keratoplasty has been proposed as an excellent alternative to PK for corneal diseases that do not affect the endothelium.
Current surgical techniques of DALK involve manual dissection up to near DM or injection of air, fluid, or viscoelastic into deep stroma to create a plane of separation between DM and stromal tissue. Indications The most common indication for DALK is likely keratoconus because the…
