DALK on a Perforated Cornea

Dr. Ignacio Manzitti attempts to perform deep anterior lamellar keratoplasty (DALK) in a patient with keratoconus, but has to make a decision on whether to proceed with DALK or penetrating keratoplasty (PK) when the trephine penetrates the anterior chamber. He decides to move forward with DALK. He begins by suturing the border of the cornea, and details the remaining surgical steps. Despite the need for rebubbling in the second postoperative visit, the patient had a clear cornea by day 3 postop.

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