الفهرس 
AnatomyOnly 14 pages are availabe for public view
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Abstract
Deep lamellar keratoplasty (DLKP) is challenglng yet
rewarding choice of surgery for keratoplasty patients who have a
healthy endothelial cellcollnt (Sugjta and Kondo
1199’7).Pene-trating keratoplasty (PKP) in these patients is not only
unne-cessary, but places the graft at risk of endothelial rejection,
which can occur in approximately 20% of cases (Kirkness ct
aLII99(}).
Many surgeons still do not choose DLKP because of its
technical difficulty and long surgery time. Techniques such as
intrastromal air injection or segmental removal of bast stroma
improve surgical safety (Tsubotae! al.,1998). However, DLKP is
time consuming when ost tissue is removed layer by layer until
the Descemet memb ’ane (DM) is exposed. Recently. revolutionary
techniques have allowed for a dramatic decrease in surgery time as
well as an improved success rate of achieving a ”true” DLKP
procedure down to the DM (Fogla and Padmauabhaa ,2005).
There is also a need to establish the proper indications for
DLKP. Keratoconus is certainly a good indication.However, cases
with scarring of DM may affect visual outcome even if tile
procedure can be completed successful y.Hereditary dystrophies of
the stroma are also candidates.