Dr. Anita Panda, P02209, Dr. Sasikala Nindra Krishna, Dr. Vanathi M, Dr.Namrata Sharma
Purpose: To report long term outcome of manual deep anterior lamellar keratoplasty(DALK) for advanced keratoconus with or without scarring but sparing the endothelium.
Methods:
Sixty two eyes of advanced Keratoconus undergone DALK by manual lamellar dissection with effect from 1992 were evaluated at the end of at least 10 years.
Results :
All the grafts were clear with good endothelial morphology. Visual aquity was good in all. None revealed corneal ectasia and corneal thickness was maintained.
Conclusion:
Though there is lot of advanced method of dissections are advocated, the age old method of manual dissection could provide the good outcome.

