Descemetic DALK and Predescemetic DALK: Outcomes in 236 Cases of Keratoconus

Abstract

Performing DALK, we had the greatest likelihood of reaching Descemet's membrane with the Anwar Big Bubble technique. The visual outcomes are comparable to standard PK, avoiding the risk of endothelial rejection. Endothelial cell loss was low and the cell count was stable after 6 months.