Deep anterior lamellar keratoplasty with a manual spatula: anatomical and functional results.

Despite these differences not being significant, most studies show a slight trend toward better vision following penetrating keratoplasty compared to DALK.[ 8 , 19 ] The Anwar and Melles techniques of DALK have comparable visual acuity and refractive outcomes.[ 20 ] The BCVA values ​​obtained were considered good, as 12 eyes (75%) obtained a BCVA ≥ 0.5 logMAR (20/63), which is considered acceptable even after penetrating keratoplasty.[ 1 , 7 , 8 ] Our technique showed comparable CDVA with Anwar and Melles techniques.

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