{"id":11475,"date":"2020-06-28T03:05:12","date_gmt":"2020-06-28T00:05:12","guid":{"rendered":"https:\/\/drborismalyugin.com\/operatsiya\/corneal-transplantation\/perednyaya-posloynaya-keratoplastika"},"modified":"2020-08-22T22:08:29","modified_gmt":"2020-08-22T19:08:29","slug":"deep-anterior-lamellar-keratoplasty-dalk","status":"publish","type":"operatsiya","link":"https:\/\/drborismalyugin.com\/en\/operatsiya\/corneal-transplantation\/deep-anterior-lamellar-keratoplasty-dalk","title":{"rendered":"Deep anterior lamellar keratoplasty (DALK)"},"content":{"rendered":"

Lamellar keratoplasty is a surgical technique developed to replace one or more of the five corneal layers, but not the whole cornea.<\/p>\n<\/div><\/div><\/div><\/div><\/div>

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As a recognized authority in anterior segment surgery, Boris Malyugin has performed more than 1,000 keratoplasties over the course of his carrier. He is the author of multiple scientific papers, books, and surgical atlases.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>

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Essence of the method<\/h2><\/div><\/div>

Keratoplasty is the replacement of a damaged cornea with a donor transplant. In lamellar keratoplasty, the healthy and clear portions of the recipient\u2019s own cornea are preserved, significantly decreasing surgical trauma and the chance developing host-versus-graft disease. In anterior lamellar keratoplasty, the inner layers of the cornea (Descemet\u2019s membrane and corneal endothelium) are preserved. This technique significantly extends the life span of the transplanted cornea (to up to 49 years).<\/p>\n

This procedure is very precise, limited to removing a tissue fragment of up to 300-500 microns in thickness. This very delicate method requires high-tech equipment and special surgical skills. Trephination devices with micrometre scales or femtosecond laser systems are needed to perform the surgery.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>

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When is anterior lamellar keratoplasty indicated?<\/h2><\/div><\/div>

Cornea diseases is the fourth-most common cause of blindness in the world population. Corneal transplantation is also the only way to restore vision in cases of severe cornea opacifications.<\/p>\n

Anterior lamellar keratoplasty is indicated in:<\/p>\n