DALK with Ocular Surface Reconstruction
This video features a Deep Anterior Lamellar Keratoplasty (DALK) performed in conjunction with ocular surface reconstruction — a challenging case involving advanced stromal scarring and limbal instability.
DALK selectively replaces the diseased corneal stroma while preserving the patient’s healthy endothelium, reducing rejection risk and promoting graft longevity. The ocular surface is rehabilitated in the same session with techniques tailored to the underlying pathology.
This combined approach offers structural clarity, visual restoration, and long-term surface stability — especially beneficial in eyes with chronic inflammation, prior trauma, or failed grafts. By preserving the host endothelium and stabilizing the surface in a single procedure, the patient receives a more integrated, lower-risk solution for visual recovery.