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• W3148156004 abstract "We read with great interest the article by Huang and associates reporting the clinical outcomes of deep anterior lamellar keratoplasty (DALK) using the big-bubble technique in various corneal diseases. 1 Huang T. Zhang X. Wang Y. Zhang H. Huand A. Gao N. Outcomes of deep anterior lamellar keratoplasty using the big-bubble technique in various corneal diseases. Am J Ophthalmol. 2012; 154: 282-289 Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar In this prospective interventional study with 115 patients (131 eyes), the researchers demonstrated that advanced keratoconus had the highest incidence of exposed Descemet membrane, whereas bacterial keratitis and moderate keratoconus showed the lowest incidence of membrane exposure. Furthermore, additional intrastromal manipulation during the surgeries may have a deleterious effect on the corneal endothelium. As much as possible, corneal specialists should avoid multiple manipulations even within the intrastromal space. Although these findings are useful for eye specialists handling such cases, we believe that several important concerns were not addressed. Outcomes of Deep Anterior Lamellar Keratoplasty Using the Big-Bubble Technique in Various Corneal DiseasesAmerican Journal of OphthalmologyVol. 154Issue 2PreviewTo report clinical outcomes of deep anterior lamellar keratoplasty (DALK) using the big-bubble technique in various original diagnoses. Full-Text PDF ReplyAmerican Journal of OphthalmologyVol. 155Issue 2PreviewWe thank Hong and associates for their interest in our article.1 In our study, there was a slow recovery of visual acuity in cases with keratoconus compared with the other diseases, and we suspected that this result was the result of the greater refractive shifts after surgery in those with keratoconus. This view originated from our preliminary observation that the patients with keratoconus demonstrated greater fluctuation in refraction after surgery. Unfortunately, there were some missing data in our sample, and we were unable to perform a valid statistical analysis. Full-Text PDF" @default.
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• W3148156004 date "2013-02-01" @default.
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• W3148156004 title "Outcomes of Deep Anterior Lamellar Keratoplasty Using the Big-Bubble Technique in Various Corneal Diseases" @default.
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• W3148156004 doi "https://doi.org/10.1016/j.ajo.2012.10.002" @default.
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