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Review A review of the literature on the topic of surgical treatment of keratoconus has received considerable attention and a formidable number and variety of surgical procedures even before keratoplasty was considered the most suitable procedure [ 6 ]. I am curious about double penetration two penises in one vagina. A lamellar dissection with a Crescent blade of the anterior stroma is then performed c followed by the removal of the stromal tissue above the DM plane with spatula and scissors dmaking sure to first exchange the air in the supradescemetic plane with viscoelastic to avoid puncturing DM inadvertently. A review of published literature that included 11 comparative studies on DALK and PK found that visual and refractive outcomes were comparable if the residual bed thickness in DALK cases were between 25 and 65 μm [ 4 ]. What is double penetration and how do you keep it safe and clean?

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Once the desired plane is reached, the superficial stroma is removed using trephine and lamellar dissection Fig.

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Corneal surgery in keratoconus: which type, which technique, which outcomes?

Login or Sign Up. Are you looking for hot dates in your neighbourhood? Furthermore, large and decentered grafts that are placed close to the limbal area present an increased risk of rejection, thus making the use of IS necessary for its closure. There are various ways to create a plane of separation between DM and the deep stromal layers mainly through variations of the two basic strategies: Häftad, Skickas inom vardagar. We appreciate your patience with the translation process. This technique is based on the air-endothelium interface [ 13 ].

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