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Voraussetzung f\u00fcr die Operation ist die Abwesenheit von (pr\u00e4)descemetalen Narben sowie ein gesundes Endothel.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Operationstechnik<\/jats:title>\n                <jats:p>Nach der Excimerlaser-gest\u00fctzten Trepanation auf 80\u202f% der kornealen Dicke an der Trepanationsstelle, einer intrastromalen Lufteingabe (sog. \u201eBig-Bubble\u201c) sowie einer lamell\u00e4ren Hornhautpr\u00e4paration erfolgt eine lamell\u00e4re anteriore Transplantation des endothelfreien Spendergewebes. Diese Technik kombiniert die Vorteile einer DALK und einer Excimerlaser-Trepanation. Wir beschreiben die Schritte einer Excimer-DALK aus unserem Homburger Keratokonus Center (HKC).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerungen<\/jats:title>\n                <jats:p>Die Excimer-DALK stellt bei Patienten mit gutem Endothel eine gute Behandlungsm\u00f6glichkeit dar. Bei einer intraoperativen Perforation bleibt die M\u00f6glichkeit einer sog. Konversion zur Excimer-PKP mit allen Vorteilen der Excimerlaser-Trepanation.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00347-021-01342-3","type":"journal-article","created":{"date-parts":[[2021,2,25]],"date-time":"2021-02-25T14:02:45Z","timestamp":1614261765000},"page":"1245-1248","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Excimerlaser-gest\u00fctzte DALK: Ein Fallbericht aus dem Homburger Keratokonus Center (HKC)","Excimer laser-assisted DALK: a\u00a0case report from the Homburg Keratoconus Center (HKC)"],"prefix":"10.1007","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8076-3179","authenticated-orcid":false,"given":"Loay","family":"Daas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lo\u00efc","family":"Hamon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navid","family":"Ardjomand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek","family":"Safi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berthold","family":"Seitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,2,25]]},"reference":[{"key":"1342_CR1","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1016\/S0886-3350(01)01181-6","volume":"28","author":"M Anwar","year":"2002","unstructured":"Anwar\u00a0M, Teichmann\u00a0KD (2002) Big-bubble technique to bare Descemet\u2019s membrane in anterior lamellar keratoplasty. 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