{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:37:51Z","timestamp":1792071471118,"version":"4.4.0"},"reference-count":39,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["ajo.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Ophthalmology"],"published-print":{"date-parts":[[2020,12]]},"DOI":"10.1016\/j.ajo.2020.07.023","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T12:16:00Z","timestamp":1595333760000},"page":"191-202","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":56,"special_numbering":"C","title":["Femtosecond Laser\u2013Assisted Deep Anterior Lamellar Keratoplasty for Keratoconus: Multi-surgeon Results"],"prefix":"10.1016","volume":"220","author":[{"given":"Kunal A.","family":"Gadhvi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5148-7643","authenticated-orcid":false,"given":"Vito","family":"Romano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Fern\u00e1ndez-Vega Cueto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Aiello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander C.","family":"Day","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel M.","family":"Gore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce D.","family":"Allan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.ajo.2020.07.023_bib1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1001\/jamaophthalmol.2015.4776","article-title":"Global survey of corneal transplantation and eye banking","volume":"134","author":"Gain","year":"2016","journal-title":"JAMA Ophthalmol"},{"issue":"1","key":"10.1016\/j.ajo.2020.07.023_bib2","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.ophtha.2010.11.002","article-title":"Deep anterior lamellar keratoplasty as an alternative to penetrating keratoplasty: a report by the American Academy of Ophthalmology","volume":"118","author":"Reinhart","year":"2011","journal-title":"Ophthalmology"},{"issue":"2","key":"10.1016\/j.ajo.2020.07.023_bib3","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.ophtha.2011.07.057","article-title":"Long-term results of deep anterior lamellar versus penetrating keratoplasty","volume":"119","author":"Borderie","year":"2012","journal-title":"Ophthalmology"},{"issue":"12","key":"10.1016\/j.ajo.2020.07.023_bib4","doi-asserted-by":"crossref","first-page":"5625","DOI":"10.1167\/iovs.09-3994","article-title":"Penetrating and deep anterior lamellar keratoplasty for keratoconus: a comparison of graft outcomes in the United Kingdom","volume":"50","author":"Jones","year":"2009","journal-title":"Invest Ophthalmol Vis Sci"},{"issue":"5","key":"10.1016\/j.ajo.2020.07.023_bib5","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/j.ophtha.2013.12.017","article-title":"A comparison of lamellar and penetrating keratoplasty outcomes: a registry study","volume":"121","author":"Coster","year":"2014","journal-title":"Ophthalmology"},{"issue":"4","key":"10.1016\/j.ajo.2020.07.023_bib6","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1097\/00003226-200205000-00009","article-title":"Deep lamellar keratoplasty: surgical techniques for anterior lamellar keratoplasty with and without baring of Descemet's membrane","volume":"21","author":"Anwar","year":"2002","journal-title":"Cornea"},{"issue":"3","key":"10.1016\/j.ajo.2020.07.023_bib7","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1136\/bjo.83.3.327","article-title":"A new surgical technique for deep stromal, anterior lamellar keratoplasty","volume":"83","author":"Melles","year":"1999","journal-title":"Br J Ophthalmol"},{"issue":"6","key":"10.1016\/j.ajo.2020.07.023_bib8","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/ICO.0b013e31823d0412","article-title":"Long-term graft survival in deep anterior lamellar keratoplasty","volume":"31","author":"Sarnicola","year":"2012","journal-title":"Cornea"},{"issue":"2","key":"10.1016\/j.ajo.2020.07.023_bib9","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/ICO.0b013e3181af25b7","article-title":"Deep anterior lamellar keratoplasty in patients with keratoconus: big-bubble technique","volume":"29","author":"Feizi","year":"2010","journal-title":"Cornea"},{"issue":"5","key":"10.1016\/j.ajo.2020.07.023_bib10","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1016\/j.ajo.2010.11.020","article-title":"Long-term results of deep anterior lamellar keratoplasty for the treatment of keratoconus","volume":"151","author":"Kubaloglu","year":"2011","journal-title":"Am J Ophthalmol"},{"issue":"3","key":"10.1016\/j.ajo.2020.07.023_bib11","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1007\/s10792-017-0548-9","article-title":"Comparison of outcomes and complications of deep anterior lamellar keratoplasty and penetrating keratoplasty performed in a large group of patients with keratoconus","volume":"38","author":"Khattak","year":"2018","journal-title":"Int Ophthalmol"},{"issue":"3","key":"10.1016\/j.ajo.2020.07.023_bib12","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.ajo.2014.11.033","article-title":"Long-term clinical outcomes of deep anterior lamellar keratoplasty in patients with keratoconus","volume":"159","author":"Romano","year":"2015","journal-title":"Am J Ophthalmol"},{"issue":"1","key":"10.1016\/j.ajo.2020.07.023_bib13","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1097\/ICO.0b013e3182a9fbfd","article-title":"Long-term outcomes of deep anterior lamellar keratoplasty versus penetrating keratoplasty in Australian keratoconus patients","volume":"33","author":"MacIntyre","year":"2014","journal-title":"Cornea"},{"key":"10.1016\/j.ajo.2020.07.023_bib14","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.ajo.2019.01.022","article-title":"Deep anterior lamellar keratoplasty for keratoconus: multisurgeon results","volume":"201","author":"Gadhvi","year":"2019","journal-title":"Am J Ophthalmol"},{"issue":"9952","key":"10.1016\/j.ajo.2020.07.023_bib15","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/S0140-6736(14)61851-1","article-title":"Robotic surgery: where are we now?","volume":"384","author":"Lee","year":"2014","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.ajo.2020.07.023_bib16","doi-asserted-by":"crossref","first-page":"e1918911","DOI":"10.1001\/jamanetworkopen.2019.18911","article-title":"Trends in the adoption of robotic surgery for common surgical procedures","volume":"3","author":"Sheetz","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"12","key":"10.1016\/j.ajo.2020.07.023_bib17","doi-asserted-by":"crossref","first-page":"830","DOI":"10.3928\/1081597X-20151111-07","article-title":"The big-bubble full femtosecond laser-assisted technique in deep anterior lamellar keratoplasty","volume":"31","author":"Buzzonetti","year":"2015","journal-title":"J Refract Surg"},{"issue":"4","key":"10.1016\/j.ajo.2020.07.023_bib18","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1097\/ICU.0000000000000574","article-title":"Femtosecond laser-assisted deep anterior lamellar keratoplasty","volume":"30","author":"Chamberlain","year":"2019","journal-title":"Curr Opin Ophthalmol"},{"key":"10.1016\/j.ajo.2020.07.023_bib19","doi-asserted-by":"crossref","first-page":"397891","DOI":"10.1155\/2015\/397891","article-title":"Femtosecond laser assisted deep anterior lamellar keratoplasty outcomes and healing patterns compared to manual technique","volume":"2015","author":"Alio","year":"2015","journal-title":"Biomed Res Int"},{"issue":"2","key":"10.1016\/j.ajo.2020.07.023_bib20","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.jcjo.2015.12.001","article-title":"Femtosecond laser-assisted decagonal deep anterior lamellar keratoplasty","volume":"51","author":"Espandar","year":"2016","journal-title":"Can J Ophthalmol"},{"issue":"5","key":"10.1016\/j.ajo.2020.07.023_bib21","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/j.jcrs.2009.01.012","article-title":"Deep anterior lamellar keratoplasty performed with the femtosecond laser zigzag incision for the treatment of stromal corneal pathology and ectatic disease","volume":"35","author":"Farid","year":"2009","journal-title":"J Cataract Refract Surg"},{"issue":"1","key":"10.1016\/j.ajo.2020.07.023_bib22","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/ICO.0000000000001442","article-title":"Double-docking technique for femtosecond laser-assisted deep anterior lamellar keratoplasty","volume":"37","author":"Guindolet","year":"2018","journal-title":"Cornea"},{"issue":"10","key":"10.1016\/j.ajo.2020.07.023_bib23","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1097\/ICO.0000000000000962","article-title":"Precisely controlled side cut in femtosecond laser-assisted deep lamellar keratoplasty for advanced keratoconus","volume":"35","author":"Li","year":"2016","journal-title":"Cornea"},{"issue":"4","key":"10.1016\/j.ajo.2020.07.023_bib24","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1038\/eye.2015.273","article-title":"Outcomes of femtosecond laser-assisted mushroom-configuration keratoplasty in advanced keratoconus","volume":"30","author":"Fung","year":"2016","journal-title":"Eye (Lond)"},{"issue":"5","key":"10.1016\/j.ajo.2020.07.023_bib25","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1097\/ICO.0000000000001851","article-title":"Intraoperative optical coherence tomography-guided femtosecond laser-assisted deep anterior lamellar keratoplasty","volume":"38","author":"Liu","year":"2019","journal-title":"Cornea"},{"issue":"5","key":"10.1016\/j.ajo.2020.07.023_bib26","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1016\/j.jcrs.2009.01.011","article-title":"Deep anterior lamellar keratoplasty with femtosecond-laser zigzag incisions","volume":"35","author":"Price","year":"2009","journal-title":"J Cataract Refract Surg"},{"issue":"5","key":"10.1016\/j.ajo.2020.07.023_bib27","first-page":"807","article-title":"Femtosecond laser-assisted deep anterior lamellar keratoplasty in phototherapeutic keratectomy versus the big-bubble technique in keratoconus","volume":"11","author":"de Macedo","year":"2018","journal-title":"Int J Ophthalmol"},{"issue":"1","key":"10.1016\/j.ajo.2020.07.023_bib28","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/ICO.0000000000001783","article-title":"Long-term results of femtosecond laser-enabled keratoplasty with zig-zag trephination","volume":"38","author":"Wade","year":"2019","journal-title":"Cornea"},{"issue":"12","key":"10.1016\/j.ajo.2020.07.023_bib29","first-page":"1716","article-title":"Comparison between manual trephination versus femtosecond laser-assisted deep anterior lamellar keratoplasty for keratoconus","volume":"103","author":"Salouti","year":"2019","journal-title":"Br J Ophthalmol"},{"issue":"1","key":"10.1016\/j.ajo.2020.07.023_bib30","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1136\/bjophthalmol-2013-303737","article-title":"Comparison between femtosecond laser mushroom configuration and manual trephine straight-edge configuration deep anterior lamellar keratoplasty","volume":"98","author":"Shehadeh-Mashor","year":"2014","journal-title":"Br J Ophthalmol"},{"issue":"9","key":"10.1016\/j.ajo.2020.07.023_bib31","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.1016\/j.ophtha.2013.01.018","article-title":"Human corneal anatomy redefined: a novel pre-Descemet\u2019s layer (Dua\u2019s layer)","volume":"120","author":"Dua","year":"2013","journal-title":"Ophthalmology"},{"issue":"10","key":"10.1016\/j.ajo.2020.07.023_bib32","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1136\/bjo.2006.113357","article-title":"Use of a \"small-bubble technique\" to increase the success of Anwar\u2019s \"big-bubble technique\" for deep lamellar keratoplasty with complete baring of Descemet\u2019s membrane","volume":"91","author":"Parthasarathy","year":"2007","journal-title":"Br J Ophthalmol"},{"issue":"2","key":"10.1016\/j.ajo.2020.07.023_bib33","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1097\/01.ico.0000138843.83044.7d","article-title":"Deep lamellar keratoplasty (DLKP) in keratoconus patients using viscoadaptive viscoelastics","volume":"24","author":"Shimmura","year":"2005","journal-title":"Cornea"},{"issue":"1","key":"10.1016\/j.ajo.2020.07.023_bib34","doi-asserted-by":"crossref","first-page":"3785","DOI":"10.1038\/s41598-018-36522-w","article-title":"Effect of air injection depth on big-bubble formation in lamellar keratoplasty: an ex\u00a0vivo study","volume":"9","author":"Yoo","year":"2019","journal-title":"Sci Rep"},{"issue":"11","key":"10.1016\/j.ajo.2020.07.023_bib35","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1097\/ICO.0000000000000948","article-title":"Needle depth and big-bubble success in deep anterior lamellar keratoplasty: an ex\u00a0vivo microscope-integrated OCT study","volume":"35","author":"Pasricha","year":"2016","journal-title":"Cornea"},{"issue":"2","key":"10.1016\/j.ajo.2020.07.023_bib36","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.ajo.2006.10.043","article-title":"Quality of vision and graft thickness in deep anterior lamellar and penetrating corneal allografts","volume":"143","author":"Ardjomand","year":"2007","journal-title":"Am J Ophthalmol"},{"issue":"2","key":"10.1016\/j.ajo.2020.07.023_bib37","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1097\/ICO.0b013e31826ae2d8","article-title":"Irregularity of the posterior corneal surface after curved interface femtosecond laser-assisted versus microkeratome-assisted descemet stripping automated endothelial keratoplasty","volume":"32","author":"Vetter","year":"2013","journal-title":"Cornea"},{"issue":"1","key":"10.1016\/j.ajo.2020.07.023_bib38","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.ajo.2010.01.042","article-title":"Excimer laser-assisted lamellar keratoplasty and the corneal endothelium","volume":"150","author":"Alessio","year":"2010","journal-title":"Am J Ophthalmol"},{"issue":"4","key":"10.1016\/j.ajo.2020.07.023_bib39","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.ophtha.2006.01.006","article-title":"Patterns of rejection after deep lamellar keratoplasty","volume":"113","author":"Watson","year":"2006","journal-title":"Ophthalmology"}],"container-title":["American Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002939420303809?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002939420303809?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T13:44:23Z","timestamp":1757598263000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002939420303809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":39,"alternative-id":["S0002939420303809"],"URL":"https:\/\/doi.org\/10.1016\/j.ajo.2020.07.023","relation":{},"ISSN":["0002-9394"],"issn-type":[{"value":"0002-9394","type":"print"}],"subject":[],"published":{"date-parts":[[2020,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Femtosecond Laser\u2013Assisted Deep Anterior Lamellar Keratoplasty for Keratoconus: Multi-surgeon Results","name":"articletitle","label":"Article Title"},{"value":"American Journal of Ophthalmology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajo.2020.07.023","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}