{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T22:54:44Z","timestamp":1781823284824,"version":"3.54.5"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Deep anterior lamellar keratoplasty (DALK) allows selective removal of\n                    pathologically altered corneal layers. At our clinic, it is performed according\n                    to the Homburg concept as a non-mechanical, contact-free excimer laser-assisted\n                    DALK (Excimer-DALK). After early postoperative treatment, DALK gives faster\n                    visual rehabilitation. After complete suture removal, visual outcomes are\n                    comparable to those of penetrating keratoplasty (PKP), while endothelial cell\n                    density remains significantly higher in the long term. Advantages of DALK\n                    include improved graft survival, a markedly lower rate of irreversible\n                    endothelial immune reactions, and a reduced risk of postoperative intraocular\n                    pressure fluctuations. Optimal results require an intact endothelium and\n                    complete exposure of Descemet\u02bcs membrane. Excimer-DALK is therefore a\n                    standardised, safe, and particularly attractive alternative to PKP for young\n                    patients with keratoconus.<\/jats:p>","DOI":"10.1055\/a-2873-0793","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T23:36:13Z","timestamp":1778283373000},"page":"654-659","source":"Crossref","is-referenced-by-count":0,"title":["Excimer Laser-assisted Deep Anterior Lamellar Keratoplasty\n                    (Excimer-DALK)"],"prefix":"10.1055","volume":"243","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8076-3179","authenticated-orcid":false,"given":"Loay","family":"Daas","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum des Saarlandes,\n                    Homburg\/Saar, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2307-2237","authenticated-orcid":false,"given":"Tim","family":"Berger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum des Saarlandes,\n                    Homburg\/Saar, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8642-0222","authenticated-orcid":false,"given":"Yaser","family":"Abu Dail","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum des Saarlandes,\n                    Homburg\/Saar, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Berger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum des Saarlandes,\n                    Homburg\/Saar, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9701-8204","authenticated-orcid":false,"given":"Berthold","family":"Seitz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Universit\u00e4tsklinikum des Saarlandes,\n                    Homburg\/Saar, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"ref1","volume-title":"\u00dcber die Transplantation der Cornea","author":"F M\u00fchlbauer","year":"1840"},{"key":"ref2","first-page":"252","article-title":"Verschiedenes \u00fcber Keratoplastik","volume":"135","author":"W Hallermann","year":"1959","journal-title":"Klin Monbl Augenheilkd Augenarztl Fortbild"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1136\/bjo-2022-323162","article-title":"Descemet\u02bcs membrane endothelial keratoplasty is the predominant keratoplasty\n                    procedure in Germany since 2016: a report of the DOG-section cornea and its\n                    keratoplasty registry","volume":"108","author":"E Flockerzi","year":"2024","journal-title":"Br J Ophthalmol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1007\/s00347-015-0204-6","article-title":"Update: Tiefe anteriore lamell\u00e4re Keratoplastik (DALK) bei Keratokonus","volume":"113","author":"C Cursiefen","year":"2016","journal-title":"Ophthalmologe"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1007\/s00347-016-0424-4","article-title":"Tiefe anteriore lamell\u00e4re Keratoplastik","volume":"114","author":"F Schaub","year":"2017","journal-title":"Ophthalmologe"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1007\/s00347-013-2822-1","article-title":"DALK und perforierende Laserkeratoplastik bei fortgeschrittenem Keratokonus","volume":"110","author":"B Seitz","year":"2013","journal-title":"Ophthalmologe"},{"key":"ref7","first-page":"1165","volume-title":"Stadiengerechte Therapie des Keratokonus. 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Myerscough","year":"2020","journal-title":"Br J Ophthalmol"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1097\/ICO.0000000000003703","article-title":"Excimer Laser-Assisted Deep Anterior Lamellar Keratoplasty Versus Penetrating\n                    Keratoplasty for Patients With Keratoconus: A Retrospective Analysis From the\n                    Homburg Keratoconus Center","volume":"44","author":"L Daas","year":"2025","journal-title":"Cornea"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/ICO.0000000000001845","article-title":"Surgical corneal anatomy in deep anterior lamellar keratoplasty: suggestion of\n                    new acronyms","volume":"38","author":"E Sarnicola","year":"2019","journal-title":"Cornea"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr 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