{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:28:54Z","timestamp":1786649334942,"version":"build-2736575974"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This study aimed to assess the preferred surgical technique and outcome of deep anterior lamellar keratoplasty (DALK) among corneal surgeons in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An online questionnaire-based cross-sectional survey was conducted among members of the Cornea Society of India (CSI) with experience of performing &gt;10 DALK procedure. The responses pertaining to their surgical experience, preferred technique, complications, and outcome of DALK were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 156 responses were received. In total, 35.9% of participants reported annual keratoplasty of &gt;50, and DALK constituted &gt;25% surgeries for 25% of participants. Ectatic corneal disorder was reported as the most common indication for DALK by 71.6% of the respondents. Big-bubble (BB) DALK (W\n                      <jats:sub>A<\/jats:sub>\n                      -1.82) was the most preferred technique, along with suction trephine (50%) for partial trephination and bottom port cannula (45.5%) for BB formation. On statistical analysis, no difference was observed in the surgeon reported success rate of BB formation with or without anterior lamellar keratectomy (ALK) (\u03a7\n                      <jats:sup>2<\/jats:sup>\n                      (1,156) = 3.1498,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.08) or paracentesis (\u03a7\n                      <jats:sup>2<\/jats:sup>\n                      (1,156) = 0.2737,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.60) before stromal air injection, and method of stromal air injection (\u03a7\n                      <jats:sup>2<\/jats:sup>\n                      (1,156) = 4.7325,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.09). Conversion to penetrating keratoplasty was reported by 16% of participants in &gt;25% cases, while 66.7% reported in &lt;10% cases. Cataract and double anterior chamber were the most common complications. 50% of participants suggested that &gt;20 procedures are required to overcome the learning curve.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>BB DALK is the most commonly practiced DALK technique, and its success is independent of ALK and paracentesis being performed prior to air injection and method of air injection (cannula\/needle).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_3067_20","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T10:42:08Z","timestamp":1622630528000},"page":"1553-1558","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Preferred practice pattern and observed outcome of deep anterior lamellar keratoplasty \u2013 A survey of Indian corneal surgeons"],"prefix":"10.4103","volume":"69","author":[{"given":"Rajesh","family":"Fogla","sequence":"first","affiliation":[{"name":"Cornea Clinic, Apollo Hospitals, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranita","family":"Sahay","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namrata","family":"Sharma","sequence":"additional","affiliation":[{"name":"Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"R1-20251004","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1097\/ICL.0000000000000076","article-title":"Deep anterior lamellar keratoplasty for keratoconus: A 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