“…Because, unlike PKP, DALK is an extraocular procedure, it is not associated with a risk for graft rejection or post-keratoplasty glaucoma, the 2 important factors in future graft survival. It has a lower risk for suture-related problems because 11 Recently, Lee et al 12 advocated the use of a femtosecond laser to refine the DALK technique and increase its precision. Although DALK is often used in challenging cases, several studies [13][14][15] report that surgeons are able to perform the procedure with relative ease while providing the best outcomes for the patient.…”