“…This surgical technique replaces the diseased corneal layer with a healthy donor cornea and achieves improvement in vision and has potential advantages over PKP in terms of a reduction in the incidence of rejection episodes at the corneal endothelium, preservation of endothelial cells, stronger graft-host junction, and shorter postoperative rehabilitation. 1,6,9 However, the principal limitation of DALK involves the technical diffi culties in the surgical procedure, along with the possibility of a prolonged surgical procedure and complications associated with the graft-host interface. 6 Recently, Bahar et al 7 reported that DALK and PKP provide comparable visual outcomes, although DALK results in a signifi cantly higher level of high-order and tilt aberrations.…”