This study describes the long-tem outcomes of DALK in children with KC and VKC. This technique ensures a stable visual acuity, stable endothelial cell loss and graft survival with reduced late complications in comparison to PK.

Pediatric PK has been a more challenging decision than adults PK as it has poorer outcomes compared to adults, due to the active immune response which leads to higher rates of graft rejection in children. Many cornea surgeons have started to consider DALK for certain pathologies in the pediatric age group with promising results. However, the published studies remain limited about DALK in younger age groups. This study aims to study the long-term outcomes of DALK in children with KC and VKC.
The aim of this work is to identify the long term results of deep anterior lamellar keratoplasty in patients below 18 years of age with keratoconus and vernal keratoconjunctivitis.
Conclusion:
This study describes the long-tem outcomes of DALK in children with KC and VKC. This technique ensures a stable visual acuity, stable endothelial cell loss and graft survival with reduced late complications in comparison to PK.
DALK is an effective therapeutic modality the management of advanced KC in children.