The objective of this study is to assess the outcomes between deep anterior lamellar keratoplasty using dehydrated versus standard organ culture stored donor corneas.

Keratoconus is a common corneal disease characterized by progressive thinning and steepening resulting in significant visual impairment. With improved instrumentation and corneal imaging technology, deep anterior keratoplasty has been recognized as the preferred primary operative technique for cases of keratoconus requiring corneal transplantation.

Since corneas preserved through organ culture remain viable only for up to 4 weeks, techniques that can extend storage of corneas have been explored.

The objective of this study is to assess the outcomes between deep anterior lamellar keratoplasty using dehydrated versus standard organ culture stored donor corneas.

Inclusion Criteria:

• Keratoconus
• Surgical candidates for deep anterior lamellar keratoplasty

Exclusion Criteria:

• Ocular comorbidities other than cataract (ie. visual significant optic nerve or macular disease)
• Previous corneal transplantations or other ocular surgeries except uncomplicated cataract surgery
• Inability to comply with study protocol or participate in follow-up visits