By Rasik B. Vajpayee, MD; Namrata Sharma, MD, MBBS; Vishal Jhanji, MBBS; Jacqueline Beltz
    Cornea/External Disease

    The spectrum of indications for "Big bubble" deep anterior lamellar keratoplasty (DALK) continues to expand. DALK has been performed successfully for corneal scars post-infectious keratitis. We present the case of a patient with aggressive intracorneal ring segment-related infectious keratitis. The rings were removed and infection treated. Corneal stromal scarring occurred as predicted. Nine months following ring removal, DALK was performed using our "Double Bubble" technique. . Best-spectacle corrected visual acuity of 20/40 was achieved 12 months post-transplantation. Our case study highlights the viability of performing DALK in cases with post-infectious keratitis corneal scarring.