MARRAKECH, Morocco — A variation of Bowman layer transplantation, in which the graft is implanted on the surface of the eye after removal of the epithelium, might be an alternative for keratoconus patients with thin corneas.
“Based on the hypothesis that keratoconus causes Bowman layer disruption, some years ago we introduced a technique of Bowman layer transplantation within the corneal stroma. After performing an intrastromal dissection with spatulas, we introduced a Bowman layer-only graft, harvested from a donor cornea,” Isabel Dapena, MD, PhD, of the NIIOS group in
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