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    Keratoconus as refractive surgery: Thinking outside the ‘cone’

    Adapting a planned approach for taming keratoconus presentations to 20/20


    Gulani Classification System for Laser Surgery in Keratoconus

    I. Laser as primary treatment (In this subset, the patient is informed that we can strive for vision directly with the laser keeping the surgical interventions noted in level II as a backup plan to be applied in single or combined approaches to address any complication induced or progression of cone if needed).

    Class I: Clear cornea

    Class II: Scarred cornea

    Laser as secondary treatment

    Arun C. Gulani, MD
    Dr. Gulani is director of refractive surgery and chief, cornea & external disease, as well as assistant professor, department of ...

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