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So-called “recurring keratoconus” in too-small, downwards decentered grafts: (a) Before, (b) after repeat PKP with larger, well-centred graft. The high fit precision after 193 nm excimer laser trepanation allows for low suture tension without so-called “barrel-top configuration” at the graft-host-junction and good vision with all-sutures-in.
