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We read the article by Bahar et al with much interest.1 We agree with the authors that IntraLase-enabled top hat penetrating keratoplasty (IEK) and manual top hat penetrating keratoplasty (TH-PKP) are safe and stable procedures that result in higher endothelial cell counts then for conventional PKP. However, we do not think that their statement that IEK results in less astigmatism and better best spectacle-corrected visual acuity …
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