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Prince J et al. – To obtain maximum visual rehabilitation, patients undergoing Descemet's stripping endothelial keratoplasty (DSEK) may require further refractive surgeries. Cataract extraction, laser in–situ keratomileusis, photorefractive keratectomy, phototherapeutic keratectomy, and various combination procedures have been shown to optimize corneal clarity and visual acuity in patients who previously had successful DSEK with subsequent refractive errors. Technological advancements and continued research are necessary to perfect optimal timing and outcomes of these secondary refractive surgeries.
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