As a practicing eye surgeon I have always believed in comprehensive ophthalmic practice.
The point is that it is not necessary that all seemingly bad cases have to undergo a keratoplasty .
-Amniotic membrane transplantation (for recurrent pterygium, conjunctivochalasis ,symblepharon) .At a zero percent recurrence rate the technique of Amniotic membrane transplant is definitely a promising one besides being cosmetically pleasing to the patient . Patients with recurrent pterygia are miserable but after the procedure they were very grateful to Dr Gulani
-Keratoamnioplasty (for band keratopathy-ocular surface reconstruction)
-Lamellar surgeries(Anterior,deep,peripheral,posterior - DSAEK and Epikeratophakia reversal).The DSAEK procedure involving descemets stripping is a very exciting and promising procedure performed at the Gulani Vision Institute
-Excimer and advanced surface ablation for previous RK/HK/AK procedures .
I must thank Dr Gulani for allowing me to witness and grasp all the latest advanced procedures that he performs which I believe are the frontier of refractive surgery that all and one should try to achieve .
"I hope my patients hug me the same way when I promise them these alternatives as the patients I have seen hugging Dr Gulani."