(CASE 6) This patient had keratoconus with a very thin, unstable cornea, central scarring, and cataracts. Following the 5S system, a hand lamellar keratoplasty was performed. After the cornea stabilized, measurements for an IOL were performed and the patient achieved an excellent visual outcome with cataract surgery.

(CASE 6) This patient had keratoconus with a very thin, unstable cornea, central scarring, and cataracts. Following the 5S system, a hand lamellar keratoplasty was performed. After the cornea stabilized, measurements for an IOL were performed and the patient achieved an excellent visual outcome with cataract surgery.