We report a surgical technique which combines phacoemulsification and
posterior chamber in the bag intra-ocular lens implantation before pen
etrating keratoplasty. This combined technique can only be performed i
n eyes with clear cornea. This technique seems to be safer during cata
ract extraction. We compared this combined procedure with the classica
l technique which associates manual extracapsular extraction and poste
rior chamber intra-ocular lens implantation and penetrating keratoplas
ty.