Combined phacoemulsification and penetrating keratoplasty

To highlight indications, technique, and advantages of closed-chamber phaco emulsification and intraocular lens (IOL) implantation during penetrating k eratoplasty for corneal opacities. Case reports of 2 patients who underwent combined phacoemulsification, IOL implantation and penetrating keratoplast y. The technique described allowed controlled capsulorrhexis, cataract remo val and in-the-bag IOL implantation. Complications due to increased posteri or pressure during open-sky extracapsular cataract were not encountered. Th e surgical technique described in this report can only be used in selected patients undergoing combined corneal transplant and cataract surgery. In th is group of patients, however, the technique offers many intra- and postope rative advantages.