Performing phacoemulsification during a triple corneal procedure has many a
dvantages, Operating in a closed chamber makes surgery easier and safer. In
some cases, however, a dense corneal opacity may prevent closed-chamber su
rgery, necessitating the use of an open-sky technique. In these cases, a te
mporary corneal graft using a corneal button not suitable for penetrating k
eratoplasty is proposed to allow phacoemulsification and foldable intraocul
ar lens implantation through a corneal tunnel, The temporary corneal graft
is replaced with a permanent graft after these steps are completed. This te
chnique was effective in 3 patients with cataract and dense corneal opacity
, J Cataract Refract Surg 2001;27:1172-1175 (C) 2001 ASCRS and ESCRS.