Related Experiment Video
Updated: Apr 29, 2026
An “All-laser” Endothelial Transplant
Published on: July 6, 2015
Pearls for successful cataract surgery with endothelial keratoplasty
Sidney T Chang1, Asmaneh S Yamagata, Natalie A Afshari
1Shiley Eye Center, Department of Ophthalmology, University of California, San Diego, California, USA.
Purpose Of Review:
This article reviews the current methods of improving outcomes when cataract surgery and endothelial keratoplasty are performed together.
Recent Findings:
The refractive shift after endothelial keratoplasty is well known and can negatively affect achieving emmetropia after concomitant cataract surgery. Recent articles have described ways of achieving better refractive outcomes, including the use of nomograms and mathematical models. Specific operative techniques are recommended to minimize graft failure and dislocation when cataract surgery is also performed. There have been few recent reports on the use of 'premium' intraocular lenses in the setting of endothelial keratoplasty with variable results.
Summary:
Surgeons are achieving better refractive outcomes without compromising graft clarity in combined endothelial keratoplasty and cataract surgery.
