Three techniques for combined ECCE, PC-IOL implantation, and keratoplasty

Three different techniques are described for implanting posterior chamber lens implants during a combined extracapsular cataract extraction, posterior chamber lens implantation, and keratoplasty procedure. The implant can be placed immediately following cataract extraction, after which the cornea is replaced. If cortical remnants cannot be completely removed, the corneal transplant is sutured in place and a limbal incision made; the remaining remnants are then aspirated and a posterior chamber lens is implanted through the limbal incision. If no remnants remain, but the posterior chamber lens cannot be implanted due to positive vitreous pressure, the cornea is sewn into place with seven or eight interrupted sutures and the lens implanted through the remaining open quadrant, after which the corneal transplant procedure is completed.