Management of pseudophakic bullous keratopathy

The incidence of pseudophakic bullous keratopathy, now the most common indication for penetrating keratoplasty, is increasing. Since over one million intraocular lenses were implanted in 1986, a large number of eyes are at risk. The etiology of pseudophakic bullous keratopathy is varied and depends in great part on the surgical technique used for cataract extraction. Given the magnitude and changing patterns of intraocular lens usage, a review of pseudophakic bullous keratopathy is appropriate.