Visual results after keratoplasty in patients with posterior chamber intraocular lenses

We performed penetrating keratoplasty in 20 consecutive patients who had posterior chamber intraocular lenses and who developed pseudophakic bullous keratopathy. All patients received 8.0-mm grafts placed in 7.5-mm recipient beds. None of the intraocular lenses were removed. Final visual acuity was 20/40 or better in eight (40%) and 20/80 or better in 15 (75%) of the patients. Senile macular degeneration (one case), corneal graft rejection (two cases), and wound infection (one case) contributed to poor visual results in the remaining patients.