Posterior chamber lens implantation during keratoplasty without posterior lens capsule support

An easy and successful technique is described for implanting a posterior chamber lens at the time of corneal grafting in patients who have no posterior lens capsule for support. Using the principle of pupil entrapment with the lens optic in the anterior chamber, the lens loops are placed behind the iris and secured with McCannel sutures one at a time. Finally, the lens body is placed behind the pupil and covered with Healon, and then the grafting is completed.