Endothelial Keratoplasty Combined with Cataract Extraction

  • J. H. Woo
  • J. S. Mehta


Endothelial keratoplasty is the current standard of care for diseases of corneal endothelial dysfunction, having surpassed conventional penetrating keratoplasty in terms of safety, speed and predictability of visual recovery, tectonic integrity of the globe, stability of ocular surface and refractive outcomes [1–4]. As the field of endothelial keratoplasty continues to advance and evolve, the role of combined procedures to address endothelial dysfunction with coexisting cataract has been studied. Heralded as ‘the new triple procedure’, endothelial keratoplasty combined with cataract extraction offers the promise of rapid visual rehabilitation, predictable refractive outcomes, convenience and cost-effectiveness of a one-stage procedure, without the purported risks of increased postoperative complications [5–8]. The decision to proceed with the triple procedure and surgical planning can be complex and necessitates careful consideration of the patient’s visual function and requirements, underlying cause of endothelial dysfunction, the presence of any concurrent ocular disease and target refraction. Specific modifications to surgical techniques in phacoemulsification and endothelial keratoplasty are often required to further optimize visual outcomes and minimize complications.


Cataract Surgery Central Corneal Thickness Cataract Extraction Anterior Chamber Depth Endothelial Cell Loss 
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Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Singapore National Eye CentreSingaporeSingapore
  2. 2.Singapore National Eye Centre, Duke-NUS Graduate Medical School, School of Material Science & Engineering and School of Mechanical and Aerospace EngineeringNanyang Technological UniversitySingaporeSingapore

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