Pearls for successful cataract surgery with endothelial keratoplasty.
OBJECTIVE
This article reviews the current methods of improving outcomes when cataract surgery and endothelial keratoplasty are performed together.


RESULTS
The refractive shift after endothelial keratoplasty is well known and can negatively affect achieving emmetropia after concomitant cataract surgery. Recent articles have described ways of achieving better refractive outcomes, including the use of nomograms and mathematical models. Specific operative techniques are recommended to minimize graft failure and dislocation when cataract surgery is also performed. There have been few recent reports on the use of 'premium' intraocular lenses in the setting of endothelial keratoplasty with variable results.


CONCLUSIONS
Surgeons are achieving better refractive outcomes without compromising graft clarity in combined endothelial keratoplasty and cataract surgery.
Shiley Eye Center, Department of Ophthalmology, University of California, San Diego, California, USA.
Sidney T
ST
Chang
Asmaneh S
AS
Yamagata
Natalie A
NA
Afshari
D002387:Cataract Extraction / Q000379:methods*; D057111:Descemet Stripping Endothelial Keratoplasty / Q000379:methods*; D058453:Emmetropia / Q000502:physiology*; D006801:Humans; D012029:Refraction, Ocular / Q000502:physiology*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology*