Open-sky extracapsular cataract extraction (ECCE) during penetrating keratoplasty (PKP)
This patient experienced penetrating keratoplasty (PKP) graft failure secondary to infectious keratitis within the graft. The prior intraocular inflammation and topical steroid therapy accelerated cataract development in the eye. It was decided to perform cataract surgery at the time of repeat PKP and an "open-sky" extracapsular cataract extraction (ECCE) technique (performed after the cornea has been removed from the eye) was utilized due to the compromised view through the failed corneal graft. Simultaneous cataract extraction and intraocular lens placement at the time of keratoplasty is sometimes referred to as a "triple procedure."
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