In cases of failed endothelial keratoplasty with concurrent cataract, do you favor repeat keratoplasty plus lens extraction in the same setting or sequential surgeries?  

I tend to favor combining the two into one surgery. If the view is not clear enough, or the patient is interested in a more accurate refractive outcome, the surgery can of course be staged with the endothelial keratoplasty first followed by cataract surgery 3 months or so later. With the use of LAL,...