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 about 3 months or so later. With the use...

I used to try doing the EK and cataract surgery together in mildly swollen corneas until I found myself muddling through the cataract surgery with a very difficult view due to corneal edema and some scarring. Of course, I thought the view was good enough at the slit lamp, but things can change prett...