Assessment of success and complications of triple procedure surgery.

In an effort to quantify both the success and complications of triple procedure surgery, we studied a consecutive series of 166 patients who underwent this procedure. The average length of follow-up was 17 months. Of 166 patients, 138 (83%) achieved a visual acuity of 20/40 or better after surgery; in the most recent 52 patients, 26 (50%) achieved this within two months. The most frequent complications during the postoperative period were glaucoma (40 patients, 24%), endothelial graft rejection episodes (two-year cumulative risk, 16%), and astigmatism (mean keratometric cylinder, 4.97 D). Additional surgical interventions were required in 27 patients (16%).