The triple procedure: combined penetrating keratoplasty, extracapsular cataract extraction and lens implantation. An expanded experience.

The results of 177 triple procedures are presented from a continuous series of 197 cases recorded from 1973 to 1982. Eighty-nine percent achieved a visual acuity of 20/40 or better within a minimum followup period of six months. The complication rate was low, and usually managed medically. Subsequent major surgical procedures were required in only twelve (7%) of these cases (eight repeat keratoplasty, two retina repair, one resuture of graft incision, and one peripheral iridectomy). Subsequent minor surgical procedures were for discission of the posterior lens capsule in 50% of the medallion-style lens cases, and in 7% of the posterior chamber lens cases.