Results of exchanging anterior chamber lenses with sulcus-fixated posterior chamber IOLs without capsular support in penetrating keratoplasty.

We retrospectively reviewed the charts of 47 patients who had had penetrating keratoplasty and intraocular lens exchange with fixation of a posterior chamber lens to the ciliary sulcus. Follow-up ranged from 5 to 30 months (mean, 13 months). The corneal grafts remained clear in 46 eyes. The average visual acuity of patients followed for more than 12 months was 20/60. Complications have been minor. Because of complications associated with anterior chamber lenses and these findings, we now utilize this technique in all patients who require penetrating keratoplasty and intraocular lens insertion without posterior capsule support.