Cataract surgery with penetrating keratoplasty after anterior lamellar dissection just like deep anterior lamellar keratoplasty(DALK)

We introduce a new technique that after anterior stromal dissection, cataract surgery is performed with clear vision, and then, the posterior stroma is removed and penetrating keratoplasty is completed for an eye that had penetrating keratoplasty and cataract surgery planned. Partial thickness corneal incision was done with a Hessburg-Barron trephine. From the corneal incision, anterior stroma dissection was performed with an angled crescent blade. When the dissection was over, the anterior stroma was excised with a keratoplasty scissor. The anterior capsule was clearly visible so the capsulorrhexis was not difficult and capsular staining was not necessary. After nucleus and cortex removal, posterior stroma was removed with keratoplasty scissors. After eight cardinal sutures of a donor cornea, an IOL(intraocular lens) was inserted into the anterior chamber. After that, there was no trouble in the procedures and the surgery ended without any complications