Femtosecond-assisted keratoplasty with fibrin glue-assisted sutureless posterior chamber lens implantation: New triple procedure

We report a surgical technique for managing bullous keratopathy secondary to anterior chamber intraocular lens (AC IOL). The technique comprises femtosecond laser-assisted penetrating keratoplasty and AC IOL exchange with fibrin glue-assisted sutureless posterior chamber intraocular lens (PC IOL) implantation (“glued IOL”). This new triple procedure combines the unique benefits of the femtosecond laser and the glued IOL, leading to stable wound configuration, decreased open-sky time, and less pseudophacodonesis, and there is less risk for the suture-related complications of transscleral suture fixation.