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Intraocular lens replacement in pseudophakic bullous keratopathy.

Fifty-three patients with pseudophakic bullous keratopathy (PBK) were treated with: Corneal transplant, Removal of the original intraocular lens (IOL), Replacement with a sutured-in posterior chamber IOL. Vitrectomy was performed in all but two cases. Eighty-eight per cent of the corneal transplants were clear and the vision was 20/200 or better in seventy-five per cent. Visual results are equal to other reported series where over one-third of the original IOLs were removed at the time of keratoplasty and were not replaced. We believe this is the first reported series using these procedures. The corneal transplants remain clear, the vision stable and pain alleviated after an average follow-up of 3 years.