This is a combination of Pre-Descemet's Endothelial Keratoplasty (PDEK) and glued IOL (Fig 8). Not all patients with diseased corneas are candidates for endothelial keratoplasty. Other modalities include diamond burr and lamellar keratoplasty. Primarily, large size penetrating keratoplasty has been advocated. With penetrating keratoplasty (corneal transplant), the long-term results are good to excellent. Penetrating keratoplasty, a common type of corneal transplantation, is commonly performed for extensive corneal dystrophy. Endothelial keratoplasty (EK) has been introduced by Melles et al. Laser thermal keratoplasty is a non-contact laser refractive surgery. Penetrating keratoplasty is commonly performed for extensive corneal dystrophy. Keratoplasty simply means surgery to the cornea. His keratoplasty technique remained standard until more efficient suture materials became available.