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Objective-To evaluate the visual outcome and assess the complication rate after implantation of a retropupillary iris-claw Intraocular Lens (IOL) during Penetrating Keratoplasty (PKP). Method-A descriptive study on 15 eyes of 15 patients underwent penetrating keratoplasty along with retropupillary iris claw intraocular lens implantation. Reasons for penetrating keratoplasty included pseudophakic bullous keratopathy, aphakic bullous keratopathy, and leukomatous corneal opacity. Mean follow up was 3 months for Visual Acuity (VA), Intraocular Pressure (IOP), graft clarity and any complications. RESULT-Of 15 eyes, visual acuity improvement was seen in 11 (74%) eyes and remained unchanged in 4 (26%) eyes. Post operatively elevated IOP was seen in 8 (53%) eyes, which was managed medically. Improvement in graft clarity was noted in 7 (46%) eyes 1 week following the surgery. Conclusion-The results demonstrate that penetrating keratoplasty combined with retropupillary Iris claw lens is an easy and effective method for the correction of aphakia in patients with no capsule support.

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