Advanced triple procedure: upside-down phacoemulsification, posterior chamber intraocular lens, and Descemet's stripping automated endothelial keratoplasty (DSAEK).

We report a the new surgical technique of upside-down (UPSD) phacoemulsification (phaco) with posterior chamber intraocular lens (PC IOL), combined with Descemet's stripping automated endothelial keratoplasty (DSAEK) to be used in an attempt to reduce post-surgical complications and increased visual recovery of patients. We therefore recommend this triple procedure technique for corneal surgeons who regularly perform DSAEK surgery.