New surgical technique: upside-down phacoemulsification with posterior chamber intraocular lens and Descemet's stripping automated endothelial keratoplasty (DSAEK).

We describe a new surgical technique, namely, upside-down phacoemulsification and posterior chamber intraocular lens implantation combined with Descemet's stripping automated endothelial keratoplasty (DSAEK). This technique is aimed at decreasing potential complications associated with conventional phacoemulsification, including posterior lens capsular tear and vitreous loss during DSAEK and cataract surgery performed through a cloudy cornea.