There are times where you will want to perform a combination surgery of full-thickness corneal transplant and cataract surgery at the same time. With the diseased central host cornea removed, it becomes easy to remove the cataract in an open sky manner. There are some important differences because it is not a closed environment. And there are questions as well such as how to perform IOL calculations, minimize the risk of expulsive hemorrhage, and more. This video explains all.