We read with great interest the controversies in relation to the triple
or sequential modalities.1,2
We agree with Davis and Stark1 that when
repeating the same technique, the individual surgeon may be able to predict
the average posttransplant keratometry readings by reviewing the previous
results. We have adopted as our final keratometry readings 44 diopters for
the intraocular lens calculation with the usual graft donor-recipient diameter
ratio of 0.5 mm greater for the donor, normally 8.0 to 7.5 mm.
Malbran ES, Malbran E, Malbran J. In Favor of the Triple Procedure. Arch Ophthalmol. 2001;119(8):1223. doi:
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