• Thirty-six patients with pseudophakic bullous keratopathy had penetrating keratoplasties with one immediate graft failure and two subsequent rejections. Fifty-four percent of the patients saw 20/40 or better, and 79% saw 20/80 or better. These results are much better than reported for aphakic bullous keratopathy. Endothelial counts in the other eyes showed that 17% of these patients have unexpectedly very low cell counts, which were not appreciated on slitlamp examination and were probably a contributing factor to their corneal decompensation.