Figure 2

DMEK surgery with pre-existing iris-sutured IOL. A, Preoperative status demonstrating secondary corneal edema due to bullous keratopathy because of an anterior chamber IOL and showing surgical peripheral iridectomy at 12 o’clock. B, Diffuse corneal edema and a stable, well-positioned, Artisan iris-fixated IOL after explantation of the anterior chamber IOL. C, Appearance 3 months after DMEK surgery, showing a clear cornea with a well-centered and well-attached graft and unchanged position of the IOL.