Present methods of treating combined corneal disease and cataracts in elderly patients are unsatisfactory, and multiple operative procedures may be required. From 1975 through 1978, 60 attempts were made to restore relatively normal optics and achieve rapid visual recovery with a single operative procedure consisting of keratoplasty, cataract extraction, and intraocular lens insertion in various combinations. As of this writing, there have been few complications, and 82% of the grafts are clear.