The different options when dealing with cataract surgery in front of corneal pathology will becovered. What is better, both procedures at the same time, separated, which order? Thestandardization of modern keratoplasty techniques such as DSAEK and DMEK as well as thepotential use of special IOL’s (Toric, “piggy- back”, . . . .) has, again, changed our possibleapproaches. A review of the current status of this common combination will be reviewed.