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Descemet membrane endothelial keratoplasty (DMEK) combined with cataract extraction and intraocular lens insertion (new triple procedure) limits postoperative refractive errors. The objective of this study was to assess refractive accuracy after DMEK combined with cataract extraction and intraocular lens implantation. Four university hospitals (Rouen, Paris, Reims, Grenoble). This retrospective multicenter study included patients with symptomatic corneal endothelial decompensation and cataract. The primary outcome was the difference betw