You will certainly encounter patients with Fuchs’ dystrophy where the corneal endothelial cell layer becomes compromised. With loss of endothelial cells, numerous guttae, and progressive increase in pachymetry, the patient may eventually need corneal transplantation, often as a DMEK graft. This patient will do well with just cataract surgery alone as long as we take that Fuchs’ into consideration and perform certain steps of the surgery in a different manner. This video explains how to perform cataract surgery in eyes with Fuchs’ corneal dystrophy.
click to learn what you should do differently to preserve corneal endothelial function: