We have featured many cases of Fuchs’ corneal dystrophy in the past, however a CataractCoach fan emailed and asked if it would be advisable to use a toric IOL in these patients. That’s a great question and it depends on many factors, but generally, yes, a toric monofocal IOL can be an excellent choice in a patient like this with Fuchs’ corneal dystrophy. We do take into account the endothelial cell count and the corneal pachymetry to help make the decision of cataract surgery alone or in combination with DMEK. More details in the video. Would you place a toric IOL in a patient like this?
