Cataract Surgery in Patients with Fuchs’ Endothelial Corneal Dystrophy: When to Consider a Triple Procedure – Corrected Proof
Purpose: To ascertain preoperative and intraoperative factors that predict the need for endothelial keratoplasty (EK) in patients with Fuchs' endothelial corneal dystrophy (FECD) undergoing cataract surgery.Design: Prospective, observational cohort study.Participants: Eighty-nine patients (89 eyes) with FECD who require cataract surgery.Methods: One month before cataract surgery, we assessed best-corrected visual acuity, contrast sensitivity, straylight, keratometry, ultrasonic pachymetry, intraocular pressure, 7 corneal features of FECD and cataract density at slit-lamp examination, and corneal backscatter using in vivo confocal microscopy (IVCM; Confoscan 4, NIDEK Technologies, Padova, Italy). After surgery, measurements were repeated at 1, 2, and 12 months. We used stepwise binary logistic regression (Read more...)