KOLOA, Hawaii — In a patient with Fuchs’ dystrophy and cataract, PK is the cornea technique of the past and endothelial keratoplasty is the technique for the present, Marian S. Macsai, MD, said at Hawaiian Eye 2020.
First, though, the surgeon must decide whether a corneal procedure is needed at the time of cataract surgery.
“Where there isn’t frank corneal edema, those are the patients who are most challenging for all of us,” Macsai said.
Using Scheimpflug tomography to identify edema and classify Fuchs’ endothelial corneal dystrophy can guide treatment, she
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