A 59 year-old with 20/50 vision and significant glare, undergoes phaco with IOL insertion. One week after their vision is 20/60. Why?
Analysis
Preoperatively, numerous small irregularities were noted in the deep cornea. Using a narrow slit beam, the excrescences were noted to be at the level of the Descemet's membrane. Many of these fine lesions were noted to be pigmented. Post-operatively, there was significant fine epithelial bulla.
The patient was diagnosed with Fuch's endothelial dystrophy.
In this 14-minute video with Dr. Beeran Meghpara you will learn about:
- How to mitigate issues related to endothelial damage in patients with Fuch's dystrophy
- Issues to consider in a patient with keratoconus
- How to recognize and manage a patient with poor zonular support
Cornea Coach Tip
In a patient with Fuch's endothelial dystrophy consider using additional viscoelastic to prevent further damage to the endothelium.
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