Fuchs' endothelial dystrophy
     

    Fuch's endothelial dystrophy is indistinguishable from pseudophakic bullous keratopathy. However, Fuchs' endothelial 
    dystrophy tends to be bilateral.

    There are multiple cornea guttata with corneal oedema (or thickening). Bullae may be seen in the epithelium.

    Look for:

    • intraocular lens implant. The endothelial dystrophy may be exacerbated by the implant especially with anterior 

      • chamber lens. Alternatively, the patient may have pseudophakic bullous keratopathy.

    Questions:

    1. What factors are responsible for the integrity of cornea?

    2. How would you manage  Fuchs' dystrophy?

    3. The following is the histology of a cornea with Fuchs' endothelial dystrophy. What features are present?
     

     

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