Pseudophakic bullous keratopathy
.Pseudophakic bullous keratopathy was a common complication of cataract surgery before the use of viscoelastic material and posterior lens implant. 

In the slide,  features of epithelial changes resulting from chronic epithelial oedema are common (as mentioned in Fuchs endothelial dystrophy). Unlike Fuchs, pseudophakic bullous keratopathy typically shows absence of guttata and the Descemet's membrane is not thickened. 

(Note:  pseudophakic bullous keratopathy is a descriptive term and patients with Fuchs dytrophy are prone to developing bullous keratopathy following cataract surgery as the endothelial cells are reduced.)

Pseudophakic bullous keratopathy. There is absent 
endothelium and guttata. The Descemet's membrane
is not thickened.

Common viva questions:
  • What are the functions of endothelium?
  • How do you differentitate Fuchs dystrophy from other causes of endothelial dystrophy such as pseudophakic bullous keratopathy?
Return to the cornea index