Is cataract surgery possible with Fuchs dystrophy?

Yes, it is. But it may need to be approached somewhat differently than usual.

Fuchs' Dystrophy is an abnormality of the cornea that makes it more vulnerable to degeneration, especially cloudy swelling. Cataract surgery must be meticulously performed with special attention to atraumatic technique around the inside surface of the cornea. It also requires the use of a very thick protective gel to minimize fluid turbulence inside the eye that could damage the inside layer of cornea. A very hard, dense cataract is going to require more effort (and potential trauma to the eye) than a softer, younger cataract.

If the Fuchs' Dystrophy is severe, it may be necessary to perform a "triple procedure" where 1) the cataract is removed, 2) an artificial lens (IOL) is implanted, and 3) a partial or complete corneal transplant (DSEK or DMEK) are all performed at the same sitting.

_Written by J. Trevor Woodhams, M.D. - Chief of Surgery, Woodhams Eye Clinic