Fuchs corneal Dystrophy

 

 

Submitted by Anonymous (not verified) on Sun, 01/29/2012 - 08:40
Country
United States
Age
81
Gender
Female
Did you perform any surgery for the eyes?

Cataracts surgery

Do you suffer from pre-existing illnesses in the eye?

Fuchs dystrophy, undetected before a combined (phaco/iol) cataracts surgery

Do you suffer from any diseases in the body?
No
Do you use any eye drops?

For a treatment/relief measure

Do you wear Contact lenses or Eyeglasses?

20/70 vision

Question

 

 

Hi,

When an 81 yr old trying to renew her driver’s license is told by DMV that her vision will not pass and that she should have the eye exam doctor fill out dmv required form, once vision problem is addressed.

This patient then had an eye exam with eye specialist, surgeon, at which point both eyes were diagnosed with advanced cataracts and the right eye would be the first eye for surgery.

The eye exam results read as follows: cornea, guttata 3-4+ with visual acuities - unaided 20/60 and 20/70 with glasses.

My question is would/should a doctor at that point choose to:

A. run additional test to diagnosis any existing cornea disease before cataracts surgery is performed?

or

B. schedule a routine cataracts surgery in 10 days without any further testing?

Thank you

 

Answer

Thanks for your Question

 

 

your eye doctor should run specular microscopy test for corneal endothelial counts. Below normal count is risky for cataract extraction surgery. corneal guttata is a sign of Fuchs corneal Dystrophy.

 

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