University of Iowa Health Care

Ophthalmology and Visual Sciences

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Fuch's Endothelial Corneal Dystrophy

Expanded text by Brendan K. Penaluna, May 5, 2017

Fuchs' dystrophy is an example of a posterior corneal dystrophy. Thickening of the Descemet's membrane and defects of endothelial cell number and shape may result in progressive obscuration of vision. Cataract surgery in the setting of Fuch's dystrophy may rarely result in the decompensation of the corneal endothelium, creating an opportunity for the worsening of Fuchs' dystrophy. In this image of a patient with Fuchs' dystrophy post-cataract surgery, endothelial degeneration and subsequent edema and scarring can be appreciated as the white, hazy opacity contrasting against the brown iris and black of the pupil.[1]


Contributor: Jordan M. Graff, MD, University of Iowa

Category: Cornea

Fuch's Endothelial Corneal Dystrophy

Slit beam view of cornea in a patient with Fuch's corneal dystrophy. By overlying the slit beam with the reflected image of the tungsten filament on the cornea, the examiner can highlight the endothelial surface just to the side of the combined bright spot in the slit beam.
Here, the characteristic corneal endothelial guttata are well visualized.

Fuch's Endothelial Corneal Dystrophy


Fuch's Endothelial Corneal Dystrophy

Contributor: Andrew Doan, MD, PhD, University of Iowa

Category: Cornea

Fuch's Endothelial Corneal Dystrophy

specular microscopy with loss of endothelial cells


Fuchs' epithelial-endothelial corneal dystrophy following cataract surgery

Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry

*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. While the quality of his images are not up to today's higher web standards, many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.

Fuchs' epithelial-endothelial corneal dystrophy following cataract surgery

Reference

1. Biswell R. Chapter 6. Cornea. In: Riordan-Eva P, Cunningham ET, Jr. eds. Vaughan & Asbury's General Ophthalmology, 18e New York, NY: McGraw-Hill; 2011. http://accessmedicine.mhmedical.com/content.aspx?bookid=387&sectionid=40229323. Accessed April 17, 2017.


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Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

last updated: 02-08-2008
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