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Visual Function in Pseudophakic Eyes with Fuchs’ Endothelial Corneal Dystrophy

American journal of ophthalmology, 2022-07, Vol.239, p.98-107 [Peer Reviewed Journal]

2022 Elsevier Inc. ;Copyright © 2022 Elsevier Inc. All rights reserved. ;2022. Elsevier Inc. ;ISSN: 0002-9394 ;EISSN: 1879-1891 ;DOI: 10.1016/j.ajo.2022.01.016 ;PMID: 35123953

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  • Title:
    Visual Function in Pseudophakic Eyes with Fuchs’ Endothelial Corneal Dystrophy
  • Author: Patel, Sanjay V. ; Hodge, David O. ; Treichel, Emily J. ; Baratz, Keith H.
  • Subjects: Cataracts ; Clinical medicine ; Comorbidity ; Cornea ; corneal tomography ; Diabetic retinopathy ; Edema ; Fuchs endothelial dystrophy ; Software ; straylight ; subclinical edema ; Tomography ; visual acuity ; Visual impairment
  • Is Part Of: American journal of ophthalmology, 2022-07, Vol.239, p.98-107
  • Description: To assess vision in pseudophakic eyes with Fuchs’ endothelial corneal dystrophy (FECD) before the onset of clinically detectable corneal edema. Cross-sectional study. Sixty-one otherwise healthy pseudophakic eyes of 38 subjects with FECD (without clinically detectable edema) and 17 otherwise healthy pseudophakic eyes of 9 subjects with normal corneas. Subjects underwent clinical examination to determine the morphologic distribution of guttae (severity grading). Standardized best-corrected high-contract and low-contrast (photopic and mesopic) visual acuity (HCVA, LCVA) and straylight were measured. Scheimpflug tomography posterior elevation and pachymetry maps were interpreted for 3 tomographic features of subclinical edema: loss of regular isopachs, displacement of the thinnest point of the cornea, and presence of posterior surface depression. In FECD without tomographic features of edema (ie, normal tomography patterns), HCVA, LCVA, and straylight did not differ from that of eyes with normal corneas (P ≥ .09); these eyes encompassed the full range of severity grading of guttae. In FECD with all 3 tomographic features of edema, the same parameters were worse compared with eyes with normal corneas (P ≤ .02). In FECD with 1 or 2 tomographic abnormalities, mesopic LCVA (P = .04) and straylight (P = .003) were worse compared with eyes with normal corneas. Impairment of vision was associated with the presence of tomographic edema in eyes with FECD. When tomography patterns were normal in FECD (ie, guttae were present without tomographic edema), visual acuity and straylight were normal, and therefore corneal surgical intervention would not typically be indicated to improve vision.
  • Publisher: United States: Elsevier Inc
  • Language: English
  • Identifier: ISSN: 0002-9394
    EISSN: 1879-1891
    DOI: 10.1016/j.ajo.2022.01.016
    PMID: 35123953
  • Source: Alma/SFX Local Collection
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