Treatment of Fuchs' Endothelial Corneal Dystrophy in Patients Under 50

This protocol addresses patients under 50 years of age with visually significant Fuchs' endothelial corneal dystrophy (FECD) who present with a clear, prepresbyopic crystalline lens and a deep anterior chamber — a clinically distinct presentation that calls for carefully staged surgical planning.

In this scenario, management involves a staged endothelial keratoplasty approach undertaken in a specific sequence relative to lens status. The full surgical protocol — including timing, sequencing, and decision criteria — is detailed in the structured regimen. Access the complete protocol below.