When moderate Fuchs' endothelial corneal dystrophy is complicated by a visually significant cataract, the two conditions together require a coordinated surgical plan — one that differs from managing either in isolation. The concurrent presence of lens opacity and endothelial dysfunction shapes the recommended approach.
Moderate Fuchs' endothelial corneal dystrophy with visually significant cataract: corneal endothelial compromise coexists with lens opacity that is independently impairing vision, making concurrent surgical planning the recommended course.
The evidence-based approach centres on a combined single-stage surgical intervention that addresses both the cataract and the corneal endothelial pathology at the same time — rather than staging the two procedures separately. The specific techniques, sequencing, and perioperative detail are in the full protocol.
DOI: 10.1146/annurev-vision-091718-014852
Combined cataract/IOL and EK surgery is recommended in patients with moderate FECD and visually significant cataract.