Refractive Lens Exchange With An Extended Depth Of Focus Intraocular Lens In Fuchs Endothelial Dystrophy

We report refractive lens exchange (RLE) with Extended Depth of Focus (EDOF) lens in Fuch’s endothelial Dystrophy (FED).

Sussex Eye Hospital, University Hospitals Sussex NHS Foundation Trust, Brighton, United Kingdom. BN2 5BF

A middle-aged presbyopic commuter and high myope with Fuch’s endothelial dystrophy (FED), became symptomatic. In right and left eyes respectively, his uncorrected (UCVA) and best-corrected distance visual acuity (BCVA) were counting fingers and 20/30, pachymetry was 506μ and 587μ and his endothelial cell density (ECD) was 1225 cells/mm² and 1399 cells/mm². He underwent bilateral refractive lens exchange (RLE) with toric extended depth of focus (EDOF) intraocular lenses (IOLs) and Descemet’s Membrane Endothelial Keratoplasty (DMEK). At 12 months, the UCVA was 20/16 in each eye, with 20/32 and 20/50 uncorrected near and intermediate visual acuity for 40 to 66 cm from the face in each eye, respectively. The ECD at 12 months was 2050 cells/mm² and 2100 cells/mm² respectively.

This case shows that RLE with EDOF IOLs combined with DMEK can give good visual outcomes in patients with Fuch’s endothelial dystrophy.