ArticleEuropean journal of ophthalmology2026
Soft-shell phacoemulsification in Fuchs' endothelial dystrophy: Central corneal thickness as a predictor of post-operative keratoplasty.
Article in European journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BackgroundTo identify predictors of unplanned endothelial keratoplasty after phacoemulsification in Fuchs' endothelial corneal dystrophy (FECD), and to assess postoperative best-corrected visual acuity (BCVA).MethodsRetrospective single-centre case series of 50 eyes (39 patients) that underwent soft-shell phacoemulsification and monofocal intra-ocular lens implantation by one surgeon (2015-2021). The primary outcome was unplanned corneal decompensation requiring endothelial keratoplasty. Associations with specular-microscopy parameters and central corneal thickness (CCT) were examined with penalised logistic and Cox regressions adjusted for age, sex, and hypertonic-saline use. Postoperative BCVA was analysed using linear regression models also adjusted for baseline acuity.ResultsMean age was 74 ± 8 years; 68% were women; median follow-up 32 (IQR 24-40) months. Four eyes (8%) required Descemet stripping endothelial keratoplasty a median 8 months after cataract surgery. Each 1 μm increase in pre-operative CCT raised the hazard of grafting by 2% (HR 1.02, 95% CI 1.00-1.04,
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