In patients with early Fuchs’ endothelial dystrophy, how do you determine whether to proceed with cataract surgery alone versus a combined endothelial keratoplasty?  

If Corneal thickness is >640 or specular microscopy is lower than 1000 those are indicative of poor outcome after cataract surgery and patients may benefit from combined procedure. However, some patients with fuchs can be misleading as having a low corneal thickness but a dense central guttae tha...