@article {1290016, title = {Phacoemulsification with intraocular lens implantation after previous descemetorhexis without endothelial keratoplasty}, journal = {J Cataract Refract Surg}, volume = {43}, number = {11}, year = {2017}, month = {2017 Nov}, pages = {1471-1475}, abstract = {A 58-year-old woman with bilateral Fuchs endothelial corneal dystrophy presented with predominantly central guttata in the left\ eye causing visually significant stromal edema. A 4.0\ mm descemetorhexis without endothelial keratoplasty was performed. At the 6-week follow-up, the central cornea had cleared completely and the central endothelial cell density (ECD) was 541\ cells/mm2. The central corneal clearing remained stable for 2\ years after the procedure; however, vision declined because of a visually significant cataract in the left eye. Uneventful phacoemulsification with intraocular lens implantation was performed with a target refraction of -0.50 diopters. At 1.5\ months postoperatively, the uncorrected distance visual acuity was 20/20 with a manifest refraction of -0.25 -0.25\ {\texttimes}\ 60 and the central ECD was 2373\ cells/mm2 (increased from 1471\ cells/mm2 prior to phacoemulsification). Cataract surgery by phacoemulsification years after descemetorhexis without endothelial keratoplasty appears to be well-tolerated, with good clinical and predictive refractive outcomes.}, issn = {1873-4502}, doi = {10.1016/j.jcrs.2017.10.028}, author = {Kaufman, Aaron R and Nos{\'e}, Ricardo M and Lu, Yifan and Pineda, Roberto} }