Lens replacement surgery may still be possible in some corneal dystrophies, but it carries extra risk and needs specialist input.
Factors supporting suitability
Milder, stable dystrophies with good corneal clarity can sometimes tolerate lens surgery. The aim is to improve lens-related blur while monitoring the cornea closely.
- Detailed corneal imaging assesses thickness and endothelium health
- Visual potential is evaluated carefully before recommending surgery
- In selected cases, combined corneal and lens procedures are planned
- Patients are counselled about realistic vision outcomes
When dystrophy may limit surgery
Advanced dystrophies can decompensate after lens surgery, worsening haze and swelling. In such cases, corneal treatment might be needed first or instead.
- Fuchs and other endothelial dystrophies require cautious evaluation
- Higher risk of prolonged corneal oedema after surgery
- Future corneal transplant might still be necessary
- Decisions are best made in a specialist corneal and cataract service
