Refractive Lensectomy in Patients with Fuchs' Endothelial Dystrophy.

Fuchs endothelial corneal dystrophy has long been considered a contraindication for refractive lens exchange. In our cohort of motivated patients, the outcomes were highly satisfactory. Key parameters - central pachymetry, endothelial microscopy, and posterior corneal backscatter remained stable over time. When properly indicated, carefully performed RLE may be a viable option for presbyopia correction in patients with early-stage FECD.