Fuch's endothelial dystrophy

Treatment for Fuchs’ endothelial dystrophy depends on how advanced the condition is and how much it affects vision. In the early stages, symptoms may be managed with salt (hypertonic) eye drops or ointments to reduce corneal swelling and improve morning vision. As the disease progresses and vision becomes persistently blurred or painful, treatment focuses on replacing the damaged endothelial cells. This is most commonly done with modern partial-thickness corneal transplant surgery (such as DMEK or DSAEK), which has high success rates and faster recovery than older full-thickness transplants. With appropriate treatment, most patients achieve clearer vision and good long-term outcomes.