Abstract
Endothelial cell loss after penetrating keratoplasty leads to graft failure. The critical limit of the endothelial cell count for corneal decompensation is thought to be 700 cells/mm2. Clinical specular microscopy indicates that inspite of low endothelial cell density, the corneal graft can be maintained in a relatively dehydrated state. This study reports 4 cases of clear corneal graft having low endothelial cell count. The low endothelial cell count was associated with polymegathism and pleomorphism; inspite of this, the clarity of the graft was maintained.
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