Abstract
To report a case of long-term corneal clarity after spontaneous resolution of corneal edema associated with iatrogenic endothelial trauma in a patient with Fuchs dystrophy. Retrospective case report. An 84-year-old woman with Fuchs dystrophy experienced an iatrogenic descemetorhexis during complicated phacoemulsification. Despite marked early postoperative corneal edema, she experienced spontaneous clearing of her cornea within 4 months with eventual reendothelialization of the central defect. She maintained excellent visual acuity for 16 years with no evidence of recurrent corneal edema. Self-repair of a descemetorhexis and long-term corneal clarity may occur in eyes with underlying endothelial dystrophy.
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