title: Long-term corneal clarity after spontaneous repair of an iatrogenic descemetorhexis in a patient with Fuchs dystrophy.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  Retrospective case report.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  Self-repair of a descemetorhexis and long-term corneal clarity may occur in eyes with underlying endothelial dystrophy.
authors.affiliation: Department of Ophthalmology, Froedtert and Medical College of Wisconsin, Milwaukee, WI 53226, USA. skoenig@mcw.edu
authors.forename: Steven B
authors.initials: SB
authors.lastname: Koenig
mesh_terms: D000369:Aged, 80 and over; D003315:Cornea / Q000502:physiology*; D015715:Corneal Edema / Q000209:etiology / Q000503:physiopathology*; D003886:Descemet Membrane / Q000473:pathology; D005260:Female; D005642:Fuchs' Endothelial Dystrophy / Q000209:etiology / Q000503:physiopathology*; D006801:Humans; D007049:Iatrogenic Disease; D018918:Phacoemulsification / Q000009:adverse effects*; D012075:Remission, Spontaneous; D012189:Retrospective Studies; D014792:Visual Acuity / Q000502:physiology