
The study compares outcomes among posterior lamellar corneal transplant procedures for Fuchs endothelial corneal dystrophy. The study included 1,677 patients from all Swedish corneal transplantation units (2012-2019), analyzed Descemet membrane endothelial keratoplasty (DMEK), Descemet stripping automated endothelial keratoplasty (DSAEK), and phacoemulsification plus DSAEK. Propensity score matching considers preoperative factors. Results indicate improved visual acuity with all methods, but DMEK and phacoemulsification plus DSAEK exhibit superior outcomes at the 2-year follow-up, emphasizing the need for individualized surgical decisions considering the patient's overall health and postoperative care.
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