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Fuchs Endothelial Dystrophy

A 62-year-old woman presents with gradual blurred vision, worse in the morning. Slit-lamp reveals corneal guttata and stromal edema. Specular microscopy shows low endothelial cell count. Outline diagnosis and management steps.

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Slit-lamp: corneal guttata, stromal edema; specular microscopy shows low cell count

Hypertonic saline drops/ointment for corneal edema

Regular ophthalmology follow-up for disease progression

Endothelial keratoplasty (DMEK/DSAEK) if vision significantly impaired

Hair dryer/blowing air may improve morning vision

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