Is cataract surgery on both eyes worth it given risk of fuchs dystrophy?

Depends. Depends on how bad the fuch's is, and how bad the cataract is, and how motivated you are to see better. If cornea fails, dsek has a very good success rate.
Probably yes. I would recommend a thorough pre-operative examination including specular microscopy and corneal thickness measurements be done to help gauge your risk of corneal decompensation with cataract surgery. Having the femto-laser assisted cataract surgery is also a good idea to help minimize damage associated with cataract surgery. Experienced cataract surgeon important as well.
Yes. If you have fuchs' dystrophy and cataract and your vision is limiting your normal daily activities, the cataract surgery can be safely performed. There is a small risk of corneal issues postoperatively but this can also be surgically corrected if necessary. I would recommend seeing a cornea doctor for your cataract surgery to minimize your risk.
Yes. We perform cataract surgery on patients with fuchs dystrophy regularly. There is always the possibility of corneal swelling postoperatively but this can be treated as well with medication and or a partial transplant . Corneal transplants for this are very successful. I would discuss your personal situation with your doctor as it often depends on the severity of the fuchs dystrophy.

Related Questions

Could laser eye surgery now, affect fuchs dystrophy in the future?

Yes. There are a few cells lost with refractive surgery. Your doctor will get an idea if your endothelial cells counts are low, and possibley not recomment the procedure. Read more...
Fuchs. Likely not to a significant degree. More likely, aging and the progressive loss of cells over time will be most relevant factor in how your disease progresses. Surgery in the eye such as cataract surgery can cause a more significant progression of the disease but often times patients with Fuchs dystrophy need cataract surgery and then ultimately will need a definitive treatment such as DSEK. Read more...

I'm 60 yrs old & had cataract surgery on both eyes several years ago. I just noticed my eyes have a blurry grayish ring only at the top portion??

Corneal arcus. This is almost certainly your corneal arcus, a layering of grey-white fat in the corneal tissue next to the edge. It is common in older folks, may be a complete ring, and is always benign not affecting the vision nor the health of the eye. Read more...

Should both eyes be fitted with lens for distance or only one for up close work for cataract surgery?

Worth a discussion. Using a different power in each eye, termed monovision, is a popular way to avoid the use of eyeglasses. If you get the distance power in each eye then you would need reading glasses. Consider also multifocal lenses which cost extra but can give you reasonable far and near vision after the surgery. This should be discussed with the surgeon doing the work for you. Read more...
20/20 after CS. Eye surgeons' goal is to achieve 20/20 vision after cataract surgery for distance & near. Personal pt preference (ie h/o of monovision & happy) determines final refraction goal. New IOLs/ technology: multifocal IOLs, Crystalens help in spectacle independence for reading & distance in both eyes for many pts. More info: eyedoc2020 blogspot com. Read more...