.Pseudophakic bullous keratopathy was a common complication
of cataract surgery before the use of viscoelastic material and posterior
lens implant.
In the slide, features of epithelial changes resulting from chronic
epithelial oedema are common (as mentioned in Fuchs
endothelial dystrophy). Unlike Fuchs, pseudophakic bullous keratopathy
typically shows absence of guttata and the Descemet's membrane is not thickened.
(Note: pseudophakic bullous keratopathy is a
descriptive term and patients with Fuchs dytrophy are prone to developing
bullous keratopathy following cataract surgery as the endothelial cells
are reduced.)
