In their recent article, Watanabe et al1 explored relationships between corneal guttae and visual function in eyes with “mild” Fuchs' endothelial corneal dystrophy (FECD).1 They concluded that guttae affect quality of vision (QOV), and that “early endothelial keratoplasty for patients with mild FECD without severe edema should be considered to remove corneal guttae that affect the QOV parameters.”


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