Arnalich-Montiel F, de-Arriba-Palomero P, Muriel A, et al. - In this prospective, observational cohort study, researchers developed a risk prediction model for endothelial keratoplasty (EK) after uncomplicated cataract surgery in Fuchs endothelial corneal dystrophy (FECD) using Scheimpflug imaging. The study was performed on 127 eyes from 93 consecutive patients with vision loss, FECD, and cataracts at the Ramón y Cajal University Hospital (Madrid, Spain). Forty-four candidates required EK, and those eyes with 1, 2 or all 3 tomographic characteristics had a hazard risk of 21.8, 57.2 and 76.5, respectively vs those eyes with normal tomographic patterns. A combination of CCT values and tomographic features can be used to make accurate predictions about the likelihood of needing EK after phacoemulsification.