Graffi S, et al. - Researchers assessed the link between graft thickness/regularity and visual outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) by reviewing records of post-DSAEK patients who were examined by anterior segment optical coherence tomography at “Villa Igea” Private Hospital (Forlì, Italy) since April 2015. They correlated pachymetric and elevation maps of both host cornea and graft as well as graft regularity with best-spectacle-corrected visual acuity (BSCVA) and compared between eyes with central graft thickness (CGT) ≥100 μm (group 1) and eyes with CGT <100 μm (group 2). They found that more regularity was demonstrated by DSAEK grafts thinner than 100 μm vs thicker ones. Markedly better BSCVA was yielded by thinner grafts in eyes with Fuchs endothelial dystrophy that were otherwise healthy.