As you most likely already know, in Fuchs the endothelial cells, the 'little pumps' that keep your cornea thin and clear, are damaged and die off faster then in normal folks. You are born with all the endothelial cells you are going to ever have and you can think of this process of endothelial loss as a race: Will you die before you no longer have enough cells to keep your cornea healthy? In the vast majority of instances the answer to this race is, yes :)
In you case? Doubtful.
Everything, from infection, trauma, contact lens
wear, aging and.....cataract surgery......cause loss of endothelial cells. Most cases this is not a problem and does not change the outcome of the race. In your case, it might. Notice the word choice? Might. Not will.... ;)
There are a number of precautions your surgeon can take during your cataract surgery to greatly minimize the loss of endothelial cells. There are special "coating" agents she can inject inside your eye prior to removing the cataract, she can also take extra care when using the phaco instrument to emulsify the cataract for removal and also coat the artificial lens
in protective "goop" prior to inserting it in your eye.
With modern surgical techniques and being forewarned about your Fuch's dystrophy along with a preoperative evaluation of your endothelial cells you should be OK with having your cataract removed. It is NOT a given that surgery will tip you over into needing a corneal transplant and, in any case, there are other procedures to restore endothelial cells (DSEK) without having to resort to a full thickness transplant.
I do not see why your recovery process after cataract surgery will be much different then most folks. Sure, you might have a greater risk of getting some post-op corneal edema but, if your endothelial cell counts aren't too horrible, you should be ok.
And, now, the obligatory word from our sponsors: :o)
I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.
Positive Feedback and/or Bonus is welcomed and appreciated.
Once again let me thank you for your patience! I feel bad that it took so long to get you an answer :(