Combined granular and Fuchs' corneal dystrophy diagnosed by confocal microscopy after total anterior lamellar keratoplasty.

We report the first case of combined granular and Fuchs' corneal dystrophy in a male patient who underwent bilateral total anterior lamellar keratoplasty (TALK). Fuchs' corneal dystrophy was diagnosed after the initial diagnosis of granular dystrophy in both eyes. Total anterior lamellar keratoplasty resulted in a clear cornea and allowed visualization of the recipient corneal endothelium. Confocal microscopy following TALK revealed the presence of Fuchs' corneal dystrophy in both eyes.