This article presents for the first time the potential of 830-nm spectral domain optical coherence tomography (SD-OCT) in the evaluation of Fuchs' endothelial dystrophy. SD-OCT is an imaging technique that can be used for in vivo cross-sectional corneal visualization. The important features of SD-OCT instruments include improved sensitivity and short acquisition time, which improves the quality of the tomograms compared with conventional time domain OCT. Tomograms of the corneas of three patients in different stages of Fuchs' endothelial dystrophy are presented. The authors conclude that 830-nm SD-OCT provides clinically valuable cross-sectional assessment of pathomorphological changes in Fuchs' endothelial dystrophy in vivo.