Corneal Dystrophy


This is when the layers of the cornea gradually deteriorate.  Corneal Dystrophy may be inherited and can affect different parts of the corneal.  The two main types are:

Epithelial Basement Membrane Dystrophy

This is more common after the age of 40 years and occurs when the basement membrane thickens and becomes irregular.   This results in cysts, ridges and whirls and is often termed "map-dot-fingerprint dystrophy."  Eyes often appear red and can become very painful particularly in the morning when eyes are not particularly well lubricated.  Treatment can involve using artificial tears, saline solution and eye drops.  An eye patch or specific contact lenses may have to be worn and the air should be kept moist.  Problematic cells may be removed with surgery or laser.

Corneal Endothelial Cell Dystrophy

Commonly known as Fuch's dystrophy, this is most common in people over the age of 40 years and is more common amongst women.  It tends to be inherited and occurs when the pumping activity of the endothelium, deteriorates.  Eye surgery such as Cataract can increase the risk and cause Corneal Endothelial Cell Dystrophy to develop further, because of edema, which is a build up of eye fluid.  The excess fluid, which is produced, makes the cornea swollen and unclear and vision appears blurry.  Vision is particularly poor in the mornings when fluid is it its highest because it has not been able to evaporate through the night.  Eye drops may be prescribed but a corneal transplant is very effective and does not usually have many complications, as rejection is unlikely.


Laser Eye Surgery Enquiry Form

Complete this form if you would like information about laser eye surgery including costs & suitablity.