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Fuchs’ Dystrophy

Fuchs’ endothelial corneal dystrophy is a degenerative corneal disease.

Anatomy image showing Fuchs Dystrophy

Fuchs’ dystrophy is a degenerative hereditary disease that affects the innermost layer of cells in the cornea known as the endothelium. As Fuchs’ dystrophy progresses, swelling in the cornea can lead to blisters at the front of the cornea, known as bullous keratopathy, which can be very painful.

What are the symptoms of Fuchs’ Dystrophy

  • Blurred vision on waking as a result of fluid that has collected in the cornea whilst sleeping. As the excess fluid evaporates during the day the vision becomes clearer and the swelling reduces
  • Sensitivity to light
  • Fluctuations in vision clarity
  • The appearance of haloes around lights; and
  • A gritty or rough sensation in the eye, with significant pain in more advanced cases.

What are the treatment options for Fuchs’ Dystrophy?

  • The use of hypertonic saline to help remove excess fluid build-up
  • Glaucoma eye drops if intraocular pressures are high to stop further damage to the corneal endothelium
  • Corneal transplantation, of which there are several different types
For a diagnosis and to discuss treatment options of any eye condition, please make an appointment.