Corneal Dystrophy Diagnosis and Treatment
If your ophthalmologist thinks you have a corneal dystrophy, they will examine your eye. They will also ask about your family history of eye disease.
Your ophthalmologist will use a slit lamp microscope to shine a thin, bright sheet of light into your eye. This helps the doctor examine the front part of your eye thoroughly.
If someone has no symptoms, a routine eye examination may show that they have corneal dystrophies. In some cases, genetic testing can identify corneal dystrophies.
How is corneal dystrophy treated?
Treatment for corneal dystrophies depends on:
- the type of dystrophy, and
- the severity of symptoms
If you do not have any symptoms, your ophthalmologist may monitor your eyes closely to see if the disorder is progressing. In other cases, eye drops, ointments or laser treatment may be appropriate.
In many cases, people with corneal dystrophy will have repeat corneal erosion. This condition may be treated with:
- lubricating eye drops
- or special soft contact lenses that protect the cornea
If erosion continues, other treatment options may include the use of laser therapy or a technique for scraping the cornea.
In more severe cases, a corneal transplant (called keratoplasty) may be necessary. The damaged or unhealthy corneal tissue is removed and clear donor cornea tissue is put in its place. For endothelial dystrophies, such as Fuchs’ dystrophy, a partial cornea transplant (or endothelial keratoplasty) is used.