Fuchs Endothelial Corneal Dystrophy

Fuchs endothelial corneal dystrophy is progressive loss of corneal endothelial cells (guttae), causing corneal edema, classically worse morning blur in middle-aged/elderly women, progressing to bullous keratopathy and reduced vision. Treatment: hypertonic saline, hairdryer to the eye, lubrication for mild; endothelial keratoplasty (DMEK/DSEK) for visually significant edema/bullae.

Common Symptoms

Morning blurred vision; corneal edema/guttae; painful bullae in advanced; middle-aged/elderly women

Causes and Pathogenesis

Endothelial-cell loss and guttae impair deturgescence, causing corneal stromal/epithelial edema.

Treatment

Hypertonic saline/hairdryer/lubrication; endothelial keratoplasty (DMEK/DSEK) for advanced

Preventive Measures

Early endothelial evaluation; DMEK for advanced.

Department to Visit

It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.