Corneal Fuchs' Dystrophy (Fuchs' Dystrophy) at Eye Clinic DRHC Dubai

Overview

Corneal Fuchs' Dystrophy, also known as Fuchs' endothelial dystrophy, is an eye disorder affecting the cornea, the clear, dome-shaped surface that covers the front of the eye. It is a progressive condition where the innermost layer of the cornea, known as the endothelium, gradually deteriorates. This layer is essential for maintaining corneal clarity by pumping out excess fluid. When the endothelium fails, fluid builds up, leading to corneal swelling and vision impairment.

Causes

The exact cause of Corneal Fuchs' Dystrophy is not fully understood. However, it is believed to be a hereditary condition, with a higher likelihood of occurrence in individuals with a family history of the disease. Genetic mutations, particularly in the COL8A2 gene, have been associated with the early-onset form of the disease. Other factors, such as aging and environmental influences, may also contribute to its development.

Symptoms

Symptoms of Corneal Fuchs' Dystrophy typically appear in middle age and may include:

• Blurred or cloudy vision, especially upon waking
• Glare and halos around lights
• Difficulty seeing in low light conditions
• Pain and discomfort in the eye
• Sensitivity to light
• The feeling of having a foreign object in the eye

Diagnosis

Diagnosis of Corneal Fuchs' Dystrophy involves a comprehensive eye examination by an ophthalmologist. Tests may include:

• Slit-Lamp Examination: To evaluate the cornea and detect any swelling or changes in the endothelial cells.
• Specular microscopy: A non-invasive imaging technique to visualize and count endothelial cells.
• Pachymetry: To measure corneal thickness, which can indicate swelling.
• Ocular coherence tomography (OCT): To obtain detailed images of the cornea's layers.

Treatment for Corneal Fuchs' Dystrophy

Treatment options for Corneal Fuchs' Dystrophy vary depending on the stage and severity of the condition:

• Early stages: Use of saline eye drops or ointments to reduce corneal swelling and alleviate symptoms.
• Advanced stages: Surgical intervention may be necessary, including:
  • Descemet stripping endothelial keratoplasty (DSEK): A partial-thickness corneal transplant involving only the diseased endothelial layer.
  • Descemet membrane endothelial keratoplasty (DMEK): A more refined version of DSEK, replacing only the very thin Descemet membrane and endothelial cells.
  • Penetrating keratoplasty (PK): A full-thickness corneal transplant, typically reserved for severe cases.

Prognosis

The prognosis for individuals with Corneal Fuchs' Dystrophy varies. Early detection and treatment can significantly improve vision and quality of life. Surgical treatments, such as DSEK and DMEK, have high success rates, with many patients experiencing substantial improvement in vision. However, the condition can recur in the transplanted cornea, necessitating further treatment.

Living with Corneal Fuchs' Dystrophy

Managing Corneal Fuchs' Dystrophy involves regular follow-ups with an eye care specialist to monitor disease progression and adjust treatments as necessary. Patients can also take steps to protect their eyes, such as wearing sunglasses to reduce glare and avoiding exposure to environmental irritants.

Contact DRHC Dubai

At DRHC Dubai, our team of experienced ophthalmologists is dedicated to providing comprehensive care for patients with Corneal Fuchs' Dystrophy. We offer state-of-the-art diagnostic services and advanced treatment options tailored to meet each patient's unique needs. If you experience symptoms associated with Corneal Fuchs' Dystrophy, schedule a consultation with us to receive an accurate diagnosis and personalized treatment plan.

At Dr. Rami Hamed Center, our Ophthalmology department is dedicated to safeguarding your vision health through expert eye care Professionals, Renowned as one of the best eye care clinics in Dubai our Ophthalmology Specialists provide services for Cataract, Retina treatment with Laser and Refractive surgeries.