Fuchs’ dystrophy is a slowly progressing disease that usually affects both eyes and is slightly more common in women. Although doctors can often see early signs of Fuchs’ dystrophy in people in their 30s and 40s, the disease rarely affects vision until people reach their 50s and 60s.
Fuchs’ dystrophy occurs when endothelial cells (single layer of cells on the inner surface of the cornea) gradually deteriorate. As more endothelial cells are lost over the years, the cornea may swell, become painful, and severely distort vision.
At first, a person with Fuchs’ dystrophy will awaken with blurred vision that will gradually clear during the day. This occurs because the cornea is normally thicker in the morning; it retains fluids during sleep that evaporate in the tear film while we are awake. As the disease worsens, this swelling will remain constant and reduce vision throughout the day.
Treatment & Cornea Transplants
When treating the disease, doctors will try first to reduce the swelling with drops, ointments, or soft contact lenses. They also may instruct a person to use a hair dryer, held at arm’s length or directed across the face, to dry out blisters that may form on the front of the cornea. This can be done two or three times a day.
When the disease interferes with daily activities, a person may need to consider having a corneal transplant to restore sight. The short-term success rate of corneal transplantation is quite good for people with Fuchs’ dystrophy. However, some studies suggest that the long-term survival of the new cornea can be a problem.
Learn more about cornea transplants.
Other Cornea Conditions
This information is for educational purposes only. It is not intended to replace medical care and should not be used as a substitute for a physician's advice or diagnosis. San Antonio Eye Center is not liable for any outcome or damages resulting from information obtained in this website in either an indirect or direct form.