Fuchs’ Dystrophy

Fuchs’ Dystrophy is a slowly progressing disease that occurs when endothelial cells gradually deteriorate. The endothelial is responsible for pumping water out of the stroma, and when these cells are lost, this process becomes less efficient and fluid can build up in the cornea reducing vision and causing glare.

Symptoms of Fuchs’ Dystrophy

Epithelial swelling changes the cornea’s normal curvature, causing:

  • Corneal swelling
  • Distorted, blurry vision
  • Glare, especially with night driving
  • Pain
  • Blisters on corneal surface

In the early stages, you may awaken with blurry vision that gradually clears throughout the day. This is due to the fact that the cornea is thicker in the early hours and retains fluids as you sleep. As the condition progresses, the fluids will not evaporate throughout the day and the vision distortion will remain.

Treatment for Fuchs’ Dystrophy

  • Drops, ointments or soft contact lenses to reduce swelling
  • Corneal transplant (DMEK, DSAEK or penetrating keratoplasty) to restore sight

Fuchs’ Dystrophy is slightly more common in women than in men and typically begins to affect vision in people after age 50. If you have been experiencing vision changes or eye pain, contact us today.


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                                         With offices in Boston, Waltham and Danvers, MA