{"id":17754,"date":"2021-10-03T12:31:32","date_gmt":"2021-10-03T12:31:32","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=17754"},"modified":"2021-12-13T13:58:12","modified_gmt":"2021-12-13T13:58:12","slug":"fuchs-dystrophy","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/fuchs-dystrophy\/","title":{"rendered":"Fuchs Dystrophy"},"content":{"rendered":"<h2><b>Approximately 4 percent of adults have the painful eye condition, Fuchs dystrophy.\u00a0<\/b><\/h2>\n<h2><b>What is Fuch\u2019s dystrophy?<\/b><\/h2>\n<p><b>Fuchs&#8217; dystrophy is a <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/corneal-diseases\/\">corneal disease<\/a>, occurring when the endothelium, the back layer of the cornea, gradually dies.<\/b><\/p>\n<p>To maintain a clear <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/how-does-the-eye-work\/ocular-anatomy-the-front-of-the-eye\/\">cornea<\/a>, the endothelial cells must pump fluid out of the cornea into the anterior chamber. When these cells die, fluid collects in the cornea, causing it to swell. Vision becomes hazy or cloudy.<\/p>\n<p>There are two stages to Fuchs&#8217; dystrophy. Morning vision is frequently cloudy in the early stages (stage 1), but clears up as the day progresses. In the later stages (stage 2), vision stays blurry throughout the day.<\/p>\n<p>Fuchs&#8217; dystrophy can affect people in their 30s and 40s, but they are often unaware that they have the condition as vision difficulties may not manifest itself until age 50 or later.<\/p>\n<h2><b>Fuchs&#8217; dystrophy symptoms<\/b><\/h2>\n<p>You may notice few, if any, signs in the early stages of Fuchs&#8217; dystrophy. There are two distinct stages of Fuch\u2019s Dystrophy.<\/p>\n<p><b>Stage 1:<\/b><\/p>\n<p>When you wake up your vision may be blurry due to moisture accumulation in the eyes while you sleep, but the vision may improve throughout the day as the moisture dries up.<\/p>\n<p><b>Stage 2:<\/b><\/p>\n<p>If your blurry or hazy vision will not improve as the day progresses, the condition has progressed to stage 2, when the sleep-related fluid buildup doesn\u2019t dry up sufficiently during the day.<\/p>\n<p>In addition, during stage 2, small blisters in the cornea may occur.<\/p>\n<p><b>Blisters of fluid grow in size and eventually break open, producing intense pain in the eyes.\u00a0<\/b><\/p>\n<p>Other signs and symptoms include:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Gritty or sandy feeling in your eyes<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Sensitivity to bright light<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Humidity in the air exacerbates eye problems<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Very hazy or blurry vision from scarring at the center of the cornea<\/li>\n<\/ul>\n<p><b>If you suspect you may have Fuchs dystrophy, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">contact an eye doctor near you<\/a>.<\/b><\/p>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/corneal-diseases\/\">Corneal Diseases<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find a Vision Therapy Eye Doctor Near You<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>What are the causes of Fuchs dystrophy?<\/b><\/h2>\n<p>Endothelial cells, which line the inside of the cornea, help to maintain a healthy balance of fluid within the cornea and keep it from bulging.<\/p>\n<p>The endothelial cells of Fuchs&#8217; dystrophy, on the other hand, eventually die or fail to function properly, leading to fluid buildup (edema) within the cornea.<\/p>\n<p><b>Corneal thickening and fluid-filled blisters result in blurry vision.<\/b><\/p>\n<p>Fuchs&#8217; dystrophy is frequently inherited. The disease has a complex genetic basis, and family members may be affected to varying degrees or not at all.<\/p>\n<h2><b>What are the risk factors of Fuch\u2019s dystrophy?<\/b><\/h2>\n<p>Fuchs&#8217; dystrophy is caused by a combination of risk factors that include:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Age<\/b> &#8211; Although there is a rare form of Fuchs&#8217; dystrophy that develops in childhood, the disease usually begins in the 30s or 40s, with symptoms appearing later.<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Genetics<\/b> &#8211; A family history of Fuchs&#8217; dystrophy increases your risk.<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Gender<\/b> &#8211; Women are more likely than men to develop Fuchs&#8217; dystrophy.<\/li>\n<\/ul>\n<h2><b>How is Fuchs dystrophy treated?<\/b><\/h2>\n<p>Fuchs&#8217; dystrophy symptoms may be relieved by nonsurgical treatments and self-care techniques. If your case is serious,\u00a0 your doctor may recommend surgery.<\/p>\n<ul>\n<li aria-level=\"1\"><b>Contact lenses<\/b><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Eye medication<\/b> &#8211; <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/dry-eye\/guide-to-eye-drops\/\">Eye drops<\/a> or ointments containing saline can help lower the amount of moisture in your cornea.<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-contact-lenses\/guide-to-soft-contacts-lenses\/\"><b>Soft contact lenses<\/b><\/a> &#8211; Can be used as a covering \u2018bandage\u2019 to relieve pain.<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/corneal-transplant-keratoplasty\/\"><b>Corneal Transplant Surgery<\/b><\/a><\/li>\n<\/ul>\n<p>People with advanced Fuchs&#8217; dystrophy who have surgery often attain significantly better eyesight and may remain symptom-free for years. Surgical options include the following:<\/p>\n<ul>\n<li><b>Transplanting the inner layer of the cornea (DMEK)<\/b> &#8211; This surgery, known as Descemet membrane endothelial keratoplasty (DMEK), involves replacing the back layer of the cornea with healthy endothelial cells from a donor. However, DMEK may not be a possibility if you have another eye condition or have had previous eye surgery.<\/li>\n<li><b>Corneal transplant (DSEK)-<\/b> A partial-thickness<a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/corneal-transplant-keratoplasty\/\"> corneal transplant<\/a>, also known as Descemet-stripping endothelial keratoplasty (DSEK), may be recommended by your doctor.<\/li>\n<li><strong>Penetrating keratoplasty (PK)<\/strong> is a full-thickness corneal transplant that is only recommended in rare cases.<\/li>\n<\/ul>\n<p><strong>LEARN MORE:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/\"><strong>Guide to Corneal Conditions<\/strong><\/a><\/p>\n<p><b><a href=\"https:\/\/www.optometrists.org\/practice-search\/\">Contact an eye doctor near you<\/a>, to learn more about Fuchs dystrophy and determine which treatment option is best for you.<\/b><\/p>\n<p><i>Fuchs&#8217; dystrophy is a corneal disease, occurring when the endothelium, the back layer of the cornea, gradually dies.<\/i><\/p>\n<p><i>There are successful options that can treat this corneal condition.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Approximately 4 percent of adults have the painful eye condition, Fuchs dystrophy.\u00a0 What is Fuch\u2019s dystrophy? 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