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Fuchs Dystrophy

Karl A. Kuersteiner, MD and Todd J. Endicott, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Fuchs (pronounced Fooks) endothelial corneal dystrophy is a bilateral, progressive, noninflammatory disease of the eye characterized by endothelial dysfunction, leading to corneal ed...

DIAGNOSIS

HISTORY

  • Blurred vision, particularly with halos, glare, or a foggy appearance often worse upon awakening

  • Eye pain and/or photophobia

  • Epiphora (excessive tearing) from corneal bullae or erosions

  • ...

TREATMENT

GENERAL MEASURES

  • No treatment is recommended if asymptomatic.

  • Initial treatment aims to relieve pain and reduce corneal edema.

  • Use of a hair dryer held at arm's length for 5 to 10 minutes upon ...

ONGOING CARE

PATIENT EDUCATION

  • Fuchs dystrophy is chronic and progressive.

  • Hypertonic saline drops can slow or halt progression in some cases.

  • Hypertonic saline drops sting the eyes when applied, and pat...

REFERENCES

1
Park CY, Lee JK, Gore PK, et al. Keratoplasty in the United States: a 10-year review from 2005 through 2014. Ophthalmology.  2015;122(12):2432–2442. {L-End} [View Abstract on OvidMed...

ADDITIONAL READING

  • Amin SR, Baratz KH, McLaren JW, et al. Corneal abnormalities early in the course of Fuchs' endothelial dystrophy. Ophthalmology.  2014;121(12):2325–2333.

  • Borkar DS, Veldman P, C...

CODES

ICD10

H18.51 Endothelial corneal dystrophy 

ICD9

371.57 Endothelial corneal dystrophy 

SNOMED

193839007 Fuchs' corneal dystrophy 

CLINICAL PEARLS

  • Fuchs endothelial corneal dystrophy is a bilateral, progressive, noninflammatory disease of the eye.

  • Patients may complain of slowly progressive blurred vision, haze, halos, or glare th...

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