Skip to main content

Fuchs Dystrophy

Stephanie Ann Carey, MPH, MD and Roland W. Newman II, DO Reviewed 04/2024
 


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

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

    • Blurred vision persists later into the day as the disease progresses

  • Eye pai...

TREATMENT

GENERAL MEASURES

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

  • No treatment is recommended if asymptomatic.

  • Medical therapies are employed to palliate symptoms until corneal ...

ONGOING CARE

PATIENT EDUCATION

  • Fuchs dystrophy is chronic and progressive.

  • Hypertonic saline drops can slow or halt progression in some cases and while they sting the eyes when applied, patients should ...

REFERENCES

1
Matthaei M, Hribek A, Clahsen T, et al. Fuchs endothelial corneal dystrophy: clinical, genetic, pathophysiologic, and therapeutic aspects. Annu Rev Vis Sci. 2019;5:151–175.
2
...

ADDITIONAL READING

Soh YQ, Peh GS, Mehta JS. Evolving therapies for Fuchs' endothelial dystrophy. Regen Med. 2018;13(1):97–115.   

CODES

ICD10

H18.51 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...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×