Corneal Diseases
🔹 Corneal Diseases
1. Corneal Ulcer (Keratitis)
Cause: Infection (bacterial, viral, fungal), injury, contact lens misuse
Symptoms: Eye redness, pain, blurred vision, tearing, white spot on cornea
Urgency: Medical emergency — can cause vision loss if untreated
2. Dry Eye Disease
Cause: Reduced tear production or poor tear quality
Symptoms: Burning, grittiness, blurred vision, discomfort
Common in: Elderly, screen users, post-menopausal women
3. Keratoconus
Cause: Cornea thins and bulges into a cone shape
Symptoms: Blurred vision, sensitivity to light, frequent power changes
Treatment: Glasses, contact lenses, corneal cross-linking, corneal transplant (in severe cases)
4. Corneal Dystrophies
Definition: Genetic disorders causing cloudy buildup in the cornea
Examples: Fuchs’ dystrophy, Lattice dystrophy
Symptoms: Blurred vision, glare, discomfort
Often bilateral and progressive
5. Corneal Abrasion
Cause: Scratch or trauma to corneal surface
Symptoms: Sharp pain, tearing, foreign body sensation
Heals fast, but needs antibiotic drops to prevent infection
6. Corneal Edema
Cause: Fluid buildup due to endothelial dysfunction (e.g., after surgery or trauma)
Symptoms: Blurry vision, halos around lights, eye discomfort
Seen in: Fuchs' dystrophy, post-cataract surgery
7. Pterygium
Definition: Non-cancerous growth from conjunctiva onto cornea
Cause: UV exposure, dust, wind
Symptoms: Redness, irritation, foreign body sensation
Surgery may be needed if vision is affected
8. Herpes Simplex Keratitis
Figure . The initial slit lamp examination of the patient 1. (a) Corneal epithelial dendrite from herpes simplex keratitis on 5th postoperative day, before treatment; (b) Herpes simplex keratitis seen with fluorescein staining and a cobalt blue light.
Cause: Herpes simplex virus
Symptoms: Pain, redness, watery eye, decreased vision
Recurrent infections can scar the cornea








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