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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