Treatment for corneal dystrophy depends on the type, severity, and how much it affects comfort or vision. Options range from lubricants to laser procedures and corneal transplantation.
Managing symptoms and early disease
Mild dystrophies often cause discomfort rather than major sight loss. Simple measures can reduce pain and protect the surface.
- Lubricating drops and gels ease dryness and grittiness
- Hypertonic saline drops or ointment can reduce swelling and erosions
- Bandage contact lenses protect fragile areas during healing
- Occasional treatment of recurrent erosions with debridement or anterior stromal puncture
Surgical options for advanced changes
When scarring or opacities significantly reduce vision, surgery may be recommended. Techniques aim to restore clarity while minimising risk.
- Phototherapeutic keratectomy smooths superficial deposits and irregularities
- Lamellar or full-thickness corneal transplants replace affected layers
- Regular follow-up monitors for recurrence in grafts
- Genetic counselling may be offered in inherited cases
