- Medically Reviewed by Mr Mfazo Hove Consultant Ophthalmologist
- Author: Chris Dunnington
- Published: March 26, 2025
Cornea guttata is a condition affecting the corneal endothelium – the layer of cells responsible for maintaining fluid balance in the cornea. It involves the formation of tiny, drop-shaped bumps (guttae) on the back surface of the cornea, which can lead to vision problems over time. Often associated with Fuchs’ endothelial dystrophy, cornea guttata represents the early stages of this progressive eye disease. At Blue Fin Vision® Eye Clinic, we provide expert care and advanced diagnostics to manage this condition effectively.
Understanding Cornea Guttata
What Is Cornea Guttata?
Cornea guttata refers to irregularities in the endothelial cells of the cornea. These cells are vital for keeping the cornea clear by regulating fluid levels. When these cells deteriorate, small bumps or guttae appear on the inner surface of the cornea. This condition can cause glare, halos, and blurred vision, particularly as it progresses.
Cornea Guttata and Fuchs' Endothelial Dystrophy
Cornea guttata is often an early sign of Fuchs’ endothelial dystrophy, a progressive condition that affects the cornea’s innermost layer. Patients with Fuchs’ dystrophy or moderate to severe guttata need to be aware of potential complications, particularly when considering cataract surgery.
Delayed Recovery from Cataract Surgery
Patients with cornea guttata or Fuchs’ endothelial dystrophy may experience delayed recovery following cataract surgery. This is due to the compromised state of their corneal endothelial cells, which play a crucial role in maintaining corneal clarity.
Cornea Guttata Causes
The primary cause of cornea guttata is endothelial cell dysfunction, often linked to genetic factors. It is commonly associated with Fuchs’ endothelial dystrophy – a hereditary condition that worsens over time. Other contributing factors may include:
- Age: The risk increases with age, typically manifesting after 40.
- Family History: A genetic predisposition plays a significant role.
- Eye Trauma or Surgery: Previous injuries or surgeries may accelerate endothelial cell damage.
Cornea Guttata Symptoms
Recognising Cornea Guttata Symptoms
Early symptoms may be subtle but can become more noticeable as the condition progresses:
- Glare and Halos: Increased sensitivity to bright lights, especially at night.
- Blurred Vision: Vision may appear foggy due to fluid accumulation in the cornea.
- Light Sensitivity: Discomfort in bright environments.
- Difficulty Seeing in Low Light: Reduced visual clarity in dim settings.
If you experience any of these symptoms, it’s essential to seek professional advice promptly. At Blue Fin Vision®, our specialists use advanced diagnostic tools to identify and monitor corneal conditions accurately.
Cornea Guttata Diagnosis
Diagnosing cornea guttata requires specialised tests and imaging techniques:
- Slit Lamp Examination: Allows detailed evaluation of the corneal surface.
- Pachymetry: Measures corneal thickness to detect swelling.
- Confocal/Specular Microscopy: Provides high-resolution images of endothelial cells, assessing their density and shape.
Our Harley Street Eye Centre in London offers state-of-the-art diagnostic equipment to ensure precise assessments and tailored treatment plans.
Endothelial Cell Counts
At Blue Fin Vision®, we perform endothelial cell counts before and after surgery for patients with guttata and Fuchs’ dystrophy. This allows us to quantify the endothelial cell loss from surgery and provide appropriate counselling about recovery and potential risks.
Cornea Guttata Treatment
How Is Cornea Guttata Treated?
Treatment options depend on the severity of the condition:
- Non-Surgical Treatments:
- Sodium Chloride Eye Drops or Ointments: Help draw excess fluid from the cornea to reduce swelling.
- Warm Air Therapy: Using a hairdryer at arm’s length can gently dry the corneal surface.
- Specialised Lenses: Polarised or photochromic lenses minimise glare and light sensitivity.
- Surgical Treatments (for advanced cases):
- Endothelial Keratoplasty (DSAEK/DMEK): Replaces damaged endothelial cells with healthy donor tissue.
- Full Corneal Transplant: Reserved for severe cases where extensive damage has occurred.
At Blue Fin Vision®, we provide comprehensive care for all stages of cornea guttata. Our team will guide you through both conservative management and surgical options if necessary.
Special Considerations for Cataract Surgery
For patients with cornea guttata or Fuchs’ dystrophy undergoing cataract surgery, we take extra precautions to minimise endothelial cell loss. These include:
- Soft shell technique
- Protecting the endothelium with a dispersive viscoelastic
- Low flow surgery
- Minimising surgery duration
If a patient’s cell count is particularly low, we provide detailed counselling about the potential for slow recovery and the risk of needing an endothelial graft post-operatively.
Why Choose Blue Fin Vision® Eye Clinic?
Expert Care Across London, Essex, and Hertfordshire
Blue Fin Vision® provides exceptional eye care services across multiple locations:
- London Locations:
- Harley Street Eye Centre
- Weymouth Street Hospital
- London Eye Diagnostic Centre
- Chelmsford, Essex:
- Phoenix Hospital Chelmsford
- Hertfordshire, Hatfield:
- One Hatfield Hospital
Why Trust Us?
- Highly Skilled Specialists: Our ophthalmologists are leaders in diagnosing and treating complex corneal conditions like cornea guttata and Fuchs’ dystrophy.
- Advanced Technology: We use cutting-edge diagnostic tools for accurate assessments, including endothelial cell counts.
- Personalised Care Plans: Every treatment is tailored to your unique needs and lifestyle, with special consideration for patients with compromised corneal endothelium.
Take Control of Your Eye Health Today
If you suspect you may have cornea guttata or are experiencing vision problems, don’t wait – book an appointment with Blue Fin Vision® today. With clinics in London, Chelmsford, and Hertfordshire, we are here to provide expert care and support for your vision needs. Trust your eyes to our experienced team – because your sight deserves nothing less than excellence.
