Corneal dystrophies are usually inherited conditions that often affect both eyes, although severity can differ between them. They involve gradual accumulation of abnormal material in specific corneal layers.
Typical Patterns
Many dystrophies, such as Fuchs endothelial dystrophy or lattice dystrophy, are bilateral and progressive. Early on, changes may be subtle and only visible with detailed examination or imaging.
- Onset and rate of progression vary with the specific dystrophy
- Family history is common but may be unrecognised
- Symptoms range from glare and blurred vision to recurrent pain
Asymmetry Between Eyes
Even when both eyes are affected, one may be more advanced. This can lead to differences in vision and may influence the timing of treatment such as corneal transplantation or endothelial procedures.
Monitoring
Regular review with slit?lamp examination and appropriate imaging helps track changes in each eye and plan interventions at the right time.
