Age influences both the type and behaviour of corneal diseases. Some conditions are more common in younger people, while others arise or progress later in life.
Changes with Age
The cornea gradually gains natural cross-links as we age, which can stabilise ectatic disorders such as keratoconus. However, endothelial cell loss over time can predispose to corneal swelling and conditions like Fuchs endothelial dystrophy.
- Younger patients are more prone to progressive ectasia
- Older adults may develop degenerations and endothelial failure
- Healing responses slow with age, affecting recovery from surgery
Implications for Treatment
Age is an important factor when deciding on interventions such as cross-linking, laser surgery, or corneal grafts. Risks, benefits, and likely progression differ between younger and older patients.
Follow-Up
Regular eye examinations across adulthood help detect corneal changes early and tailor management to each stage of life.
