Dr Suraj Munjal

Fuchs’ Dystrophy

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    Frequently Asked Questions (FAQ) :

    1. Is Fuchs' Dystrophy hereditary?

    Yes, Fuchs’ Dystrophy can be passed down through families. If you have a family history, it is essential to get regular eye check-ups.

     

    While there is no cure for Fuchs’ Dystrophy, treatments like eye drops, contact lenses, and corneal transplants can help manage symptoms and restore vision.

     

    A corneal transplant can last a lifetime in many cases. However, the success of the transplant depends on various factors, including your overall health and how well you follow post-operative care instructions.

     

    About Fuchs’ Dystrophy

    Fuchs’ Dystrophy is an eye condition that affects the cornea, the transparent front part of the eye. It gradually leads to vision problems, especially in older adults. As the disease progresses, the corneal cells deteriorate, causing swelling and cloudy vision. This condition usually affects both eyes and may lead to significant vision loss if left untreated.

    Causes of Fuchs’ Dystrophy

    Fuchs’ Dystrophy is primarily hereditary, meaning it can be passed down through families. The condition is caused by the gradual loss of endothelial cells, which are responsible for maintaining the right fluid balance in the cornea. Over time, this imbalance results in fluid buildup and swelling. Risk factors include:

    • Family history of Fuchs’ Dystrophy
    • Age (common in individuals aged 50 and above)
    • Gender (women are more likely to develop the condition)

    Types of Fuchs’ Dystrophy

    Fuchs’ Dystrophy is classified into two stages:

    1. Early Stage (Guttata): During this stage, tiny bumps called “guttata” form on the back of the cornea. There may be no noticeable symptoms, but eye doctors can detect the condition during an eye exam.

    2. Late Stage: In the advanced stage, fluid starts to accumulate in the cornea, leading to cloudy or blurred vision, especially in the morning. The vision may gradually improve throughout the day as the excess fluid evaporates.

    Symptoms of Fuchs’ Dystrophy

    The symptoms of Fuchs’ Dystrophy may develop gradually, with most people noticing them in their 50s or 60s. Common symptoms include:

    • Blurred or cloudy vision, especially upon waking up
    • Eye discomfort or a gritty feeling
    • Sensitivity to bright lights (photophobia)
    • Halos around lights
    • Difficulty seeing at night
    • Poor vision that improves throughout the day

    If you experience any of these symptoms, it is essential to consult an ophthalmologist for proper diagnosis and treatment.

    Diagnosis of Fuchs’ Dystrophy

    Dr. Suraj Munjal diagnoses Fuchs’ Dystrophy through a series of eye tests, which include:

    1. Slit-lamp Examination: This test uses a microscope to examine the cornea closely.
    2. Specular Microscopy: This imaging test counts the endothelial cells to determine the severity of cell loss.
    3. Pachymetry: A device measures the thickness of the cornea, which may increase in Fuchs’ Dystrophy.
    4. Visual Acuity Test: A standard test to measure the clarity of your vision.

    Early detection through regular eye check-ups is key to managing the progression of the disease.

    Treatment of Fuchs’ Dystrophy

    The treatment of Fuchs’ Dystrophy depends on the severity of the condition. Common treatments include:

    • Eyedrops or Ointments: Salt solution (hypertonic) drops or ointments help draw fluid out of the cornea, reducing swelling and improving vision.
    • Soft Contact Lenses: Special contact lenses may help protect the cornea and relieve discomfort in the later stages.
    • Corneal Transplant: In severe cases, a partial or full corneal transplant (DMEK or DSAEK) may be required. Dr. Suraj Munjal specializes in advanced corneal surgeries to restore vision effectively.

    Cost of Treatment and Stay in India

    India is a popular destination for eye care treatments due to high-quality medical care at affordable costs. The cost of Fuchs’ Dystrophy treatment in India varies based on the type of procedure and the severity of the condition. On average, the cost ranges from:

    • Medications and conservative treatment: $200 to $500
    • Corneal transplant (DMEK/DSAEK): $2,000 to $4,000
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