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Corneal hydrops is an uncommon complication seen in people with advanced keratoconus or other corneal ectatic disorders, [1] and is characterized by stromal edema due to leakage of aqueous humor through a tear in Descemet's membrane. [2]
Contact lens-induced hypoxia triggers the cornea to undergo anaerobic respiration, resulting in a buildup of lactic acid that osmotically draws water into corneal cells, causing edema. [6] Two explanations have been proposed for contact lens-induced stromal thinning. It is thought that this edema may inhibit stromal tissue synthesis. [4]
The Chandler variant of ICE is characterized by pathology on the inner surface of the cornea leading to abnormal endothelial pump function. [2] [5] Other features include possible mild iris changes, corneal edema, and normal to slight elevations in intraocular pressure. [1] [5] Cogan-Reese variant is characterized by multiple pigmented iris ...
Corneal opacification is a term used when the human cornea loses its transparency. The term corneal opacity is used particularly for the loss of transparency of cornea due to scarring. Transparency of the cornea is dependent on the uniform diameter and the regular spacing and arrangement of the collagen fibrils within the stroma.
As a progressive, chronic condition, signs and symptoms of Fuchs dystrophy gradually progress over decades of life, starting in middle age. Early symptoms include blurry vision upon wakening which improves during the morning, [2] as fluid retained in the cornea is unable to evaporate through the surface of the eye when the lids are closed overnight.
It begins with infection of epithelial cells on the surface of the eye and retrograde infection of nerves serving the cornea. [2] Primary infection typically presents as swelling of the conjunctiva and eyelids ( blepharoconjunctivitis ), accompanied by small white itchy lesions on the corneal surface.
On slit-lamp examination, conjunctival injections, epithelial corneal edema, [3] small to medium-sized fine keratitic precipitates, aqueous cells and flare may also be noted. [4] Blurring of vision, eye pain and discomfort are the main symptoms. [4] Colored halos may occur due to elevated IOP. [5]
Bullous keratopathy, also known as pseudophakic bullous keratopathy (PBK), is a pathological condition in which small vesicles, or bullae, are formed in the cornea due to endothelial dysfunction. In a healthy cornea, endothelial cells keeps the tissue from excess fluid absorption, pumping it back into the aqueous humor.