Cornea Disorders & Other Anterior Segment Diseases
University Hospitals Eye Institute’s Center for Anterior Segment Diseases and Surgery serves patients with conditions of the anterior segment (the front part) of the eye, which includes the cornea, sclera, conjunctiva, iris, pupil, trabecular meshwork and lens.
The focus of the center is cataracts and other surgeries. In particular, we are a leader in corneal transplants and post-transplant care.
Conditions Affecting the Cornea
Our physicians diagnose and treat a wide variety of diseases of the cornea, including:
- Corneal Ulcer (Bacterial/Fungal Keratitis)
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A corneal ulcer is an open sore on the cornea’s outer layer often caused by bacterial or fungal infection. Corneal ulcers can cause eye pain, redness, blurry or hazy vision, discharge and light sensitivity (photophobia).
- Corneal Dystrophies
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Corneal dystrophies are rare genetic eye disorders in which abnormal material builds up in the cornea. Most corneal dystrophies affect both eyes. These disorders, which run in families and tend to progress slowly, include Fuchs’ dystrophy and keratoconus.
- Fuchs’ Dystrophy
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Fuchs’ dystrophy is an inherited condition where fluid accumulates in the cornea, making it thicken and swell, which can cause people to experience glare, halos, blurred or cloudy vision, and eye discomfort.
- Ocular Herpes (Herpetic Eye Disease)
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Ocular herpes (also called herpetic eye disease or HSV keratitis) is a common eye infection usually caused by type 1 herpes simplex virus. Ocular herpes tends to infect the cornea, causing redness, inflammation and tearing. In rare cases, the disease can cause vision loss. Repeated flareups of ocular herpes can scar the cornea over time.
- Ocular Shingles (Herpes Zoster Ophthalmicus)
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Varicella-zoster virus – the same virus that causes chickenpox – can return decades later to cause shingles (a viral infection that causes a rash) that can affect the cornea. Ocular shingles can cause inflammation in the front or back of the eye and lead to glaucoma.
- Keratoconus
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Keratoconus is an eye disorder in which the cornea thins and bulges outward in a cone shape, causing blurred vision and sometimes sensitivity to light and glare.
- Neurotrophic Keratitis
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Also called neurotrophic keratopathy, neurotrophic keratitis (NK) is a rare degenerative disease of the cornea where damage to the corneal nerves leads to the breakdown of the cornea. If not treated, NK can cause a corneal ulcer (an open sore in the cornea), scarring and loss of vision.
- Pterygium (Surfer's Eye)
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A pterygium is a raised, wedge-shaped growth that forms on the conjunctiva (the clear membrane that covers the inner surface of the eyelid and the white part of the eye) and extends into the cornea. Pterygia can potentially grow large enough to cause eye irritation, redness, sensation of a foreign object in the eye, and decreased or distorted vision. When the growth affects the conjunctiva but does not extend into the cornea, the condition is called a pinguecula.
- Recurrent Corneal Erosion
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Recurrent corneal erosion (RCE) is a common condition in which the outer layer of the cornea separates and pulls away from underlying layers. RCE can lead to sudden eye pain, blurred vision, tearing and photophobia (light sensitivity), with symptoms often occurring when you first wake up.
Patients with Glaucoma
Glaucoma develops when the optic nerve is damaged from increased pressure in the eye caused by excess fluid. There are two main types of glaucoma: primary glaucoma (has no identifiable cause) and secondary glaucoma (has a known cause such as injury, another illness or a reaction to medication).
The Center for Anterior Segment Diseases and Surgery offers the latest in glaucoma testing, including Humphrey automated visual field testing, Goldman perimetry, serial tonometry, optic nerve disc analysis with optical coherence tomography, nerve fiber layer photography and stereo optic nerve photography. We offer our glaucoma patients advanced treatment options including Argon and ND-YAG laser surgery for angle-closure glaucoma; chronic angle-closure glaucoma and secondary membranes; and selective laser trabeculoplasty (SLT) for certain forms of open angle glaucoma.
Patients with Cataracts
A cataract is a painless, cloudy area in the eye that blocks light from reaching the retina. Most common in older people, cataracts sometimes occur in children and can develop at any age from eye injury or as a complication of another vision-related disease or diabetes. Cataracts surgical approaches we provide include small incision, no-stitch surgery to remove the cataract while also correcting astigmatism and presbyopia (age-related farsightedness).