The cornea guttata is a disease that often has its roots in the patient’s family; what happens is a loss of corneal transparency over time. Usually more than one relative have this disease in which the inner layer of the cornea (endothelium) is damaged like as it had been hammered and it is possible to see both healthy and damaged parts.
Guttated cornea symptoms usually appear during adulthood: people experience a worse vision in the morning or a sense of discomfort and halos around light sources; in advanced phases there can also be pain and the feeling of a foreign body. The damaged endothelium neutralizes the cornea impermeability. In case of cornea guttata, the cornea grows in depth because it becomes filled with water coming from the inside of the eye; also bubbles can appear on the cornea (bullous keratopathy).
Corneal pachymetry is a useful practice: it consists in measuring the corneal depth in order to monitor the cornea guttata and corneal edema status.
In the initial phase it can be treated with a therapy consisting in hyperosmotic agents that draw excess water out of the cornea, making it possible to improve vision, most likely only for a period of time.Later on, it is best to substitute the damages endothelium via an endothelium corneal transplant with the DMEK or DSAEK technique.
Stanislao Porrini, Teramo (Morro d'Oro)Votazione: EccellenteAfter two stem cell transplants for non-Hodgkin lymphoma, I had a cutaneous and a eye rejection, with corneal ulcers in both eyes and a corneal perforation in the left eye.
I underwent 14 operations at other facilitie... Keep on reading this reviews and contacted 8 well-known Italian professors, but all my hope was gone as everybody refused to perform surgery, because of the seriousness of my problem (1/20 in the right eye, nothing in the left: I was almost blind!).
The only one who give me a good advice was a dear doctor who suggest me to talk to Dr. Badalà, because he could perform a Boston Keratoprosthesis, that she considered my only chance to recover a few dioptres.
After the visit, Dr. Badalà proposed me a corneal transplant.
I underwent the transplant on Dec. 4, 2014, in Milan and was followed by Dr. Badalà and his fantastic team.
After surgery, which lasted 3 hours and a half under general anesthesia, I felt as if nothing had happened: no eye pain and no discomfort due to anesthesia.
I give top marks to surgery and clinic! I was discharged after just one night without any problem.
After surgery, for about ten days I did frequent follow ups, than one every 15 days and after that one every month.
Now,while I’m waiting for removing the stitches and reopening eyelids, I’m following the treatment given by Dr. Badalà and I can see the light through the slot left for the dressing!
For me it is a great progress and I thank the only one who took charge of this delicate problem. Besides being an excellent doctor, Dr. Badalà is a person with whom you can speak freely, as you talk with friends, he made me feel at home and he was always available for any explanation.