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.
Piero Banna, CataniaVotazione: EccellenteI underwent DMEK (an endothelian cornel transplant) in my right eye over a year ago. The corneal transplant was performed by Dr. Badalà.
My vision was very bad, 20/200 in the affected eye and it was bothering the visio... Keep on reading this reviewn I had with my better eye, making it very difficult to use the two eyes together, specifically when driving.
I trust Dr. Badalà because of US training and said: “I’m at the last shore, even if the surgery doesn’t go well, this eye is only giving me problems”
All eye examination before and after the operation were performed in the excellent Eye center located in Catania.
The corneal transplant with the very new technique DMEK (Descemet Membrane Endothelial Keratoplasty) was carried out in Milan in a private hospital, accredited with the National Healthcare,with state of the art equipment and was totally free of charge for me.
The surgery was under general anesthesia without complications. The only real problem, which was extensively explained by Dr. Badalà, is that I had to stay flat in bed for the first day with my head facing the ceiling. This is because the new endothelial cells transplanted are kept in place by a small air bubble. I was allowed to move every half an hour and from the next day I was allowed to go back to a normal life.
The time in the hospital - one night - was fast and warmed up by a very kind nursing team and frequent encounters with the doctor, who was always answering my questions, showing confidence and humanity.
No patching and fast progressive visual rehabilitation surprised me. Two months post-op. visual acuity was 20/40, similar to my better eye. Six months after visual acuity is 20/25 much better and clear than my “older” good eye.
When I went to buy a new pair of glasses my German optician, well-known in Catania, said: “I can’t believe it, it’s a miracle! Who’s the eye surgeon that made this new eye? Tell him he made a good job!”
I’m convinced that corneal transplant surgery is complex and requires high technology and a lot of experience, when a surgery like this seems simple and routinary, that means that the eye surgeon is really good.
Thank you Doctor Badalà, I’m starting to think seriously about getting a corneal transplant in the other eye.