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.
Serenella Sanna, Medio Campidano (Serrenti)Votazione: EccellenteIn 2005, after a number of visits and exams, I was diagnosed with Cornea Guttata Corneal Dystrophy and, all doctors told me that the corneal endothelial cells were disappearing and was going to become blind.
I looked ... Keep on reading this reviewfor second opinions in Sardinia, Italy and Spain, but the answer was always the same. One day my husband yelled at me “don’t give up and search the internet”. I went to my computer and searched: "Best Doctors for corneal dystrophy". I found Dr. Badalà and I decided to book a visit on March 10th, 2015.
I got to know Dr. Badalà in person: he reassured me and, with patience and simple words, explained a new technique of corneal transplant called DMEK.
He described the procedure step by step and told me I would have not become blind.
I did not know whether to cry or smile!
I underwent DMEK surgery on May 14, 2015. One month after surgery I could see colors clearly as I have not seen in years, since then at every follow-up (the last on January 26th, 2016) I keep receiving just good news.
I sincerely thank Dr. Badalà, for giving me hope and, most importantly, my sight back.