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The cornea is the clear, protective outer layer of the eye. Shaped like a dome, it helps to protect the eye from foreign bodies and also plays an important role in vision.

A wide range of diseases and disorders can affect the cornea. Even seemingly minor eye irritations can lead to scarring and ulcers, so it’s important to seek prompt medical advice.

Some common corneal conditions are described below.

  • Corneal abrasion occurs following some physical trauma to the cornea, including the presence of a foreign body.
  • Corneal dystrophy refers to a group of genetic eye disorders, in which part(s) of the cornea loses clarity because of a build-up of fat or cholesterol deposits. The disorder usually occurs before the age of 30 and affects men and women equally. You need to see an ophthalmologist for an accurate diagnosis.
  • Recurrent corneal erosion is a disorder that occurs when the top layer of the cornea fails to adhere to the tissue (Bowman’s layer) directly underneath it. It can be caused by trauma, disease or diabetes and affects vision.
  • A corneal ulcer is an open wound on the cornea that is often the result of a bacterial infection. Viral and fungal infections can also be responsible. Early treatment is essential because a corneal ulcer can lead to loss of vision.
  • Keratitis is an inflammation of the cornea caused by infection, injury or from leaving contact lenses in too long. Keratitis can be painful and may temporarily affect your vision. In rare cases, it may lead to complications that can damage your sight.
  • Ocular herpes is a type of keratitis caused by the herpes simplex virus (HSV). There is no specific cure, but an ophthalmologist can help you manage the infection and control further outbreaks.

Depending on the specific corneal condition involved, symptoms may include:

  • Sensation of having a foreign body in the eye
  • Pain
  • Watering of the eye
  • Redness
  • Blurred vision

How do I take care of my cornea?

Corneal abrasions (scratches) are the most common type of eye injury. No matter how minor the injury seems, it’s important to see your doctor or optometrist to make sure it doesn’t develop into a bigger problem.

Always wear eye protection when working with hand tools to prevent a foreign object scratching or penetrating the cornea.

What are the signs of corneal damage?

Signs include irritation, watering, the sensation of foreign material in your eye, sensitivity to light, blurred vision, redness, swelling and pain. If your eye is injured, see your doctor or optometrist straight away to prevent complications, such as infection or scarring.

How do contact lenses contribute to corneal problems?

If contact lenses are left in too long, there is a risk of corneal abrasion and infection. Poor hygiene can leave your cornea vulnerable to bacteria, fungi or parasites. This includes reusing the contact lens solution and/or not cleaning the lenses or lens case properly,

You should always check the manufacturers guidelines or follow your optometrist’s advice regarding how to use and look after your contact lenses.

If you experience pain or inflammation, get your eye checked immediately. Always have your contact lenses reviewed regularly by an optometrist.

What if I have a family history of corneal dystrophies?

Corneal dystrophies are mostly asymptomatic in the early stages. Anyone with a genetic disposition should have their eyes regularly checked by an optometrist, who can refer you to an ophthalmologist if necessary.

References

For a full reference list, visit the corneal FAQ page.

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The information on this page is general in nature. All medical and surgical procedures have potential benefits and risks. Consult your ophthalmologist for specific medical advice.

Date last reviewed: 2024-07-22 | Date for next review: 2026-07-22

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