How do you treat CHED?

How do you treat CHED?


  1. Medical Treatment. If corneal edema is mild and stable, hypertonic drops (hypertonic sodium chloride) and desiccating measures may be taken.
  2. Surgery. Treatment for CHED is mainly surgical.
  3. Penetrating Keratoplasty.
  4. Specific Surgical Considerations.
  5. Follow up.
  6. Prognosis.

What is congenital hereditary endothelial corneal dystrophy?

Congenital hereditary endothelial dystrophy II (CHED II) is a rare subtype of posterior corneal dystrophy (see this term) characterized by a diffuse ground-glass appearance of the corneas and marked corneal thickening from birth with nystagmus , and blurred vision.

What is a corneal dystrophy?

Corneal dystrophies are a group of genetic, often progressive, eye disorders in which abnormal material often accumulates in the clear (transparent) outer layer of the eye (cornea). Corneal dystrophies may not cause symptoms (asymptomatic) in some individuals; in others they may cause significant vision impairment.

What is ICE syndrome of the eye?

Iridocorneal Endothelial Syndrome (ICE) syndrome is a unique ophthalmic disorder that involves an irregular corneal endothelium that can lead to varying degrees of corneal edema, iris atrophy, and secondary angle-closure glaucoma.

What is macular corneal dystrophy?

Macular corneal dystrophy is a corneal stromal dystrophy which leads to progressive vision loss. Macular corneal dystrophy is an autosomal recessive condition in which there is abnormality of proteoglycan synthesis. Mutations in the carbohydrate sulfotransferase gene prevent normal sulfation of corneal keratan.

Is ice good for glaucoma?

If the patient is on more than one medication or is on one medication and has an IOP just above the target, then ICE may be a better choice. Pigment dispersion glaucoma and pseudoexfoliation glaucoma are not contraindications for ICE.

Is eye problems a disability?

Medically Qualifying With Vision Loss There are a few listings for vision loss in the Blue Book. The most straightforward way to qualify for disability is to prove that your vision is legally blind, or 20/200 or worse. This will automatically qualify for disability benefits.