Bullous Keratopathy

Bullous Keratopathy
SYMPTOMS Pain | Blurry vision | Photophobia | Tearing
SIGNS Injection | Corneal bullae | Edema | Corneal folds | Tearing | Corneal scarring/haze
WORK-UP Thorough history and slit lamp examination with NaFl stain | Pachymetry and specular microscopy may be considered
TREATMENT Muro 128 (sodium chloride 5%) drops and/or ointment | Bandage contact lenses | Corneal transplant
FOLLOW-UP Every 1-3 days during treatment
ADDITIONAL LAB | TESTS None
ETIOLOGY There are several causes of Bullous Keratopathy, including: Pre-existing endothelial dysfunction | Damage from cataract surgery | Intraocular inflammation
DIFFERENTIAL DX Fuchs endothelial dystrophy | ICE syndrome | Congenital hereditary endothelial dystrophy | Recurrent corneal erosion
NOTES None