Description

Corneal blindness is the fourth leading cause of blindness in India. A majority of such patients are children. Treating corneal blindness is possible through cornea transplant. In this treatment, a healthy cornea is transplanted in place of a diseased cornea in entirety through (penetrating keratoplasty) or in part (lamellar keratoplasty). Since artificial corneas are not available, corneas have to be harvested only through eye donation.

The cornea is the eye's outermost layer. It is the clear, dome-shaped surface that covers the front of the eye. It is responsible for more than 2/3rd of the eye's focusing power. Unlike most tissues in the body, the cornea contains no blood vessels to nourish or protect it against infection. Instead, the cornea receives its nourishment from the tears and aqueous humor that fills the chamber behind it. To see well, all layers of the cornea must be free of any cloudy or opaque areas. When cornea becomes cloudy due to disease, injury, infection or malnutrition, vision is significantly lost or reduced.

The common corneal disorders are

Refractive errors

If the cornea is flatter than normal or the eye is short, rays of light are focused behind the retina and causes hyperopia or farsightedness where close objects appear blurred.

Astigmatism is a condition in which the uneven curvature of the cornea blurs and distorts both distant and near objects. The cornea is more curved in one direction than in the other. This causes the rays of light to focus on two separate areas of the retina, distorting the visual image.

Refractive errors are usually corrected by eye glasses or contact lenses. Although these are safe and effective methods for treating refractive errors, refractive surgeries are becoming an increasingly popular option.

Allergies

Allergies affecting the eye are relatively common. They are most commonly related to pollen and dust in the air. They are usually immediate or delayed hypersensitivity reactions. Symptoms can include redness, itching, and burning, tearing, stinging and watery discharge. An increasing number of eye allergy cases are related to medications and contact lens wear.

Conjunctivitis (red / pink eye)

Conjunctiva is a translucent mucous membrane which lines the posterior surface of the eyelids and anterior aspect of the eyeball. A group of diseases that cause swelling, itching, burning and redness of the conjunctiva are termed as conjunctivitis. It is an inflammation of the conjunctiva associated with a discharge which may be watery, mucoid, mucopurulent or purulent. It can spread from one person to another if proper precautions are not taken.

Infections

A breach in the normal epithelial surface of the cornea associated with necrosis of surrounding corneal tissue is termed as corneal ulceration. Two main factors are responsible in the production of a corneal ulcer damage to corneal epithelium and infection of the eroded area. They usually cause pain, redness, watering, discharge, photophobia i.e. intolerance to light and blurred vision. It can be caused by bacteria, fungi, viruses, acanthamoeba and many other organisms.

Dry eye