Macular Dystrophy Follow-up
- Author: Natalie Afshari, MD, MA, FACS; Chief Editor: Hampton Roy Sr, MD more...
Further Outpatient Care
- Patients with epithelial defects from recurrent corneal erosions need to be observed every few days to ensure that the abrasion is healing.
Inpatient & Outpatient Medications
- Patients with epithelial defects from recurrent corneal erosions are treated with topical antibiotics to prevent corneal infection.
Complications
- Complications of macular corneal dystrophy include photophobia; loss of vision; and, less commonly, recurrent corneal erosions.
Prognosis
- Of all stromal corneal dystrophies, macular corneal dystrophy results in the earliest visual loss. This visual loss is due to the lack of clear spaces between the denser gray-white macular opacities.
- Symptomatic patients are eligible for either excimer laser phototherapeutic keratectomy (PTK) when the bulk of the opacity is superficial or, more commonly, corneal transplantation.
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