What Is Bullous Keratopathy?

Hello, u003cbr u003eI got a bullous keratopathy diagnosis letter but my doctor did not explain the details about the diagnosis.

1 Answer:

Thank you for asking HealthReplies.com. I am dr. Princess Claudya will help answer your questions.

Bullous keratopathy is a corneal disorder characterized by the formation of fluid-filled bubbles (bullae) in the lining of the cornea.

This corneal bullae is formed due to problems with the cornea of ​​the eye, whether it is thinning of the cornea, corneal damage, or prolonged inflammation of the cornea. This can be found in the following conditions:

Old age: where the cornea is thinning due to age
History of eye surgery, for example in cataract surgery
Traumatic wounds to the cornea of ​​the eye, for example due to foreign objects or lacerations
Conditions of prolonged swelling of the cornea, for example in patients with angle closure glaucoma

Symptoms that arise in this condition are:

Blurred vision
Eye pain
There is a foreign body sensation in the eye
Glare and pain when exposed to light (photophobia)

If this condition is left untreated, complications can lead to corneal damage and the formation of corneal holes. The hole in the cornea results in disruption of the visual process so that the patient cannot see (blind) and is at risk of eye infection. If this hole has been formed, the patient may already need a corneal transplant.

The state of "winking" in the eye can also be found in the following conditions:

Inflammation of the cornea
Dry eyes, due to lack of tear production
Foreign object in the eye
The formation of a membrane that has reached the cornea of ​​the eye (pterygium)

If your doctor has made a diagnosis and has provided treatment as you mentioned, continue the treatment and routine control as directed by the doctor. The diagnosis is made based on medical history, physical examination, and supporting examinations, so it is likely that if you have passed the examination by a doctor, your complaint is indeed caused by the diagnosis made by your doctor. Discuss further about the length of treatment and follow-up therapy plans with your doctor, as this will depend on the severity of your current condition.

The drugs you mentioned, namely:

Hyaloph: contains sodium hyaluronate, is a drug to accelerate healing and induce regeneration of corneal cells, relieve burning sensation, and reduce eye discomfort
Protagenta: a drug used as an artificial tear fluid, whose function is also to reduce your discomfort (tingling, burning, etc.)

Things you can do to improve the condition and prevent worsening of your eyes are:

Avoid rubbing your eyes
Wash hands before touching the eye area
Use sunglasses when exposed to the sun to reduce glare and pain, as well as prevent eye irritation by dust and foreign matter
Avoid reading / looking at the screen too closely, reading in a dark room, reading in small letters
Avoid staring at the computer / screen for too long. Do the 20 principle, which is every 20 minutes looking at the computer, resting your eyes for 20 seconds by looking at objects that are 20 feet away
Get enough rest, sleep 7-8 hours a day
Eat nutritious foods, especially those containing vitamins A, B complex, E, C, omega 3 to support eye health, which you can find in vegetables, fruits and meat
Avoid consumption of cigarettes, alcohol, and illegal drugs

That is the explanation from me. Hopefully helpful and useful. Get well soon :)


dr. Princess Claudya

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