This guideline last updated 06/05/2022 17:55:22

Differential diagnosis

• Pseudophakic or aphakic bullous keratopathy
• Posterior Polymorphous Dystrophy
• Cornea guttata
• Corneal hydrops
• Contact lens over wear

Possible management by Optometrist

Treatment

• For persistent oedema consider Sodium chloride 5% in the morning and as necessary during the day
• Therapeutic contact lens for pain

Advice

• Warm air blown on the eyes with a hair dryer in the mornings may help
• Cataract surgery may precipitate corneal oedema

Management Category

• Routine referral

Possible management by Ophthalmologist

• Posterior lamellar corneal transplantation