7 Corneal Problems That Can Affect Your Vision

Baptist Eye Surgeons • July 28, 2023

The cornea is an essential part of your eye that refracts light to help create the images you see. It covers the iris and pupil, making up around two-thirds of the eye’s focusing power. Unfortunately, this vital part of your eye can become damaged and lead to eye problems. To protect your sight, we’ve compiled this list of seven corneal problems that can affect your vision.

Eye conditions that can affect your vision due to corneal problems include:

Corneal abrasions and recurrent erosions
Fuchs’ dystrophy
Corneal infections
Bacterial keratitis
Keratoconus
Pterygium
Trichiasis

Watch our video with Dr. Holt to learn more about corneal eye diseases!

Corneal Problems That Can Affect Your Vision

1. Corneal Abrasions and Recurrent Erosions

A damaged cornea due to abrasions is one of the most common problems patients face. These injuries on the surface of the eye are caused by foreign objects such as sawdust or fingernails. They can be incredibly painful and cause serious issues. Fortunately, they often heal rapidly when appropriate care is taken.

Recurrent erosions are generally seen after a previous abrasion or trauma to the eye. They occur when the surface of the cornea becomes loose and is easily peeled off in a very dry environment, such as when patients with severe dry eyes are sleeping. If the surface of the cornea is more tightly attached to the inside of the eyelid then it may peel off when you wake up and open your eyes. This can also be very painful.

There are a variety of nonsurgical treatments for corneal abrasions and recurrent erosions. Treatments include artificial tear gels or ointments that can help prevent erosions from recurring in the future. However, surgery may become necessary if nonsurgical options don’t prove effective.

Click here to learn more about corneal abrasions!

2. Fuch’s Dystrophy

Fuchs’ dystrophy is a fairly common corneal disease that affects the innermost layer of the cornea, called the endothelium. When healthy, this layer pumps fluid from the cornea to keep it clear. Fuchs’ dystrophy causes these cells to die off, allowing those fluids to build up resulting in the cornea becoming puffy. This can cause blurred vision where everything looks hazy.

Fuchs’ dystrophy comes in two stages. During the first stage, you may notice some haziness in the morning that clears up throughout the day as the excess fluid dries up. By stage 2 , you will notice that your vision stays blurry all day. This is because so much fluid has built up overnight and not enough can dry during the day.

Painful blisters may also form on the cornea during the second stage. These blisters grow larger over time and possibly burst, resulting in eye pain.

People tend to start developing Fuchs’ dystrophy around age 30 or age 40 but may not notice a problem until around 50. The condition may require a cornea transplant due to the cornea becoming swollen and developing dots on the inside of it. Corneal transplants are the most common type of transplant according to the National Eye Institute , making them very routine for our skilled surgeons.

For more reasons why you may require a cornea transplant, click here !

3. Corneal Infections

Many types of bacteria, viruses, fungi, and parasites common to other infections can lead to serious eye conditions, including corneal ulcers and ocular herpes. These conditions are dangerous and can cause serious vision issues or even rapid loss of vision, particularly if left untreated or not properly treated.

Many medical conditions, including infection with bacteria and viruses, and treatment with certain drugs, can adversely affect the health of your eyes. Even sexually transmitted diseases like herpes, syphilis, and HIV/AIDS can affect the cornea and overall health of the eyes.

4. Keratoconus

Keratoconus is an abnormal weakening of the cornea which will progressively cause thinning of the cornea in both eyes. The thinning starts in the center of the cornea and bulges forward in a conical fashion, creating an irregular astigmatism . This form of astigmatism is uneven in multiple directions rather than evenly shaped like regular astigmatism.

Keratoconus may need treatment with:

Prescription glasses and soft contact lenses
Gas-permeable contact lenses
Scleral contact lenses
Hybrid contact lenses
Intacs
Collagen crosslinking
Cornea transplant and penetrating keratoplasty

To learn more about these treatment options for keratoconus in Knoxville, click here !

5. Bacterial Keratitis

Bacterial keratitis is an infection of the cornea. It usually develops quickly and can cause blindness if left untreated. There are many different bacteria that cause keratitis, but the two most commonly responsible for cornea infections in the U.S. are Staphylococcus aureus and Pseudomonas aeruginosa .

The two main causes of bacterial keratitis are improper contact lens use, especially extended-wear lenses, and eye injuries. Wearing contact lenses for too long or not caring for them properly increases the risk of a corneal infection.

6. Pterygium

Pterygium is a fibrous, fleshy growth on the eye that extends from the conjunctiva to the surface of the cornea. They typically begin forming on the inner portion of the eye and slowly progress inward toward the center of your eye. A pterygium can become significant enough to affect your vision if it grows to the center of the cornea. On examination under the microscope, a severe pterygium can look like a wing.

Dryness and ultraviolet light exposure are contributing factors to their development, which is why they are most common in patients who are exposed to lots of sun, wind, dust, or harsh climates. We recommend patients wear sunglasses when outdoors, use artificial tear lubricating drops (but not drops that “get the red out”), and limit exposure to irritants in the environment.

Click here to read our blog on pterygium !

7. Trichiasis

Trichiasis is when the eyelashes point toward the eye and scratch the cornea. While this is a disease of the eyelids, damage can be done to the cornea. This uncomfortable condition can lead to chronic inflammation or infections. Trichiasis treatment involves either redirecting eyelash growth, removing the eyelash follicle, or both.

If the trichiasis is limited to a single eyelash or just a few eyelashes, your Baptist Eye Surgeon ophthalmologist may remove the problem-causing lash with forceps. However, this may only be a temporary solution if the eyelash grows back again in the wrong direction. If this happens, or if you have multiple lashes growing toward your eye, they may recommend surgery to remove them permanently.

Are you struggling with a corneal problem in Knoxville, TN? Contact us today to schedule your appointment!

Your corneas face multiple threats as you go about your daily life. Corneal abrasions and recurrent erosions are some of the most common threats. Fuchs’ dystrophy is a common eye disease that causes fluids to build up on the cornea. Corneal infections can have a variety of causes leading to vision problems.

Keratoconus causes your eyes to become thinner, requiring treatment. Bacterial keratitis is an especially dangerous infection that can eventually cause blindness. People in warmer climates face bigger risks of developing pterygium. Trichiasis can eventually scratch the cornea, so it’s important to seek treatment immediately.

Baptist Eye Surgeons is an ophthalmological practice in Knoxville, TN, Morristown, and Sevierville. Give us a call at 865-579-3920 for more information or to schedule an appointment .

*This blog has been updated since its original publication on July 6, 2018.

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What to Expect During Your First Eye Exam: A Step-by-Step Guide

September 22, 2026

A thorough eye exam is an important part of keeping your vision healthy and protecting your eyes. If you are arranging for your first eye examination as an adult, if you are taking a child in for an evaluation, or if you have noticed any changes in your vision, knowing what to expect can help make the experience more comfortable. The eye exams carried out at Baptist Eye Surgeons not only check your vision but also look at your general eye health and spot any possible problems that might call for further investigation. What is the Importance of Eye Examinations? An eye examination does not merely enable one to find out if glasses or contact lenses are required. It lets an eye care professional assess how well your eyes are working and spot the signs of common eye conditions. Some eye conditions can progress slowly without symptoms. Regular eye checkups can help detect changes earlier and make sure you receive appropriate treatment when needed. Step by step: The Process Involved in Having an Eye Examination Even though the different appointments may vary according to your particular needs, a typical full eye examination will involve a number of significant steps. 1. An Examination of Your Medical & Eye History Your appointment may start with questions about your vision, medical history, medications, any previous eye conditions, and your family history of eye disease. Be sure to report any changes in your vision, eye discomfort, headaches, or other concerns you have noticed. Your eye care professional may also ask about the glasses or contact lenses you currently use and how well they work for you. 2. Checking Your Vision A well-known part of an eye examination is the visual acuity test. You might be asked to read some letters or symbols from a chart at a set distance. This lets doctors assess how clearly you can see and decide whether corrective lenses would help. Further testing could assess your ability to see up close and the way well your eyes work together. 3. The Measurement of Eye Health & Function Your eye care professional might carry out a number of tests in order to assess the health and functioning of your eyes. The tests involved may vary depending on your age, symptoms, and risk factors and could include measuring eye pressure, examining eye movement and coordination, and looking at the structures at the front and back of the eye. They can help spot possible signs of eye disorders. 4. Discussing Your Results Your ophthalmologist will review the results with you after the examination. If your vision has changed, they may suggest new prescription lenses. If they spot an eye condition or another issue, they could recommend further testing, further monitoring, or treatment. It is also a good chance to ask questions regarding your eye health and the recommended follow-up care. What Should You do to Get Ready for your First Eye Examination? Having an eye examination usually involves nothing complicated. It is a good idea to take with you your present glasses or contact lens details and to be ready to give a list of any medications as well as any applicable medical or family history. Additionally, it might be helpful to remember any vision changes or symptoms you have had. Dilation may occur during the examination if certain tests are performed. After dilation has been advised, your vision might be temporarily blurred or more sensitive to light. Supporting Healthy Vision The initial eye examination is a valuable chance to determine a baseline for your eye health and understand your specific vision needs. Regular eye exams help monitor changes over time and support early detection of possible eye conditions. Plan a visit with an eye care professional if you have discovered any changes in your vision or if you're due for a check-up.

Children’s Vision Milestones: What Parents Should Watch For

August 28, 2026

Healthy vision is essential for a child's development, learning, and daily activities. From recognizing faces in infancy to reading, participating in sports, and navigating school, children depend on their eyesight to interpret and relate to their environment. Knowing typical vision milestones helps parents spot possible issues and seek appropriate care when needed. How Does Vision Develop in Children? Vision develops rapidly during the first years of life. Newborns perceive light, shapes, and nearby objects, although their vision remains immature. As children mature, their capacity to focus, track moving objects, recognize details, and coordinate both eyes improves progressively. Due to the gradual nature of visual development, regular eye examinations are essential. Certain childhood vision problems may not be readily apparent, especially when one eye is stronger than the other. Although each child develops at an individual pace, several general vision milestones may guide parental observation. 1. Infants: Birth to 12 Months Within the first year, infants typically develop the ability to focus on faces and objects, visually track moving items, and reach for objects they observe. Caregivers may also observe infants responding to known faces and visually exploring their environment. If an infant does not track objects, exhibits eyes that frequently cross or wander, or fails to respond visually to people or objects, these concerns should be discussed with a pediatrician or eye care professional. 2. Toddlers: Ages 1 to 3 As children become more active, their visual skills continue to develop. Toddlers rely on vision to walk, climb, manipulate small objects, and interact with toys. Over time, they typically improve in identifying familiar people and objects and in coordinating eye and hand movements. Frequent eye rubbing, squinting, sitting close to screens, or difficulty seeing objects could indicate the need for an eye exam. 3. Preschool and School-Age Children By preschool and early elementary school, children utilize vision for detailed activities including coloring, drawing, letter recognition, reading, and participating in games. Effective eye coordination and focusing abilities support learning and classroom performance. Children may not always realize their vision differs from other children’s, so parents should watch for signs such as headaches, avoiding reading, losing their place while reading, holding books unusually close, or struggling to see the board. Signs of Possible Vision Problems Caregivers should monitor for changes in a child's vision or behavior. Potential warning signs include: Frequent squinting or eye rubbing Eyes that cross, wander, or do not move together Complaints of blurry or double vision Frequent headaches Difficulty reading or concentrating Sitting very close to a television or screen Tilting or turning the head to see Covering or closing one eye Difficulty recognizing objects or seeing at a distance Avoiding activities that require close or distance vision If you notice these signs, speak with a pediatrician or eye care professional. The Importance of Children’s Eye Exams Regular eye examinations can identify vision problems before they interfere with learning and development. Eye care professionals assess visual acuity, binocular coordination, and common childhood eye conditions. Early detection matters because some vision problems are easier to address when identified in childhood. Parents must follow their child’s healthcare provider's recommendations for vision screenings and comprehensive eye exams. Helping Protect Your Child’s Vision Caregivers can promote healthy vision by encouraging beneficial habits. These include spending time outdoors, taking regular screen breaks, using appropriate protective eyewear during activities, maintaining a balanced diet, and attending recommended pediatric and eye care appointments. Supporting Healthy Vision at Every Age Knowing children's vision milestones helps caregivers distinguish typical development and spot possible issues early. Throughout infancy and the school years, monitoring how a child sees, focuses, and interacts with their environment is vital for supporting healthy development. If you notice concerns about a child's eyesight or alterations in vision, consult a healthcare provider or eye care professional. Early attention to vision supports learning, development, confidence, and overall quality of life.

The Connection Between Diabetes and Eye Health

July 29, 2026

Diabetes affects various parts of the body, including your eyes. Keeping your blood sugar under control is not just good for your health overall, but it also helps protect your eyesight. Over time, high blood sugar can irritate the tiny blood vessels in your eyes and increase your risk of serious eye problems. Knowing how diabetes and eye health are linked can help you identify issues and take measures to protect your sight. How Does Diabetes Affect Eye Health? When blood sugar stays high, it can damage the blood vessels in the retina, which is the part of your eye that senses light and helps you see. Damaged blood vessels might leak fluid, swell, or change how well the retina works. Diabetic eye problems usually develop slowly, so you might not pick up on any changes in your vision until significant damage has occurred. That’s why it’s important for people with diabetes to get regular eye exams, even if their eyesight seems fine. Common Eye Conditions Linked to Diabetes People with diabetes are more likely to have certain eye problems. Finding and treating these issues early can lower the chance of losing vision permanently. 1. Diabetic Retinopathy Diabetic retinopathy is a common eye issue that happens when high blood sugar damages the retinal blood vessels. These damaged vessels may leak fluid, which may cause blurry vision, dark spots, or changes in how you see. In advanced cases, abnormal blood vessel growth can lead to serious problems. If diabetic retinopathy worsens, new abnormal blood vessels can grow, causing serious problems, including vision loss. Getting regular eye exams can help catch these changes early, before they become severe. When fluid is retained in the macula (part of the retina which focuses on sharp central vision), this swelling can make it harder to read, recognize faces, or see fine details clearly. When detected early, treatments can help reduce swelling and protect your eyesight. 3. Cataracts People with diabetes have a higher chance of getting cataracts early. Cataracts occur when the lens in your eye becomes cloudy, which can cause blurry vision, increased sensitivity to glare, and difficulty seeing clearly. While cataracts come with age, having diabetes can make them appear sooner or progress quicker. 4. Glaucoma Diabetes can also raise your risk for glaucoma, which is a group of eye diseases that harm the optic nerve. Glaucoma usually starts without any clear symptoms, but if it is not treated, it can cause permanent vision loss. Routine regular eye exams are important for finding glaucoma early and keeping your eyes healthy Diabetes-related eye problems might not cause symptoms at first. Still, there are some warning signs you should look out for: • Blurry or distorted vision • Difficulty focusing • Dark spots, floaters, or shadows in your sight • Increased sensitivity to glare • Trouble seeing colors clearly • Sudden alterations in vision • Partial or complete loss of vision If you notice sudden vision changes, contact an eye doctor as soon as possible. The Value of Regular Eye Exams for People With Diabetes Getting a full eye exam is one of the best ways to protect your vision if you have diabetes. During the examination, your physician will study your retina, look for symptoms of diabetic eye disease, and track any changes over time. Many eye problems linked to diabetes can be treated more easily if they are found early. Regular checkups help your eye doctor give you advice that fits your own eye health and diabetes care. Protecting Your Eyes When You Have Diabetes Looking after your general health is important for keeping your eyes healthy. Here are some things you can do to protect your vision: • Keeping blood sugar levels under control • Managing blood pressure and cholesterol • Scheduling regular diabetic eye exams • Following your diabetes treatment plan • Eating a balanced diet that promotes eye health • Avoiding smoking, which increases the risk of eye complications Prioritizing Your Vision and Eye Health Diabetes and eye health are closely linked, but you can lower your risk of serious vision problems by taking action early. Getting regular eye exams, making healthy choices, and managing your diabetes all help protect your eyesight. If you have diabetes, seeing your eye doctor regularly can help catch changes early and keep your vision clear for the future. Your eyes are a key part of your health, so make caring for them a priority at every age.