7 Corneal Problems That Can Affect Your Vision

Baptist Eye Surgeons • July 20, 2022

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

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.corneal disease list

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

  • Corneal abrasions and recurrent erosions
  • Fuch’s 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 are some 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

Fuch’s 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. Fuch’s 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.

Fuch’s 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 Fuch’s 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. Keratoconuscorneal problems

Keratoconus is an abnormal weakening of the cornea which will progressively causes 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:

  1. Prescription glasses and soft contact lenses
  2. Gas permeable contact lenses
  3. Scleral contact lenses
  4. Hybrid contact lenses
  5. Intacs
  6. Collagen crosslinking
  7. 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 they grow 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. Fuch’s 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, and Morristown, TN. Give us a call at 865-579-3920 for more information or to schedule an appointment .

October 29, 2026
Dry, itchy or watery eyes can make simple day to day activities quite uncomfortable, particularly if the symptoms are affecting your ability to read, work or enjoy time outside. The two most common causes of eye discomfort are dry eye disease and eye allergies. They can present in a very similar way so it's important to be able to differentiate between the two in order to know when you need to see an eye care professional. An eye examination at Baptist Eye Surgeons will help to establish the cause of your symptoms and will allow us to recommend the most appropriate treatment. What is the difference between dry eye and eye allergies? Dry eye disease is essentially the condition where your eyes either aren't producing enough tears or the tears produced are evaporating too quickly to adequately lubricate the surface of the eye. The result is typically irritation, redness, a gritty feeling and sometimes quite the opposite of what you'd expect in the form of excessive tearing. Eye allergies (allergic conjunctivitis) are basically your immune system reacting to an allergen (pollen, dust mites, mold, pet dander etc). The result of that reaction is the release of histamine and other mediators which can lead to itching, redness and swelling. As both conditions may result in red, watery and uncomfortable eyes, it's important to be able to recognize the specific symptoms in order to get to the root of the problem and find relief. Dry Eye vs. Allergies: Common Symptoms to Watch For Although there is some overlap between the two conditions there are certain symptoms which may help you to tell them apart. 1. Itchy Eyes vs. Burning and Grittiness One of the most obvious differences is the kind of discomfort you're suffering. Eye allergies are very much associated with intense itching (to the point where you're constantly itching the eyes) and with swelling of the eyelids. Dry eye disease is more likely to cause a burning, stinging sensation (as if something is in your eye) or a gritty feeling. Your eyes will often feel tired and/or irritated, particularly after reading, working at a computer or being in an air conditioned environment. 2. Watery Eyes and Excessive Tearing Both dry eye and allergies can lead to watery eyes, just that the mechanism is different in each case. With dry eye disease, irritation can trigger a reflex which results in an overproduction of watery tears. These tears may well be in fact more of a problem than a solution as they won't provide the sustained lubrication that your eyes require. With allergies you often get watery eyes along with itching, redness and swelling of the eyelids. These can become quite apparent after exposure to pollen, dust and so on. 3. Seasonal Symptoms and Environmental Triggers The timing of your symptoms can be of some use in terms of giving you a clue. Eye allergies are a common problem and tend to be worse at certain times of year (particularly when pollen counts are high). They can also occur year-round if you're exposed to indoor allergens such as dust mites and pet dander. Dry eye symptoms can occur all year round and can be made worse in dry, windy or air conditioned environments. Lengthy screen time, ageing, certain medications and some medical conditions may all contribute to dry eye disease. 4. How Symptoms Affect Both Eyes Allergic conjunctivitis will typically affect both eyes and is very often associated with quite marked itching. Dry eye can also affect both eyes, though the symptoms may be quite different in the two eyes. Neither pattern alone is definitive for determining the cause of eye irritation. How Are Dry Eye and Eye Allergies Diagnosed? An eye exam enables your eye care professional to assess your symptoms, take your medical history and look for any signs of irritation or inflammation. 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August 28, 2026
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