Some nonsurgical treatments and self-care strategies might help relieve the symptoms of Fuchs' dystrophy. If you have severe disease, your doctor might suggest surgery.

Medications and other therapies

  • Eye medication. Eyedrops or ointments can help reduce the amount of fluid in your cornea.
  • Soft contact lenses. These act as a covering to relieve pain.


People who have surgery for advanced Fuchs' dystrophy can have much better vision and remain symptom-free for years afterward. Surgical options include:

  • Replacing the inner layer of the cornea. This replaces the back layer of the cornea with healthy tissue from a donor. The procedure is usually done with local anesthesia in an outpatient setting.
  • Transplanting the cornea. This surgical procedure, known as penetrating keratoplasty, replaces the full-thickness cornea with a healthy one from a donor. Although not used much anymore for Fuchs' dystrophy, it might be the best choice in some cases.

Possible future treatments

New ways of treating Fuchs' dystrophy are being tested. Ask your doctor if you're eligible for clinical trials.

July 14, 2017
  1. Facts about the cornea and corneal disease. National Eye Institute. Accessed April 2, 2017.
  2. What is Fuchs' dystrophy? American Academy of Ophthalmology. Accessed April 2, 2017.
  3. Vedana G, et al. Fuchs endothelial cornea dystrophy: Current perspectives. Clinical Ophthalmology. 2016;10:321.
  4. National Library of Medicine. Fuchs endothelial dystrophy. Genetics Home Reference. Accessed April 2, 2017.
  5. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. April 2, 2017.