Corneal guttata from Fuch’s dystrophy (Video)

length: 36 seconds

This video shows a cornea with Fuch’s dystrophy. You can see guttata or guttae on the back surface of the cornea. These bumps indicate endothelial pump difficulty, and appear as a “beaten metal” appearance. If you look closely (look where the arrow is pointing) you can see a pock-marked surface that looks like craters on the moon.

Guttae are an important finding to note prior to cataract surgery, as this indicates a lower endothelial cell count and could lead to a decompensating cornea afer cataract extraction.

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guttata.wmv (4.6 meg, Windows video file)
guttata.mov (Quicktime format coming soon)

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Good video. Theses guttata were very large and easy to see. It would be interesting to see a corresponding specular photomicrograph for comparative analysis. Comment by Craig Thomas, O.D. — December 29, 2007 @ 12:10 am Good video. Theses guttata were very large and easy to see. It would be interesting to see a corresponding specular photomicrograph for comparative analysis. Yes, that would be interesting. Unfortunately, I don’t have access to a specular machine. Never really found them very useful, as I primarily look at corneal thickness (when determining risk for endothelial decompensation before cataract surgery). Comment by admin — December 30, 2007 @ 4:05 pm yes, i like the video. thanks alot. Comment by Ha — August 19, 2009 @ 10:22 am Can you advise as to where I might find a specialist in this field? Comment by j limowski — December 17, 2009 @ 1:03 am just superb. Comment by dr nazim — January 13, 2010 @ 3:38 am Can corneal guttatae be corrected by surgery? If so, where in Ontario is this surgery performed? Comment by Howard Leaman — May 2, 2010 @ 10:05 am I have catarct surgery coming up and I do have corneal guttata. I now am afraid to get the cataract done because of this guttata. Can you advise me what I should do. thank you Comment by beatrice michael — July 28, 2010 @ 3:42 pm Benito 78 años: Tengo una guttata en el OD con una cantidad de células epiteliales inferiores a 1700. Debería operarme de catarata porque la visiona perdió nitidez y tengo dificultades visuales en la distancia. Los médicos tienen sus dudas en realizar la operación de catarata. Que me aconseja u/o donde podría dirigirme en Buenos Aires, Comment by benito — August 11, 2010 @ 9:46 pm How serious is this with regard to having cataract surgery? Comment by Betty Gower — November 4, 2010 @ 9:57 pm I have corneal guttata and need cataract surgery. I live in Tallahassee, FL. Who in Fl or North GA has alot of experience with this? Thank You! Comment by Sylvia Collins — November 19, 2010 @ 1:30 pm I just had cataract surgery and now have been told I have corneal guttatae. What are my options now as vision as worsened? Is corneal transplant an option? If so, are there specialist in Austin, TX? Comment by carol — February 19, 2011 @ 9:51 pm I have just came upon the video as I have Fuch’s, will having cataract removed worsen my sight. Thanks for any help you can give C. Reed UK Comment by Colin — May 21, 2011 @ 11:18 am the hardest part is setting up the SL for specular reflection - it would have added immensely if that had been illustrated Comment by Norm Thompson — July 10, 2011 @ 4:09 pm Leave a comment Name (required) Mail (will not be published) (required) Website