» Corneal guttata from Fuch’s dystrophy (Video) : RootAtlas

Corneal guttata from Fuch’s dystrophy (Video)

Last updated September 2, 2007

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.

Download this video for powerpoint

To download this video, right click on a link below and choose “Save Target As…”

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

Thumbnails (click to enlarge photo)

Comments and Feedback
2 Comments »

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

Leave a comment

Related Topics on this site

Fuch’s Guttata of the Cornea (Photo)
This photo, taken from our guttata video, shows guttae on the back surface of the cornea. These bumps are difficult to see, as you have to focus your microscope perfectly....
Cornea Guttata (Photo)
This photo of the cornea shows cornea guttae, small divots on the back surface of the cornea seen with aging and Fuches dystrophy. Guttata are difficult to see for the...
Welcome to the premiere source for ophthalmology videos!
This website is chock-full of eye videos taken at the slit-lamp. Here you’ll find movies covering a wide variety of ocular pathology, ranging from the cornea all the way back...
Corneal Laceration by Slit-Lamp (Photo)
This photo shows a corneal laceration under the microscope. The slit-lamp beam of light is perfect for demonstrating corneal thickness and opacities, and in this case, beautifully illuminates the contours...
Corneal Implant (Photo)
This slit-lamp photo was taken of a cornea with a aphakic lens kmplant. You can see how the corneal light reflex splits around the lens, and the right edge of...