About 2 months ago overnight I developed intermittent double vision
in both eyes. I went to 3 different eye doctors. The first said
cataracts and referred me to a cataract surgeon. The second said I
need new glasses which didn't help.

The cataract surgeon said Fuchs's Cornea Dystrophy.  
The cataract surgeon measured cornea thickness 630 right, 645 left,
cornea pressure 17 R 15 L, Guttata grade 3 plus, cell count not
measured. I am getting the morning fuzzy vision. On a home eye
chart morning vision is 20/40 R 20/50 L. In the afternoon it is
20/20 L 20/25 R. I am using Muro eye drops and ointment at night.
It seems to clear the vision somewhat.

I am a 68 year old male. The cataract surgeon said I have some
cataracts, but with the Fuchs's he would not operate.

Questions:
Is Fuchs's that difficult to diagnose?

How common of a condition is it?
How likely is the cataract surgeon to have the right diagnosis?
Very likely, esp if he is seeing corneal guttata. Muro is the

Do I need a fourth opinion?
No

Is the onset usually so sudden (overnight)?
Symptoms can onset quickly

Given my history and current state what is the likely progression of
the disease?

Just exactly what causes the "morning fuzziness"?

Don W.

On Wed, 14 May 2008 12:56:02 -0700, "Don W" <dwil... at (no spam) prodigy.net
wrote:

Thanks.

How might the cornea react to Xalantan with this kind of condition?

Also, is the morning "fuzziness" granular or just overall "fuzzy"? (If that
is clear?).

For high contrast items such as point source of light or black print
on white background it is multiple images. In my case sometimes it is
as many as 6 images smeared vertically. For lower contrast it just
looks fuzzy. Removing excess water from the cornea with salt water or
a hair dryer improves vision. What is Xalantan?



Don W.

"Mike Tyner" <mty... at (no spam) mindspring.com> wrote in message
news:BN6dnQqrkNPHO7rVnZ2dnUVZ_r6rnZ2d at (no spam) giganews.com...
The corneal stroma swells and loses transparency if water isn't actively
pumped out.

The endothelium contains the pump.

When the lids are closed overnight, oxygenation drops.

Healthy endothelium has enough reserve to keep the cornea clear overnight.

-MT

"Don W" <dwil... at (no spam) prodigy.net> wrote in message
news:AkNVj.3320$nW2.1546 at (no spam) nlpi064.nbdc.sbc.com...
Just exactly what causes the "morning fuzziness"?

Don W.

The corneal stroma swells and loses transparency if water isn't actively
pumped out.

The endothelium contains the pump.

When the lids are closed overnight, oxygenation drops.

Healthy endothelium has enough reserve to keep the cornea clear overnight.

-MT


"Don W" <dwilgus at (no spam) prodigy.net> wrote in message
news:AkNVj.3320$nW2.1546 at (no spam) nlpi064.nbdc.sbc.com...
Just exactly what causes the "morning fuzziness"?

Don W.

Thanks.

How might the cornea react to Xalantan with this kind of condition?


Also, is the morning "fuzziness" granular or just overall "fuzzy"? (If that
is clear?).

For high contrast items such as point source of light or black print

Don W.




"Mike Tyner" <mtyner at (no spam) mindspring.com> wrote in message
news:BN6dnQqrkNPHO7rVnZ2dnUVZ_r6rnZ2d at (no spam) giganews.com...
The corneal stroma swells and loses transparency if water isn't actively
pumped out.

The endothelium contains the pump.

When the lids are closed overnight, oxygenation drops.

Healthy endothelium has enough reserve to keep the cornea clear overnight.

-MT


"Don W" <dwilgus at (no spam) prodigy.net> wrote in message
news:AkNVj.3320$nW2.1546 at (no spam) nlpi064.nbdc.sbc.com...
Just exactly what causes the "morning fuzziness"?

Don W.

On Wed, 14 May 2008 12:56:02 -0700, "Don W" <dwilgus at (no spam) prodigy.net
wrote:

Thanks.

How might the cornea react to Xalantan with this kind of condition?


Also, is the morning "fuzziness" granular or just overall "fuzzy"? (If
that
is clear?).

For high contrast items such as point source of light or black print
on white background it is multiple images. In my case sometimes it is
as many as 6 images smeared vertically. For lower contrast it just
looks fuzzy. Removing excess water from the cornea with salt water or
a hair dryer improves vision. What is Xalantan?



Don W.




"Mike Tyner" <mtyner at (no spam) mindspring.com> wrote in message
news:BN6dnQqrkNPHO7rVnZ2dnUVZ_r6rnZ2d at (no spam) giganews.com...
The corneal stroma swells and loses transparency if water isn't actively
pumped out.

The endothelium contains the pump.

When the lids are closed overnight, oxygenation drops.

Healthy endothelium has enough reserve to keep the cornea clear
overnight.

-MT


"Don W" <dwilgus at (no spam) prodigy.net> wrote in message
news:AkNVj.3320$nW2.1546 at (no spam) nlpi064.nbdc.sbc.com...
Just exactly what causes the "morning fuzziness"?

Don W.

Interesting about too much fluid in the cornea. I always got the impression
the it was my cornea (outside) surface that needed a few blinks to become
more "optically smooth".

How far apart are your multiple images? Degrees, minutes? Those types of
multiple images I do not have.

Xalatan is a glaucoma drug that reduces eye pressure, namely the anterior
chamber (hopefully the posterior tracks), before higher pressure affects the
optic nerve, which affects blood flow to the eye. The drug, goes thru the
entire cornea (and that would include the endothelium). (As far as I
understand it -- no medical type).

Don W.

PS. What is funny about the usage of that drug is that I squeeze out as
much moisture as possible from the eye and then apply the drop. So that I
can get the maximum use out of a singular drop. One is advised not to
double drop since it tends to wash out the medication from the eye.
Interesting, I thought.





"ray" <spammers at (no spam) do.not.reply.com> wrote in message
news:hflm24hs4fqcgvk7llnc9aujlqun5c9iea at (no spam) 4ax.com...
On Wed, 14 May 2008 12:56:02 -0700, "Don W" <dwilgus at (no spam) prodigy.net
wrote:

Thanks.

How might the cornea react to Xalantan with this kind of condition?


Also, is the morning "fuzziness" granular or just overall "fuzzy"? (If
that
is clear?).

For high contrast items such as point source of light or black print
on white background it is multiple images. In my case sometimes it is
as many as 6 images smeared vertically. For lower contrast it just
looks fuzzy. Removing excess water from the cornea with salt water or
a hair dryer improves vision. What is Xalantan?



Don W.




"Mike Tyner" <mtyner at (no spam) mindspring.com> wrote in message
news:BN6dnQqrkNPHO7rVnZ2dnUVZ_r6rnZ2d at (no spam) giganews.com...
The corneal stroma swells and loses transparency if water isn't actively
pumped out.

The endothelium contains the pump.

When the lids are closed overnight, oxygenation drops.

Healthy endothelium has enough reserve to keep the cornea clear
overnight.

-MT


"Don W" <dwilgus at (no spam) prodigy.net> wrote in message
news:AkNVj.3320$nW2.1546 at (no spam) nlpi064.nbdc.sbc.com...
Just exactly what causes the "morning fuzziness"?

Don W.

multiple images I do not have.

A traffic stop light will have 2 red lights spaced the same distance
apart as the distance between amber and red. A cross road (black
cross on yellow sign) will have 2 black crosses bars with yellow in
between the thickness of a crossbar. From 10 feet a 1/8" green LED
will be a series of dots about an inch high. Normal text in a book
will have a readable ghost image 1/2 the height of text. I am getting
used to it.

My corneal pressure is 16, with 12 to 21 normal.

degree. Your 1 inch at 10 feet is 0.48 degree. These are remarkable
offsets. All caused by deformations in the cornea? (Or in the lens??).
Seems like they should be able to nail down the cause.

On Wed, 14 May 2008 19:04:44 -0700, "Don W" <dwilgus at (no spam) prodigy.net
wrote:

multiple images I do not have.

A traffic stop light will have 2 red lights spaced the same distance
apart as the distance between amber and red. A cross road (black
cross on yellow sign) will have 2 black crosses bars with yellow in
between the thickness of a crossbar. From 10 feet a 1/8" green LED
will be a series of dots about an inch high. Normal text in a book
will have a readable ghost image 1/2 the height of text. I am getting
used to it.

My corneal pressure is 16, with 12 to 21 normal.

For a "standard E" (20/20 vision) the subtended angle is 5 minutes or
0.083
degree. Your 1 inch at 10 feet is 0.48 degree. These are remarkable
offsets. All caused by deformations in the cornea? (Or in the lens??).
Seems like they should be able to nail down the cause.

Don W.


You are talking about medical people. I have read on the average it
takes 6 diagnosis to get it right. That was how many it took to find
a torn rotator cuff in my arm. For my vision the first doctor said
cataracts, the second said wrong glasses, the third said Fuch's. They
all used the same examination procedure. Others with Fuch's have said
it took more than 6 doctors to find it. I think it highly likely that
I have Fuch's as the major problem and cataracts. I am not sure that
with my symptoms that it is a complete explanation. The vision is not
as bad as the numbers would suggest because the distortion is only
vertical, the vision waxes and wanes and what I described it when it
is at its worst.

Mike T., if you would be so kind, I would appreciate your opinion on this
wild idea!

"ray" <spammers at (no spam) do.not.reply.com> wrote in message
news:nifo24tr0orbhlfduttg76a42ld9k33nn0 at (no spam) 4ax.com...
On Wed, 14 May 2008 19:04:44 -0700, "Don W" <dwilgus at (no spam) prodigy.net
wrote:

multiple images I do not have.

A traffic stop light will have 2 red lights spaced the same distance
apart as the distance between amber and red. A cross road (black
cross on yellow sign) will have 2 black crosses bars with yellow in
between the thickness of a crossbar. From 10 feet a 1/8" green LED
will be a series of dots about an inch high. Normal text in a book
will have a readable ghost image 1/2 the height of text. I am getting
used to it.

My corneal pressure is 16, with 12 to 21 normal.

For a "standard E" (20/20 vision) the subtended angle is 5 minutes or
0.083
degree. Your 1 inch at 10 feet is 0.48 degree. These are remarkable
offsets. All caused by deformations in the cornea? (Or in the lens??).
Seems like they should be able to nail down the cause.

Don W.


You are talking about medical people. I have read on the average it
takes 6 diagnosis to get it right. That was how many it took to find
a torn rotator cuff in my arm. For my vision the first doctor said
cataracts, the second said wrong glasses, the third said Fuch's. They
all used the same examination procedure. Others with Fuch's have said
it took more than 6 doctors to find it. I think it highly likely that
I have Fuch's as the major problem and cataracts. I am not sure that
with my symptoms that it is a complete explanation. The vision is not
as bad as the numbers would suggest because the distortion is only
vertical, the vision waxes and wanes and what I described it when it
is at its worst.