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What Is Thin Cornea? Causes, Symptoms, and Eye Care Tips

A thin cornea refers to a condition where the cornea—the clear, dome-shaped front layer of the eye—has a thickness lower than normal, which can affect vision and overall eye health. This condition may result from various causes such as natural aging, frequent eye rubbing, genetic disorders, or side effects from eye surgeries like LASIK. Common symptoms include blurry vision, frequent changes in prescription, distorted images, and unusually high astigmatism.   Understanding the Cornea The cornea is the transparent, curved layer covering the front part of the eye. It helps focus light into the eye for clear vision and serves as a protective barrier against dust and germs. Normally, corneal thickness ranges between 520–550 microns, but it may thin with age.   What Is a Thin Cornea? A thin cornea is typically defined as a corneal thickness of less than 500 microns (0.5 mm). It is not necessarily a disease and often requires no treatment. However, thin corneas can affect certain diagnoses—such as glaucoma—since intraocular pressure readings may appear lower than actual values. Corneal thickness also plays an important role in refractive surgery decisions. For example, patients with thin corneas and high refractive errors (nearsightedness or astigmatism) may not be ideal candidates for LASIK, as the remaining corneal tissue after surgery might be too thin. This could increase the risk of complications like keratoconus or corneal ectasia. In such cases, ophthalmologists may recommend alternative procedures such as PRK, ICL, FemtoLASIK, ReLEx SMILE Pro, or NanoLASIK, which preserve more corneal tissue. Therefore, detailed corneal thickness assessment is essential before undergoing LASIK to ensure safe and effective outcomes.   Does Wearing Contact Lenses Cause Thinning of the Cornea? Generally, wearing contact lenses correctly does not thin the cornea. However, prolonged use without proper cleaning or rest may lead to oxygen deprivation or corneal infections, which can gradually weaken or thin corneal tissue.   Causes of Thin Cornea There are several factors that can lead to corneal thinning: 1. Genetic Conditions Keratoconus: The most common cause, where the cornea gradually thins and bulges outward into a cone shape, leading to irregular astigmatism and blurred vision. It usually appears during the teenage years to early adulthood. Corneal Dystrophies: Such as Pellucid Marginal Degeneration (PMD), where thinning occurs in the lower peripheral cornea. 2. Eye Surgery or Injury Procedures like LASIK or PRK can thin the cornea, especially if excessive corneal tissue is removed. Repeated eye injuries or untreated infections (e.g., corneal ulcers, keratitis) can also cause thinning due to tissue damage. 3. Systemic Diseases and Medication Autoimmune diseases such as Rheumatoid Arthritis or SLE can cause chronic inflammation, leading to corneal thinning.Long-term use of steroid eye drops may also weaken corneal tissue over time.   Symptoms of Thin Cornea Corneal thinning often progresses slowly and may not show early signs. Key symptoms include: Blurry or distorted vision Frequent changes in prescription High or irregular astigmatism Difficulty focusing or double vision   Diagnosis Thin cornea is often detected during pre-LASIK evaluations.Eye doctors use devices like: Keratometer: Measures corneal curvature and astigmatism. Corneal Topography: Creates a detailed map of corneal thickness and shape. Tomographic Biomechanical Index (TBI): Evaluates corneal strength and risk of ectasia. While early symptoms can hint at the condition, only a comprehensive eye exam by an ophthalmologist can confirm it.   Summary Thin cornea is a silent condition that can significantly impact vision if left untreated. Early detection—especially before refractive surgery—is crucial.At Bangkok Eye Hospital, advanced diagnostic tools and experienced specialists ensure accurate corneal thickness evaluation and personalized treatment planning to maintain long-term eye health.     FAQ: Frequently Asked Questions About Thin Cornea 1. Can corneal thickness be increased?No, corneal thickness cannot naturally increase as it is determined by the cornea’s internal structure. 2. What happens if thin cornea is left untreated?It may lead to worsening blurred vision, irregular astigmatism, or even corneal ectasia. In severe cases, acute hydrops or corneal perforation may occur, leading to permanent vision loss if untreated. 3. Can thin cornea be prevented?Yes — by avoiding vigorous eye rubbing, maintaining good eye hygiene, limiting contact lens wear time, and having regular eye checkups, especially if there is a family history of corneal diseases.
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Cornea Center

Dry eyes

Dry eyes Tears play a crucial role in keeping our eyes moist, ensuring clear vision by letting light effectively pass through the eye's lens, and supplying oxygen to nourish the eye. They also help fend off infections and keep foreign substances at bay.   Now, when it comes to dry eyes, it's a pretty common issue that can stem from abnormal tear production or tears evaporating too quickly. This can lead to discomfort, irritation, that feeling like there's something foreign in your eye, redness, pain, blurry vision that gets better with blinking, or even feeling like your eyes are tired and heavy. What causes dry eyes can vary—getting older, being a woman (yeah, we're more prone to it), certain allergy medications, spending loads of time on screens, being in places with dust and smoke, gusty winds, and bright lights, they can all have a hand in it.   But hey, the good news is there are ways to tackle dry eyes:   Keep away from things that can make it worse, like strong winds and dust, by popping on some sunglasses and protecting those peepers. Remember to take breaks or blink more often, especially when you're glued to screens for a while. You've got these cool eye drops called artificial tears. There's a type for daytime (more watery) and nighttime (a bit thicker). Which one to use depends on how serious your dry eye situation is. Sometimes your doc might suggest special eye drops that encourage your eyes to make more tears. Give your eyes a treat with warm, clean cloths over your closed eyelids to help them feel better. If the dry eye struggle is real and isn't improving, it's wise to chat with an eye doctor.   All in all, dry eyes can be a bother, but there are solutions out there. It's important to take good care of your eyes, especially when it's all dry outside. If you suspect you've got dry eyes, having a chat with an eye care expert is a smart move.      

What Causes Dry Eyes After LASIK and How to Care for Them

Dry eye after LASIK occurs due to the surgery affecting the function of the tear glands, causing reduced tear production and imbalance in the tear film, which leads to eyes feeling dry and less hydrated. Post-LASIK dry eye is usually not dangerous, but if left unmanaged, it can cause irritation or increase the risk of infection. You should consult a doctor if symptoms are severe or persist. Artificial tears after LASIK help moisturize the eyes, relieve dryness and irritation, promote faster recovery, and reduce the risk of complications. After LASIK, many people experience dry eyes, a common issue that can cause significant discomfort. Understanding the causes and proper care—such as using artificial tears or adjusting daily habits—can help restore eye health quickly and safely, allowing you to return to normal life comfortably. Causes of Dry Eye After LASIK The main causes of dry eye after LASIK are related to temporary effects of the surgery on eye function, such as:   Corneal flap creation During LASIK, a laser creates a flap in the cornea, cutting some corneal nerves that normally send signals to the brain to stimulate tear production. This temporarily reduces tear production.   Corneal surface inflammation LASIK causes mild inflammation on the corneal surface, affecting tear film balance. Normally, the tear film lubricates and protects the eye, but when it becomes unstable, tears evaporate faster, causing dry, irritated eyes. Frequent use of artificial tears can help restore moisture and relieve discomfort.   Pre-existing dry eye Patients who already have dry eye before LASIK may experience worsened symptoms after surgery. The procedure affects tear glands and tear film, increasing dryness, irritation, and discomfort. Inform your ophthalmologist beforehand and prepare for close post-surgery care.   Is Dry Eye After LASIK Dangerous? Dry eye is common after LASIK and usually not severe. It can cause discomfort, burning, or irritation for a period after surgery. The main reason is that surgery affects tear gland function and tear quality, reducing tear production. With proper care and following medical advice, dry eye usually improves and resolves within a few weeks to months.   The Importance of Artificial Tears After LASIK The most effective way to relieve post-LASIK dry eye is frequent use of artificial tears as directed by your doctor, especially in the first week after surgery. Artificial tears contain moisturizing agents like hypromellose, sodium hyaluronate, or carboxymethylcellulose. They are essential for all LASIK patients, helping restore moisture, reduce burning, and relieve dry eye—a common side effect in the first six months after surgery. LASIK affects the cornea and tear production, making artificial tears crucial.   Which Artificial Tears Should You Use? Artificial tears come in various types and formulations to suit individual needs, including: Preservative-free single-use vialsThese are used within 24 hours of opening, feel comfortable on the eyes, have lower risk of allergy, but are more expensive than preservative-containing versions.   Self-Care to Relieve Dry Eye After LASIK Proper self-care is essential in addition to artificial tears, helping eyes recover fully. Recommendations include: Take regular breaksAvoid prolonged screen time. Follow the “20-20-20” rule: every 20 minutes, look at an object 20 feet (≈6 meters) away for 20 seconds to reduce strain and maintain moisture. Use eye shields as directedImmediately after surgery, use eye shields to protect from dirt and prevent irritation. Follow doctor instructions, usually for the first day and then nightly for one week, except when applying prescribed drops. Avoid dry environmentsStay away from direct air conditioning, fans, strong wind, or smoke, as these can worsen dryness. Artificial tears help maintain moisture in such conditions. Avoid water contactDo not swim, splash your eyes, or wash your face forcefully to prevent infection or interfere with healing. Avoid eye makeupEyes are sensitive after LASIK, particularly during dry eye recovery. Avoid makeup unless advised by your ophthalmologist, usually allowed one week after surgery. Avoid dustExposure to dust or dirt can cause irritation or infection. Protect eyes with glasses or masks if needed and wash hands before touching eyes. Support eye healthStay hydrated to promote natural tear production. Omega-3 supplements (fish oil or flaxseed) can improve tear quality and reduce dryness.   Summary Dry eye after LASIK is a common side effect caused by surgery affecting tear production, leading to dryness and irritation. Proper care—such as preservative-free artificial tears, adequate hydration, and avoiding dust—helps relieve symptoms and speeds recovery. Choosing the right type of artificial tears according to doctor recommendations is important. Bangkok Eye Hospital provides LASIK with advanced technology and post-surgery care for safe and effective results.   FAQ About Dry Eye After LASIK   How long does dry eye last after LASIK? Symptoms usually improve and resolve within 3–6 months as corneal nerves recover, though some individuals may take slightly longer.   Which artificial tears are best? Preservative-free artificial tears are recommended because they are gentle and can be used frequently without causing irritation. Always follow your doctor’s instructions.   Can I wear contact lenses if my eyes are dry? No, avoid contact lenses during recovery, as they can increase friction, irritation, and complications.
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