Recurrent Corneal Erosion (RCE)

What is recurrent corneal erosion (RCE)?

Recurrent corneal erosion (RCE) is a medical condition in which the outermost layer of the cornea (the epithelium) repeatedly breaks down or does not adhere properly to the underlying layer, leading to episodes of discomfort, pain, and vision problems . As far as cornea is concerned it is the transparent layer at the front of the eye, when the surface of it gets damaged, it affects vision of the people causing significant discomfort, that are the symptoms of the RCE that occurs due to previous trauma or underlying corneal dystrophies, such as epithelial basement membrane dystrophy (EBMD).

What are the symptoms of recurrent corneal erosion (RCE)?

The symptoms of RCE include:-

Sudden onset of sharp eye pain, especially upon waking.
A sensation of something being in the eye (foreign body sensation).
Light sensitivity (photophobia).
Blurry vision or temporary vision loss.
Excessive tearing (watery eyes).
Redness with swelling

What are the causes of recurrent corneal erosion?

Causes of RCE often include:-

Traumatic condition caused by scratch, injury, or previous corneal abrasion affects epithelium that reduces healing.
Corneal dystrophies – Conditions like EBMD can lead to the corneal epithelium not adhering well to the underlying layers.
Dryness in the eye prevents natural healing of the corneal surface.
Surgery of Eye like LASIK/cataract surgery also cause RCE problem.
Environmental factors like prolonged exposure to air conditioning can dry out the corneal surface and trigger erosion.

How RCE is diagnosed?

The following are the diagnostic options for recurrent corneal erosion that requires a thorough check-up of the eye under the strict supervision of an ophthalmologist:-

Slit-lamp examination – This test is a microscopic test performed to examine the surface of the cornea and identify any irregularities, such as abrasions or corneal dystrophy in patient.
Fluorescein staining – It is a dye used in the eye to highlight areas of epithelial damage.
Corneal topography – This imaging test maps the surface curvature of the cornea and may help detect underlying structural abnormalities.
History of recurrent episodes – A history of multiple episodes of similar symptoms can help in diagnosing RCE.

How RCE is is managed or treated?

The management of RCE focuses on healing the corneal surface and preventing future episodes. Treatment options include:-

Lubricating eye drops & ointments – These help maintain moisture and reduce friction between the eyelid and the cornea, especially at night.
Bandage contact lenses – A soft contact lens may be placed on the cornea to protect it during healing and reduce pain.
Antibiotic drops – These are often prescribed to prevent infection while the cornea heals.
Hypertonic saline ointments/drops – These promote the adherence of the epithelium to the underlying layers.
Surgical treatments – For chronic or severe cases, surgical options such as anterior stromal puncture, phototherapeutic keratectomy (PTK), or epithelial debridement may be recommended.

Prevention of RCE

Preventing recurrent corneal erosion involves:-

Using lubricating eye drops or ointments, especially before bed.
Avoiding rubbing the eyes.
Wearing protective eyewear to prevent trauma.
Managing dry eye syndrome with regular use of artificial tears or prescription medications.
Maintaining a humidified environment, particularly during sleep.

Outlook / Prognosis

With appropriate management, many individuals with recurrent corneal erosion experience significant relief and a reduction in the frequency of episodes, but in some cases, it may take time for the cornea to heal completely, including additional treatment as it may erupt due to underlying cause, such as trauma or corneal dystrophy, persists.

Living With

Living with RCE can be challenging due to the unpredictable nature of flare-ups. Patients should adhere to a regular eye care regimen, including lubricating drops and ointments, to keep the cornea moist and reduce the likelihood of recurrent episodes. Regular follow-up with an ophthalmologist is essential to monitor progress and prevent complications. With proper care and management, most individuals with RCE can maintain good vision and reduce discomfort.

Why Choose Tender Palm Eye Hospital for Recurrent Corneal Erosion (RCE) Treatment in Lucknow, India?

Tender Palm Eye Hospital is one of the leading eye care and treatment centres in Lucknow, offering specialized care for Recurrent Corneal Erosion (RCE) – a painful condition where the outermost layer of the cornea (epithelium) repeatedly breaks down, often due to previous eye injury or underlying corneal dystrophies.

Our experienced ophthalmologists utilize advanced diagnostic tools to assess corneal health and provide individualized treatment plans, including lubricating eye drops, therapeutic contact lenses, and surgical options like anterior stromal puncture or phototherapeutic keratectomy (PTK) when necessary. With a focus on long-term relief and prevention of recurrence, we help patients achieve lasting comfort and clear vision.