Stromal corneal pigmentations digital illustration

Stromal corneal pigmentations Save

ICD-10 code: H18.06

Chapter: Diseases of the eye and adnexia

Understanding Stromal Corneal Pigmentations: Causes, Symptoms, and Treatments

Stromal corneal pigmentations refer to the presence of brown or black pigmented spots on the cornea, which is the transparent, dome-shaped layer that covers the front of the eye. While these pigmentations are usually benign, they can sometimes signal an underlying condition that requires medical attention. Here’s what you need to know about stromal corneal pigmentations:

  1. Causes: The exact cause of stromal corneal pigmentations is not known, but they are believed to be associated with aging, sun exposure, eye trauma, and certain medications. They may also be a sign of conditions such as Fuch’s endothelial dystrophy, corneal melanoma, or ocular melanosis.
  2. Symptoms: Stromal corneal pigmentations typically do not cause any symptoms and are discovered during a routine eye exam. However, if the pigmentations are large or numerous, they may cause blurred vision, glare, or halos around lights.
  3. Treatments: Most stromal corneal pigmentations do not require treatment, especially if they are small and not causing any vision problems. However, if they are large or causing vision problems, treatment options may include corneal transplant, laser therapy, or phototherapeutic keratectomy. The choice of treatment will depend on the size and location of the pigmentations, as well as the underlying cause.

If you notice any changes in your vision or the appearance of your eyes, it’s important to see an eye doctor as soon as possible. While stromal corneal pigmentations are usually harmless, they can sometimes signal a more serious condition that requires prompt treatment. By getting regular eye exams and seeking prompt medical attention for any eye problems, you can help protect your vision and maintain good eye health.