Corneal Opacity

Corneal opacity is a disorder of the cornea, the transparent structure on the front of the eyeball, which can cause serious vision problems. Corneal opacity occurs when the cornea becomes scarred. This stops light from passing through the cornea to the retina and may cause the cornea to appear white or clouded over.


If you experience any of these symptoms, do not assume it is due to corneal opacity. These symptoms may be caused by other health conditions as well. If you experience any one of the following, see your eye doctor immediately:

  • Vision decrease or loss
  • Pain in the eye or feeling like there is something in your eyes
  • Eye redness or light sensitivity
  • Area on the eye that appears cloudy, milky, or is not completely transparent

There are many causes of corneal opacity. In some cases, your doctor can recommend a treatment that will reverse the opacity and lessen your chance of needing additional treatment, such as surgery.


Infection, injury, or inflammations of the eye are the most common causes of corneal opacity.


The following factors increase your chance of developing corneal opacity. If you have any of these risk factors, tell your doctor:

  • Vitamin A deficiency
  • Measles (when measles result in scarring/infection of the eye)
  • Foreign bodies striking the eye
  • Eye injury, whether from a force, such as a poke in the eye, or from a chemical agent
  • Herpes simplex virus (which can be transmitted to the eyes)
  • Other infections, including conjunctivitis or “pink eye”

Additionally, wearing contact lenses for a long period of time, especially overnight, can increase the risk of eye infections and, as a result, increase the chance of developing corneal opacity.


To help reduce your chance of developing corneal opacity, take the following steps:

Take care to avoid injuring the eye. Wear eye protection during any potentially dangerous activity. Make sure the safety goggles are worn tight against the face, otherwise a foreign body can fly up under the goggles and injure the eye.

Take proper care of contact lenses, and follow your doctor’s recommendations regarding wear and cleaning. See your doctor immediately if you suspect you have an eye infection, including conjunctivitis (pink eye), if you injured your eye, or if you develop any pain or change in vision.


Talk with your doctor about the best treatment plan for you. Treatments vary depending on the most likely cause of the scarring and how severe the scarring is. Treatments may include:

Eye drops containing antibiotics, steroids, or both Oral medications

In some cases, scar tissue may be removed surgically. The surgery may be performed using a laser, called phototherapeutic keratectomy (PTK), if the scarring is close to the corneal surface. In more severe cases, a cornea transplant may be necessary.