Aia kekahi pilikia me kou cornea? E aʻo kākou e pili ana i ka corneal dystrophy!

Ke manaʻo nei anei kou mau maka he pohihihi? Ke paʻakikī nei anei ʻoe i kekahi manawa ke nānā aku i ka mālamalama? A i ʻole ke manaʻo mau nei ʻoe he hewa kekahi mea me kou mau maka? Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi e pili ana i ka cornea o ka maka. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano maʻi, ʻo "Corneal Dystrophy". Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Dystrophy Corneal?

I ka ʻōlelo maʻalahi, ʻo ka corneal dystrophy kahi huaʻōlelo maʻamau no kahi hui o nā kūlana e hoʻopilikia ai i ka cornea , ka ʻāpana moakaka o kou maka. Aia ma mua o 20 mau ʻano maʻi like ʻole ma lalo o kēia māhele. Hiki i kēia mau ʻano dystrophy ke hana i nā loli a i ʻole ka hōʻino ʻana i nā ʻiʻo o ka cornea. Ua like ia me ka loaʻa ʻana o nā kiko liʻiliʻi a i ʻole nā ​​kaha ma ke aniani moakaka ʻaʻole hiki iā ʻoe ke ʻike maopopo ke nānā ʻoe ma o ia mea. Inā lilo kēia hōʻino i mea koʻikoʻi, hiki iā ʻoe ke loaʻa nā loli i kou ʻike a me ka nalowale ʻana o ka ʻike.

ʻO ka mea nui, ʻo kēia mau dystrophies corneal he mau kūlana genetic . ʻO ia hoʻi, ua hoʻokumu ʻia e nā loli i loko o kā mākou DNA . Hiki i kekahi mau loli ke hoʻoilina mai kou mau mākua mai. Hiki i kekahi ke hana koke ʻia, me ka manaʻo ʻole. Loaʻa kekahi ʻano maʻi no nā kumu i maopopo ʻole ai i nā loea.

Aia kekahi mau ʻano o ka dystrophy corneal?

ʻAe, ua hoʻokaʻawale ʻia lākou e like me ke ʻano o ko lākou hoʻopilikia ʻana i nā papa like ʻole o ka cornea. Penei ke ʻano nui:

• ʻO ka poʻe e hoʻopilikia ana i nā papa o waho o ka cornea (epithelial a me subepithelial).
• ʻO ka poʻe e hoʻopilikia ana i nā papa o waho a me waena o ka cornea (Epithelial-stromal).
• ʻO ka poʻe e hoʻopilikia ana i ka papa waena o ka cornea (Stromal).
• ʻO ka poʻe e hoʻopilikia ana i ka papa o loko o ka cornea (endothelial).

I kēia manawa, e nānā kākou i kēlā me kēia ʻano me nā kikoʻī hou aku.

Nā dystrophies corneal epithelial a me subepithelial

He mau maʻi kēia e hoʻopilikia ana i nā papa luna o ka cornea. Eia kekahi mau laʻana:

• ʻO ka dystrophy membrane basement epithelial
• ʻO nā dystrophies erosion recurrent epithelial (aia kekahi mau ʻano ʻekolu)
• ʻO ka dystrophy e like me ka kulu gelatinous
• ʻO ka dystrophy epithelial Lisch
• ʻO ka maʻi ʻino o Meesmann
• ʻO ka dystrophy mucinous subepithelial

ʻIke ʻia ka hapa nui o kēia mau dystrophies i ka wā kamaliʻi . Eia nō naʻe, ʻike pinepine ʻia ka epithelial basement membrane dystrophy (ʻoiai ʻaʻole mau) i ka wā makua. ʻO kekahi he gelatinous drop-like corneal dystrophy.Hiki ke hana i kēia i kēlā me kēia makahiki ma mua o 20 mau makahiki.

Nā dystrophies epithelial-stromal

Hoʻopilikia kēia i ka papa waho o ka cornea a me ka papa waena ma lalo.

• ʻO ka dystrophy corneal granular (ʻano 1 a me 2)
• ʻO ka dystrophy corneal lattice (he mau ʻano like ʻole kēia a me nā ʻano like ʻole)
• ʻO ka maʻi dystrophy o Reis-Bückler
• ʻO ka maʻi ʻino o Thiel-Behnke

ʻOi aku ka nui o ka hiki ʻana mai o kēia mau kūlana a pau i ka wā kamaliʻi . Hiki ke loaʻa ka lattice corneal dystrophy type 1 a hiki i ka 20 mau makahiki.

Nā dystrophies stromal

Hoʻopilikia nui kēia i ka papa waena, mānoanoa o ka cornea.

• ʻO ka maʻi macular dystrophy
• ʻO ka dystrophy crystalline Schneider
• ʻO ka dystrophy stromal hoʻoilina hānau
• ʻO ka maʻi ʻōpū Fleck
• ʻO ka dystrophy amorphous hope
• ʻO ka dystrophy ma mua o Descemet
• ʻO ka dystrophy ao waena o François

Hoʻopilikia pinepine nā dystrophies stromal i nā keiki . Eia nō naʻe, hiki i ʻelua o kēia mau mea ke ulu aʻe ʻoe. Hiki ke ulu ka dystrophy corneal Schneider a hiki i ka makahiki 30, a ʻo ka dystrophy corneal pre-Descemet e ulu pinepine ma hope o 30 makahiki.

Nā dystrophies corneal endothelial

He mau maʻi kēia e hoʻopilikia ana i ka papa palupalu loa i loko o ka cornea.

• ʻO ka dystrophy endothelial Fuchs
• ʻO ka dystrophy polymorphous hope
• ʻO ka dystrophy endothelial hoʻoilina hānau
• ʻO ka dystrophy endothelial i hoʻopili ʻia me X

ʻO nā dystrophies corneal āpau, ʻo ka Fuchs endothelial corneal dystrophy ka mea maʻamau , e helu ana i 39% o nā hoʻoili corneal āpau i hana ʻia ma ʻAmelika Hui Pū ʻIa.

He aha nā hōʻailona o ka dystrophy corneal?

ʻOkoʻa nā hōʻailona o ka corneal dystrophy ma muli o ke ʻano kikoʻī āu e loaʻa ai. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona . Ke ʻike ʻia nā hōʻailona, ​​​​​​hoʻopilikia pinepine lākou i nā maka ʻelua a e ʻoi aku ka ʻino i ka hala ʻana o ka manawa.

E noʻonoʻo ʻoe ua like kou cornea me kahi ʻāpana aniani i hoʻohālikelike pono ʻia, maopopo, a kīnā ʻole. Akā hiki i ka corneal dystrophy ke hoʻololi i kēlā. I loko o nā ʻano he nui o kēia mau kūlana, ulu nā ʻiʻo hou ma ka cornea, a i ʻole e kūkulu ʻia ma nā wahi i pono ʻole ai. A laila, ma kahi o ka nānā ʻana ma o ke aniani maopopo, ua like ia me ka nānā ʻana ma o ke aniani kahiko, kīnā, a puhi ʻia. He paʻakikī ke ʻike ma o ia mea, ʻeā?

Pēlā nō, ʻo ka hoʻokumu ʻia ʻana o nā ʻiʻo hou a i ʻole ka hōʻiliʻili ʻana e paʻakikī ai ka ʻike ʻana ma o nā papa i hoʻopilikia ʻia o ka cornea. ʻO ia ke kumu he mea maʻamau ka ʻike maka pohihihi a noe paha i waena o ka poʻe me ka corneal dystrophy.

ʻO nā hōʻailona maʻamau kēia:

• Ka nalowale ʻana o ka ʻike maka: Hana ʻia kēia ke hoʻopilikia ʻia ka ʻili o ka cornea a ʻaʻole hoʻi e ho'ōla pono. ʻO ke ʻano kēia, ʻaʻole maopopo loa kou ʻike ʻana ʻoiai inā ʻoe e kau ana i nā aniani a i ʻole nā ​​​​​​aniani hoʻopili.
• ʻEhu koʻokoʻo: Hiki i kēia ke hoʻolilo i kou ʻike i mea ao. He hopena koena kēia o ka hōʻino a i ʻole nā ​​​​loli i ka koʻokoʻo.
• Manaʻo kino ʻē: Manaʻo ia me he mea lā ua paʻa i ka maka , akā i kou nānā ʻana, ʻaʻole hiki iā ʻoe ke loaʻa.
• ʻEha maka a huhū paha ka maka: Hiki ke ʻike nui ʻia kēia mau hōʻailona ke ala ʻoe ma hope o ka pani ʻia ʻana no ka manawa lōʻihi, no ka laʻana ke ala ʻoe i ke kakahiaka.
• ʻIke i ke kukui (Photophobia): ʻO ke ʻano kēia, lilo ka mālamalama ʻālohilohi i mea hiki ʻole ke hoʻomanawanui a hiki ke hoʻoulu i ka ʻoluʻolu ʻole a me ka ʻeha.
• Nā maka waimaka (Epiphora): Inā maloʻo kou mau maka, malia paha no ka mea ke hoʻāʻo nei kāu ʻōnaehana waimaka e hana i nā waimaka hou aʻe e uku.
• ʻO Nystagmus: Nā neʻe wikiwiki o nā maka mai kēlā ʻaoʻao a i kēia ʻaoʻao a i ʻole ma ke ʻano poepoe.

He aha ke kumu o ka dystrophy corneal?

Ua pili kēlā me kēia ʻano like ʻole o ka corneal dystrophy i nā kumu genetic . Hiki i kēia ke lilo i mau loli "de novo" (ʻo ia hoʻi, kū koke lākou i loko o kou kino) a i ʻole hiki ke hoʻoilina ʻia mai kekahi a i ʻole ʻelua o kou mau mākua.

Pono kekahi mau ʻano hoʻoilina i hoʻokahi kope wale nō o ka gene mai kekahi makua. Pono nā ʻano ʻē aʻe i ʻelua kope o ka gene i hoʻololi ʻia, hoʻokahi mai kēlā me kēia makua. Eia kekahi, aia nō kekahi mau ʻano o ka dystrophy corneal, a pono ka noiʻi hou aku e ʻike pono i nā ʻano loli genetic kikoʻī e hoʻokumu ai iā lākou.

ʻO wai ka mea i pilikia nui no kēia maʻi?

ʻAʻole hoʻopilikia ka hapa nui o nā dystrophies corneal i nā kānaka ma muli o ka lāhui a i ʻole ke kāne. ʻO ka ʻokoʻa wale nō ʻo Fuchs endothelial corneal dystrophy.Aia kekahi mau kumu pilikia kūikawā no ia mea:

• Lāhui: ʻOi aku ka nui o ka poʻe keʻokeʻo e loaʻa iā ia.
• Makahiki: ʻOi aku ka nui o ka poʻe ma luna o 30 mau makahiki e loaʻa iā ia.
• Kāne: ʻOi aku ka nui o ka loaʻa ʻana o nā wahine i kēia.

He aha nā pilikia e hiki mai ana mai ka dystrophy corneal?

ʻO kēia mau kūlana, e hāʻule ana ma lalo o ka malu o ka corneal dystrophy, e hoʻopilikia i ke ala e hele ai ka mālamalama ma kou cornea. ʻO ka hopena, e emi ana ka moakāka o kou cornea, e hoʻopilikia ana i ka mālamalama e hele ana ma ia mea. ʻO ke ʻano kēia, hiki i ka corneal dystrophy ke hōʻeha nui i ka ʻike , akā ʻaʻole ia e alakaʻi i ka makapō piha .

Eia nō naʻe, hiki i ka nalowale nui o ka ʻike ke lilo i pilikia koʻikoʻi. Hiki iā ia ke hoʻopilikia i kou hiki ke hoʻokele, heluhelu, a hana i nā hana he nui o kēlā me kēia lā.

Pehea e ʻike ʻia ai ka dystrophy corneal?

Hiki i kahi loea maka, he ophthalmologist a he optometrist paha, ke ʻike i ka corneal dystrophy. Hoʻohana lākou i ka hui pū ʻana o nā mea hana a me nā ʻano hana e hana pēlā. ʻO ka mea nui loa ka hoʻokolokolo maka , ʻoiai ka hoʻokolokolo kukui slit . ʻO ka hoʻokolokolo kukui slit e pili ana i ka nānā ʻana i loko o kou maka me kahi microscope kūikawā. Hiki i kēia i nā kauka ke ʻike i nā loli a i ʻole nā ​​​​pōʻino e pili ana i ka corneal dystrophy.

ʻO nā hoʻokolohua ʻē aʻe e hoʻohana ai kāu loea maka:

• ʻO ke ʻano o ka cornea: Hoʻokumu kēia i kahi "palapala ʻāina" o ka ʻili o kou cornea. Hōʻike ia inā he mau wahi o ka ʻili corneal i ʻoi aku ke kiʻekiʻe a i ʻole haʻahaʻa ma mua o nā wahi e hoʻopuni ana.
• Pachymetry: Ke ana kēia i ka mānoanoa o kou cornea. Hiki i kēia ke kōkua i ka ʻike ʻana i nā pilikia ma nā papa hohonu o ka cornea (e like me ka endothelial dystrophy).
• Hoʻāʻo ʻana i ka hoʻoilina: ʻO ka maʻamau, pili kēia i ka lawe ʻana i kahi laʻana o kou lawai a koko paha a me ka ʻimi ʻana i nā loli DNA kikoʻī. Hiki i kēia ke kōkua i ka hōʻoia ʻana i ke ʻano kikoʻī o ka dystrophy corneal āu e loaʻa nei.
• Optical Coherence Tomography (OCT): ʻOiai hoʻohana pinepine ʻia kēia e nānā i kou retina, hiki i kēia hoʻāʻo ke hāʻawi i nā scan waiwai nui o kāu cornea. He mea pono loa kēia i ka wā e hoʻolālā ai i kekahi mau lāʻau lapaʻau corneal.
• Biopsy Corneal: Hiki i kahi loea maka ke lawe i kahi hāpana ʻiʻo liʻiliʻi mai kou cornea a hoʻouna aku i kahi lab no ka hoʻāʻo ʻana. E kālailai kahi pathologist i ka hāpana e ʻike ai inā he corneal dystrophy kou a, inā pēlā, he aha ke ʻano. ʻAʻole maʻamau kēia hoʻāʻo no ka corneal dystrophy, akā hiki iā ia ke kōkua i ka hōʻoia ʻana.

Hiki ke hana ʻia nā hoʻokolohua hou aʻe ma muli o kāu mau hōʻailona a me nā kumu ʻē aʻe. Hiki i kāu loea maka ke haʻi iā ʻoe i nā mea hou aʻe e pili ana i nā hoʻokolohua ʻē aʻe a lākou e ʻōlelo ai.

Pehea e mālama ʻia ai ka dystrophy corneal?

Nui nā ʻano e mālama ai i ka dystrophy corneal. Aia ka lāʻau lapaʻau i ka papa o ka cornea i hoʻopilikia ʻia a me ke koʻikoʻi o ke kūlana.

Ma muli o ka ʻokoʻa o nā koho lapaʻau, ʻo kāu kauka maka ke kumu maikaʻi loa o ka ʻike e pili ana i kāu mau koho lapaʻau. Hiki iā lākou ke wehewehe i nā kikoʻī o nā koho lapaʻau, nā pilikia hiki, nā hopena ʻaoʻao, a me nā kikoʻī ʻē aʻe iā ʻoe.

Eia kekahi o nā ʻano lapaʻau nui:

Nā lāʻau lapaʻau topical

Ke nānā nei kēia i ka mālama ʻana i nā hōʻailona a me nā hopena ma ka ʻili o kou cornea. Nā Laʻana:

• Nā kulu maka lāʻau lapaʻau a i ʻole nā ​​​​​​mea ʻaila: Hiki i kēia ke mālama i nā hōʻailona e like me ka ʻeha, kahi manaʻo o kekahi mea i loko o ka maka, a me ka maloʻo.
• Nā lāʻau lapaʻau antibiotics: Hiki i kēia ke kōkua i ka pale ʻana i ka maʻi inā ua hōʻino ʻia kou cornea a ua maʻalahi i nā germs.
• Nā aniani hoʻopili kūikawā: E like me nā aniani hoʻopili maʻamau, ua kau ʻia kēia mau mea ma ka ʻili o ka cornea. ʻO ka ʻokoʻa nui, kōkua lākou i kou cornea e ho'ōla a pale i ka hōʻino hou aʻe.

ʻO ke keratectomy phototherapeutic (PTK)

ʻO ke keratectomy phototherapeutic (PTK) e pili ana i ka wehe ʻana i nā ʻāpana o ka cornea me ka hoʻohana ʻana i kahi kukuna laser i hoʻonohonoho pono ʻia. Hiki i kāu loea maka ke kuhikuhi pololei a wehe i nā wahi i hōʻino ʻia.

Hoʻoili Cornea

I nā hihia kahi i koʻikoʻi ai nā loli a i ʻole nā ​​​​pōʻino i kou cornea e hoʻopilikia i kou ʻike, he koho paha kahi hoʻoili cornea . Pili kēia mau ʻoki kino i ka hoʻololi ʻana i kāu ʻiʻo corneal me nā ʻiʻo hou mai kahi mea hāʻawi i make. Hiki i kēia ke lilo i mau hoʻoili piha a hapa paha.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka dystrophy corneal?

Inā loaʻa iā ʻoe ka corneal dystrophy, hiki ke ʻokoʻa iki ka mea āu e manaʻo ai. Ua ʻike ʻia ka hapa nui o ka poʻe me kekahi o kēia mau kūlana, ma mua o 20 mau makahiki.

ʻO ka maʻamau, he maʻi holomua ka corneal dystrophy. ʻO ke ʻano kēia, e piʻi mālie ana kona hopena i ka hala ʻana o ka manawa - maʻamau i nā makahiki, i kekahi manawa he mau makahiki. ʻAʻohe hōʻailona o kekahi poʻe i ka wā mua, no laila ʻaʻole paha lākou e ʻike he mau maʻi ko lākou no nā makahiki. ʻAʻohe hōʻailona a pilikia paha o kekahi poʻe.

No ka mea, he nui nā mea like ʻole e hiki iā ʻoe ke ʻike, he manaʻo maikaʻi e nīnau i kāu kauka maka e pili ana i ka mea e manaʻo ai. Hiki iā lākou ke haʻi iā ʻoe i ka mea e pili loa iā ʻoe.

Pehea ka lōʻihi o ka lōʻihi o ka dystrophy corneal?

He mau maʻi ola mau nā dystrophies o ka cornea. Ua hānau ʻia ʻoe me lākou. Hiki i nā hoʻoili cornea ke "ho'ōla" i kēia mau maʻi, akā ʻaʻole ia he hōʻoia. Nui ka poʻe i loaʻa i kahi hoʻoili cornea e loaʻa i ka maʻi i loko o ka cornea i hoʻoili ʻia. Inā hana ʻia kēlā, pono paha ka mālama hou ʻana - ʻoiai kahi hoʻoili cornea ʻelua.

He aha ka manaʻo no kēia kūlana?

Hoʻoulu pinepine ka dystrophy corneal i kekahi kekelē o ka nalowale ʻana o ka ʻike , akā he mea kakaikahi loa ka holomua ʻana o kēlā nalowale ʻike i ka makapō piha (kahi kūlana kahi hiki ʻole iā ʻoe ke ʻike i ka mālamalama).

Inā loaʻa iā ʻoe kahi hoʻoili cornea, e kū like ʻoe me nā pilikia like me nā mea loaʻa hoʻoili ʻē aʻe. Pono ʻoe e lawe i nā lāʻau immunosuppressant no ke koena o kou ola e pale aku i kāu ʻōnaehana pale mai ka hoʻouka ʻana i nā ʻiʻo i hoʻoili ʻia. Eia kekahi, ʻoiai me nā lāʻau immunosuppressant, hiki ke hōʻole ʻia .

No ka mea, he nui nā ʻano loli e hiki ke hoʻopilikia i kou ʻano, ʻo ke kanaka maikaʻi loa e nīnau e pili ana i ka ʻano o kou kūlana, ʻo ia kāu kauka maka. Hiki iā lākou ke hāʻawi i ka ʻike e pili ana i kou kūlana.

Hiki ke pale ʻia ka dystrophy corneal?

He mau maʻi genetic nā dystrophies o ka cornea, ʻo ia hoʻi, ʻaʻohe ala e pale aku ai iā lākou a hōʻemi paha i ka pilikia o ka hoʻomohala ʻana iā lākou.

Inā loaʻa iaʻu ka corneal dystrophy, pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe ka corneal dystrophy, pono ʻoe e ʻike pinepine i kāu kauka maka, e like me ka mea i ʻōlelo ʻia. Hiki iā lākou ke nānā i kou kūlana, e nānā i nā loli i loko o kou ʻiʻo maka, a me nā hōʻailona āu e ʻike nei. Hiki iā lākou ke hoʻoponopono a hōʻano hou i kāu hoʻolālā lapaʻau e mālama pono ai no ka lōʻihi e hiki ai.

Inā kuhikuhi kāu loea maka i nā lāʻau lapaʻau no kou mau maka, pono ʻoe e hoʻohana pono iā lākou e like me ke kauoha . Hiki i nā lāʻau lapaʻau ke kōkua i ka palena ʻana i nā hōʻailona o kēia mau kūlana a i ʻole e hoʻolohi i nā loli a i ʻole ka hōʻino ʻana o nā ʻiʻo.

ʻOiai inā ua loaʻa iā ʻoe kekahi ʻano hoʻoili corneal, he mea nui loa ia e lawe i kāu mau lāʻau lapaʻau e like me ke kauoha. ʻO ka hana ʻana pēlā e kōkua i ka hōʻoia ʻana ʻaʻole e hōʻole kou kino i nā ʻiʻo i hoʻoili ʻia. Hiki i kēia ke kōkua i ka pale ʻana i nā pilikia koʻikoʻi a me ka nalowale mau loa o ka ʻike.

Āhea wau e ʻike ai i kaʻu kauka maka?

E loaʻa iā ʻoe nā kipa hoʻomaʻamaʻa maʻamau ma kahi manawa i hoʻonohonoho ʻia.Pono ʻoe e ʻike i kāu loea maka no kēia. Eia kekahi, inā ʻike ʻoe i kekahi mau hōʻailona a i ʻole nā ​​​​loli i kou ʻike, a inā he hopena ʻaoʻao kahi lāʻau a i ʻole ʻaʻole i kūpono, pono ʻoe e kamaʻilio me lākou e pili ana i ia mea. E ho'āʻo lākou e kōkua iā ʻoe e ʻimi i nā hopena i nā pilikia āu e kū nei.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka maka?

Hiki iā ʻoe ke nīnau i kāu ophthalmologist i kēia mau nīnau:

• He aha ke ʻano o ka dystrophy corneal i loaʻa iaʻu?
• He aha ka lāʻau lapaʻau āu e paipai nei?
• Aia kekahi mau hōʻailona e pono ai ke kōkua lapaʻau koke?
• He aha ka nānā ʻana i ka wā lōʻihi no koʻu maʻi?
• Aia kekahi mea e hiki iaʻu ke hana e hoʻomaikaʻi ai i koʻu ʻike?

ʻO ka mea hope loa, he aha e hoʻomanaʻo ai

ʻO nā maʻi maka dystrophies Corneal he mau maʻi maka e ʻike pinepine ʻia i kou wā ʻōpiopio . Inā ʻoe e hopohopo nei i ka hoʻāʻo ʻana e hoʻomaopopo i kēia mau maʻi, ʻaʻole ʻoe hoʻokahi. Aia ma mua o iwakālua mau ʻano like ʻole o nā dystrophies corneal. Hiki ke ʻokoʻa loa nā hopena o kēia mau maʻi.

Akā, ʻaʻole pono ʻoe e hoʻāʻo e hoʻomaopopo a hoʻokele paha i ka corneal dystrophy ma kāu iho. Hiki i kāu kauka maka ke kōkua iā ʻoe e hoʻomaopopo i kou kūlana kikoʻī, kona mau hopena, a pehea e mālama ai. A, me nā koho lapaʻau he nui, loaʻa iā ʻoe kahi manawa kūpono e hoʻokele ai i kou kūlana a hoʻemi i kona hopena i kou ola. Mai makaʻu, e noho ikaika, a e hahai i ka ʻōlelo aʻo a kāu kauka.

ʻO ka Dystrophy Corneal, cornea o ka maka, nā maʻi maka genetic, ʻike maka pōwehiwehi, mālama maka, hoʻoili corneal, olakino maka