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We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

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Provider photo for Eun-Ha Park

Eun-Ha Park, MD

Ophthalmology

Welcome to My Doctor Online, a website my colleagues and I developed to make it easier for you to take care of your healthcare needs. On this site you will find answers to many of your questions about my clinical practice. Also included are several online features that will allow you to e-mail me, check your laboratory results and refill prescriptions. If you are a patient who sees me regularly, you can reach my office directly at 415-833-5110.

My Offices

Daly City Medical Offices
Appt/Advice: 650-301-5800

See all office information »

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Overview

Fuchs' (pronounced Fooks) dystrophy is an inherited eye condition that damages the cornea. The cornea, which is the front window of the eye, must maintain its clarity for vision to remain normal. In order to stay clear, the cornea retains a certain percentage of fluid. However, if there is too much fluid, vision can become hazy. To prevent this, a layer of cells called the endothelium pumps excess fluid out of the cornea. Fuchs' dystrophy damages these pump cells. Once enough of these cells are damaged, fluid builds up, causing the cornea to swell and your vision to blur.

Causes

We know that Fuchs' dystrophy is an inherited disorder but scientists have not yet discovered what causes the condition.

Symptoms

Here are some symptoms of Fuchs' dystrophy:

  • Blurred vision. In the early stages, you may notice that blurring is worse in the morning. The cornea retains fluid during sleep and swells (edema). However, vision may get clearer by the afternoon as fluid evaporates in the tear film while the eye is open. As the condition progresses, however, vision may take longer to clear and may remain blurred all day.
  • Light sensitivity. You may notice increased sensitivity to light. Some people, report problems driving at night because of glare from car headlights. 
  • Pain. When the condition is advanced, the eye can become very painful and require urgent treatment.

Treatments

Medication

If your condition is at an early stage, we usually prescribe hypertonic saline eye drops that suck excess fluid out of the cornea. However, as the condition progresses, we may recommend surgery.

Endothelial keratectoplasty (EK)

EK is a modified corneal transplant procedure in which only the damaged part of the cornea is replaced. This procedure offers a quicker recovery time and better vision with glasses compared to the standard corneal transplant.

We have surgeons who specialize in this type of cornea surgery at most Kaiser Permanente Medical Centers. If you are a candidate for this procedure we will refer you to one of these specialists.

Full corneal transplant

Until recently, a corneal transplant was the most commonly performed surgery for treating advanced Fuchs' dystrophy. During the procedure we remove the damaged cornea and replace it with a donated cornea. After a period of time, your vision will usually improve.

Diagnosis

We will review your symptoms, medical history and family history before performing a comprehensive eye exam. During the exam we use a 'slit lamp' microscope to look for swelling in the cornea that indicates Fuchs' dystrophy.

Lifestyle Management

We may be able to manage your symptoms for a number of years just with eye medications. We will tell you exactly how to use these. If you have difficulty using them or are experiencing any change in your vision or other symptoms, let us know.

We may recommend that you carefully use a hair dryer, at arm's length, to help dry the excess fluid in your eyes.

Your Care with Me

If your vision is blurry, you become sensitive to light, or have eye pain, your first contact will typically be with your personal physician, who will evaluate your health and symptoms.

If specialty care is needed, your personal physician will facilitate the process of scheduling an appointment in my department. If appropriate, she or he might call me or one of my colleagues while you are in the office so we can all discuss your care together. If we decide you need an appointment with me after that discussion, we can often schedule it the same day or soon thereafter.

During your office visit, we will discuss your medical and family history and I will perform a physical exam. I will explain the findings of your exam and answer any questions or concerns you may have. We will discuss treatment options and together we will create a treatment plan that is right for you.

If your condition is at an early stage, we usually prescribe eye drops. We may be able to manage your symptoms using only eye drops for a number of years. However, if your symptoms are getting worse, please make an appointment for another eye exam. As the condition progresses, we may recommend a surgical approach.

If you need to talk with me after your visit or procedure, please call my office. You can also e-mail me with nonurgent issues from this website whenever it is convenient for you.

If you have urgent concerns or issues while my office is closed, or need general medical advice, you can call the Appointment and Advice line, available 24 hours a day, 7 days a week. You will be connected with a nurse who can give you immediate advice.

If you are experiencing an emergency, call 911 or go to the nearest Emergency Room.

Coordinating Your Care

Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting your care easier for you.

Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay connected on your health status and collaborate with each other as appropriate.

When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.

If you come to an office visit
  • At the beginning of your visit, you will receive information about when you are due for your next test, screening, or immunization. We can discuss and schedule any preventive tests that you need. 
  • At the end of your visit, you may receive a document called the "After Visit Summary" that will summarize the issues we discussed during your visit. You can refer to it if you forget what we discussed. You can also view it online under Past Visits.
  • To help you prepare for your visit, please see additional details under Office Visit. 
If I prescribe medications

We will work together to monitor and assess how your medications are working and make adjustments over time. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.

If refills are needed in the future, you can:
  • Order them online or by phone. Order future refills from my home page or by phone using the pharmacy refill number on your prescription label.
  • Have them delivered to you by mail at no extra cost. Or you can pick up your medications at the pharmacy. If no refills remain when you place your order, the pharmacy will contact me regarding your prescription.
If lab testing or imaging is needed

For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the Radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.

If I refer you to another specialty colleague

If we decide together that your condition would also benefit from the care of other types of specialists, our staff will help arrange the appointment(s) with one or more of my specialty colleagues.

If surgery or a procedure is a treatment option

I will recommend you review educational information and tools to help you prepare for your procedure or surgery. The information will often help you decide whether surgery is right for you. If you decide to have a surgery or procedure, the information will provide details about how to prepare and what to expect.

If we proceed with surgery, I will have my Surgery Scheduler contact you to determine a surgery date and provide you with additional instructions regarding your procedure. Once your surgery is scheduled, a medical colleague of mine will contact you to conduct a preoperative medical evaluation that will assure that you are properly prepared for your surgery.

Convenient Resources for You

As your specialist, I have a goal to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.

My Doctor Online is available at any time that is most convenient for you. From my home page you can:

Manage your care securely
  • View and compose secure e-mail messages.
  • Manage your prescriptions.
  • View your past visits and test results.
  • View your preventive services to see whether you are due for a routine screening or updated immunization.
Learn more about your condition
  • Read about causes, symptoms, treatments and procedures.
  • Find interactive health tools, videos, and podcasts to help you manage your condition.
  • View programs to help you decide on or prepare for a surgery or procedure.
Stay healthy
  • Locate health education classes and support groups offered at every medical center.
  • Explore interactive programs, videos, and podcasts that focus on helping you stay healthy.
  • View your Preventive Services to see whether you are due for a routine screening or updated immunization.

Related Health Tools:

Videos

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If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.

This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.

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