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Living with Epithelial basement membrane dystrophy

A condition of the clear front surface of the eye that can cause painful, recurring surface scrapes.

Understanding Epithelial basement membrane dystrophy

Epithelial basement membrane dystrophy is a rare condition of the cornea, the clear front surface of the eye.

Eye doctors see a pattern of maps, dots, and fingerprints on the cornea. Some people have no symptoms. Others have repeated painful corneal erosions and changes in vision, usually after age 30. It affects both eyes.

Signs & symptoms

Symptoms vary from person to person. GARD lists this as the most common:

  • Repeated breakdown of the eye's clear surface (recurrent corneal erosions)
  • Eye pain
  • Changes in vision
  • Sometimes no symptoms

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TGFBI are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Corneal Dystrophy Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How can I prevent or treat painful corneal erosions?
Can genetic testing for the TGFBI gene help?
How often should my eyes be checked?

Quick facts

InheritanceAutosomal Dominant
GenesTGFBI

Changes in the TGFBI gene are listed for this condition. It may be inherited in an autosomal dominant way, meaning a change in one copy of the gene can cause it.

Genetic

Also known as: anterior basement membrane dystrophy; cogan corneal dystrophy; cogan microcystic epithelial dystrophy; corneal dystrophy, anterior basement membrane; corneal dystrophy, cogan type; corneal dystrophy, epithelial basement membrane

Patient organizations

Source: NIH GARD · Epithelial basement membrane dystrophyGARD ID 9732 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Epithelial basement membrane dystrophy.

Explore the Epithelial basement membrane dystrophy blog

Explore research for Epithelial basement membrane dystrophy

Explore actively recruiting Epithelial basement membrane dystrophy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Epithelial basement membrane dystrophy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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