Terahertz (THz) radiation is increasingly considered for ophthalmic diagnostic applications, yet its biological effects on corneal cells remain poorly characterized. This study aimed to evaluate the cellular and metabolic responses of cultured human corneal stromal fibroblasts (hCSFs) derived from ReLEx SMILE lenticules to 2.3 THz radiation at a power density of 0.056 W/cm² (delivered power density at monolayer ~ 39 mW/cm²).,Cells were exposed for 10 or 45 minutes and assessed at 4- and 72-hours post-irradiation. Outcome measures included cell viability (MTT assay), mitochondrial membrane potential (TMRM), apoptosis (Annexin V/PI flow cytometry), surface phenotype (CD44, CD184), stress protein expression (heat shock protein 70 (HSP70), phosphorylated histone H2AX (γH2AX)), profibrotic marker expression (α-smooth muscle actin (α-SMA), transforming growth factor-β (TGF-β), and collagen III) assessed by immunocytochemistry, and targeted metabolomic profiling. Infrared (IR) irradiation under matched temperature conditions was included as a thermal comparison control.,At 1 week, THz exposure was associated with a duration-dependent increase in profibrotic marker expression, including α-SMA, TGF-β, and collagen III, predominantly after 45-min exposure. These changes occurred without detectable γH2AX induction or HSP70 elevation. Several responses were not reproduced by IR exposure under matched temperature conditions, suggesting that they cannot be explained solely by the measured bulk thermal exposure. TGF-β expression increased after both THz and IR exposure, indicating that temperature-associated mechanisms may contribute to this response. Metabolomic analysis revealed depletion of phosphatidylinositol species, reduced 5-methyltetrahydrofolate (5-MTHF), and altered taurine and hypotaurine metabolism, suggesting disruption of membrane-associated signaling.,THz radiation at 2.3 THz was associated with time-dependent biological effects in hCSFs, including mitochondrial dysfunction, apoptosis-related changes, and increased expression of profibrotic markers within an already fibroblast-like stromal cell population. These findings highlight the importance of evaluating THz bioeffects in the context of ophthalmic device development and safety assessment.