Topical Insulin—Utility and Results in Refractory Neurotrophic Keratopathy in Stages 2 and 3

Cornea ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ricardo José dos Santos Machado Soares ◽  
Carlos Arêde ◽  
Filipe Sousa Neves ◽  
Joana da Silva Fernandes ◽  
Catarina Cunha Ferreira ◽  
...  
Keyword(s):  
Neurotrophic Keratopathy

scholarly journals Corneal neurotization for neurotrophic keratopathy: Review of surgical techniques and outcomes

2021 ◽  
Vol 20 ◽  
pp. 163-172
Author(s):  
Catherine Y. Liu ◽  
Andrea C. Arteaga ◽  
Sammie E. Fung ◽  
M. Soledad Cortina ◽  
Ilya M. Leyngold ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Neurotrophic Keratopathy

scholarly journals Concurrent ocular pain in patients with neurotrophic keratopathy

2021 ◽  
Vol 22 ◽  
pp. 143-151
Author(s):  
Leyla Yavuz Saricay ◽  
Betul N. Bayraktutar ◽  
Brendan M. Kenyon ◽  
Pedram Hamrah
Keyword(s):  
Ocular Pain ◽  
Neurotrophic Keratopathy

Corneal neurotisation by great auricular nerve transfer and scleral-corneal tunnel incisions for neurotrophic keratopathy

2018 ◽  
Vol 103 (9) ◽  
pp. 1235-1238 ◽  
Author(s):  
Nate Jowett ◽  
Roberto Pineda II
Keyword(s):  
Visual Acuity ◽  
Confocal Microscopy ◽  
Donor Site ◽  
Nerve Transfer ◽  
Donor Site Morbidity ◽  
Nerve Fibres ◽  
Novel Technique ◽  
Great Auricular Nerve ◽  
Early Results ◽  
Neurotrophic Keratopathy

Background/AimsMedical management of neurotrophickeratopathy is challenging and costly. Supra-orbital nerve transfer to thecornea has proven effective for management of keratopathy, but yieldsconsiderable donor site morbidity. Herein, a novel technique for reinnervationof the anaesthetic cornea is presented and early results characterised.MethodsSensory fibres of the ipsilateral greatauricular nerve were directed via an interposition graft to the anteriorcorneal stroma using scleral-corneal tunnel incisions in two patients withgrade III neurotrophic keratopathy.ResultsImprovements in visual acuity, cornealpachymetry, corneal esthesiometry, and corneal neurotisation as assessed by invivo confocal microscopy were observed within nine months of surgery in bothpatients.ConclusionCorneal neurotisation by interposition grafttransfer of great auricular nerve fibres via scleral-corneal tunnel incisionsappears effective in the management of neurotrophic keratopathy.

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