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[Corneal neurotization].

J N Lueke1, C Holtmann2, K Beseoglu3

  • 1Klinik für Augenheilkunde, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|November 1, 2019
PubMed
Summary
This summary is machine-generated.

Neurotrophic keratopathy (NK) treatment is improved by corneal neurotization, a nerve transfer technique. This surgical approach re-establishes corneal sensation and healing in severe cases.

Keywords:
CorneaNerve transferNeurotizationNeurotrophic keratopathyUlcer

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Regenerative Medicine

Background:

  • Neurotrophic keratopathy (NK) presents limited treatment options.
  • Severe NK cases often require surgical interventions like amnionic membrane transplantation or tarsorrhaphy.

Purpose of the Study:

  • To describe corneal neurotization as a novel surgical treatment for neurotrophic keratopathy.
  • To detail the technique of supraorbital nerve transposition for restoring corneal nerve function.

Main Methods:

  • Corneal neurotization involves transposing a donor nerve along the limbal circumference.
  • The supraorbital nerve was directly transposed in the described procedure.
  • An alternative method uses a sural nerve interponate.

Main Results:

  • Corneal neurotization aims to re-establish corneal sensation.
  • This technique promotes trophic function, aiding in corneal healing.
  • Successful nerve transfer can improve outcomes for severe NK.

Conclusions:

  • Corneal neurotization offers a promising surgical solution for neurotrophic keratopathy.
  • Supraorbital nerve transposition is a viable technique for nerve reconstruction in the cornea.
  • This approach addresses the limitations of previous treatments for severe NK.