Corneal neurotization for neurotrophic keratopathy: Review of surgical techniques and outcomes.
Anesthetic cornea
Corneal nerve
Herpetic keratopathy
Nerve coaptation
Neurotization
Neurotrophic cornea
Neurotrophic keratopathy
Journal
The ocular surface
ISSN: 1937-5913
Titre abrégé: Ocul Surf
Pays: United States
ID NLM: 101156063
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
received:
11
12
2020
revised:
18
02
2021
accepted:
22
02
2021
pubmed:
2
3
2021
medline:
6
7
2021
entrez:
1
3
2021
Statut:
ppublish
Résumé
Neurotrophic keratopathy is a degenerative disease in which damage to the corneal nerves leads to corneal hypoesthesia. Injuries to neurotrophic corneas are notoriously difficult to treat and have traditionally been approached with supportive management. However, recent progress in the field of corneal neurotization has given new direction for addressing nerve loss directly by stimulating new nerve growth onto the cornea from nearby sensory nerves transferred to the perilimbal region. Herein, we review the surgical techniques utilized in corneal neurotization, including direct transfers and the use of nerve grafts. Considerations in surgical approach, as well as factors that influence prognosis and outcomes of the surgical intervention are also discussed.
Identifiants
pubmed: 33647470
pii: S1542-0124(21)00010-0
doi: 10.1016/j.jtos.2021.02.010
pmc: PMC8113161
mid: NIHMS1679575
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
163-172Subventions
Organisme : NEI NIH HHS
ID : P30 EY001792
Pays : United States
Informations de copyright
Copyright © 2021. Published by Elsevier Inc.
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