C Scelfo1,2,3, I S Mantagos1,2. 1. Department of Ophthalmology, Boston Children's Hospital, Boston, MA, USA. 2. Department of Ophthalmology, Harvard Medical School, Boston, MA, USA. 3. Department of Ophthalmology, Boston Children's Hospital, Hawthorne, NY, USA.
Abstract
Purpose: This review provides an overview of the causes and treatment of neurotrophic keratopathy in the pediatric population. Methods: A thorough review of the current literature discussing neurotrophic keratopathy was conducted then summarized. Results: Fourty-nine papers were reviewed. Congenital and acquired causes of neurotrophic keratopathy exist in the pediatric population. Both medical and surgical approaches to treatment have been trialed, albeit to a limited extent, in pediatric patients. Conservative treatment includes topical lubrication and antibiotics to prevent concurrent infectious ulcer formation. Various neurotrophic factors have been trialed in the form of serum drops to restore corneal sensation when conservative measures fail. Surgically, different corneal neurotization techniques have been developed whereby a donor nerve is routed to the anesthetized cornea to restore innervation and sensation. Conclusions: Advances in the treatment of neurotrophic keratopathy have made corneal reinnervation and restoration of vision more easily attainable in pediatric patients.
Purpose: This review provides an overview of the causes and treatment of neurotrophic keratopathy in the pediatric population. Methods: A thorough review of the current literature discussing neurotrophic keratopathy was conducted then summarized. Results: Fourty-nine papers were reviewed. Congenital and acquired causes of neurotrophic keratopathy exist in the pediatric population. Both medical and surgical approaches to treatment have been trialed, albeit to a limited extent, in pediatric patients. Conservative treatment includes topical lubrication and antibiotics to prevent concurrent infectious ulcer formation. Various neurotrophic factors have been trialed in the form of serum drops to restore corneal sensation when conservative measures fail. Surgically, different corneal neurotization techniques have been developed whereby a donor nerve is routed to the anesthetized cornea to restore innervation and sensation. Conclusions: Advances in the treatment of neurotrophic keratopathy have made corneal reinnervation and restoration of vision more easily attainable in pediatric patients.
Authors: Giuseppe Giannaccare; Andrea Lucisano; Marco Pellegrini; Gianfranco Scuteri; Alessandra Mancini; Cristina Malaventura; Massimo Busin; Vincenzo Scorcia Journal: Am J Ophthalmol Case Rep Date: 2022-02-18