PURPOSE/ METHODS: The case of a 7-month-old infant illustrates the diagnostic findings, including magnetic resonance imaging, and the difficulties of treating congenital corneal anesthesia. RESULTS/ CONCLUSIONS: The diagnosis of sporadic idiopathic congenital corneal anesthesia was one of exclusion. Normal gasserian ganglia were demonstrated on magnetic resonance imaging. Visual rehabilitation was successful with continuous lubrication, arm splinting at bedtime, and treatment of amblyopia. It continues to be essential for the parents to monitor the corneal status.
PURPOSE/ METHODS: The case of a 7-month-old infant illustrates the diagnostic findings, including magnetic resonance imaging, and the difficulties of treating congenital corneal anesthesia. RESULTS/ CONCLUSIONS: The diagnosis of sporadic idiopathic congenital corneal anesthesia was one of exclusion. Normal gasserian ganglia were demonstrated on magnetic resonance imaging. Visual rehabilitation was successful with continuous lubrication, arm splinting at bedtime, and treatment of amblyopia. It continues to be essential for the parents to monitor the corneal status.