Ipsilateral supraorbital nerve transfer in a case of recalcitrant neurotrophic keratopathy with an intact ipsilateral frontal nerve: A novel surgical technique.

Published online

Journal Article

Purpose: To report a case of regained corneal sensation and function in a patient with neurotrophic keratopathy due to direct damage to the long ciliary nerves by performing a corneal neurotization procedure using ipsilateral supraorbital nerve. Surgical technique is described in detail as well as a review of the literature on corneal neurotization. Observations: A patient with devastating corneal anesthesia and poor visual acuity refractory to other treatments underwent a new surgical technique involving an ipsilateral supraorbital nerve transfer to the surrounding limbus to restore corneal sensation. At 8 months follow up, there was resolution of corneal stromal opacification documented with photographs and greatly improved corneal sensation by testing with a wisp of cotton in all 4 quadrants. Her visual acuity had improved, and at two years she was stable with even more improvement in visual acuity and ocular surface health. Conclusions and importance: We present the first successful case of corneal neurotization with ipsilateral supraorbital nerve in a patient with corneal anesthesia from a local injury to the long ciliary nerves. Our case demonstrates that the described method of corneal neurotization is a viable option for patients with recalcitrant neurotrophic keratopathy and an intact ipsilateral frontal nerve.

Full Text

Duke Authors

Cited Authors

  • Jacinto, F; Espana, E; Padilla, M; Ahmad, A; Leyngold, I

Published Date

  • December 2016

Published In

Volume / Issue

  • 4 /

Start / End Page

  • 14 - 17

PubMed ID

  • 29503915

Pubmed Central ID

  • 29503915

Electronic International Standard Serial Number (EISSN)

  • 2451-9936

Digital Object Identifier (DOI)

  • 10.1016/j.ajoc.2016.07.001

Language

  • eng

Conference Location

  • United States